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

COUNCIL STAFF EXECUTIVE DIRECTOR ·William D. Downs, Jr. TRAINING SPECIALIST ·Linda G. Johnson, NREMT-P PROGRAM COORDINATOR ·Diana "Cookie" Conrad, EMT-I ADMINISTRATIVE ASSISTANT ·Donna Evatt, EMT-ST PREHOSPITAL COORDINATORS ·Donna Burns, R.N., NREMT-P ·Christy Hodge, B.A., EMT-P OF SPECIAL INTEREST VIRTUAL DRUG BOX CE REPORT

FORMS Advanced Airway Management Form AED Utilization Form Airway Skills Practice Form Allergic Reaction Report ALS Evaluation Preceptor Form CISM Mileage Reimbursement Form CISM Debriefing Form CISM Peer Application Drug Diversion Report Form EMT-J Drug Data Sheet Medcom Complaint Form Points Summary Form Regional OMD Template RSI Protocol Task Force Member Application

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