Sc Dhec Ambulance Checklist 2010-2023 - signNow 2017 South Carolina State EMS Protocols & Formulary updated 9-12-2019 Submitted: 1/27/2021 11:31:09 AM 2017 SC State Protocols and Formulary Document Category: Protocol Effective Date: 04/19/2019 Attachment: 2017_state_protocols_and_formulary_1-29-2020_aa_0.pdf Documents and Links Table In addition, Command Staff in Quick Response Vehicles (QRV's), andFire Servicerescue vehiclesprovidefirst response and Automated External Defibrillator (AED)capability when ambulances are far from the scene. Tips for Documenting Drug Overdose-Related EMS Response, Enc 04A EMT Course Statement of Understanding - 2016 Form, Enc 04B AEMT Course Statement of Understanding - 2016 Form, Enc 04C Paramedic Course Statement of Understanding - 11-2016, Enc 06 EMT Course - Minimum Required Equipment, Lowcountry Regional EMS Council - http://www.lowcountryems.com/, Response to an incident where an Ebola risk may be present, as determined by prescreening, All Rights Reserved. ODMAP Final Opinion- AG office 3. The bureau would like to share some insight and squash a few rumors about our newly released EMS protocols. About South Carolina's EMS System In South Carolina, the REPLICA legislation was signed into law on May 18, 2017. Positions available year round. 6 0 obj The regional medical control physicians oversee regional advanced training courses and are responsible for the actions of advanced training candidates during class and clinical. PDF South Carolina Community Paramedic Protocols - scorh.net With its direction, the development of a comprehensive drug list enables our EMTs to have the necessary medication tools to provide the best patient care. 2523 Hwy 76 East. Like STEMI and Trauma, sepsis is a time-critical diagnosis where early screening and intervention can impact outcome [3-6]. Joey Price - Director. Also, on the pages where a medication is indicated for use, only the medication is listed; however, there is an editable field attached to it so that once you and your MCP agree to the dose of that medication to give in that particular situation, you can just plug it in and save it. Regulation 61-7 (pdf), Section 302, under Statutory Authority Section 44-61-150 of Act 1118 of 1974, amended in 1981, 1988 and 1995, requires that "Each licensed provider that provides patient care shall retain a medical control physician to maintain quality control of the care provided.". 2 0 obj Standing Orders include medication dosages, routes of administration, therapeutic procedures, etc. The current Advanced Emergency Medical Technician (AEMT) program follows the official U.S. Department of Transportation (US DOT) Emergency Medical Services (EMS) 2009 Educational Standards and National Standard Curriculum (NSC). Stay Connected, Get News, View Updates & Insights, Created By Vision - Where Communities & Government Meet. (c) signifies that the wearer is a patient who has obtained a do not resuscitate order which has not been revoked. 1 0 obj To find EMT courses, visit the LMS public portal and click the trainings tab. Documents List: 1. to be implemented. Then, with the approval of federal trauma grant funding to develop a state trauma plan, the Medical Control Committee appointed a multidisciplinary Trauma System Committee, which serves as a subcommittee. Document #4: Browser Caching Your feedback is important. Protocols are updated on an annual basis using a committee of field paramedics and EMT's. Additionally, field providers serve on regional and state level patient care . All changes must be approved by the Wake County Peer Review Committee and the North Carolina Office of EMS prior to implementation. EMT Certification Links | SCDHEC IV infused medications are controlled by Nimbus infusion pumps and the pediatric patient population are cared for using the Handtevy Pediatric System. Thank you to everyone who stopped by our booth to pick up some literature, had a question answered, or to just say Hey! We love interacting with the fire and EMS community at these conferences and we are just as excited as you are to see the newest gadgets, widgets, ambulances and fire apparatus at the vendor booths as you all are. How long is the certification process overall? The picture must be similar to a picture that you would see on a drivers license. All Forms, Applications, Registrations, Reporting : https://southcarolina.imagetrendlicense.com/lms/public/portal#/login, Regulation 61-7 (Emergency Medical Services), Regulation 61-118 (South Carolina Stroke Care System). *8oKdq|FdlO06AcPZ1#GfQQ R3~Bn I'$ZN'G+gk]vP~j%: _U\oIM = +Y-&:hu kE$cl[B)0^ZN;WC9q$SAW|m6Og$9&xtdkeA+uW${9Jm\0umvcc!ML++b$'>K~gw&[rs?qRq=:[+\MsUQ>V:|VyD./}6&]Q=w(\"8)_Ghb3A.!o)MT>a[k/aH!