Nremt skill sheets pdf=

Critical Criteria. ___ Failure to continue to take or verbalize appropriate PPE precautions ___ Failure to begin administration of medication within 3 minute time limit ___ Contaminates equipment or site without appropriately correcting the situation ___ Failure to adequately dispel air resulting in potential for air embolism ___ Injects ...and skills needed to be a Paramedic. The exams are the same across the country to make sure that everyone meets the same standards. As a result, the Paramedic certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWCompassionate care using the complete affective skill set can result in a positive image of EMS and lead to medical and public support for the profession. The Laboratory Phase includes the Skills Lab and Scenario Lab components. Psychomotor education begins in the Skills Lab component, where psychomotor learning takes place. The Skills LabA PATT number will post to your Registry account on the “Psychomotor ATTs” page. Find your PATT using these steps: Log into your Registry Account. Select “CBT Candidate” role. Click on “My Applications” on the left-hand side. Click on “Psychomotor ATTs”. Click the blue button “Generate PATT” to create the needed number. You must factually document your rationale for checking any of the above critical items on the reverse side of this form. Approved for EMR and EMT examination by Connecticut DPH - OEMS 2/1/19. Connecticut Office of Emergency Medical Services Emergency Medical Technician Psychomotor Examination.National EMS Resources. The EMS Voluntary Notification Tool (E.V.E.N.T.) is a tool designed to improve the safety, quality and consistent delivery of Emergency Medical Services (EMS). It collects data submitted anonymously by EMS practitioners. The data collected will be used to develop policies, procedures and training programs to improve …The AEMT and Paramedic practical skills examinations are based on the National Registry of Emergency Medical Technicians Psychomotor Examination. The station grading sheets are to be downloaded from the National Registry web site at: www.nremt.org. At the time this document was published, the grading sheets are found …Place your e-signature to the PDF page. Simply click Done to save the alterations. Download the papers or print out your PDF version. Send immediately towards the recipient. Use the quick search and innovative cloud editor to create a correct Emt Skills Sheet. Eliminate the routine and produce papers on the web!and skills needed to be an Emergency Medical Responder (EMR). The exams are the same across the country to make sure that everyone meets the same standards. As a result, the EMR certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWDiagnostics [blood glucose test, pulse oximetry, etc.] as indicated. 2. States field impression of patient. Verbalizes treatment plan for patient and calls for appropriate intervention(s) Re-evaluates transport decision. Skill Examiner Key Points • Candidates are expected to choose equipment and medications based on current evidence-based guidelines and the national scope of practice for the level for which the candidate is testing. • The chronological order in which a candidate performs each step for a skill is only important ifWere you successful or unsuccessful in this skill? Successful Unsuccessful. Comments: Author: Lenovo User Created Date: 12/22/2014 5:36:24 PM ...Instructions to the Advanced EMT Psychomotor Skills Candidate for the . Intravenous Therapy Skill. Welcome to the Intravenous Therapy Skill station. In this skill station you are required to establish an IV just as you would in the field. You will have three attempts within a 6-minute time limit to establish the IV. Although we areInstructions to the Advanced EMT Psychomotor Skills Candidate for the . Intravenous Therapy Skill. Welcome to the Intravenous Therapy Skill station. In this skill station you are required to establish an IV just as you would in the field. You will have three attempts within a 6-minute time limit to establish the IV. Although we areThe National Registry of EMT's relies heavily on input from volunteers in the EMS community to improve our products and services. Medical Directors ensure the continued competency of Nationally Registered EMS personnel by validating level specific skills. Program Directors are responsible for validating the competency of candidates seeking ... Level of Testing: NREMT-Intermediate/99 NR-Paramedic Possible Points Actual Time Started:_____ Points Awarded Takes or verbalizes infection control precautions 1 Checks patient responsiveness 1 Checks ABCs [responsive patient] – or – checks breathing and pulse [unresponsive patient] 1 Initiates CPR if appropriate [verbally] 1 Diagnostics [blood glucose test, pulse oximetry, etc.] as indicated. 