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EMS RN Checklist Mobile App

EMS-RNs must submit all of the items included in the EMS RN Checklist mobile app to the EMSTS Office prior to scheduling to take the ALS Licensure examination.EMS-RNs must submit all of the items included in the EMS RN Checklist mobile app to the EMSTS Office prior to scheduling to take the ALS Licensure examination. GoCanvas allows you to attach photos to your app.

You also may be interested in the Patient Care Report app.

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Take a peek inside the EMS RN Checklist Mobile App

Included Features

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Included Fields

Customize to add, remove, or edit any of the fields below.

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    Note: EMS-RNs must submit all of the following (as a package) to the EMSTS Office prior to schedu...

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    Letter of intent to hire

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    Copy of driver’s license

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    Copy of current Nursing License

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    Copy of current EMS-RN License

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    “Physician Advisor Verification Form” (completed by agency’s medical director)

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    “Skills Proficiency Record” (completed within the last 6 mos.

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    Copy of current certification in healthcare provider CPR (front & back of signed card)**

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    Copy of current certification in advanced life support procedures for patients who require ALS ca...

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    Copy of current certification in advanced life support procedures for patients who require ALS ca...

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    Copy of current certification in life support procedures for pediatric patients who require ALS c...

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    Documentation of certification in PHTLS/ATCN/TNATC/TNCC/BTLS/ITLS**

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    Resume (including contact information) outlining evidence of at least 5 yrs.

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    Resume (including contact information) outlining evidence of at least 5 yrs.

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    Verification by the Agency’s Representative* that all training requirements have been met in acc...

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    Didactic course content to meet both AAMS and local requirements

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    Clinical course content to meet both AAMS and local requirements

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    Successful demonstration of the following procedures:

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    All procedures as listed on the “Physician Advisor Verification Form”

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    All procedures as listed on the “Skills Proficiency Record”

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    Five endotracheal intubations on a human patient

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    Five central venous line placements, either live or simulated

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    Two catheter thoracostomies, either live or simulated

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    One surgical cricothyroidotomy, either live or simulated

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    Licensure examination.

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    If the EMS-RN passes the ALS Licensure examination with a score of 80% or higher, a letter will b...

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    After receipt of a letter from the agency’s medical director documenting successful completion of...

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    * Includes any person responsible for providing education, i.

  • ...and More!

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