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STAFF

EXECUTIVE DIRECTOR
·Mary Kathryn Allen, EMT-I

TRAINING SPECIALIST
·Linda G. Johnson, NREMT-P

PROGRAM COORDINATOR
·Diana "Cookie" Conrad, EMT-C

ADMINISTRATIVE ASSISTANT
·Donna Evatt, EMT-ST



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2205 Fontaine Avenue, Suite 302
Charlottesville, Virginia 22903
(434) 295-6146 Office
(434) 295-2009 Fax

GETTING CLEARED TO PRACTICE

Before new providers are cleared to Practice in the TJEMS Region, certain requirements must be met.  The Prehospital Coordinators have developed a standard set of guidelines which are to be followed for release to practice as an Advanced Life Support provider.  The release process provides for a point system defining ALS level skills and is approved by the OMD Committee.


SHOCK TRAUMA RELEASE POINTS

The "ALS Preceptor Evaluation Form" is the guideline for awarding points.  Preceptors should write comments as applicable.

Not every area will have points awarded on every call.  Preceptor should write NA when points are not awarded.

The Jr. Shock-Trauma technician should be present when the preceptor fills out the evaluation form.  This will allow the call to be critiqued and learning aximized.  Once the evaluation tool is complete, the Jr. ST will keep it, a copy of the call sheet and airway forms when applicable.

All forms should be turned in to one of the Prehospital Coordinators.  If airway points are the only missing points, contact the Prehospital Coordinators to discuss your release.

Scene Management                        25 points

Patient Assessment                        25 points

Airway Maintenance*                         9 points

Circulation                                       15 points

Medications**                                  15 points


Total                                               89 points

*Airway points should only be awarded when the airway management is done such as suctioning, O.P/N.P./Combitube/E.T. insertion.  Placing the patient on oxygen does not earn points.

**At least two medications must be other than nitroglycerine, ASA or Albuterol.



EMT TO CARDIAC RELEASE POINTS

The "ALS Preceptor Evaluation Form" is the guideline for awarding points.  Preceptors should write comments as applicable.  Jr. Cardiac technicians must run a minimum of 20 ALS calls and a minimum of 4 months as a Jr. CT.

Not every area will have points awarded on every call.  Preceptor should write NA when points are not awarded.

The Jr. Cardiac technician should be present when the preceptor fills out the evaluation form.  This will allow the call to be critiqued and learning maximized.  Once the evaluation tool is complete, the Jr. CT will keep it, a copy of the call sheet and airway forms when applicable.

All forms should be turned in to one of the Prehospital Coordinators.  If airway points are the only missing points, contact the Prehospital Coordinators to discuss your release.

Scene Management                        50 points

Patient Assessment                        50 points

Airway Maintenance*                       25 points

Circulation                                      25 points

Medications**                                 25 points

EKG Interpretation                           25 points


Total                                             200 points

*Airway points should only be awarded when the airway management is done such as suctioning, O.P/N.P./Combitube/E.T. insertion.  Placing the patient on oxygen does not earn points.

**Medication points are awarded for medications other than nitroglycerine and Albuterol.



RELEASE FORMS

Points Summary Form
ALS Evaluation Preceptor Form
ALS Point Totals Spreadsheet
  Excel document


PROVIDER CHANGE OF INFORMATION FORM

Use this form to update your mailing address or agency affiliation information.

Full Name:

Social Security/Certification Number:

Day time phone:            Evening phone:

Street or PO Box: City:

State: Zip:

email address:

Agency Affiliation:

Current certification level:

Expiration date:

Comments or additional information:








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