2. States field impression of patient. Verbalizes treatment plan for patient and calls for appropriate intervention(s) Re-evaluates transport decision.Practice, practice, practice. Skills like splinting and spinal immobilization require repetitious practice to become second nature. Follow your skill sheets closely, especially when you’re first learning a new skill. You want to learn it right the first time rather than have to unlearn mistakes later on in the course. Practice with classmates.and skills needed to be a Paramedic. The exams are the same across the country to make sure that everyone meets the same standards. As a result, the Paramedic certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWThis version of skill sheets includes a blend of “Alaskan-ized” ETT skill sheets and Alaska’s current EMT Psychomotor Examination, adopted from the National Registry of EMTs. The supplemental skill sheets in this packet were adapted from the State of Alaska EMT skill sheets version 5h and the National Registry of EMTs pilot program.Apply Occlusive Dressing. Immediately occlude wound with gloved hand Control bleeding with direct pressure, as needed Place occlusive dressing and tape securely to skin (may tape on only three sides to leave a “flutter” valve to allow air escape) If tension pneumothorax develops, untape 4th side and reassess. Monitor patient for any changes.This skill sheet covers using a Bag Valve Mask on a nonbreathing patient. ... NREMT Paramedic Level Skill Sheets, PDF Format. Paramedic candidates are tested on six skills: Patient Assessment – Trauma, Dynamic Cardiology, Static Cardiology, Oral Station Case A, Oral Station Case B, and the Integrated Out-Of-Hospital Scenario. ...This comprehensive manual details all aspects of coordinating an advanced level psychomotor examination and is designed to assist you in planning for all related aspects of the examination. You assume many responsibilities that are vital to the success of the psychomotor examination process. significantly to the design and development of the skill sheets that are contained within this curriculum. Medical Direction Statement Medical direction of the EMT-Basic is an essential component of prehospital training, and thus is included in this revised EMT-B curriculum. Physician involvement shouldWhatever will we do without the skill sheets? NREMT is discontinuing the ALS psychomotor exam . That’s a good thing, if you let it be February 02, 2022 10:39 AM …Performed an incomplete or disorganized assessment. Did not complete a primary assessment or reassessment of the patient. 0. Patient Management. Patient Management. Patient Management. Managed all aspects of the patient’s condition, anticipated further needs, identified changes, and rapidly intervened after confirming critical interventions ... A PATT number will post to your Registry account on the “Psychomotor ATTs” page. Find your PATT using these steps: Log into your Registry Account. Select “CBT Candidate” role. Click on “My Applications” on the left-hand side. Click on “Psychomotor ATTs”. Click the blue button “Generate PATT” to create the needed number. 1 Skill Sheet Combat Application Tourniquet (C-A-T) Objective: Demonstrate the proper application of a Combat Application Tourniquet References: PHTLS (Military Edition) Eighth Edition, Jones and Bartlett Evaluation: Students will be evaluated as a Pass/Fail (P/F). The instructor will verify theand skills needed to be an Emergency Medical Responder (EMR). The exams are the same across the country to make sure that everyone meets the same standards. As a result, the EMR certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWInstructions to the Advanced EMT Psychomotor Skills Candidate for the . Intravenous Therapy Skill. Welcome to the Intravenous Therapy Skill station. In this skill station you are required to establish an IV just as you would in the field. You will have three attempts within a 6-minute time limit to establish the IV. Although we areInstructions to the Advanced EMT Psychomotor Skills Candidate for the . Intravenous Therapy Skill. Welcome to the Intravenous Therapy Skill station. In this skill station you are required to establish an IV just as you would in the field. You will have three attempts within a 6-minute time limit to establish the IV. Although we are16-hour EMR Refresher (PDF) 30-hour EMT Refresher (PDF) 37.5 hour AEMT refresher course schedule (PDF) 45-hour paramedic refresher course schedule (PDF) Documents and forms. EMR, EMT, and AEMT Practical Evaluation Skill