`gS a yF#cWGeHt 6ge&4Aoa5E,n2i3ap2?M4F,)ei0rU!EMf0;r*MD_iGVt-|2endstream https://www.scemsportal.org/certifications/Certification-Detail?recordID=204 xY_wo~7HWkH,-b. 2019 South Carolina Department of Health and Environmental Control. In South Carolina, EMS has treated 650 septic patients according to this protocol and 59% have . Contact Information 301 University Ridge Greenville County Square Greenville, SC 29601 864.467.7005 Office Billing Questions 833.217.8598 For patient care requests, contact: 864.467.5644 or click here to send an email. Prehospital Impact In South Carolina,. ALL EMS Services MUST adopt this protocol. A scale based on the NIHSS that is more user-friendly for prehospital field usage, You are invited to the Memorial Service to honor our EMS fallen endobj <> COVID-19 Community Levels & Data Dashboards, Making Your Emergency Survival Supply Kit, Individuals with Functional Needs How to Prepare for Emergency, State Statistics on Family Planning & Pregnancy, Women, Infants, & Nutrition Program (WIC), Child & Adolescent Immunizations and Vaccines, Manufactured Food Safety in South Carolina, Oil & Natural Gas and Terminal Facility Registration, Beachfront Jurisdictional Lines Stakeholder Workgroup, Regulation - Small Business Assistance Program, Disaster Preparedness for Healthcare Facilities, Medicare Provider Emergency Preparedness Information From CMS, Get Help with Health Care System Preparedness, Health Care Preparedness Staff Contacts State and Local, Health Care System Preparedness Program: Overview and Mission, Training Opportunities and Exercises for Health Care Professionals, Zika Virus Information for Health Care Providers, Electronic Health Records: Meaningful Use, Health Facilities: How to File a Complaint, Residential Treatment Facilities for Children & Adolescents, Radioactive Material Licensing and Compliance, Emergency Medical Technician (EMT) Certification Requirements, Hospital-Based Crisis Stabilization Units, Applying for a Permit, License, Certification or Registration from DHEC, FORMS: Applications, Registration, Reporting, Etc. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. For more information, email trauma@dhec.sc.gov. However, within the remaining protocols there are three protocols which if adopted by the service MUST be followed as written. We use the South Carolina State EMS protocols to include team based cardiac arrest care, rapid sequence intubation, and prehospital administration of broad-spectrum antibiotics. Medical Protocols | Wake County Government Pictures can be uploaded to Continuum by the agencys Primary Contact, EMS Director, and Training Officer. For EMS : EMT certification questions contact Adrienne Holliday: 803-545-4752 or Angela Drayton: 803-545-4120. stream All Forms, Applications, Registrations, Reporting EMS Pre-Hospital Protocol Release Memo (pdf), Pediatric Trauma Triage and Transport Protocols, Interfacility Transport Form: Part A - Drug Report; Part B - Device Report (DHEC 3485) (pdf), EMT Background Checks Application Form (doc). Lexington County EMS was first organized in 1974 with 16 employees working 24-hour shifts on a total of four ambulances. Medical Control related documents available from the Division of EMS & Trauma. %PDF-1.5 Information on upcoming Council meetings, Committee meetings and Public Hearings. . The state protocols provide a nearly all encompassing set of guidelines where you and your MCP can sit down and adopt (or rule out) individual protocols and have a working set in no time at all. Beaufort County Emergency Medical . NWA Metropolitan Fire Chiefs' Association, Santa Rosa Junior College Paramedic Academy, Platteville-Gilcrest Fire Protection District, Sponsor Hospital Council of Greater Bridgeport, Space Coast Regional EMS-Doctor Williams Agencies, Area Ambulance Service / Cedar Rapids EMS, Baystate Medical Center Critical Care Transport, Cottonwood Ambulance Service/Granite Falls Ambulance, MJM Medical Direction Consortium Services, Emergency Medicine Associates of San Juan County, Rural Cass County Ambulance and Rescue Association, Lane County Sheriffs Ground Search And Rescue, Travis County Emergency Service District 5 - Manchaca Fire Dept, South Area Fire & Emergency Response District, Space Coast Regional EMS-Doctor McPherson Agencies, Illinois Region 9: Northwest Community EMS, NASEMSO National Model EMS Clinical Guidelines. COVID-19 Community Levels & Data Dashboards, Making Your Emergency Survival Supply Kit, Individuals with Functional Needs How to Prepare for Emergency, State Statistics on Family