Joan Adam, Secretary of Health

Ambulance Driver Competencies

The following list of competencies for ambulance service drivers was developed by a workgroup of industry and Department of Health representatives. The workgroup formed as a result of the 2016 Legislature's repeal of the hardship exemption, a recommendation made by the 2015 EMS Stakeholders Group. The workgroup was tasked with a thorough study of the driver component to ensure appropriate training options were put in place. Under its final recommendations, a driver must have a valid South Dakota driver’s license, complete the state-approved EVOC course and health care provider CPR training, and demonstrate competency in:

  • HIPAA awareness
  • Infection control
  • Patient movement
  • Equipment and communication systems knowledge


The driver component is considered an orientation process with initial and remedial training segments. The ambulance service director must maintain documentation from each driver candidate in a personnel file available for Department of Health review. An individual ambulance service may have additional requirements beyond these competencies. A list of state approved courses is noted below; this is not an inclusive listing. The following listing of companies offering training/education is provided only as a service and does not constitute endorsement by the Emergency Medical Services Program, Office of Rural Health, South Dakota Department of Health.


  • Patient Movement

    • Education and training in c-collar and/or spinal immobilization device placement, stair chair operation and the safe operation of the ambulance cot as a minimum.

    • Utilization of standardized guidelines from the NREMT, EMT text books, etc.

  • Equipment and communication systems knowledge

    • Education and training in the general knowledge of the use, location, proper infection control, cleaning and storage is essential; including, proper radio/cell phone usage, dispatch communications, etc.


  • Emergency Vehicles Operation Course (EVOC)


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