Sheets (PDF) EMS Course Completion Verification (Graduation) Form (docx) EMT Psychomotor Skill Verification …16-hour EMR Refresher (PDF) 30-hour EMT Refresher (PDF) 37.5 hour AEMT refresher course schedule (PDF) 45-hour paramedic refresher course schedule (PDF) Documents and forms. EMR, EMT, and AEMT Practical Evaluation Skill Sheets (PDF) EMS Course Completion Verification (Graduation) Form (docx) EMT Psychomotor Skill Verification Form (PDF) Emergency Medical Technicians (EMT) Emergency Medical Technicians provide out of hospital emergency medical care and transportation for critical and emergent patients who access the emergency medical services (EMS) system. EMTs have the basic knowledge and skills necessary to stabilize and safely transport patients ranging from non …Our Mission. To serve as the national EMS certification organization by providing a valid, uniform process to assess the knowledge and skills required for competent practice by EMS professionals throughout their careers and by maintaining a registry of certification status. Part 1: Overview.Were you successful or unsuccessful in this skill? Successful Unsuccessful. Comments: Author: Lenovo User Created Date: 12/22/2014 5:35:20 PM ...You must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement.© 2011 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH e201/10-12 NOTE: Examiner to remove OPA and move out of the way when candidate is prepared to insert device. Positions head properly. Performs a tongue-jaw lift. Inserts device to proper depth. Secures device in patient [inflates cuffs with proper volumes and immediately removes syringe or secures strap] STEP 3: SUBMIT ELECTRONIC RECERTIFICATION. Click on ‘Recertification' to. Enter your education, and. Submit your application. Keep all recertification supporting documentation for at least three years. The National Registry is required to conduct random audits of applications.EMT Medical Assessment Guide. EMTs and Paramedics have unique assessments that target whether life threats are present and identifying whether the patient is “sick or not sick” from the minute they see the patient. You will often hear this term in EMS and being competent in it will lead you to being a great medic, nurse, PA, doctor, or ...Level of Testing:˜ NREMT-Intermediate/99˜ NREMT-Paramedic Note: No points for treatment may be awarded if the Candidate's Interpretation is incorrect. Only document …You are thirty (30) minutes away from the attending physician’s office and fifteen (15) minutes from the community hospital. At 1512 hours, you are dispatched to a residence for a non-emergent transport of a woman to her doctor’s office. It is a clear spring day with a temperature of 68°F. A woman who identifies herself as the patient’s ...Our Mission. To serve as the national EMS certification organization by providing a valid, uniform process to assess the knowledge and skills required for competent practice by EMS professionals throughout their careers and by maintaining a registry of certification status. Part 1: Overview.DOH 530-226 October 2018 EMR, EMT & AEMT Level Practical Evaluation Skill Sheets Page 63 Naloxone (Narcan) Administration IN Candidate Name _____ Date _____ Scenario _____ Actual Time Started: _____ Points Points Possible Awarded * Takes or verbalizes appropriate PPE precautions 1 * Appropriately determines the need for …and skills needed to be an Emergency Medical Responder (EMR). The exams are the same across the country to make sure that everyone meets the same standards. As a result, the EMR certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWNational EMS Resources. The EMS Voluntary Notification Tool (E.V.E.N.T.) is a tool designed to improve the safety, quality and consistent delivery of Emergency Medical Services (EMS). It collects data submitted anonymously by EMS practitioners. The data collected will be used to develop policies, procedures and training programs to improve the ... You must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. e201/10-16. Opens and assesses airway (1 point) - Inserts appropriately sized adjunct (1 point) 2. Breathing. Assesses breathing (1 point) Assures adequate ventilation (1 point) Administers oxygen (1 point) Manages any injury which may compromise breathing/ventilation (1 point) Were you successful or unsuccessful in this skill? Successful Unsuccessful. Author: Lenovo User Created Date: 12/22/2014 5:36:39 PM ...NREMT Practice Test 2024. We have created this NREMT Practice Test 2024 Study Guide to aid in answering some of the more common questions associated with taking NREMT and state EMT certification tests. This includes facts and advice related to