Planning & Pregnancy, Women, Infants, & Nutrition Program (WIC), Child & Adolescent Immunizations and Vaccines, Manufactured Food Safety in South Carolina, Oil & Natural Gas and Terminal Facility Registration, Beachfront Jurisdictional Lines Stakeholder Workgroup, Regulation - Small Business Assistance Program, Disaster Preparedness for Healthcare Facilities, Medicare Provider Emergency Preparedness Information From CMS, Get Help with Health Care System Preparedness, Health Care Preparedness Staff Contacts State and Local, Health Care System Preparedness Program: Overview and Mission, Training Opportunities and Exercises for Health Care Professionals, Zika Virus Information for Health Care Providers, Electronic Health Records: Meaningful Use, Health Facilities: How to File a Complaint, Residential Treatment Facilities for Children & Adolescents, Radioactive Material Licensing and Compliance, Emergency Medical Technician (EMT) Certification Requirements, Hospital-Based Crisis Stabilization Units, Applying for a Permit, License, Certification or Registration from DHEC, FORMS: Applications, Registration, Reporting, Etc. South Carolina Division of EMS and Trauma | SCDHEC In recent years, the Medical Control Committee has revised and put into algorithm format a set of state approved protocols for use and adaptation by local medical control physicians. Fax: 843-431-5015. The most recent amendments in 1995 updated the requirement of medical control for all services, even those who are licensed only as basic life support, to allow for medical control for the advanced skills now performed by basic EMTs. More Objective (number value) vs. Less Subjective (+ or -) without having to create a new document. Training institutions also have the ability to upload photos of students that may not be currently attached to an agency. 31 March 2022. Dorchester County EMS was awarded the South Carolina Large EMS System of the Year in 2019 and has been recognized by the American Heart Association Mission Lifeline as Gold Plus since 2014. A. ? Should you review the protocols and have a specific question or comment, there is a dedicated email address for just such a purpose. The department is a county operated EMS agency with 98 employees that respond to approximately 24,000 calls annually. personnel each, working a rotating shift of 24/ 48 hours. His first tasks were to develop a quality assurance program for EMS services that would assist them in maintaining the competency levels of their personnel through in-service training programs and reviews of skills. How do I find EMS Courses: Guidelines for Approved In-Service Training Program (pdf), DHEC Form Number 3462 (Do Not Resuscitate) (pdf), Carol Baker-Burger, MD, FACEP (Upstate Regional Medical Control Physician), E. Douglas Norcross, MD, FACS (Medical University of South Carolina), Raymond Bynoe, MD, FACS (ACS Committee on Trauma), John F. Sorrell, MD, FACEP (Low Country Regional Medical Director), William C. Gerard, MD, FACEP (Midlands Regional Medical Director), Garrett Clanton II, MD (Tuomey Regional Med. This years theme of FR 2017 was Racing to the Future a very apropos theme for this months column as we race to the future of medicine with our newly released South Carolina State EMS Protocols! Airway Adult (116 Kb PDF) Airway Adult Failed (57 Kb PDF) Airway Drug Assisted Intubation (100 Kb PDF) Airway Pediatric (115 Kb PDF) Airway Pediatric Failed (53 Kb PDF) Back Pain (70 Kb PDF) Behavioral (70 Kb PDF) Fever (79 . Excluding Holidays. Requests for pilot projects or additions to the state drug list must be forwarded through the medical control physician, with the EMS director's agreement. All Protocols (3.3 Mb PDF) General Protocols. Through all of the above, support the regional concept for EMS. As mentioned above, the Medical Control Committee was formed in 1985 by the first state medical control physician. Yes, thats right; some agencies are creating an app for the protocols. McLeod Regional Medical Center Emergency Dept - RELOCATING MON, JUNE 28. Persuant to S.C. 44-78-30(B) the following link goes to the Department approved vendor for a Do Not Resuscitate Bracelet which meet the requirements in S.C. 44-78-15(1) All front line ambulances at Dorchester County EMS are Type I extended or crew cab chassis and all are equipped with Stryker Power Pro XT cots and Stryker Power Load Systems. http://nemsis.org/reportingTools/reports/nationalReports/documents/V2PediatricCauseofInjuryDashboard.pdf. They assist the local medical control physicians in developing training and quality assurance programs and they coordinate all regional requests for additions or changes to the state drug lists. Standing Orders are often included within Protocols. Q. Minutes from Medical Control Committee meetings (pdf), State Approved Protocols - Adult and Children. 