ems university emt student first day checklist · 2013-04-15 · payment method (circle one): cash...

EMS University

EMT Student First Day Checklist

Student Name: _______________________________________________

Item Evaluator Name Signature Date Completed

Online Student Registration Form

Payment Receipt

Payment Agreement (If Applicable)

CPR Certification (Current)

Policies & Procedures (Collected)

Disclosure Statements (Collected)

Syllabus Signature Sheet (Collected)

Student Questionnaire (Collected)

I hereby certify that the above student has provided all the documentation above: Name: ____________________________ Signature: _____________________ Date: ________________

EMS University, LLC STUDENT PAYMENT PROFILE

Agreement Section Size or commencement of class may vary depending upon needs and availability. By filling out this form, signing, and submitting payment to EMS University, I hereby agree that I meet the necessary prerequisites to attend the course. Additionally, I agree to pay the registration fee above for this class unless payment has already been received.

Payment Method

(Circle One): Cash Check Credit Card Payment Plan Already Paid

Total Amount Paying: $________.____ If paying with a Payment Plan, fill out information on an Installment Agreement Form. If you are paying by cash, check or already paid, please disregard the credit card form below. Student Signature X______________________________________ Date: __________________ ------------------------------------------------------------------------------------------------------------------------------------------ If paying in full with a credit card, please fill out the information below: Name On Card: Card Number: Expiration Date: Card Verification Code: Billing Address: City State: Zip Code: I hereby authorize EMS University to charge my card in the amount of $____________.____. Student Signature X______________________________________ Date: __________________

Last Name:

First Name:

Course You Are Registering For: Course Start Date: Address:

Email Address:

City:

State: Zip Code:

How Did You Hear About Us?

Social Security Number:

EMS University

Standard Operating Guidelines Installment Agreement Form 7-1201.01

I, ___________________ hereby request an installment agreement for the following course: EMS 201: Emergency Medical Responder EMS 202: Emergency Medical Technician Course Start Date(s): _____________________________________________________________ Installment Agreement Type (please check the program packet or call (800) 728-0209 to obtain information regarding installment plans available): I agree to pay the registration fee of: $______.____ within 30 days prior to the start of class. I agree to pay tuition every: Week (Weekly) Two Weeks (Bi-Weekly) with the first payment due on the first day of class in the amount of $______.____ and the same amount being due according to the payment schedule selected above until the balance of tuition is paid in full. Select Payment Method Electronic Check Money Order Credit Card Checking Account Information (If Applicable): Bank Name: ______________________________ Bank City, State/Zip: _____________________ 9-Digit Routing Number: __________________ Account Number: _________________________

(Please also attach a copy of a voided check if using this method)

Credit Card Information (If Applicable):

Name On Card:

Card Number:

Expiration Date: Card Verification Code:

Billing Address:

City State: Zip Code: I agree to have my card or bank account debited for the amount above until the balance is paid in full. Signature: ________________________________________________ Date: ________________ (If you have any questions regarding this form or the installment amounts and due dates, please check the

program packet or call us at (800) 728-0209.)

Created: November 19, 2012 Updated: April 14, 2013 EMS 202 Course Syllabus 1

Course Title and Number: EMS 202: Emergency Medical Technician Course Hours: 184 Prerequisites: Appropriate Placement Score, CPR, also See Program

Packet Course Length: 184 Hours, 152 hours of didactic instruction, 4 hours of practical examination assistance, 16 hours of clinical rotations and 12 hours of vehicular rotations (28 hours externship total) Course Materials: Mistovitch, J. and Karren, K. (2010). Prehospital Emergency Care, 9th edition. Upper Saddle River, NJ: Brady Books. ISBN: 0135028108 Kuvlesky, Edward, et. all (2009). Prehospital Emergency Care Workbook, 9th edition. Upper Saddle River, NJ: Prentice Hall. ISBN: 013508122X. My Brady Lab (Electronic Resource)

*Students must have access to these materials in order to successfully progress through the course.

Mission Statement Our mission is to train and educate individuals to become the most highly skilled Emergency Medical Service professionals. Continuous quality improvement is the primary focus of our educational training program. We take every possible step to instill knowledge from our previous experience through continuous evaluation and improvement. Each member of our team participates in this process, as an open atmosphere leads to innovation, quality education, and instruction. Our students are trained to these high standards and exemplify the character of our organization after successful completion of their course or program of study. Course Description The EMS University EMT Course consists of a total of 184 hours. Specifically, this is a total of 152 hours of didactic instruction, 4 hours of practical examination assistance, 16 hours of clinical rotations and 12 hours of vehicular rotations (28 hours externship total). Course hours are subject to change with appropriate notification to the


student/applicant. This course shall meet and/or exceed the United States Department of Transportation, National Highway Transportation Safety Administration, Emergency Medical Technician National Standard Curriculum guidelines and 2009, the National EMS Education Standards as well as meet Arizona Department of Health Services, Bureau of EMS education standards. The Emergency Medical Technician course prepares the EMT student to provide prehospital assessment and care for patients of all ages with a variety of medical conditions and traumatic injuries. Areas of study include an introduction to emergency medical services systems, roles and responsibilities of EMTs, anatomy and physiology, medical emergencies, trauma, special considerations for working in the prehospital setting and providing patient transportation. Technology Requirements EMS 202 requires the use of software in order to complete class requirements. Students must ensure these requirements in order to successfully complete the course. This is the sole responsibility of the student. Information regarding specific requirements are listed below. These requirements are subject to change at any time without notice. Operating Systems and Browsers To work in MyBRADYLab, your computer must meet at least the 56 Kps (kilobits per second) connection speed and be using one of the following operating system and browser configurations.

Operating System Version Browser

Microsoft Windows XP, Vista, 7

Firefox 3.6, 8.0 Internet Explorer 8.0, 9.0

Mac OS 10.7 Firefox 3.6, 8.0 Safari 5.1

To check your operating system, turn on your computer and look for information on your operating system as the computer boots up. You can also find this information in your computer settings. For example, if you have a PC you can look at "View System Information" in "My Computer," which is accessible from the Start menu. If you are unsure of the browser version you are using, launch the browser and select Help from the menu bar. Next, select "About Browser" (the browser name and the exact wording of the selection will vary) and a window will open with your browser name and version.


COOKIES AND JAVASCRIPT OPTIONS MyBRADYLab may use both cookies and JavaScript technology. (Cookies provide a way for the website to identify users and keep track of their preferences.) Both of these features must be turned on in your browser and are usually enabled by default. See your browser Help for instructions on how to view or change these browser options. POP-UP WINDOWS Some features of this website display in a pop-up browser window. If you are using a browser that offers pop-up control or are running an add-on program to control pop-ups, you may need to take steps to use such features. The steps to take depend on the browser or add-on program you are using. Plug-Ins You will need the following applications to use MyBRADYLab. Depending on the content at your site, you may also need to download one or more free plug-ins (such as Adobe® Reader®, Macromedia® Flash™, or Macromedia Shockwave®).

Application Name PC Version Mac Version

Adobe Flash Player 8 8.0

Microsoft PowerPoint Viewer 2003 2004

Adobe Reader 7.0.5 7.0.5

Educational Objectives At the completion of this course you should be able to: 1. Describe the roles of EMS in the health care system. 2. Demonstrate the professional attributes expected of EMTs. 3. Perform the roles and responsibilities of an EMT with regard to personal safety and

wellness, as well as the safety of others. 4. Perform the duties of an EMT with regard for medical-legal and ethical issues,

including functioning under medical direction and within the scope of practice. 5. Apply principles of anatomy, physiology, pathophysiology, life-span development,

and therapeutic communications to the assessment and management of patients. 6. Identify the need for and perform immediately life-saving interventions to manage a

patient’s airway, breathing, and circulation.


7. Assess and manage patients of all ages with a variety of complaints, medical conditions and traumatic injuries.

8. Apply principles of emergency medical services operations, including considerations in ambulance and air medical transportation, multiple casualty incidents, gaining access to and extricating patients, hazardous materials incidents, and responding to situations involving weapons of mass destruction.

Requirements for successful completion of this course A minimum passing grade of 75% is required for successful completion of this course. Grading Scale: Grades will be issued for this course as A,B,C, and F. The grading scale is: Grade Point Value Grade 90 - 100% A 80 - 89% B 75 - 79% C Below 75% F Incomplete I Withdrawal W Method of Evaluation: My Brady Lab Assignments Topic Review Quizzes 10%

Patient Care Reports 10% Midterm Examination 15%

Topic Posttests 20% Chapter Examinations 20%

Final Examination 25% Student Workbook Up to 10% Extra Credit

Miscellaneous Notes:

Topic Pretests are not graded, but it is highly recommended that students complete these after reading the applicable course material.

All Topic Review Quizzes are due at the end of the course for full credit. Topic Review Quizzes are graded. If a Topic Review Quiz is not completed prior to the end of the course, no credit will be permitted.


Students may retake an examination (Midterm and Final Examination NOT included) within 1 week of taking the initial exam if the score is less than 75% on that examination. If the student’s score on the 1st retake is less than 75%, the student may retake the examination a third time within 1 week. If the student achieves a score of less than 75% on the third attempt, they shall be dismissed from the program/course.

Students who fail an examination must remediate any questions that were missed. Remediation is not permitted for the Midterm and Final Examinations. Remediation is demonstrated by filling out and turning in a remediation form due upon the next day of class. In no case, will the instructor provide the student with the answer to the question prior to the student turning in the remediation form.

If a student does not identify the correct answer and properly remediate a majority of questions, the student shall forfeit their option to retake the examination and be provided with a grade of 0% on that retake.

A student MUST pass every examination in order to progress through the course. A student passing an examination on a retake shall be given the grade of 75% for that examination.

Students are permitted to fail 2 examinations on their initial attempt. If a student fails 3 initial examinations, they will be dismissed from the class.

Failure of an examination may require the student to retake the examination during their class lecture period. They may miss additional material as a result of examination failure. Students are expected to understand that this is a potential consequence of examination failure.

In accordance with Arizona Department of Health Services, Bureau of EMS Rules, all students must receive a score of 75% or higher in order to pass the final examination.

Students who fail the final examination, will have no more than 2 subsequent attempts to pass the examination with a score of 75% or higher.

A score of 75% or higher is required to pass this course.

Students MUST meet all course hour requirements, including externship and practical examination assistance. Students unable to do so, may be summarily dismissed from the program. Exceptions may be granted at the discretion of the Program Director; however, students will be required to obtain at least 10 patient contacts prior to course completion.


SIGNATURE PAGE Student Name: _____________________________ Signature: _________________________________ Date: ___________________ By my signature of this document, I hereby affirm that I understand the above requirements and shall comply with them as a condition of my enrollment in the EMS University EMT Course.

EMS 202: Emergency Medical Technician

Remediation Form

Page | 1

Name: ______________________________________ Date: ______________________ Name of Exam You Are Remediating (Ex. Unit 1 Exam): __________________________ Version: ____ Date of Examination: ____________________ Exam Score (%): ________ Purpose: The purpose of the remediation process is to ensure that you understand deficiencies in your exam which resulted in your score that was less than the acceptable standard. This is NOT a punitive process. It is designed to help you be more successful in the future. Note, that this form is required to be completed in its entirety in order for you to be eligible to take the alternative version of the examination that was failed. It is also required for you to receive a grade of 50% or higher Instructions: On a separate sheet of paper or papers, please identify the correct answer and write or type at least 2 sentences, but no more than 10 which explain why the answer is correct. Typing your answers is the preferred format. Please see the Short Answer and Essay Rubric. By signing this form, I understand the requirements of this form and that this form is required as a condition of my eligibility to retake the above identified examination and that the highest score I will be given on this examination is 75%. Student Signature: ____________________________________ --------------------------------------------------------------------------------------------------------------------- Instructor Use (Please place scores according to the rubric next to student answers. The scores below are cumulative. A rubric score of 2 is required in each category to answer the question correctly):

Number of Questions Circled: Number of Questions Answered Correctly: Percentage (50% Required to Pass):

I hereby certify that that is student is eligible/not eligible (CIRCLE ONE) to take the next version of this examination. Instructor Name: _________________________________________________________ Signature: __________________________________________ Date: ________________


Short Answer and Essay Rubric

Page | 1

The following is a guide to instructors and student to use in the evaluation of short answers and essays. Generally, a score of 2 is required in each category to pass, while a score of less than 2 is considered failure:

Unacceptable Needs Improvement Satisfactory Meets

Expectations Exceptional

Score 0 1 2 3 4

Content Did not answer

question.