taking and passing the exams. It is intended to aid the EMT candidate in his or her pursuit of ...NREMT Information NREMT National Continued Competency Program (NCCP) The NCCP model streamlines the CE recertification process into three strategic categories of continuing education: National, Local, and Individual. NREMT Transition Course Information. Request to offer a DSHS approved National Registry of EMT Transition Course(s) (PDF 534 KB)p302/09-16 National Registry of Emergency Medical Technicians Advanced Level Psychomotor Examination PATIENT ASSESSMENT - MEDICAL Candidate:_____Examiner:_____ Date ...significantly to the design and development of the skill sheets that are contained within this curriculum. Medical Direction Statement Medical direction of the EMT-Basic is an essential component of prehospital training, and thus is included in this revised EMT-B curriculum. Physician involvement shouldTo serve as the national EMS certification organization by providing a valid, uniform process to assess the knowledge and skills required for competent practice by EMS …1. Assemble and test all necessary equipment. Assess the upper airway for visible obstruction. Open the airway with a chin lift/jaw thrust maneuver. Verbalize the indications for a Nasopharyngeal Airway – unconscious patient. 5. Lubricate the Nasopharyngeal Airway with a surgical lubricant. Insert the airway into the nose at a 90-degree angle ...NREMT Skills Sheets PDF is a resource created by the National Registry of Emergency Medical Technicians. It provides a comprehensive list of the skills that emergency medical technicians need to demonstrate in order to be certified by the NREMT. The skills sheets cover topics such as patient assessment, airway management, medical and trauma ...A PATT number will post to your Registry account on the “Psychomotor ATTs” page. Find your PATT using these steps: Log into your Registry Account. Select “CBT Candidate” role. Click on “My Applications” on the left-hand side. Click on “Psychomotor ATTs”. Click the blue button “Generate PATT” to create the needed number.CRITICALCRITERIA. ____ Failure to initiate or call for transport of the patient within 15 minute time limit ____ Failure to take or verbalize appropriate PPE precautions ____ Failure to determine scene safety before approaching patient ____ Failure to voice and ultimately provide appropriate oxygen therapy ____ Failure to assess/provide ...Diagnostics [blood glucose test, pulse oximetry, etc.] as indicated. 2. States field impression of patient. Verbalizes treatment plan for patient and calls for appropriate intervention(s) Re-evaluates transport decision. © 2011 National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial ...Asks patient for known allergies. Selects correct medication. Assures correct concentration of medication. Assembles prefilled syringe correctly and dispels air. Continues to take or verbalize appropriate PPE precautions. You must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. e211/10-16. Performed an incomplete or disorganized assessment. Did not complete a primary assessment or reassessment of the patient. 0. Patient Management. Patient Management. Patient Management. Managed all aspects of the patient’s condition, anticipated further needs, identified changes, and rapidly intervened after confirming critical interventions ... Edit Nremt skills sheets 2021 pdf. Easily add and underline text, insert images, checkmarks, and icons, drop new fillable fields, and rearrange or delete pages from your document. Get the Nremt skills sheets 2021 pdf accomplished. Download your adjusted document, export it to the cloud, print it from the editor, or share it with others via a ...Are you preparing for the NREMT practical exam? Do you want to review the skill sheets for each station and practice your skills in a simulated environment? If so, you should …and skills needed to be a Paramedic. The exams are the same across the country to make sure that everyone meets the same standards. As a result, the Paramedic certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWNOTE: The examiner must now inform the candidate that the patient is exhibiting signs and symptoms of hypoperfusion. Properly positions the patient. Administers high concentration oxygen. Initiates steps to prevent heat loss from the patient. Indicates the need for immediate transportation.Directs assistant to place/maintain head in the neutral, in-line position. Directs assistant to maintain manual immobilization of the head. *. Assesses motor, sensory, and circulatory function in each extremity. Applies appropriately sized extrication collar. Practice, practice, practice. Skills