201 Cell: (843) 468-4088 Fax: (843) 662-9444. % They also serve to ensure a structure of accountability for Medical Directors, EMS agencies, pre-hospital providers and facilities to provide continual performance improvement. Tool (Rapid Arterial oCclusion Evaluation Scale) is mandated per statute [The Department shall adopt and distribute a nationally recognized, standardized stroke-triage assessment tool. All Rights Reserved. 2019 South Carolina Department of Health and Environmental Control. Review and revise the drug list on a regular basis (currently done annually), To review and advise on all present and future procedures used by ALS Systems, Suggest and support certain areas of research (e.g. Cincinnati Stroke Scale , LAPSS, and MENDS are all Qualitative As befits this delegation of authority, it is the physician's obligation to be involved in all aspects of the patient care system. EMS is a medical care system that includes medical practice as delegated by physicians to non-physician providers who manage patient care outside the tradition confines of office or hospital. A. The Medical Control Committee provided leadership in the development of S. C.'s trauma system. Public Safety | Marlboro County - Marlboro County, South Carolina The list of available protocols is a work in progress. In developing these protocols input was sought from all the committees listed above, EMS field personnel, as well as private and academic specialists in areas related to specific protocols. All certifications must have, at a minimum, a criminal background check, BLS card for EMTs or ALS card for Paramedics and National Registry. Monday - Friday EMS Medical Control | SCDHEC Copyright 2021 - Carolina Fire Rescue EMS Journal is the property of the, 10150 Mallard Creek Road, Suite 201 Charlotte, NC 28262. In the case of life threatening situations we tend to err on the side of activities that may possibly help the patient, even if evidence to that result is not firm. As always, we recommend you transport your patients to the closest appropriate facility for their specific malady, but understand that may not be accomplished 100 percent of the time. 2020 COVID-19 Infographic in English Language, 2020 COVID-19 Infographic in the Spanish Language, A plan of how the state funds will be spent, How the expenditures will provide a public benefit, Accounting of how the funds were spent (once all state funds have been expended). Embedded within each protocol is a fillable page for you or your Medical Control Physician (MCP) to add some more guidance, PEARLS, etc. To receive your Forever ID Card, you must have a picture already uploaded to your profile. Lexington County Administration Building is open to the Public Monday - Friday from 8:00 a.m. to 5 p.m. Training & Education - LEXPAT Instructional, Public Information &Education Resources - PIER. 4 0 obj A. Quality assurance of patient care including the development of protocols, standing orders, training, policies and procedures; and approval of medications and techniques permitted for field use by direct observation, field instruction, in-service training or other means including, but not limited to: Off-line medical control physicians must establish standing orders and/or protocols. Level C also includes consensus opinion of experts or standard of care. Documenting Overdoses: Crew List 2. Please for more information or to help update the list. CEP certifications contact: 803-545-0550. "Do not resuscitate bracelet" or "bracelet" means a standardized identification bracelet that: <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612.75 792.75] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> All other protocols are optional to be chosen and utilized by the EMS Service in consultation with and approval from their local MCP. Document#2: Elite web & Elite Field Diagram Beginning in January 2000, off-line medical control physicians will be required to re-certify annually. In addition, Protocol 20b SC R.A.C.E. Summerville, SC 29483, 8:30 AM - 5:00 PM How can an employer verify my SC Certification? 