Answers are partial or

incomplete. Key points are

not clear. Question not adequately answered.

Answers are not comprehensive or completely

stated. Key points are

addressed, but not well

supported.

Answers are accurate and

complete. Key points are stated and supported.

Answers are comprehensive,

accurate and complete. Key

ideas are clearly stated, explained, and

well supported.

Content Did not answer

question.

Organization and structure detract from the answer.

Inadequate organization or development.

Structure of the answer is not

easy to follow.

Organization is mostly clear and easy to

follow.

Well organized, coherently

developed, and easy to follow.

Organization Did not answer

question.

Displays over five errors in

spelling, punctuation,

grammar, and sentence structure.

Displays three to five errors in



Displays one to three errors in



Displays no errors in spelling,

punctuation, grammar, and

sentence structure.

EMERGENCY MEDICAL SERVICES UNIVERSITY - EMT PROGRAM STUDENT PATIENT CARE REPORT

PATIENT #: DATE: / / INCIDENT LOCATION: Times: DISPATCHED | | | RESPONDING | | | ON SCENE | | | CLEARING | | |

PROVIDER INFORMATION STUDENT NAME: PRECEPTOR 1 NAME: PRECEPTOR 2 NAME (IF APPLICABLE):

PATIENT INFORMATION AGE: GENDER: MALE FEMALE UNKNOWN CHIEF COMPLAINT: ONSET TIME | | | ALLERGIES: MEDICATIONS: PAST MEDICAL HISTORY:

PATIENT VITAL SIGNS TIME LOC RESPIRATIONS PULSE SPO2 GLUCOSE BP PUPILS

Rate:

Quality:

Rate:

Quality:

Left:

Right:

Rate:

Quality:

Rate:

Quality:

Left:

Right:

Rate:

Quality:

Rate:

Quality:

Left:

Right:

CLINICAL FINDINGS ä Check if no significant clinical findings – see CLINICAL FINDINGS worksheet for criterion. SKIN: HEAD/FACE: NECK: CHEST: ABDOMEN: PELVIS: EXTREMITIES: POSTERIOR:

INTERVENTIONS PERFORMED Intervention: Time: Response: Intervention: Time: Response:

TREATMENT NARRATIVE

SEE BACK SIDE SURVEY (OPTIONAL)

A: B: C: D: DISPOSITION

CARE REFUSED? YES NO TRANSPORTATION REFUSED? YES NO (If yes to either, refusal form must be completed.) CARE TRANSFERRED TO OTHER AGENCY? YES NO NAME OF AGENCY: NAME/SIGNATURE OF PRECEPTOR: CERT: TIME CARE TRANSFERRED: | | | SIGNATURE OF STUDENT:

K:\EMS\DOCUMENTS TO BE PRINTED FOR ALL STUDENTS\BASIC EMT FIELD INTERNSHIP.DOC

CANDIDATE’S NAME:

EXTERNSHIP SITE (Agency Name): PRECEPTOR’S NAME:

DATE: SHIFT START TIME: SHIFT END TIME:

Under the direct supervision of a preceptor, the Basic EMT student will observe, participate and demonstrate the following skills. Please rate the student in each category listed, on the scale provided: 1 being poor, and 5 being outstanding. N indicates that the category is not applicable to the experience being evaluated. In the Comment section, please elaborate on both strong and weak performance areas, and include specific suggestions for continued development and improvement.

OBJECTIVE RATING COMMENTS PREPARATION Participate in vehicle/rig check 1 2 3 4 5 N Receipt of dispatch information 1 2 3 4 5 N Pre-arrival plan/preparation 1 2 3 4 5 N Scene size-up/management 1 2 3 4 5 N Initial patient assessment 1 2 3 4 5 N PATIENT CONTACT Chief complaint 1 2 3 4 5 N History of present illness/injury 1 2 3 4 5 N Past medical history 1 2 3 4 5 N Medications 1 2 3 4 5 N Allergies 1 2 3 4 5 N Focused history and detail physical exam (rapid or focused examination

1 2 3 4 5 N

Ongoing assessment 1 2 3 4 5 N VITAL SIGNS Level of consciousness (AVPU) 1 2 3 4 5 N Pulse rate & quality 1 2 3 4 5 N Respiratory rate & quality 1 2 3 4 5 N Blood pressure by auscultation/palpation 1 2 3 4 5 N AIRWAY/BREATHING MANAGEMENT Oral suctioning 1 2 3 4 5 N Oral/nasal airway insertion 1 2 3 4 5 N Oxygen therapy (nonrebreather mask or nasal cannula

1 2 3 4 5 N

Ventilatory assistance (BVM) 1 2 3 4 5 N Chest compressions during CPR 1 2 3 4 5 N Assessment of breath sounds 1 2 3 4 5 N CIRCULATORY MANAGEMENT Bleeding control measures 1 2 3 4 5 N Bandaging 1 2 3 4 5 N MAST application (if occasion arises) 1 2 3 4 5 N

EMERGENCY MEDICAL SERVICES UNIVERSITY EMT PROGRAM

Preceptor Evaluation of Student

OBJECTIVE RATING COMMENTS SPLINTING – TRACTION/FIXED Assessment of painful, swollen deformed extremity 1 2 3 4 5 N Selection of appropriate device 1 2 3 4 5 N Application of device 1 2 3 4 5 N SPINAL IMMOBILIZATION KED (or similar) application 1 2 3 4 5 N Wooden shortboard application 1 2 3 4 5 N Use of longboard 1 2 3 4 5 N Standing Takedowns 1 2 3 4 5 N ASSESSMENT OF MEDICAL PATIENTS Initial assessment 1 2 3 4 5 N Focused history and detailed physical exam 1 2 3 4 5 N Ongoing assessment 1 2 3 4 5 N Appropriate treatment 1 2 3 4 5 N Assisting patient with medications 1 2 3 4 5 N Nitro tablets/spray 1 2 3 4 5 N Non-steroid inhalers 1 2 3 4 5 N Oral glucose 1 2 3 4 5 N EpiPen 1 2 3 4 5 N LIFTS, MOVES AND CARRIES Emergency/non-urgent moves 1 2 3 4 5 N Patient transfer 1 2 3 4 5 N Wheeled stretcher 1 2 3 4 5 N Reeves stretcher 1 2 3 4 5 N Stair chair 1 2 3 4 5 N OTHER Participates in run review 1 2 3 4 5 N Assists with cleaning, restocking of vehicle 1 2 3 4 5 N Prepares for next run 1 2 3 4 5 N OBSERVATION ONLY Documentation/communications with hospital 1 2 3 4 5 N Any and all invasive and/or advanced skills 1 2 3 4 5 N Additional Comments by Preceptors: ____________________________________________________________________________ __________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

SIGNATURE OF PRECEPTOR: DATE: Comments from EMT Student: _________________________________________________________________________________ __________________________________________________________________________________________________________

__________________________________________________________________________________________________________

__________________________________________________________________________________________________________

SIGNATURE OF STUDENT: DATE:

Preceptor Name: _______________________________Agency: ___________________

Address (may use agency address): __________________________________________

PHONE: _____________________ E-MAIL: ____________________________________

Curriculum Vitae – For Preceptor (Not Student)

SUMMARY OF EMPLOYMENT

Dates Employed Name of Employer Location (City/State)

EDUCATION

Dates Attended Name of School Major Degree Received

CERTIFICATIONS/LICENSURE

Date Obtained Name of

Certification/Licensure Expiration Date

Signature: ______________________________________ Date: ___________________

EMT STUDENT EVALUATION OF PRECEPTOR

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Student NameCourse

EMR

EMT

Date [MM/DD/YY] Type: ICU Shift Times [HH:MM]

EMS OB Begin:Preceptor Name Location ED PED End:

OR PSYCH Total:

Student Instructions: Complete this form after each field or clinical internship shift. Return the form to the course instructor within ten(10) days. Rate the preceptor using the following scale.

Evaluate the preceptor using the following guidelines.Grading Scale Definition5 Excellent Displays commendable preceptor behavior/skills; Fosters atmosphere conducive to learning.4 Good Most always displays good preceptor behavior/skills; Promotes learning most of the time.3 Acceptable Adequate preceptor behavior/skills; Generally supportive of student learning.2 Fair Rarely displayed desirable behavior/skills; Generally does not promote student learning.1 Unacceptable Displays poor preceptor behavior/skills; Actions are not supportive of student learning.

Evaluation. Circle the rating for each item.

Preceptor

1. Did you find the preceptor helpful? 1 2 3 4 5

2. Did the preceptor demonstrate expertise and knowledge? 1 2 3 4 5

3. Did the preceptor supervise and intervene appropriately? 1 2 3 4 5

4. Did the preceptor demonstrate practical application of skills and problem solving? 1 2 3 4 5

5. Did the preceptor demonstrate respect for the student? 1 2 3 4 5

6. Rate your overall impression of the preceptor. 1 2 3 4 5

Comments:

Clinical Site

1. Did you find the clinical site to support an atmosphere conductive to learning? 1 2 3 4 5

2. Did you encounter a patient population appropriate to the rotation (male vs. female, adult vs.pediatric, medical vs. trauma complaints)? 1 2 3 4 5

Comments:

Other Student CommentsComments: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Student Signature: Date:

EMT Disclosure Statements – Page 1

EMT Program Disclosure Statements

Emergency Medical Services University, LLC

Section I: Program Responsibilities A. EMS University shall establish, implement and annually review its policies to

ensure that they are meeting the requirements as outlined in Arizona Administrative Code R9-25-313.

Section II: Student Enrollment A. Admissions Requirements and Procedures - Each applicant for admission must

fill out an Application for Admission or Registration Form specifying the course(s) the student desires to take. The student is permitted to choose the start date of the course assuming prerequisites are met. Students also sign an agreement that course registration is subject to availability. Finally, students warrant and guarantee that they meet the requirements for entry to the program.

B. Qualification of Admission - To qualify for admission, the prospective student

must meet the following requirements: 1. Current High School Diploma, Home School Diploma or General

Education Degree; 2. One of the following:

a. Associates Degree or higher from an accredited college or university or at least 2 years of full-time study or the equivalent from an accredited college or university with a cumulative GPA of 2.0 or higher.

b. ASSET Score of 40 or higher or COMPASS Score of 84 or higher or ACCUPLACER Score of 71 or higher

c. ASSET Score of less than 40, but higher than or equal to 39 or COMPASS Score of less than 84, but higher than or equal to 82 or ACCUPLACER score of less than 71, but higher than or equal to 70. It is also REQUIRED to take EMS200 (How to be Successful in an EMT Program) prior to or within the first month of entry.


d. ASSET Score of less than 39, but higher than or equal to 36 or COMPASS Score of less than 82, but higher than or equal to 70 or ACCUPLACER score of less than 70, but higher than or equal to 53. It is also REQUIRED to take EMS 200 (How to be Successful in an EMT Program) prior to or within the first month of entry and EMS 201 (Emergency Medical Responder) prior to entry.

C. Miscellaneous Requirements:

1. The applicant must be eighteen years of age or older at the time he or she starts his or her program of study. Participants who are less than 18 years of age at the time of registration, must provide parental approval of all written and electronic forms.

a. Applicants under 21 years of age should be aware of the possible limitations of employment which might occur due to motor vehicle insurance restrictions. Certification and/or passing the course does not guarantee employment. In no case will EMS University offer job placement or guarantee job placement.

2. Applicants must pay the registration and tuition fees. 3. Accepted applicants are bound to the agreement contained on the

registration form. 4. Proficiency in cardiopulmonary resuscitation (Not Expiring within the next

6 months, taken with a LIVE instructor), demonstrated by one of the following:

a. EMS University CPR for the Healthcare Provider; b. AHA Healthcare Provider certification; c. ASHI CPR Pro; d. American Red Cross Professional Rescuer CPR certification. 5. The applicant must demonstrate proficiency in reading at the 9th grade

level. This will be verified through the presence of a High School Diploma, Home School Diploma, or GED.

6. Negative Drug Screening Test - not required prior to entry, but required prior to externship participation - (must be 5 panel or greater and completed within 3 months prior to the program start).

7. Negative TB Test - not required prior to entry, but required prior to externship participation - which may include either a PPD or chest X-ray with negative indication.