like splinting and spinal immobilization require repetitious practice to become second nature. Follow your skill sheets closely, especially when you’re first learning a new skill. You want to learn it right the first time rather than have to unlearn mistakes later on in the course. Practice with classmates.and skills needed to be a Paramedic. The exams are the same across the country to make sure that everyone meets the same standards. As a result, the Paramedic certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEW Apply Occlusive Dressing. Immediately occlude wound with gloved hand Control bleeding with direct pressure, as needed Place occlusive dressing and tape securely to skin (may tape on only three sides to leave a “flutter” valve to allow air escape) If tension pneumothorax develops, untape 4th side and reassess. Monitor patient for any changes.The examiner must now inform the candidate that the patient exhibits signs and symptoms of hypoperfusion. Properly positions the patient. Administers high concentration oxygen (>85%) Initiates steps to prevent heat loss from patient. Indicates the need for …Diagnostics [blood glucose test, pulse oximetry, etc.] as indicated. 2. States field impression of patient. Verbalizes treatment plan for patient and calls for appropriate intervention(s) Re-evaluates transport decision.Are you ready to go now for the National Registry Paramedic (NRP) certification exam? Check out this official document that outlines the 2016 National Continued Competency Program (NCCP) requirements for paramedics. Learn about the topics, hours, and skills you need to maintain your competency and advance your career.Tackling the NREMT Practical by u/CompulsiveAntagonist. National Registry Candidate Information. YouTube: EMTPrep - Has great videos on NREMT skills, a few bits of A&P, and some diagnosis stuff. Smart Medic - 538 multiple choice questions - Pretty decent variety of questions, basic explanations. View more resources in our Comprehensive Guide.EMT Medical Assessment Guide. EMTs and Paramedics have unique assessments that target whether life threats are present and identifying whether the patient is “sick or not sick” from the minute they see the patient. You will often hear this term in EMS and being competent in it will lead you to being a great medic, nurse, PA, doctor, or ...country who are competent in the appropriate knowledge, skills, and abilities for their licensure level. Executive Summary * As a result of the 2020-21 public health emergency, several changes were made under the urgent update process to the 2019 National EMS Scope of Practice Model which are reflected in these education standards.You must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2020 National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. p309/01-20.Place your e-signature to the PDF page. Simply click Done to save the alterations. Download the papers or print out your PDF version. Send immediately towards the recipient. Use the quick search and innovative cloud editor to create a correct Emt Skills Sheet. Eliminate the routine and produce papers on the web!psychomotor skills at each level of licensure. Further, the document describes each level of licensure as distinct and distinguished by unique “skills, practice environment, knowledge, qualifications, services provided, risk, level of supervisory responsibility, and amount of autonomy and judgment/critical thinking/decision-making.” NREMT Exam Cram Study Guide. For as long as there has been an NREMT exam, students have studied the wrong things… or not studied enough of the right things. They re-read their books, look over …8 UPDATING YOUR PERSONAL INFORMATION You must notify the Registry within 30 days of any of the following: • A change in address, email address, telephone number, …Practice, practice, practice. Skills like splinting and spinal immobilization require repetitious practice to become second nature. Follow your skill sheets closely, especially when you’re first learning a new skill. You want to learn it right the first time rather than have to unlearn mistakes later on in the course. Practice with classmates.consistency and inter-rater reliability, each skill evaluation form is accompanied by a detailed essay to help focus the skill examiner on the consistent, proper testing of each skill. Finally, predetermined passing criteria for each skill were established and endorsed by the NREMT Board of Directors. and skills needed to be a Paramedic. The exams are the same across the country to make sure that everyone meets the same standards. As a result, the Paramedic certification lets the public, healthcare providers, employers, and