201 Cell: (843) 468-4088 Fax: (843) 662-9444. A. Memo: EMS Pre-Hospital Protocol Release Memo (pdf), Pediatric Multiple Trauma Protocols-(pdf), Pediatric Trauma Triage and Transport Protocols-(pdf), Automatic Implantable Cardio-Defibrillator (AICD) Deactivation (pdf). Certification Verifications can be publicly viewed utilizing the public lookup feature on the LMS site. STATE ID CARDS FOREVER ID Beginning on Monday, April 16, 2018, the Division of EMS will begin issuing the State ID (Forever ID) Card with all new certifications and recertification. Please call the DHEC EMS Office if you need assistance with this form at (803) 545-4204 Tags Facilities Health Protocols Requirements Pretty neat, huh? Today the service employs over 150 full and part-time employees working 12-hour shifts on up to eighteen ambulances, answering nearly 50,000 calls per year. South Carolina Do Not Resuscitate Bracelet, 2020 Emerging Diseases: COVID-19 Guidance, 2020 COVID-19 Infographic English Language, 2020 COVID-19 Infographic Spanish Language, COPE: Paramedics link to long term recovery for overdose survivors, Covid 19 Immunization Protocol Information, Entry form for South Carolina 2022 Paramedic Competition. Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. 821 W. 5th. Login - Public Portal Later, in 1985, the state medical director and the four regional medical directors formed the Medical Control Committee. That being said, there are a few protocols that are either mandatory or must be used ONLY as outlined in the State Protocols. xUn7}[A>yJk(uElr}.elTV\r\}PVC! EMS Protocols Introduction (Page PI 2 of 4) REV: 2021 SC PREHOSPITAL EMS PROTOCOLS The following medical treatment protocols are developed for South Carolina EMS agencies. Information on specific processes can be found in the Downloads & Links section. endobj EMS Protocols The purpose of this website is to promote openness, discussion and collaboration among system directors in the development of EMS protocols. The purpose of the protocol section is to provide treatment protocols outlining permissible and appropriate assessment, delivery of care, reassessment and procedures which may be rendered by pre-hospital providers. <> It is contingent upon the Service Medical Control Physician in consultation with the Service Director to specify which facilities within their area meet the criteria for Trauma Centers and to determine to which of these facilities the EMS Service WILL transport patients who meet the appropriate criteria as outlined. Specific areas of involvement include the following: * planning and protocols * on-line medical direction and consultation * audit and evaluation of patient care. Units are dispatched to nearly 50,000 responses annually by a911 computer-aided-dispatch centerusingAutomatic Vehicle Locatorsand staffed by Emergency Medical Dispatchers trained in the use of Priority Dispatch Software. The question often arises as to why a specific protocol does not follow verbatim a similar protocol published by a national body. Under the South Carolina Code of Laws Sections 44-78-20 and 44-78-50 a patient in receipt of an EMS DNR must be diagnosed with a terminal condition AND be at least eighteen (18) years of age. score/tool in your protocol. Emergencies 9-1-1 Mission Excellence in prehospital healthcare for Greenville County through service, innovation, and leadership. Please enable JavaScript in your browser for a better user experience. Medic Stations | Emergency Medical Services (EMS) - Charleston County How do I apply for a background check? The organization is required to submit the following information: The organization should submit the expenditure information using theQuarterly Expenditure Report Form. EMS personnel must provide that degree of palliative care called for under the circumstances which exist at the time treatment is rendered. South Carolina has 268 EMS agencies and 11,272 emergency personnel that includes first responders, EMTs, and paramedics. The picture must be the individual being certified. The medical control physician is responsible for recommending certifications and re-certifications, as well as de-certifications to the Division of EMS & Trauma. The Committee has also addressed the changing roles of paramedics in the workplace and continues to provide recommendations as new roles emerge. For additional information, please contact Sable Land, EMS for Children Program Coordinator at (803)-545-4486. There does not appear to be any data on whether or not TXA can cause issues in patients on Coumadin who also must receive other agents at the hospital to reverse the anticoagulation caused by Coumadin. <> South Carolina 2022 Paramedic Competition. Third, national guidelines generally reflect the most basic, minimum care that we expect to be provided to a patient in a certain situation. PowerPoint presentation for the Anaphylaxis Emergency Kit to be used by EMTs and AEMTs in lieu of an Epinephrine Auto-Injector. Should the picture be deemed inappropriate by the