8. MMR vaccination or immunity – not required prior to entry, but required prior to externship participation;

9. Varicella vaccination or immunity – not required prior to entry, but required prior to externship participation;

10. Tetanus/Diphtheria vaccination within the last 10 years or immunity – not required prior to entry, but required prior to externship participation;

11. Hepatitis B vaccination, immunity, or signed declination form – not required prior to entry, but required prior to externship participation;


12. DPS Fingerprint clearance Card - required prior to externship participation – not required prior to entry, but required prior to externship participation. a. NOTE: IF THE STUDENT IS UNABLE TO COMPLETE EXTERNSHIPS AS

SCHEDULED DUE TO NOT OBTAINING A FINGERPRINT CLEARANCE CARD OR NOT OBTAINING LABS OR A DRUG TEST, THEY MAY BE DISMISSED FROM THE PROGRAM ADMINISTRATIVELY.

Section III: Course Information

A. Course Content

Chapter Subject

N/A Course Introduction and Overview

1 Emergency Medical Care Systems, Research and Public Health

2 Workforce Safety and Wellness of the EMT

3 Medical, Legal, and Ethical Issues

4 Documentation

5 Communication

6 Lifting and Moving Patients

6 Lab: Lifting and Moving Patients

1-6 Review: Chapters 1-6

1-6 Exam and Review of Exam

7 Anatomy, Physiology, and Medical Terminology

7 Anatomy, Physiology, and Medical Terminology

8 Pathophysiology

9 Life Span Development


10 Airway Management, Artificial Ventilation, and Oxygenation

10 Lab: Airway Management, Artificial Ventilation, and Oxygenation

11 Baseline Vital Signs, Monitoring Devices, and History Taking

6, 10-11 Lab: Lifting and Moving Patients; Airway Management, Artificial Ventilation, and Oxygenation; Baseline Vital Signs Monitoring Devices, and History Taking.

12 Scene Size-Up

13 Patient Assessment

12-13 Lab: Scene Size-Up and Patient Assessment


14 Pharmacology and Medication Administration

15 Shock and Resuscitation

16 Respiratory Emergencies

1-16 Lab: Pharmacology and Medication Administration, Review of Previous Skills, Respiratory Emergency Scenarios

17 Cardiovascular Emergencies


18 Altered Mental Status, Stroke, and Headache

16-18 Lab: Respiratory, Cardiovascular and Altered Mental Status Scenarios


19 Seizures and Syncope

20 Acute Diabetic Emergencies

21 Anaphylactic Reactions

22 Toxicologic Emergencies

23 Abdominal, Gynecologic, Genitourinary and Renal Emergencies

24 Environmental Emergencies

19-24 Lab: Medical Emergencies Scenarios

25 Submersion Incidents: Drowning and Diving Emergencies

26 Behavioral Emergencies

27 Trauma Overview: The Trauma Patient and the Trauma System

28 Bleeding and Soft Tissue Trauma


29 Burns

30 Musculoskeletal Trauma

31 Head Trauma

32 Spinal Column and Spinal Cord Trauma

33 Eye, Face, and Neck Trauma

34 Chest Trauma

27-34 Lab: Trauma Skills and Scenarios

35 Abdominal and Genitourinary Trauma

36 Multisystem Trauma and Trauma in Special Patient Populations

37 Obstetrics and Care of the Newborn

27-37 Lab: Trauma Skills and Scenarios; Obstetrics and Care of the Newborn


38 Pediatrics

39 Geriatrics

38 Lab: Pediatric Skills and Scenarios

40 Patients with Special Challenges

41 Ambulance Operations and Air Medical Response

42 Gaining Access and Patient Extrication


43 Hazardous Materials

44 Multiple Casualty Incidents and Incident Management

45 Response to Terrorism Involving Weapons of Mass Destruction


1-45 Course Review

1-45 Lab: Scenarios and Skills Review

1-45 Final Exams

A-1 ALS Assist & Pharmacology


B. Course Hours: The EMS University EMT Course consists of a total of 184 hours.

Specifically, this is a total of 152 hours of classroom instruction, 4 hours of practical examination assistance, 16 hours of clinical rotations and 12 hours of vehicular rotations (28 hours externship total). Students unable to do so, may be summarily dismissed from the program. Exceptions may be granted at the discretion of the Program Director; however, students will be required to obtain at least 10 patient contacts prior to course completion. Students shall be required to document 10 patient contacts at minimum. This requirement may be increased at the discretion of the instructor. Course hours are subject to change with appropriate notification to the student/applicant.

C. Course Fees – The cost of tuition and fees for the EMT course is located below.

The cost of the course is non-transferrable and subject to change with appropriate notification to the student/applicant. Course costs may include other fees which may fluctuate according to market conditions. The following is an estimate of costs included below:

1. Non-Refundable Registration Fee: $200.00 2. Tuition (Not Including Registration Fee: $550.00

Program Total Cost: $750.00

3. Books $175.00 4. Drug Screening $ 35.00 5. Hepatitis B Vaccine $ 75.00 6. MMR Vaccine $ 90.00 7. Varicella Vaccine $125.00 8. TB Testing $ 20.00 9. Fingerprinting $ 15.00 10. Fingerprint Clearance Card $ 85.00 11. Uniform T-shirt or plain navy blue t-shirt/polo shirt* $ 35.00

Supplemental Estimated Costs: $655.00

12. Blood pressure cuff $ 25.00 13. Stethoscope $ 40.00 14. Penlight $ 5.00 15. Pocket mask with oxygen port $ 15.00

Recommended Materials Estimated Costs Total: $ 85.00 Total: $1,490.00


D. Course Completion - The EMT student is required to achieve an overall average minimum grade average and final examination score of 75% or greater in order to pass the course. This grade percentage may be increased at the discretion of the Program Director or designee with reasonable notice to the student. In all cases, a grade average of less than 75% will constitute unsatisfactory grades and shall result in failure/expulsion from this EMT Program.

Section IV: Required & Recommended EMT Books, Equipment and Supplies

A. Prehospital Emergency Care (9th Edition) --- ISBN: 0135028108 (Required) B. Workbook for Prehospital Emergency Care --- ISBN: 013508122X (Required) C. My Brady Lab (Electronic Resource) D. Uniform T-Shirt E. Blood pressure cuff F. Stethoscope G. Penlight H. Pocket Mask

Section V: Notification Requirements A. Physician’s Statement - Students with a health or physical problem may be

asked to obtain a physician’s statement, at the student’s cost, that the condition will not be aggravated by or endanger clients/patients associated with the student in required coursework.

B. Physical Activity Requirements – The EMT student shall have the ability to lift and move as well as take physical action similar to that of an EMT in the EMS field on an ambulance. Because this program is designed for those who may eventually be seeking employment as an EMT, the student shall be required to have the ability to perform his/her tasks while in class and in the externship setting. Specifically, this will include and is not limited to the following: lifting patients on a stretcher with limited help, lifting objects using proper lifting techniques, moving objects and patients to and from the ground, moving patients down stairs and stairwells, twisting, bending and other movements required in the EMS field as occurs by EMS professionals. The student hereby certifies that he/she has such abilities as described herein and understands further that it is his/her responsibility to investigate these matters to fully understand what is required prior to this information being provided in the EMT course as to prevent problems which might occur. EMS University shall make reasonable accommodations upon the student requests made within a reasonable time period in accordance with applicable law.

Section VI: Indemnification & Limitation of Liability


To the fullest extent permitted by law, you agree to defend, indemnify and hold harmless EMS University from and against any and all claims, charges, demands, damages, losses, expenses, and liabilities of whatever nature and howsoever arising (including, but not limited to, any legal or other professional fees and the costs of defending or prosecuting any claim), incurred or suffered by EMS University directly or indirectly. TO THE MAXIMUM EXTENT PERMITTED BY LAW, NEITHER EMSU NOR ANYONE ELSE WHO HAS BEEN INVOLVED ON BEHALF OF EMSU IN THE CREATION, PRODUCTION OR DELIVERY OF A COURSE OR ANY SERVICES PROVIDED IN CONNECTION THEREWITH, SHALL BE LIABLE FOR ANY SPECIAL, CONSEQUENTIAL, OR INCIDENTAL DAMAGES (INCLUDING DAMAGE FOR LOSS OF BUSINESS PROFIT, BUSINESS INTERRUPTION, LOSS OF DATA, AND THE LIKE) ARISING OUT OF THE USE OR INABILITY TO USE THE COURSE, EVEN IF EMSU HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. IN NO EVENT SHALL EMSU OR ITS LICENSORS OR SUPPLIER'S TOTAL CUMULATIVE LIABILITY FOR LOSS OR DAMAGE UNDER THIS AGREEMENT EXCEED THE AMOUNT OF FEES PAID BY YOU FOR THE COURSE(S). Detrimental Reliance - If you rely on this agreement to your detriment, and if it is found that damages exist under this agreement, you are only entitled to no more than amount you paid for the course. Responsibility - You agree that your certification is your sole responsibility. This means that you are solely responsible and provide warranty to EMSU that you meet the criteria to register for the course(s) you choose to register for and that EMSU cannot be held responsible for any oversight, negligence or breach of duty and/or due diligence in this respect. Limitation of Liability & Insurance – EMS University STRONGLY recommends that you obtain and maintain adequate health insurance coverage, professional and general liability insurance during the course in order to mitigate the potential for any damages to you and in order for you to adequately care for any unforeseen medical conditions or injuries occurring during the course. Additionally, you agree to indemnify and hold harmless EMS University for any injury or illness which you may sustain while completing clinical and vehicular assignments at places to include, but not limited to hospitals, clinics, inside ambulances and fire trucks, on medical and traumatic scenes, and other foreseeable places wherein injury may occur. Section VII: Integration You agree to be bound and this agreement is integrated into the Course Syllabus, Policies and Procedures, and registration terms available at


www.arizonaemt.com/?q=terms. This is a complete integration, meaning that no prior oral agreement shall be binding upon these written/electronic agreements. Section VIII: Severability If for any reason a court of competent jurisdiction finds any provision of this Agreement, or portion thereof, to be unenforceable, that provision of the Agreement shall be enforced to the maximum extent permissible so as to affect the intent of the parties, and the remainder of this Agreement shall continue in full force and effect. If there is a conflict in the written instruments, this instrument shall prevail. Section IX: Choice of Law and Forum This Agreement shall be governed by the laws of the State of Arizona without regard to that body of law known as conflicts of law, and excluding the United Nations Convention on Contracts for the Sale of Goods. You agree that any dispute arising under this Agreement shall be brought solely and exclusively in a court of competent jurisdiction located in the state of Arizona, USA, and agree to submit to personal jurisdiction in the State of Arizona for that purpose. Section X: EMS University Standard Operating Guidelines You hereby agree to be bound to EMS University Standard Operating Guidelines which shall be available upon written request to administrative staff upon reasonable notice at any time and shall be provided within a reasonable time to the student.

http://www.arizonaemt.com/?q=terms

EMT Policies and Procedures – Page 1

EMT Program Policies and Procedures

Emergency Medical Services University, LLC

Section I: Program Responsibilities A. EMS University shall establish, implement and annually review its policies to

ensure that they are meeting the requirements as outlined in Arizona Administrative Code R9-25-313.

Section II: Student Enrollment A. Admissions Requirements and Procedures - Each applicant for admission must

fill out an Application for Admission or Registration Form specifying the course(s) the student desires to take. The student is permitted to choose the start date of the course assuming prerequisites are met. Students also sign an agreement that course registration is subject to availability. Finally, students warrant and guarantee that they meet the requirements for entry to the program.

B. Qualification of Admission - To qualify for admission, the prospective student

must meet the following requirements: 1. Current High School Diploma, Home School Diploma or General

Education Degree; 2. One of the following:

a. Associates Degree or higher from an accredited college or university or at least 2 years of full-time study or the equivalent from an accredited college or university with a cumulative GPA of 2.0 or higher.

b. ASSET Score of 40 or higher or COMPASS Score of 84 or higher or ACCUPLACER Score of 71 or higher

c. ASSET Score of less than 40, but higher than or equal to 39 or COMPASS Score of less than 84, but higher than or equal to 82 or ACCUPLACER score of less than 71, but higher than or equal to 70. It is also REQUIRED to take EMS200 (How to be Successful in an EMT Program) prior to or within the first month of entry.

d. ASSET Score of less than 39, but higher than or equal to 36 or COMPASS Score of less than 82, but higher than or equal to 70 or


ACCUPLACER score of less than 70, but higher than or equal to 53. It is also REQUIRED to take EMS 200 (How to be Successful in an EMT Program) prior to or within the first month of entry and EMS 201 (Emergency Medical Responder) prior to entry.

