To assure standards remain consistent and care provided is effective and of the highest quality, the UVa Prehospital Coordinators, on behalf of the Operational Medical Directors for the Thomas Jefferson EMS Council require the following skills drills for all regional ALS providers:

The mandatory skills drills will be held in September/March of each year.  The March Program is the annual "Mega Code" drill requiring all regional Cardiac, Intermediate and Paramedics to attend. ALS providers who fail to complete their skill drill (September) or "Mega Code" (March), and/or the required number of successful IV starts, will have their privileges to practice as an ALS provider suspended until remediation is completed with the UVa Prehospital Coordinator(s) or their designee.  The suspension of privileges becomes effective at the end of the affected month.

New Shock-Trauma Technicians (Enhanced) are required to start six (6) successful IV's per quarter in their first year as an ALS provider.  Beginning the second year, ALS providers must document two (2) successful IV's within a six (6) month period (verified during quality assurance review).

An ALS provider cannot be inactive for more than ninety (90) consecutive days within any twelve (12) month period.  Individuals who are inactive for more than 90 days must file for a special review with the UVa Prehospital Coordinator(s) and the agency Operational Medical Director.