Division, your ID Card will not be issued. Currently, you must ONLY include, utilize, and report the S.C. R.A.C.E. EMS Protocols The goals of the Committee were determined to be: The Medical Control Committee established the now required medical control physician's workshop, developed the state approved drug list document with the cooperation of staff, adopted the Champion Trauma Score system in 1987 and later adopted the Revised Trauma Score system for prehospital evaluation of traumatic injuries, drafted a subcommittee to develop a Do Not Resuscitate law. (b) bears the inscription "Do Not Resuscitate"; and How do I apply for an Initial or Reciprocity South Carolina Certification? Epi will conduct a further risk assessment to determine what, if any, actions are necessary for disease containment or monitoring and assist in determining resources needed, Dashboard represents data from all submitting states Our ambulances provide transport to local hospitals, to include Beaufort Memorial Hospital, Coastal Carolina Hospital, and Hilton Head Hospital. EMS Operations Charleston County EMS is a third service Advanced Life Support provider Extensive standing orders and transport protocols are supported by dedicated and committed Medical Directors and Administrator. 12/29/2021. Additionally, field providers serve on regional and state level patient care committees making our paramedics and EMTs the outward face of our agency. Effective July 1, 2021, paper applications for South Carolina EMT/AEMT/Paramedic and Non-Crediantled drivers will no longer be accepted (except for the individuals who are state-only certified). Our goal is to help improve all EMS protocols to the current state of the science using evidence-based medicine. EMS Certifications Questions EMS Complaints The Medical Control Committee remains heavily involved in all issues surrounding trauma system development. There is a dedicated bariatric support vehicle that utilizes the Trans-Safe ramp system for management of these patients. Criminal Background Check Privacy Rights : Q. For In-State Criminal Background Checks, visit IdentoGO (ibtfingerprint.com). Whereas a Protocol (guideline or algorithm) guides decisions and criteria for diagnosis, management, and treatment of specific cases, a Standing Order is a specific written policy that prescribes a definitive action to be taken for a particular condition or situation. Revised D0965 Medical Control Physcian Form, Used to request prehospital patient information, COPE: Paramedics link to long term recovery for overdose survivors using a multi-support strategy, To locate SC Division of EMS inspectors and other personnel, see this linked document:Click Here, South Carolina 2022 Paramedic Competition, McLeod Regional Medical Center Emergency Dept - RELOCATING MON, JUNE 28, Protocol 82B Covid-19 Immunization Protocol 82B, EMT Training Institution Application and Application Renewal, AEMT and Paramedic Training Institution Application and Application Renewal, Paramedic Course Statement of Understanding, South Carolina Pain Control Protocol - Adult 2015, South Carolina Pain Control Protocol - Pediatric 2015, Interfacility Medications and EMT NTG Administration - 2013, CIS Configuration & PreMIS Submission Memo Oct 2010, CIS-NREMT Memo to Institutions and Instructors 2012, NREMT RN Challenge Checklist for EMT 2012, NREMT RN Challenge Checklist for Paramedic 2012, Provision of In-Service Training Records to EMT 2008, Current South Carolina EMS Protocols Section 5 - Procedures & Skills, State EMS Protocols - Section 6 - Policies 2009, State EMS Protocols - Section 7 - Forms 2009, State EMS Protocols - Section 8 - Forms II - 2009, NEMSIS Pediatric Cause of Injury Dashboard, Low CountryRegional EMS Survey Link - Educational Training, Attachment C - Advanced Emergency Medical Technician (AEMT) program, Servicios de Emergencias Mdicas - Orden de No Reanimar (ONR), Emergency Medical Services - Do Not Resuscitate Order, INTERFACILITY TRANSPORT FORM - PART A and PART B, South Carolina Stroke RACERapid Arterial oCclusion Evaluation, Blood Culture Draw - Part of the SC Sepsis Protocol, SC Approved Skills by Certification Level, R.61-116, SOUTH CAROLINA TRAUMA CARE SYSTEMS, 2016 Overdose or Toxic Ingestion Protocol Update, Attachment B - Emergency Medical Technician program, Attachment D - PARAMEDIC COURSE INFORMATION, EMT Training Programs Administrative Policy Manual, Continuing Education Program Class Attendance Roster, 2017 South Carolina State EMS Protocols & Formulary updated 9-12-2019, 2018 Approved Skills List by Certification Level.

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