C. Miscellaneous Requirements:

1. The applicant must be eighteen years of age or older at the time he or she starts his or her program of study. Participants who are less than 18 years of age at the time of registration, must provide parental approval of all written and electronic forms.

a. Applicants under 21 years of age should be aware of the possible limitations of employment which might occur due to motor vehicle insurance restrictions. Certification and/or passing the course does not guarantee employment. In no case will EMS University offer job placement or guarantee job placement.

2. Applicants must pay the registration and tuition fees. 3. Accepted applicants are bound to the agreement contained on the

registration form. 4. Proficiency in cardiopulmonary resuscitation (Not Expiring within the next

6 months, taken with a LIVE instructor), demonstrated by one of the following:

a. EMS University CPR for the Healthcare Provider; b. AHA Healthcare Provider certification; c. ASHI CPR Pro; d. American Red Cross Professional Rescuer CPR certification. 5. The applicant must demonstrate proficiency in reading at the 9th grade

level. This will be verified through the presence of a High School Diploma, Home School Diploma, or GED.

6. Negative Drug Screening Test - not required prior to entry, but required prior to externship participation - (must be 5 panel or greater and completed within 3 months prior to the program start).

7. Negative TB Test - not required prior to entry, but required prior to externship participation - which may include either a PPD or chest X-ray with negative indication.

8. MMR vaccination or immunity – not required prior to entry, but required prior to externship participation;

9. Varicella vaccination or immunity – not required prior to entry, but required prior to externship participation;

10. Tetanus/Diphtheria vaccination within the last 10 years or immunity – not required prior to entry, but required prior to externship participation;

11. Hepatitis B vaccination, immunity, or signed declination form – not required prior to entry, but required prior to externship participation;


12. DPS Fingerprint clearance Card - required prior to externship participation – not required prior to entry, but required prior to externship participation. a. NOTE: IF THE STUDENT IS UNABLE TO COMPLETE EXTERNSHIPS AS

SCHEDULED DUE TO NOT OBTAINING A FINGERPRINT CLEARANCE CARD OR NOT OBTAINING LABS OR A DRUG TEST, THEY MAY BE DISMISSED FROM THE PROGRAM ADMINISTRATIVELY.

Section III: Student Attendance

A. The EMS University EMT Course consists of a total of 184 hours. Specifically, this

is a total of 152 hours of didactic instruction, 4 hours of practical examination assistance, 16 hours of clinical rotations and 12 hours of vehicular rotations (28 hours externship total). Students unable to do so, may be summarily dismissed from the program. Exceptions may be granted at the discretion of the Program Director; however, students will be required to obtain at least 10 patient contacts prior to course completion. Students shall be required to document 10 patient contacts at minimum. This requirement may be increased at the discretion of the instructor. This course shall meet and/or exceed the United States Department of Transportation, National Highway Transportation Safety Administration, Emergency Medical Technician National Standard Curriculum guidelines and 2009, the National EMS Education Standards as well as meet Arizona Department of Health Services, Bureau of EMS education standards. A student is not permitted to be absent from the course. Students who miss more than 10 hours from the class may be dismissed from the program and will not receive a refund of course fees.

B. In the event of absence from class, the student assumes the responsibility of immediately notifying the program and for making arrangements with individual instructors for work missed.

C. Students are required to be on time and stay for the duration of class. The student assumes the responsibility for making arrangements with individual instructors for any and all makeup of work missed as a result of being late for classes or leaving classes early. Time missed in class due to a student’s tardiness or leaving early is recorded as time absent from class.

D. EMS University does not allow leaves of absences. In the event of an extended absence, a student may be dismissed from the program.

Section IV: Grading A. The EMT student is required to achieve an overall average minimum grade

average and final examination score of 75% or greater in order to pass the course. This grade percentage may be increased at the discretion of the Program Director or designee with reasonable notice to the student. In all cases, a grade


average of less than 75% will constitute unsatisfactory grades and shall result in failure/expulsion from this EMT Program.

B. Students who do not achieve a grade of at least 75% on an examination (with the exception of the final examination and midterm examinations) will be required to remediate. This percentage requirement may be increased at the discretion of the Program Director or designee with reasonable notice to the student.

C. Students who score lower than the minimum of 75% on 3 examinations may be dismissed from the program and will not receive a refund of any course fees.

D. Grading requirements are subject to change by the Program Director or designee at any time upon reasonable notice to the student. Reasonable notice includes, but is not limited to the initial course syllabus provided to the student on the first day of class.

Section V: Administration of Final Examinations A. The student is required to pass the course final EMT final with a grade of 75% or

higher in order to pass the course. B. This program follows the Arizona Department of Health Services requirement

that during a final examination, “a student may not receive verbal or written assistance from any other individual or use notes, books, or documents of any kind as an aid in taking the examination,” any student violating this provision will not be permitted to complete the exam or the course. (AZ DHS Rules R9-25-304).

C. EMS University will administer a final written examination and a final comprehensive practical skills examination for the EMT course as per AZ DHS Rules. This EMT Course final written examination will be closed book and shall: a. Include 150 multiple-choice questions with one absolutely correct answer, one incorrect answer, and two distractors, neither of which is “all of the above” or “none of the above”; b. Cover the learning objectives of the course with representation from each of the course modules; and c. Require a passing score of 75% or better in no more than three attempts… A final comprehensive practical skills examination is required and shall: a. Evaluate a student’s technical proficiency…; and b. Enable a student to meet NREMT registration requirements. (AZ DHS Rules, R9-25-306). Successfully passing the NREMT examination is required for state certification.

D. The student must be at least 18 years of age to take the EMT Course Final Examination.

Section VI: Student Conduct A. Code of Conduct- Students are required to follow standards of conduct that are

typical of the working world. Students may be placed on probation, suspended or terminated for violation of the school’s personal conduct standards. Violations include dishonesty, theft, unprofessional conduct, use of profanity,


possession of firearms or weapons, cheating, insubordination, noncompliance with safety rules, use of or being under the influence of alcohol or illegal drugs on school property, and vandalism of school property or equipment.

B. Cheating – Students are expected not to cheat and to conduct themselves during

class without unfair advantage over other students. Those caught cheating may be penalized. Penalty for such infraction may include all available measures up to and including expulsion from the program. For purposes of this section, suggesting to instructors or other students to cheat shall be considered cheating. By signing this agreement, students shall agree to the above definition.

Section VII: Media Release A. Purpose - The purpose of a media release is to enable EMS University to

demonstrate to other students and prospective students, skills and activities which EMS providers might benefit by their production.

B. Consent - I hereby release, indemnify, and agree to hold harmless, EMS

University for the utilization of media materials for any purpose related to marketing or otherwise displaying without remuneration or compensation. All marketing materials as identified above become the property of EMS University.

Section VIII: Student Records A. Student Records - EMS University maintains accurate and confidential student

records. Students have access to their educational records in accordance with the law. Student records, with certain exceptions, will not be released without prior consent of the student. Students have the right to review and question the content of their educational records. If there are any questions as to the accuracy or appropriateness of the records, an opportunity for a review of the records may be scheduled with administrative staff as necessary.

B. Medical Records - EMS University shall keep accurate and confidential student

medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations. Additionally, the department requires that all students and staff will comply with HIPAA and follow regulations regarding protected health information when handling any medical records. The same policies and procedures which govern student records shall apply to student medical records for the EMS University EMT Course.

C. Federal and State Regulations – EMS University complies with state and federal

regulations governing confidentiality, privacy and security.

NREMT PRACTICAL AND WRITTEN EXAMINATIONS, AND REGISTRATION

Online version available at: http://www.nremt.org/nremt/about/reg_basic_history.asp#Cognitive_Examination

Contents: Entry Requirements Application Process Certification Process Cognitive Examination Cognitive Exam Retest Information Psychomotor Examination Expiration Date Lapsed Certification ADA Compliancy Disciplinary Policy and Rights of Appeal Responsibilities of Certified EMT-Basic / EMT EMT-Basic / EMT Recertification Inactive Status Entry Requirements Individuals applying for EMT-Basic / EMT certification must meet the following requirements:

• 18 years of age or older. • Successful completion of a state-approved EMT-Basic / EMT course that meets or exceeds the U.S.

Department of Transportation EMT-Basic National Standard Curriculum. You must have completed the course within the past two years. Your Program Director must verify your successful completion of the course on the NREMT web site. If your initial EMT-Basic / EMT educational program was completed more than two years ago and you have maintained state licensure at the EMT level, you must submit documentation verifying completion of an EMT-Basic / EMT refresher training program within the past two years. If your initial EMT-Basic / EMT education program was completed more than two years ago and you never gained state licensure at the EMT-Basic / EMT level, you must complete an entire state-approved EMT-Basic / EMT course prior to applying for certification.

• Verification from the Program Director that you hold a current CPR credential for health care providers and have demonstrated competence in EMT-Basic / EMT skills.

• Successful completion of a state-approved EMT-Basic / EMT psychomotor exam. Application Process

• Create a login on this website. • Complete a National Registry online application including truthfully completing the Licensing Action and

Felony statements. click here for more information on the NREMT Felony Policy. The NREMT may deny certification or take other appropriate actions in regards to applicants for certification or recertification when a felony conviction has occurred.

• Pay the application fee of $70.00 (US funds). The application fee is non-transferable and non-refundable. This fee is charged for each attempt of the cognitive examination.

• You will receive an Authorization to Test (ATT) once you are eligible for the exam. The ATT letter contains scheduling instructions and important details concerning proper identification required at testing centers.

Certification Process National EMT-Basic / EMT certification requires successful completion of both a cognitive and psychomotor exam. Passed portions of the exam (both cognitive and psychomotor) remain valid for a twelve (12) month period.

http://www.nremt.org/nremt/about/reg_basic_history.asp#Cognitive_Examination

http://www.nremt.org/nremt/about/reg_basic_history.asp#Entry_Requirements

http://www.nremt.org/nremt/about/reg_basic_history.asp#Application_Process

http://www.nremt.org/nremt/about/reg_basic_history.asp#Certification_Process

http://www.nremt.org/nremt/about/reg_basic_history.asp#Cognitive_Examination

http://www.nremt.org/nremt/about/reg_basic_history.asp#Cognitive_Exam_Retest_Information

http://www.nremt.org/nremt/about/reg_basic_history.asp#Psychomotor_Examination

http://www.nremt.org/nremt/about/reg_basic_history.asp#Expiration_Date

http://www.nremt.org/nremt/about/reg_basic_history.asp#Lapsed_Certification

http://www.nremt.org/nremt/about/reg_basic_history.asp#ADA_Compliancy

http://www.nremt.org/nremt/about/reg_basic_history.asp#Disciplinary_Policy_and_Rights_of_Appeal

http://www.nremt.org/nremt/about/reg_basic_history.asp#Responsibilities_of_Certified_EMT-Basic

http://www.nremt.org/nremt/about/reg_basic_history.asp#EMT-Basic_Recertification

http://www.nremt.org/nremt/about/reg_basic_history.asp#Inactive_Status

https://www.nremt.org/nremt/CbtEmtServices/cbtCandApp_1.asp?appLvl=B

http://www.nremt.org/nremt/About/policy_felony.asp

Cognitive Examination The NREMT EMT-Basic / EMT cognitive exam is a computer adaptive test (CAT). The number of items a candidate can expect on the EMT-Basic / EMT exam will range from 70 to 120. The maximum amount of time given to complete the exam is 2 hours. The exam will cover the entire spectrum of EMS care including: Airway, Ventilation, Oxygenation; Trauma; Cardiology; Medical; and EMS Operations. Items related to patient care are focused on adult patients (85%) and pediatric patients (15%). In order to pass the exam, you must meet a standard level of competency. The passing standard is defined by the ability to provide safe and effective entry level emergency medical care.

Cognitive Exam Retest Information In the event you are unsuccessful passing the cognitive exam, the NREMT will provide feedback on your performance. You may apply to retest 15 days after your last examination. Candidates are given six opportunities to pass the cognitive examination provided all other requirements for National EMS Certification are met. After three attempts, candidates must submit official documentation verifying completion of 24 hours of remedial training. The candidate is given three additional attempts to pass, provided all other requirements for National Certification are met. Candidates who fail to pass after a total of six attempts are required to repeat the entire EMT-Basic / EMT course.

