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Requirements for EMS Personnel

Paramedic Requirements:
Cowlitz 2 Fire & Rescue's career and volunteer paramedics require 50 hours of continuing medical education (CME) annually to maintain their paramedic certifications. Those certificates are issued through the WA State Department of Health. Paramedics are required to complete a program in Washington State, or one that meets the same standards.

Paramedic programs range from 9 months to 2 years of curriculum depending upon the program attended. Programs in Washington State require that applicants are emergency medical technicians (EMTs), for at least one year. A state issued certificate is current for three years. During that three year period, the paramedic must complete 50 hours of CME annually (150 hours total), perform clinical skills to the satisfaction of the Medical Program Director (MPD), and be affiliated with a pre-hospital agency within the county he or she is certified. The paramedic must also be ACLS certified (Advanced Cardiac Life Support - 16 hour class every four years), PALS certified (Pediatric Advanced Life Support - 16 hour class every two years), PHTLS (Pre-Hospital Trauma Life Support - 16 hour class every two years), and complete an MPD supervised surgical skills lab every other year.

Emergency Medical Technician (EMT) Requirements:
Cowlitz 2 Fire & Rescue employs 12 career EMTs and approximately 60 volunteer EMTs. The EMT curriculum required by the WA State Department of Health is approximately 130 hours long. This usually extends over two college quarters. Anyone may join an EMT class and take the final test, but to become certified and take the State test, the participant must be affiliated with a pre-hospital agency as an employee or a volunteer.
State certifications are current for three years. An EMT is required to have 10 hours each year, or 30 hours each certification period of CME. Specific requirements are CPR, patient assessment, pediatrics, communicable disease, pharmacology, patient extrication and spinal immobilization. Individuals that have the extra education required to be EMT-IV technicians are required to have 15 hours each year, or 45 hours every certification period, along with a demonstration of intravenous proficiency skills for the Medical Program Director (MPD).

First Responder Requirements:
Cowlitz 2 Fire & Rescue has 1 First Responders that is a volunteer. Career personnel are required to be EMTs. First Responders have completed a 58 hour curriculum and then must pass a State test to be certified. They also must demonstrate proof that they are affiliated with a pre-hospital agency within the State. Certifications are current for three years. First Responders must have 15 hours of CME each certification period. Those hours must include CPR, spinal immobilization and extrication, patient assessment and pediatrics.

Ongoing Training and Evaluation Program (OTEP):
To assist the members of Cowlitz 2 to meet their CME requirements, we designate specific times and arrange teaching for OTEP. Teachers have been certified by the WA State Department of Health through an evaluator course. The OTEP schedule for the volunteers is every fourth Wednesday night of the month from 7:00 p.m. to 10:00 p.m. and is put out three years in advance. This training takes place at three different stations to accommodate the volunteers. Career staff obtains training while they are on shift at different times throughout the month.

C2FR began using King County's EMS Online Program at the end of 2006 for OTEP. It has proven to be a very useful training tool to allow members to be able to complete EMS training on their own schedule. With online EMS training, each module is completed on the computer followed by a test for verification of passing. After successful completion of each EMS training module, a practical hands-on test is completed at a scheduled OTEP night or on a shift. The online program maintains records of this training for ongoing access and at recertification time. King County generates a year long schedule at the beginning of each year which we follow.
 


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