EMS RN Checklist Mobile App

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!