Psychomotor Examination Throughout your EMT-Basic / EMT educational program you must demonstrate competence in a wide range of emergency care skills. Your instructor must attest that you have demonstrated competence in the following skills during your course: patient assessment/management of a trauma patient, patient assessment/management of a medical patient, cardiac arrest management/AED, bag-valve-mask ventilation of an apneic patient, spinal immobilization (both seated and supine patient), long bone fracture immobilization, joint dislocation immobilization, traction splinting, bleeding control/shock management, upper airway adjuncts and suction, mouth-to-mouth ventilation with supplemental oxygen, and supplemental oxygen administration to a breathing patient. You must also successfully complete a state-approved EMT-Basic / EMT psychomotor examination. Speak with your instructor or State EMS Office about the format and logistics of completing a state-approved EMT-Basic / EMT psychomotor exam.

Expiration Date Initial expiration dates are determined by the date of successful completion of the entire certification process. Individuals successfully completing the certification process between the dates of January 1 - June 30 will receive an expiration date of March 31 two years in the future. Individuals successfully completing the certification process between July 1 and December 31 will receive an expiration date of March 31 three years in the future. For example: successful completion of February 14, 2009, certification expiration = March 31, 2011 successful completion of July 7, 2009, certification expiration = March 31, 2012 All subsequent certification periods will be for a two-year period (April 1 - March 31).

Lapsed Certification If your National EMS Certification lapsed as an EMT-Basic / EMT within a two year period or you are currently state licensed as an EMT-Basic / EMT, you can obtain National EMS Certification by completing a state-approved Refresher course and successfully completing the cognitive and psychomotor examinations. If your EMS certification

expired more than two years ago, you must complete an entire state-approved EMT-Basic / EMT course and complete the cognitive and psychomotor examinations.

The EMT-Basic / EMT refresher course can be completed through two different options: • Traditional refresher course - an approved DOT National Standard EMT-Basic / EMT Refresher • Continuing education topical hours* - refresher may be completed by continuing education and must include

the topics and hours listed below:

Topics Hours Required

Preparatory 1 hour

Airway 2 hours

OB, Infants, Children 2 hours

Patient Assessment 3 hours

Medical/Behavior 4 hours

Trauma 4 hours

Elective 8 hour

Total 24 hours

* Some states require the traditional refresher course and will not accept continuing education hours. Please refer to your state’s particular requirements. ** A maximum number of 10 hours CECBEMS approved Distributive Education can be applied to refresher education. ADA Compliancy The NREMT complies with the Americans with Disabilities Act (ADA) of 1990 and offers reasonable accommodations for individuals with disabilities. Pearson VUE test centers are also ADA compliant. Complete information about the NREMT Accommodations Disability Policy can be found here.

Disciplinary Policy and Rights of Appeal The NREMT has disciplinary procedures, rights of appeal and due process within its policies. Complete information about the NREMT Disciplinary Policy and Rights of Appeal can be found here. Requests to appeal must be submitted within forty-five (45) days of receipt of notice of determination.

Download a Certification Brochure.

Responsibilities of Certified EMT-Basic / EMT Certified EMT-Basic / EMTs must notify the NREMT within 30 days regarding the following matters:

• change in mailing address. • any felony conviction. • disciplinary action taken by any state has resulted in suspension, revocation, or expiration of state

registration/licensure; termination of right to practice; voluntary surrender of state registration/licensure while under investigation.

The NREMT considers the individual to be solely responsible for their certification.

EMT-Basic / EMT Recertification In applying for recertification, certified EMS professionals agree to comply with all recertification requirements, rules

http://www.nremt.org/nremt/About/policy_accommodations.asp

http://www.nremt.org/nremt/About/policy_disciplinary.asp

http://www.nremt.org/nremt/downloads/EMT-Basic_Brochure.pdf

and standards of the National Registry of Emergency Medical Technicians (NREMT). The recertification applicant bears the burden of demonstrating and maintaining compliance at all times.

To Apply For Recertification You Must: 1. Be actively working within an emergency medical service, rescue service, or patient health care facility using

your EMT-Basic / EMT skills. 2. Complete all educational requirements prior to March 31. 3. Complete the recertification report in its entirety and submit the completed report prior to March 31. 4. Demonstrate continued cognitive (knowledge) competency through continuing education or examination.

Continuing Education Option Complete a total of 72 hours of education including:

o Completion of an approved 24 hour DOT National Standard EMT-Basic / EMT Refresher o Completion of 48 hours of additional continuing EMS related education as outlined below o Pay the $15.00 (US funds only) recertification application fee at the time of submission of

documentation Exam Option Certified EMS professionals may make one attempt to demonstrate continued cognitive competency by taking an examination (in lieu of documenting continuing education) within six months of their expiration date (October 1 through March 31). Log in to the NREMT website and complete an application for recertification by examination. Pay the $70 examination fee prior to scheduling the exam.

Detailed Continuing Education Requirements d. Complete an approved EMT-Basic / EMT Refresher

The EMT-Basic / EMT refresher course can be completed through two different options: Traditional refresher course - an approved DOT National Standard EMT-Basic / EMT

Refresher Continuing education topical hours* - refresher may be completed by continuing education

and must include the topics and hours listed below:

Topics Hours Required

Preparatory 1 hour

Airway 2 hours

OB, Infants, Children 2 hours

Patient Assessment 3 hours

Medical/Behavior 4 hours

Trauma 4 hours

Elective 8 hour

Total 24 hours

* Some states require the traditional refresher course and will not accept continuing education hours. Please refer to your state’s particular requirements. ** A maximum number of 10 hours CECBEMS approved Distrubutive Education can be applied to refresher education.

e. Additional EMS Related Continuing Education-48 hours The following are maximum hours per course that can be applied towards Additional Continuing Education hours:

o A maximum number of 24 hours can be applied from any one topic area o A maximum of 16 hours can be applied from each of the following courses:

ABLS AMLS BTLS NALS PEPP PHTLS PPC

o A maximum number of 12 hours can be applied from each of the following courses: Teaching

CPR Emergency

Driving Dispatch Training

o A maximum number of 24 hours of CECBEMS approved Distributive Education can be applied to continuing education requirements.

College Courses A maximum of 24 hours can be applied towards additional continuing education hours from the college level courses related to EMS. These courses include but are not limited to: Anatomy/Physiology, Pharmacology, Cellular Biology, Chemistry, Psychology, Microbiology Hours from the following courses can be applied hour for hour with no maximum: Advanced Trauma Life Support, Refresher Course Instruction, and Wilderness EMS Training. Courses that Can Not Be Applied Towards Continuing Education Hours: Clinical Rotations, CPR, Home Study Programs, Instructor Courses, Management/Leadership Courses, Performance of Duty, Preceptor Hours, Serving as a skill examination, and Volunteer time with agencies.

5. Maintain skills as verified by your Training Program Director, Director of Operations or Physician Medical Director. (Requires signature on your recertification application validating psychomotor competency).

6. Obtain CPR certification at the appropriate level current to March 31. Inactive Status Inactive status can only be requested by NREMTs who have completed at least 6 months of EMS patient care during their first registration cycle. Inactive status with the NREMT signifies a National Certified provider who is currently not providing patient care. Often this is misunderstood. Registrants who wish to declare inactive status must continue to meet the NREMT recertification requirements. The NREMT confirms that “inactive” EMS providers are “not working.” Therefore, inactive status is useful for administrators, educators, managers, etc., but not for those who have left EMS and also failed to maintain competency via completion of the recertification education requirements. Inactive status is not for those unable to obtain and meet the educational requirements or those who have had limitations or revocation of a health care license. Registrants who request inactive status at the EMR and EMT levels do not need to obtain verification of skills from their training officers. Again, these registrants must complete all refresher, continuing education and CPR requirements. These registrants are eligible to recertify via examination if they so choose. CPR certification remains a requirement even for those who pass the examination. Registrants who request inactive status at the AEMT or Paramedic levels do not need to obtain verification of skills

from their medical directors. Again, these registrants must complete all refresher, continuing education and both CPR and ACLS requirements. These registrants are eligible to recertify via examination if they so choose. CPR and ACLS remain a requirement even for those who pass the examination. Applying for Active Status when registered as Inactive Movement from Inactive to Active status requires the registrant to complete Section III of the re-certification requirements. Fundamentally the registrant must work with their future or current employer so that he/she is willing to verify competency of the skills found on the recertification form. In order to do this the registrant must retrieve the form from the NREMT websiteClick here, have the form completed and then forward it to the NREMT. No fee is required to move from inactive to active status.

Download the EMT-Basic Recertification Requirements Brochure.

http://www.nremt.org/nremt/downloads/Inactive%20to%20Active.pdf

http://www.nremt.org/nremt/downloads/EMT.basic.pdf

ARTICLE 4. EMT CERTIFICATION

Article 4 repealed; new Article 4 made by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4).

R9-25-401. EMT General Requirements (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (G) and 36-2204(1), (6), and (7)) A. Except as provided in R9-25-406(G), an individual shall not act as an EMT-B, EMT-I, or EMT-P unless the individual has

current certification or recertification from the Department. B. The Department shall approve or deny an application required by this Article pursuant to Article 12 of this Chapter. C. If the Department denies an application for certification or recertification, the applicant may request a hearing pursuant to

A.R.S. Title 41, Chapter 6, Article 10. D. The Department shall certify or recertify an EMT for two years:

1. Except as provided in R9-25-405; or 2. Unless revoked by the Department pursuant to A.R.S. § 36-2211.

E. An individual whose EMT certificate is expired shall not apply for recertification, unless the individual has been granted an extension to file an application for EMT recertification under R9-25-407 or submits an application for recertification, with a certification extension fee, within 30 days after the expiration date of the EMT certification as provided in R9-25-406.

F. An individual whose EMT certificate is expired or denied by the Department may apply for certification pursuant to R9-25-404 or, if applicable, R9-25-405.

G. The Department shall keep confidential all criminal justice information received from the Department of Public Safety or any local, state, tribal, or federal law enforcement agency and shall not make this information available for public record review.

Historical Note Adopted effective October 15, 1996 (Supp. 96-4). Section repealed; new Section made by final rulemaking at 9 A.A.R.

5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 13 A.A.R. 1713, effective June 30, 2007 (Supp. 07-2).

R9-25-402. EMT Certification and Recertification Requirements (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (A)(6), 36-2202(G), and 36-2204(1), (6), and (7)) A. The Department shall not certify an EMT if the applicant:

1. Is currently: a. Incarcerated for a criminal conviction, b. On parole for a criminal conviction, c. On supervised release for a criminal conviction, or d. On probation for a criminal conviction;

2. Within 10 years before the date of filing an application for certification required by this Article, has been convicted of any of the following crimes, or any similarly defined crimes in this state or in any other state or jurisdiction, unless the conviction has been absolutely discharged, expunged, or vacated: a. 1st or 2nd degree murder; b. Attempted 1st or 2nd degree murder; c. Sexual assault; d. Attempted sexual assault; e. Sexual abuse of a minor; f. Attempted sexual abuse of a minor; g. Sexual exploitation of a minor; h. Attempted sexual exploitation of a minor; i. Commercial sexual exploitation of a minor; j. Attempted commercial sexual exploitation of a minor; k. Molestation of a child; l. Attempted molestation of a child; or m. A dangerous crime against children as defined in A.R.S. § 13-604.01;

3. Within five years before the date of filing an application for certification required by this Article, has been convicted of a misdemeanor involving moral turpitude or a felony in this state or any other state or jurisdiction, other than a misdemeanor involving moral turpitude or a felony listed in subsection (A)(2), unless the conviction has been absolutely discharged, expunged, or vacated;

4. Within five years before the date of filing an application for certification required by this Article, has had EMT certification or recertification revoked in this state or EMT certification, recertification, or licensure revoked in any other state or jurisdiction; or

5. Knowingly provides false information in connection with an application required by this Article. B. The Department shall not recertify an EMT, if:

1. While certified, the applicant has been convicted of a crime listed in subsection (A)(2), or any similarly defined crimes in this state or in any other state or jurisdiction, unless the conviction has been absolutely discharged, expunged, or vacated; or

2. The applicant knowingly provides false information in connection with an application required by this Article.

C. The Department shall certify or recertify an EMT who: 1. Is at least 18 years of age; 2. Is not ineligible for:

a. Certification pursuant to subsection (A), or b. Recertification pursuant to subsection (B); and

3. Meets the applicable requirements in R9-25-404, R9-25-405, or R9-25-406.


5372, effective January 3, 2004 (Supp. 03-4).