others know that you have the knowledge and skills to work safely and effectively. PART 1: OVERVIEWconsistency and inter-rater reliability, each skill evaluation form is accompanied by a detailed essay to help focus the skill examiner on the consistent, proper testing of each skill. Finally, predetermined passing criteria for each skill were established and endorsed by the NREMT Board of Directors.part 1 overview part 2 candidate responsibilities part 3 certification process part 4 cognitive exam part 5 certification policies 04 handbook purpose 04 national registry certification 04 about the national registry 05 certification process overview 06 contact information 07 candidate agreement 07 requirements 07 code of conduct 08 updating personal …contraindications, other potential skills (e.g.: drawing the appropriate dose of medication up from an ampule or vial [single or multi-dose], supervised assessment of skill competency, and quality improvement activities) would be components of the entire program. 8 UPDATING YOUR PERSONAL INFORMATION You must notify the Registry within 30 days of any of the following: • A change in address, email address, telephone number, …NOTE: The examiner must now inform the candidate, “The mouth is full of secretions and vomitus.”. Prepares rigid suction catheter. Turns on power to suction device or retrieves manual suction device. Inserts rigid suction catheter without applying suction. Suctions the mouth and oropharynx. Psychomotor Skills Candidate” exactly as printed in the material provided by the National Registry . Skill Examiners must limit conversation with candidates to the communication of instructions and answering of questions. All Skill Examiners must avoid social conversation with candidates or making comments on a candidate’s performance.CRITICAL CRITERIA. You must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific ... The examiner must now inform the candidate that the patient exhibits signs and symptoms of hypoperfusion. Properly positions the patient. Administers high concentration oxygen (>85%) Initiates steps to prevent heat loss from patient. Indicates the need for immediate transportation. National EMS Resources. The EMS Voluntary Notification Tool (E.V.E.N.T.) is a tool designed to improve the safety, quality and consistent delivery of Emergency Medical Services (EMS). It collects data submitted anonymously by EMS practitioners. The data collected will be used to develop policies, procedures and training programs to improve …Whatever will we do without the skill sheets? NREMT is discontinuing the ALS psychomotor exam . That’s a good thing, if you let it be February 02, 2022 10:39 AM …outlined in the NREMT Advanced Level Examination Coordinator Manual (www.nremt.org) to include: 1. Level of exam (indicate which levels – I/99, AEMT or NRP – will be offered). 2. The name of the host site. 3. The name of the NREMT Representative who has agreed to administer this exam. 4. Schedule type (open or closed.)Our Mission. To serve as the national EMS certification organization by providing a valid, uniform process to assess the knowledge and skills required for competent practice by EMS professionals throughout their careers and by maintaining a registry of certification status. Part 1: Overview.Directs assistant to place/maintain head in the neutral, in-line position. Directs assistant to maintain manual immobilization of the head. *. Assesses motor, sensory, and circulatory function in each extremity. Applies appropriately sized extrication collar. E216 NREMT Candidate: National Registry of Emergency Medical Technicians® Emergency Medical Technician Psychomotor Examination JOINT IMMOBILIZATION Examiner: …Psychomotor Portfolio Skill Sheet : 2 : Version: November 16, 2021 : Task N/A Missed Prompt Complete : 6. Sets oxygen flow to ensure the following: (order of adjustment may depend on equipment) a. Positive end-expiratory pressure (PEEP) i. Dyspnea (bronchospasm) 5- 10 cm H2OYou must factually document your rationale for checking any of the above critical items on the reverse side of this form. 2016 by the National Registry of Emergency Medical Technicians, Inc., Columbus, OH All materials subject to this copyright may be photocopied for the non-commercial purpose of educational or scientific advancement. e212/10-16.consistency and inter-rater reliability, each skill evaluation form is accompanied by a detailed essay to help focus the skill examiner on the consistent, proper testing of each skill. Finally, predetermined passing criteria for each skill were established and endorsed by the NREMT Board of Directors..

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