R9-25-403. EMT Probationary Certification (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (A)(6), 36-2202(G), and 36-2204(1), (6), and (7)) A. The Department shall make probation a condition of certification under R9-25-404 or temporary certification under R9-25-

405, if within two years before the date of filing an application for certification required by this Article, an applicant who is not ineligible for certification under R9-25-402 has been convicted of a misdemeanor in this state or in any other state or jurisdiction, involving: 1. Possession, use, administration, acquisition, sale, manufacture, or transportation of an intoxicating liquor, dangerous drug,

or narcotic drug, unless the conviction has been absolutely discharged, expunged, or vacated; or 2. Driving or being in physical control of a vehicle while under the influence of an intoxicating liquor, a dangerous drug, or

a narcotic drug, unless the conviction has been absolutely discharged, expunged, or vacated. B. The Department shall fix the period and terms of probation that will:

1. Protect the public health and safety, and 2. Remediate and educate the applicant.



R9-25-404. Application Requirements for EMT Certification (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (G) and 36-2204(1) and (6)) A. An applicant for initial EMT certification shall submit to the Department an application including:

1. An application form provided by the Department containing: a. The applicant's name, address, telephone number, date of birth, and Social Security number; b. Responses to questions addressing the applicant's criminal history pursuant to R9-25-402(A) and R9-25-403(A); c. Attestation that all information required as part of the application has been submitted and is true and accurate; and d. The applicant's signature and date of signature;

2. For each affirmative response to a question addressing the applicant's criminal history pursuant to R9-25-402(A) or R9-25-403(A), a detailed explanation and supporting documentation; and

3. If applicable, a copy of EMT certification, recertification, or licensure issued to the applicant in another state or jurisdiction.

B. In addition to the application, the following are required: 1. For EMT-B certification, both:

a. A certificate of course completion signed by the training program director designated for the course session for either the: i. Arizona EMT-B course, as defined in R9-25-305; or ii. Arizona EMT-B refresher, as defined in R9-25-306, if the applicant has current certification, licensure, NREMT

registration, or NREMT reregistration eligibility at the basic emergency medical technician level or higher level; and

b. Evidence of current NREMT-Basic registration; 2. For EMT-I(99) certification, both:

a. A certificate of course completion signed by the training program director designated for the course session for either the: i. Arizona EMT-I course, as defined in R9-25-307; or ii. Arizona ALS refresher, as defined in R9-25-309, if the applicant has current certification, licensure, NREMT

registration, or NREMT reregistration eligibility at the intermediate emergency medical technician level or higher level; and

b. Evidence of current NREMT-Intermediate registration; or 3. For EMT-P certification, both:

a. A certificate of course completion signed by the training program director designated for the course session for the: i. Arizona EMT-P course, as defined in R9-25-308; ii. Arizona ALS refresher, as defined in R9-25-309, if the applicant has current certification, licensure, NREMT

registration, or NREMT reregistration eligibility at the paramedic emergency medical technician level; or iii. Arizona EMT-I(99)-to-EMT-P transition course; and

b. Evidence of current NREMT-Paramedic registration.


5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4).

R9-25-405. Application Requirements for Temporary Nonrenewable EMT-B or EMT-P Certification (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), and (A)(4), 36-2202(G), and 36-2204(1), (6), and (7)) A. An individual who holds current NREMT-Basic registration, but does not meet requirements in R9-25-404(B)(1)(a), may

apply for one temporary six-month EMT-B certification. B. An individual who holds current NREMT-Paramedic registration, but does not meet application requirements in R9-25-

404(B)(3)(a), may apply for one temporary six-month EMT-P certification. C. An applicant for temporary certification shall submit to the Department a copy of current NREMT registration and an

application required in R9-25-404(A). D. The Department shall certify an applicant who meets certification requirements under this Section for six months. E. The Department shall automatically certify an EMT who holds a six month certificate for an additional 18 months, if the EMT:

1. Continues to hold current NREMT-Basic registration or current NREMT-Paramedic registration; and 2. Before the expiration of the six month certificate, meets the applicable application requirements in R9-25-404(B).

F. The Department shall issue an EMT who complies with subsection (E) a new certificate that expires 24 months from the date the six month certificate is issued.

G. An EMT who is not certified under subsection (E): 1. Shall not act as an EMT after the expiration date of the six month certificate, 2. Is not eligible to apply for another six month certificate under this Section, 3. Shall not apply for recertification, and 4. May apply for certification pursuant to R9-25-404.



R9-25-406. Application Requirements for EMT Recertification (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (G) and 36-2204(1), (4), and (6)) A. An individual who holds current and valid certification as an EMT in Arizona may, before the expiration date of the

individual's current EMT certification, apply for recertification at the same level of EMT certification currently held or at a lower level of EMT certification.

B. An individual whose certification as an EMT in Arizona has an expiration date within the past 30 days may apply for recertification at the same level of EMT certification or at a lower level of EMT certification.

C. To apply for recertification, an applicant shall submit to the Department an application including: 1. An application form provided by the Department containing:

a. The applicant's name, address, telephone number, date of birth, and Social Security number; b. Responses to questions addressing the applicant's criminal history pursuant to R9-25-402(A)(3), R9-25-402(B)(1),

and R9-25-411(A); c. An indication of the level of EMT certification currently held or with an expiration date within the past 30 days and

of the level of EMT certification for which recertification is requested; d. Attestation that all information required as part of the application has been submitted and is true and accurate; and e. The applicant's signature and date of signature;

2. For each affirmative response to a question addressing the applicant's criminal history pursuant to R9-25-402(A)(3), R9-25-402(B)(1), and R9-25-411(A), a detailed explanation and supporting documentation; and

3. If applicable, a copy of each EMT certification, recertification, or licensure issued to the applicant in another state or jurisdiction that the applicant holds.

D. In addition to the application, an applicant shall submit the following to the Department: 1. For EMT-B recertification, either:

a. A certificate of course completion signed by the training program director designated for the course session showing that within two years before the expiration date of the applicant's current certificate, the applicant completed either the: i. Arizona EMT-B refresher, as defined in R9-25-306; or ii. Arizona EMT-B refresher challenge examination, as defined in R9-25-306; or

b. Evidence of current NREMT-Basic registration; 2. For EMT-I(99) recertification, either:

a. Attestation that the applicant: i. Has completed continuing education as required under subsection (E), and ii. Has and will maintain for Department review documentation verifying completion of continuing education as

required under subsection (E); or

b. Evidence of current NREMT-Intermediate registration; 3. For EMT-P recertification, either:

a. Attestation that the applicant: i. Has completed continuing education as required under subsection (E), and ii. Has and will maintain for Department review documentation verifying completion of continuing education as

required under subsection (E); or b. Evidence of current NREMT-Paramedic registration; and

4. For an application submitted within 30 days after the expiration date of EMT certification, a nonrefundable certification extension fee of $150 in the form of a certified check, business check, or money order made payable to the Arizona Department of Health Services.

E. An EMT required to attest to completion of continuing education under subsection (D)(2)(a) or (D)(3)(a) shall complete 60 clock hours of continuing education in the two years before the expiration date of the EMT's current certification or, if applicable, before the end of an extension period granted under R9-25-407, as follows: 1. Seven clock hours through proficiency in cardiopulmonary resuscitation and proficiency in advanced emergency cardiac

life support; 2. No more than 48 clock hours for completion of the Arizona ALS refresher; 3. No more than 12 clock hours for passing the Arizona ALS refresher challenge examination; 4. No more than 20 clock hours of training in a single subject covered in the Arizona EMT-I course, the Arizona EMT-P

course, or the Arizona ALS refresher; 5. No more than 20 clock hours of teaching in a single subject covered in the Arizona EMT-I course, the Arizona EMT-P

course, or the Arizona ALS refresher; 6. No more than 20 clock hours of training related to skills, procedures, or treatments authorized under Article 5 of this

Chapter; 7. No more than 20 clock hours of teaching related to skills, procedures, or treatments authorized under Article 5 of this

Chapter; 8. No more than 20 clock hours of training in current developments, skills, procedures, or treatments related to the practice

of emergency medicine or the provision of emergency medical services; 9. No more than 20 clock hours of participation in or attendance at meetings, conferences, presentations, seminars, or

lectures designed to provide understanding of current developments, skills, procedures, or treatments related to the practice of emergency medicine or the provision of emergency medical services;

10. No more than 16 clock hours of training in advanced trauma life support; 11. No more than 16 clock hours of training in pediatric emergency care; and 12. If the individual is certified as an EMT-I(85) and desires to apply for recertification as an EMT-I(99) as provided under

R9-25-412, by completing the Arizona EMT-Intermediate transition course, defined in R9-25-301. F. The Department shall not issue recertification as an EMT-I(85). G. If an individual submits an application for recertification, with a certification extension fee, within 30 days after the expiration

date of the individual's EMT certification, the individual: 1. Was authorized to act as an EMT during the period between the expiration date of the individual's EMT certification and

the date the application was submitted, and 2. Is authorized to act as an EMT until the Department makes a final determination on the individual's application for

recertification. H. If an individual does not submit an application for recertification before the expiration date of the individual's EMT

certification or, with a certification extension fee, within 30 days after the expiration date of the individual's EMT certification, the individual: 1. Was not authorized to act as an EMT during the 30-day period after the expiration date of the individual's EMT

certification, and 2. Is not eligible for recertification.

I. The Department may deny, based on failure to meet the standards for recertification in A.R.S. Title 36, Chapter 21.1 and this Article, an application submitted with a certification extension fee.


5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4). Amended by final rulemaking at 13 A.A.R. 1713, effective June 30, 2007 (Supp. 07-2).

R9-25-407. Extension to File an Application for EMT Recertification (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (6), 36-2202(G), and 36-2204(1), (4), (5), and (7)) A. Before the expiration of a current certificate, an EMT who is unable to meet the recertification requirements in R9-25-406

because of personal or family illness, military service, or authorized federal or state emergency response deployment may apply to the Department in writing for one extension of time to file for recertification.

B. The Department may grant one extension of time to file for recertification: 1. For personal or family illness, for no more than 180 days; or

2. For military service or authorized federal or state emergency response deployment, for the term of service or deployment plus 180 days.

C. An individual applying for or granted an extension of time to file for recertification remains certified pursuant to the conditions of A.R.S. § 41-1092.11.

D. An EMT who does not meet the recertification requirements in R9-25-406 within the extension period or has the application for recertification denied by the Department: 1. Is not eligible to apply for recertification; and 2. May apply for certification pursuant to R9-25-404, or if applicable, R9-25-405.



R9-25-408. Requirements for Downgrading of Certification (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (G) and 36-2204(1) and (6)) A. An individual who holds current and valid EMT certification at a level higher than EMT-B and who is not under investigation

pursuant to A.R.S. § 36-2211 may apply for continued certification at a lower EMT level for the remainder of the certification period by submitting to the Department: 1. A written request containing:

a. The EMT's name, address, telephone number, date of birth, and Social Security number; b. The lower EMT-level requested; c. Attestation that the applicant has not committed an act or engaged in conduct that would warrant revocation of a

certificate under A.R.S. § 36-2211; d. Attestation that all information submitted is true and accurate; and e. The applicant's signature and date of signature; and

2. Either: a. A written statement from the EMT's administrative medical director attesting that the EMT is able to perform at the

lower level of certification requested; or b. If applying for continued certification as an EMT-B, an Arizona EMT-B refresher certificate of completion or an

Arizona EMT-B refresher challenge examination certificate of completion signed by the training program director designated for the Arizona EMT-B refresher session.

B. An individual who holds current and valid EMT certification at a level higher than EMT-B and who is not under investigation pursuant to A.R.S. § 36-2211 may apply for recertification at a lower level pursuant to R9-25-406.


5372, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4).

R9-25-409. Notification Requirements (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3) and (A)(4), 36-2204(1) and (6), and 36-2211) A. No later than 30 days after the date an EMT's name legally changes, the EMT shall submit to the Department:

1. A completed form provided by the Department containing: a. The name under which the EMT is currently certified by the Department; b. The EMT's address, telephone number, and Social Security number; and c. The EMT's new name; and

2. Documentation showing that the name has been legally changed. B. No later than 30 days after the date an EMT's address changes, the EMT shall submit to the Department a completed form

provided by the Department containing: 1. The EMT's name, telephone number, and Social Security number; and 2. The EMT's new address.

C. An EMT shall notify the Department in writing no later than 10 days after the date the EMT: 1. Is incarcerated or is placed on parole, supervised release, or probation for any criminal conviction; 2. Is convicted of a crime listed in R9-25-402(A)(2), a misdemeanor involving moral turpitude, or a felony in this state or

any other state or jurisdiction; 3. Is convicted of a misdemeanor identified in R9-25-403(A) in this state or any other state or jurisdiction; 4. Has registration revoked or suspended by NREMT; or 5. Has EMT certification, recertification, or licensure revoked or suspended in another state or jurisdiction.



R9-25-410. EMT Standards of Practice (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (A)(6), 36-2202(G), 36-2204(1), (6) and (7), 36-2205, and 36-2211)

An EMT shall act as an EMT only: 1. As authorized under the EMT's scope of practice as identified under Article 5 of this Chapter; and 2. For an EMT required to have medical direction pursuant to A.R.S. Title 36, Chapter 21.1 and R9-25-201, as authorized

under; a. Treatment protocols, triage protocols, and communication protocols approved by the EMT's administrative medical

director; and b. Medical recordkeeping, medical reporting, and prehospital incident history report requirements approved by the

EMT's administrative medical director.



R9-25-411. Enforcement Actions (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), and (A)(6), 36-2202(G), 36-2204(1), (6) and (7), and 36-2211) A. For purposes of A.R.S. § 36-2211(A)(1), unprofessional conduct is an act or omission made by an EMT that is contrary to the

recognized standards or ethics of the EMT profession or that may constitute a danger to the health, welfare, or safety of a patient or the public, including but not limited to: 1. Impersonation of an EMT of a higher level of certification or impersonation of a health professional as defined in A.R.S.

§ 32-3201; 2. Permitting or allowing another individual to use the EMT certification for any purpose; 3. Aiding or abetting an individual who is not certified pursuant to this Chapter in acting as an EMT or in representing that

the individual is certified as an EMT; 4. Engaging in or soliciting sexual relationships, whether consensual or nonconsensual, with a patient while acting as an

EMT; 5. Physically or verbally harassing, abusing, threatening, or intimidating a patient or another individual while acting as an

EMT; 6. Making false or materially incorrect entries in a medical record or willful destruction of a medical record; 7. Failing or refusing to maintain adequate records on a patient; 8. Soliciting or obtaining monies or goods from a patient by fraud, deceit, or misrepresentation; 9. Aiding or abetting an individual in fraud, deceit, or misrepresentation in meeting or attempting to meet the application

requirements for EMT certification or EMT recertification contained in this Article, including the requirements established for: a. Completing and passing a course provided by a training program; and b. The NREMT examination process and NREMT registration process;

10. Providing false information or making fraudulent or untrue statements to the Department or about the Department during an investigation conducted by the Department;

11. Being incarcerated or being placed on parole, supervised release, or probation for any criminal conviction; 12. Being convicted of a misdemeanor identified in R9-25-403(A), which has not been absolutely discharged, expunged, or

vacated; 13. Having NREMT registration revoked or suspended by NREMT for material noncompliance with NREMT rules or

standards; and 14. Having EMT certification, recertification, or licensure revoked or suspended in another state or jurisdiction.

B. Under A.R.S. § 36-2211, physical or mental incompetence of an EMT is the EMT's lack of physical or mental ability to provide emergency medical services as required under this Chapter.

C. Under A.R.S. § 36-2211 gross incompetence or gross negligence is an EMT's willful act or willful omission of an act that is made in disregard of an individual's life, health, or safety and that may cause death or injury.



Exhibit I. Repealed

Historical Note Exhibit I adopted effective October 15, 1996 (Supp. 96-4). Exhibit repealed by final rulemaking at 9 A.A.R. 5372, effective

January 3, 2004 (Supp. 03-4).

Exhibit J. Repealed

Historical Note Exhibit J adopted effective October 15, 1996 (Supp. 96-4). Exhibit repealed by final rulemaking at 9 A.A.R. 5372, effective

January 3, 2004 (Supp. 03-4).

Exhibit K. Repealed

Historical Note

Exhibit K adopted effective October 15, 1996 (Supp. 96-4). Exhibit repealed by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4).

R9-25-412. Special EMT-I Certification and Recertification Conditions (Authorized by A.R.S. §§ 36-2202(A)(2), (A)(3), (A)(4), (A)(6), and (G) and 36-2204(1), (4), and (6)) A. Before December 31, 2007, an individual certified as an EMT-I(85) shall do one of the following:

1. Complete the Arizona EMT-Intermediate transition course, defined in R9-25-301, and apply for recertification as an EMT-I(99) under subsection R9-25-406(B) and (C)(2);

2. Apply for recertification as an EMT-B, as provided under R9-25-408(B) and R9-25-406(A); 3. Apply for downgrading of certification to become an EMT-B, as provided under R9-25-408(A); or 4. Allow the individual's EMT-I(85) certification to expire and cease to be a certified EMT.

B. Each EMT-I(85) certification expires on the expiration date shown on the certificate issued by the Department or on December 31, 2007, whichever is sooner.

Historical Note New Section made by final rulemaking at 9 A.A.R. 5372, effective January 3, 2004 (Supp. 03-4). Amended by final

rulemaking at 12 A.A.R. 4404, effective January 6, 2007 (Supp. 06-4).

National Registry of Emergency Medical Technicians® Emergency Medical Technician Psychomotor Examination

© 2011 by the National Registry of Emergency Medical Technicians, Inc. All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement.

BLEEDING CONTROL/SHOCK MANAGEMENT Candidate: ___________________________________ Examiner: ________________________________ Date: _________ Signature: ________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Applies direct pressure to the wound 1 NOTE: The examiner must now inform the candidate that the wound continues to bleed. Applies tourniquet 1 NOTE: The examiner must now inform the candidate that the patient is exhibiting signs and symptoms of

hypoperfusion. Properly positions the patient 1 Administers high concentration oxygen 1 Initiates steps to prevent heat loss from the patient 1 Indicates the need for immediate transportation 1

Actual Time Ended: __________ TOTAL 7

Critical Criteria ___ Did not take or verbalize body substance isolation precautions ___ Did not administer high concentration of oxygen ___ Did not control hemorrhage using correct procedures in a timely manner ___ Did not indicate the need for immediate transportation ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over).



BVM VENTILATION OF AN APNEIC ADULT PATIENT Candidate: _________________________________________ Examiner: _________________________________________ Date: _________________________________________ Signature: _________________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Checks responsiveness NOTE: After checking responsiveness and breathing for at least 5 but no

more than 10 seconds, examiner informs the candidate, “The patient is unresponsive and apneic.”

1

Checks breathing 1

Requests additional EMS assistance 1 Checks pulse for at least 5 but no more than 10 seconds 1 NOTE: The examiner must now inform the candidate, “You palpate a weak carotid pulse at a rate of 60.” Opens airway properly 1 NOTE: The examiner must now inform the candidate, “The mouth is full of secretions and vomitus.” Prepares rigid suction catheter 1 Turns on power to suction device or retrieves manual suction device 1 Inserts rigid suction catheter without applying suction 1 Suctions the mouth and oropharynx 1 NOTE: The examiner must now inform the candidate, “The mouth and oropharynx are clear.” Opens the airway manually 1 Inserts oropharyngeal airway 1 NOTE: The examiner must now inform the candidate, “No gag reflex is present and the patient accepts the airway adjunct.” **Ventilates the patient immediately using a BVM device unattached to oxygen [**Award this point if candidate elects to ventilate initially with BVM attached to reservoir and oxygen so long as first ventilation is delivered within 30 seconds.]

1

NOTE: The examiner must now inform the candidate that ventilation is being properly performed without difficulty. Re-checks pulse for at least 5 but no more than 10 seconds 1 Attaches the BVM assembly [mask, bag, reservoir] to oxygen [15 L/minute] 1 Ventilates the patient adequately -Proper volume to make chest rise (1 point) -Proper rate [10 – 12/minute but not to exceed 12/minute] (1 point)

2

NOTE: The examiner must now ask the candidate, “How would you know if you are delivering appropriate volumes with each ventilation?”


Critical Criteria ___ Failure to initiate ventilations within 30 seconds after taking body substance isolation precautions or interrupts ventilations for greater than 30 seconds at any time ___ Failure to take or verbalize body substance isolation precautions ___ Failure to suction airway before ventilating the patient ___ Suctions the patient for an excessive and prolonged time ___ Failure to check responsiveness and breathing for at least 5 seconds but no more than 10 seconds ___ Failure to check pulse for at least 5 seconds but no more than 10 seconds ___ Failure to voice and ultimately provide high oxygen concentration [at least 85%] ___ Failure to ventilate the patient at a rate of at least 10/minute and no more than 12/minute ___ Failure to provide adequate volumes per breath [maximum 2 errors/minute permissible] ___ Insertion or use of any adjunct in a manner dangerous to the patient ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over).

National Registry of Emergency Medical Technicians®

Emergency Medical Technician Psychomotor Examination


CARDIAC ARREST MANAGEMENT / AED Candidate: ___________________________________ Examiner: _____________________________________________ Date: ___________________________________ Signature: _____________________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Determines the scene/situation is safe 1 Attempts to question bystanders about arrest events 1 Checks patient responsiveness 1 NOTE: The examiner must now inform the candidate, “The patient is unresponsive.” Assesses patient for signs of breathing [observes the patient and determines the absence of breathing or abnormal breathing (gasping or agonal respirations)] 1

NOTE: The examiner must now inform the candidate, “The patient is apneic,” or, “The patient has gasping, agonal respirations.”

Checks carotid pulse [no more than 10 seconds] 1 NOTE: The examiner must now inform the candidate, “The patient is pulseless.” Immediately begins chest compressions [adequate depth and rate; allows the chest to recoil completely] 1 Requests additional EMS response 1 Performs 2 minutes of high quality, 1-rescuer adult CPR Adequate depth and rate (1 point) Correct compression-to-ventilation ratio (1 point) Allows the chest to recoil completely (1 point) Adequate volumes for each breath (1 point) Minimal interruptions of less than 10 seconds throughout (1 point)

5

NOTE: After 2 minutes (5 cycles), patient is assessed and second rescuer resumes compressions while candidate operates AED.

Turns-on power to AED 1 Follows prompts and correctly attaches AED to patient 1 Stops CPR and ensures all individuals are clear of the patient during rhythm analysis 1 Ensures that all individuals are clear of the patient and delivers shock from AED 1 Immediately directs rescuer to resume chest compressions 1


Critical Criteria ___ Failure to take or verbalize appropriate body substance isolation precautions ___ Failure to immediately begin chest compressions as soon as pulselessness is confirmed ___ Failure to deliver shock in a timely manner ___ Interrupts CPR for more than 10 seconds at any point ___ Failure to demonstrate acceptable high-quality, 1-rescuer adult CPR ___ Failure to operate the AED properly ___ Failure to correctly attach the AED to the patient ___ Failure to assure that all individuals are clear of patient during rhythm analysis and before delivering shock(s) [verbalizes

“All clear” and observes] ___ Failure to immediately resume compressions after shock delivered ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over).



JOINT IMMOBILIZATION

Candidate: ___________________________________ Examiner: ________________________________ Date: _________ Signature: ________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Directs application of manual stabilization of the injury 1 Assesses distal motor, sensory, and circulatory functions in the injured extremity 1 NOTE: The examiner acknowledges, “Motor, sensory, and circulatory functions are present and normal.” Selects the proper splinting material 1 Immobilizes the site of the injury 1 Immobilizes the bone above the injury site 1 Immobilizes the bone below the injury site 1 Secures the entire injured extremity 1 Reassesses distal motor, sensory, and circulatory functions in the injured extremity 1 NOTE: The examiner acknowledges, “Motor, sensory, and circulatory functions are present and normal.”


Critical Criteria ___ Did not immediately stabilize the extremity manually ___ Grossly moves the injured extremity ___ Did not immobilize the bone above and below the injury site ___ Did not reassess distal motor, sensory, and circulatory functions in the injured extremity before and after splinting ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form.



LONG BONE IMMOBILIZATION Candidate: ___________________________________ Examiner: ________________________________ Date: _________ Signature: ________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Directs application of manual stabilization of the injury 1 Assesses distal motor, sensory, and circulatory functions in the injured extremity 1 NOTE: The examiner acknowledges, “Motor, sensory, and circulatory functions are present and normal.” Measures the splint 1 Applies the splint 1 Immobilizes the joint above the injury site 1 Immobilizes the joint below the injury site 1 Secures the entire injured extremity 1 Immobilizes the hand/foot in the position of function 1 Reassesses distal motor, sensory, and circulatory functions in the injured extremity 1 NOTE: The examiner acknowledges, “Motor, sensory, and circulatory functions are present and normal.”


Critical Criteria ___ Did not immediately stabilize the extremity manually ___ Grossly moves the injured extremity ___ Did not immobilize the joint above and the joint below the injury site ___ Did not immobilize the hand or foot in a position of function ___ Did not reassess distal motor, sensory, and circulatory functions in the injured extremity before and after splinting ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over).



OXYGEN ADMINISTRATION BY NON-REBREATHER MASK

Candidate: _________________________________________ Examiner: __________________________________________ Date: _________________________________________ Signature: __________________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Gathers appropriate equipment 1 Cracks valve on the oxygen tank 1 Assembles the regulator to the oxygen tank 1 Opens the oxygen tank valve 1 Checks oxygen tank pressure 1 Checks for leaks 1 Attaches non-rebreather mask to correct port of regulator 1 Turns on oxygen flow to prefill reservoir bag 1 Adjusts regulator to assure oxygen flow rate of at least 10 L/minute 1 Attaches mask to patient’s face and adjusts to fit snugly 1


Critical Criteria ___ Failure to take or verbalize appropriate body substance isolation precautions ___ Failure to assemble the oxygen tank and regulator without leaks ___ Failure to prefill the reservoir bag ___ Failure to adjust the oxygen flow rate to the non-rebreather mask of at least 10 L/minute ___ Failure to assure a tight mask seal to patient’s face ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over). Comments:



PATIENT ASSESSMENT/MANAGEMENT – MEDICAL Candidate: ________________________________________ Examiner: ______________________________________ Date: ________________________________________ Signature: ______________________________________ Scenario #: ________________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 SCENE SIZE-UP Determines the scene/situation is safe 1 Determines the mechanism of injury/nature of illness 1 Determines the number of patients 1 Requests additional help if necessary 1 Considers stabilization of the spine 1 PRIMARY SURVEY/RESUSCITATION Verbalizes general impression of the patient 1 Determines responsiveness/level of consciousness (AVPU) 1 Determines chief complaint/apparent life-threats 1 Assesses airway and breathing -Assessment (1 point) -Assures adequate ventilation (1 point) -Initiates appropriate oxygen therapy (1 point)

3

Assesses circulation -Assesses/controls major bleeding (1 point) -Checks pulse (1 point) -Assesses skin [either skin color, temperature or condition] (1 point)

3

Identifies patient priority and makes treatment/ transport decision 1 HISTORY TAKING History of the present illness -Onset (1 point) -Quality (1 point) -Severity (1 point) -Provocation (1 point) -Radiation (1 point) -Time (1 point) -Clarifying questions of associated signs and symptoms related to OPQRST (2 points)

8

Past medical history -Allergies (1 point) -Past pertinent history (1 point) -Events leading to present -Medications (1 point) -Last oral intake (1 point) illness (1 point)

5

SECONDARY ASSESSMENT Assesses affected body part/system -Cardiovascular -Neurological -Integumentary -Reproductive -Pulmonary -Musculoskeletal -GI/GU -Psychological/Social

5

VITAL SIGNS -Pulse (1 point) -Respiratory rate and quality (1 point each) -Blood pressure (1point) 4

States field impression of patient 1 Interventions [verbalizes proper interventions/treatment] 1 REASSESSMENT Demonstrates how and when to reassessment the patient to determine changes in condition 1 Provides accurate verbal report to arriving EMS unit 1


Critical Criteria ___ Failure to initiate or call for transport of the patient within 15 minute time limit ___ Failure to take or verbalize appropriate body substance isolation precautions ___ Failure to determine scene safety before approaching patient ___ Failure to voice and ultimately provide appropriate oxygen therapy ___ Failure to assess/provide adequate ventilation ___ Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock ___ Failure to differentiate patient’s need for immediate transportation versus continued assessment or

treatment at the scene ___ Performs secondary examination before assessing and treating threats to airway, breathing and circulation ___ Orders a dangerous or inappropriate intervention ___ Failure to provide accurate report to arriving EMS unit ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form (below or turn sheet over). Comments:



PATIENT ASSESSMENT/MANAGEMENT – TRAUMA Candidate: ___________________________________________________ Examiner: __________________________________________________ Date: ___________________________________________________ Signature: __________________________________________________ Scenario #: ___________________________________________________

NOTE: Areas denoted by “**” may be integrated within sequence of Primary Survey/Resuscitation Possible Points Actual Time Started: ______ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 SCENE SIZE-UP Determines the scene/situation is safe 1 Determines the mechanism of injury/nature of illness 1 Determines the number of patients 1 Requests additional EMS assistance if necessary 1 Considers stabilization of the spine 1 PRIMARY SURVEY/RESUSCITION Verbalizes general impression of the patient 1 Determines responsiveness/level of consciousness 1 Determines chief complaint/apparent life-threats 1 Airway -Opens and assesses airway (1 point) -Inserts adjunct as indicated (1 point) 2

Breathing -Assesses breathing (1 point) -Assures adequate ventilation (1 point) -Initiates appropriate oxygen therapy (1 point) -Manages any injury which may compromise breathing/ventilation (1 point)

4

Circulation -Checks pulse (1 point) -Assesses skin [either skin color, temperature or condition] (1 point) -Assesses for and controls major bleeding if present (1 point) -Initiates shock management [positions patient properly, conserves body heat] (1 point)

4

Identifies patient priority and makes treatment/ transport decision (based on calculated GCS) 1 HISTORY TAKING Attempts to obtain sample history 1 SECONDARY ASSESSMENT Head -Inspects mouth**, nose** and assesses facial area (1 point) -Inspects and palpates scalp and ears (1 point) -Assesses eyes** (1 point)

3

Neck** -Checks position of trachea (1 point) -Checks jugular veins (1 point) -Palpates cervical spine (1 point)

3

Chest** -Inspects chest (1 point) -Palpates chest (1 point) -Auscultates chest (1 point)

3

Abdomen/pelvis** -Inspects and palpates abdomen (1 point) -Assesses pelvis (1 point) -Verbalizes assessment of genitalia/perineum as needed (1 point)

3

Lower extremities** -Inspects, palpates and assesses motor, sensory and distal circulatory functions (1 point/leg) 2

Upper extremities -Inspects, palpates and assesses motor, sensory and distal circulatory functions (1 point/arm) 2

Posterior thorax, lumbar and buttocks** -Inspects and palpates posterior thorax (1 point) -Inspects and palpates lumbar and buttocks areas (1 point)

2

VITAL SIGNS Obtains baseline vital signs [must include BP, P, R] (1 point) 1 Manages secondary injuries and wounds appropriately 1 REASSESSMENT Demonstrates how and when to reassesses the patient 1


Critical Criteria ___ Failure to initiate or call for transport of the patient within 10 minute time limit ___ Failure to take or verbalize body substance isolation precautions ___ Failure to determine scene safety ___ Failure to assess for and provide spinal protection when indicated ___ Failure to voice and ultimately provide high concentration of oxygen ___ Failure to assess/provide adequate ventilation ___ Failure to find or appropriately manage problems associated with airway, breathing, hemorrhage or shock ___ Failure to differentiate patient’s need for immediate transportation versus continued assessment/treatment

at the scene ___ Performs other assessment before assessing/treating threats to airway, breathing and circulation ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on this form in the space below Comments:



SPINAL IMMOBILIZATION (SEATED PATIENT) Candidate: ___________________________________ Examiner: ________________________________ Date: ___________________________________ Signature: ________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes appropriate body substance isolation precautions 1 Directs assistant to place/maintain head in the neutral, in-line position 1 Directs assistant to maintain manual stabilization of the head 1 Reassesses motor, sensory, and circulatory functions in each extremity 1 Applies appropriately sized extrication collar 1 Positions the immobilization device behind the patient 1 Secures the device to the patient’s torso 1 Evaluates torso fixation and adjusts as necessary 1 Evaluates and pads behind the patient’s head as necessary 1 Secures the patient’s head to the device 1 Verbalizes moving the patient to a long backboard 1 Reassesses motor, sensory, and circulatory function in each extremity 1


Critical Criteria ___ Did not immediately direct or take manual stabilization of the head ___ Did not properly apply appropriately sized cervical collar before ordering release of manual stabilization ___ Released or ordered release of manual stabilization before it was maintained mechanically ___ Manipulated or moved the patient excessively causing potential spinal compromise ___ Head immobilized to the device before device sufficiently secured to the torso ___ Device moves excessively up, down, left, or right on the patient’s torso ___ Head immobilization allows for excessive movement ___ Torso fixation inhibits chest rise, resulting in respiratory compromise ___ Upon completion of immobilization, head is not in a neutral, in-line position ___ Did not reassess motor, sensory, and circulatory functions in each extremity after voicing immobilization to the long backboard ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form.



SPINAL IMMOBILIZATION (SUPINE PATIENT) Candidate: ___________________________________ Examiner: ________________________________ Date: ___________________________________ Signature: ________________________________ Possible Points Actual Time Started: __________ Points Awarded Takes or verbalizes body substance isolation precautions 1 Directs assistant to place/maintain head in the neutral, in-line position 1 Directs assistant to maintain manual stabilization of the head 1 Reassesses motor, sensory, and circulatory functions in each extremity 1 Applies appropriately sized extrication collar 1 Positions the immobilization device appropriately 1 Directs movement of the patient onto the device without compromising the integrity of the spine 1

Applies padding to voids between the torso and the device as necessary 1 Immobilizes the patient’s torso to the device 1 Evaluates and pads behind the patient’s head as necessary 1 Immobilizes the patient’s head to the device 1 Secures the patient’s legs to the device 1 Secures the patient’s arms to the device 1 Reassesses motor, sensory, and circulatory function in each extremity 1


Critical Criteria ___ Did not immediately direct or take manual stabilization of the head ___ Did not properly apply appropriately sized cervical collar before ordering release of manual stabilization ___ Released or ordered release of manual stabilization before it was maintained mechanically ___ Manipulated or moved the patient excessively causing potential for spinal compromise ___ Head immobilized to the device before device sufficiently secured to the torso ___ Patient moves excessively up, down, left, or right on the device ___ Head immobilization allows for excessive movement ___ Upon completion of immobilization, head is not in a neutral, in-line position ___ Did not reassess motor, sensory, and circulatory functions in each extremity after immobilizing patient to the device ___ Failure to manage the patient as a competent EMT ___ Exhibits unacceptable affect with patient or other personnel ___ Uses or orders a dangerous or inappropriate intervention You must factually document your rationale for checking any of the above critical items on the reverse side of this form.


Student Questionnaire

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Name: ______________________________________ Date: ___________________ This is a short questionnaire which will help us to better tailor our courses to future students and to understand their motivation for registration in our programs. Please answer these questions to the best of your ability. Answering questions is optional, but this form MUST be turned in by each student upon the conclusion of the course. 1. What is your primary reason for registering for the EMT program? 2. How much time do you plan to dedicate to the EMT Program per week (in hours)? 3. What is your highest level of education completed? 4. What do you expect to do at the conclusion of the EMT Program? 5. What do you think makes a good EMT Program or educational program in general? 6. What do you think it takes to be a good EMT? 7. Does your family support your decision to become an EMT? Please explain… 8. What is your biggest concern about becoming an EMT? 9. What would you like to see from your instructors and/or the staff to assist you the most during the program? 10. What is your biggest concern about this program?

EMS University

Electronic Resources In order to access electronic resources, you will need to go to the following websites:

1. EMS Testing – www.emstesting.com 2. My Brady Lab – www.mybradylab.com

You will need to use the access code provided by your instructor to register for the course. If you have further questions regarding the use of electronic see the FAQ section on each of the sites listed above.

http://www.emstesting.com/

http://www.mybradylab.com/

EMS University Suggestion Box

In an effort to ensure that students, instructors, administrative staff, and guests have adequate input, we have placed a suggestion box in the classroom for you to fill out if you have any comments, questions or concerns that you would like to make. You may leave a personal or anonymous comment in the suggestion box. If you wish, you may also make an electronic suggestion at the website address below:

http://www.emsuniversity.com/?q=suggestions Thank you for taking the time to comment on our program. Your opinion is highly valued!

http://www.emsuniversity.com/?q=suggestions

ems university emt student first day checklist · 2013-04-15 · payment method (circle one): cash...

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