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Advanced Life Support (ALS) Recertification

Please read entire document for complete instructions on filling out your ALS recertification application.
 
All ALS Providers whose card expires March/April, will be receiving their Recertification Paperwork in the mail very soon. If you do not receive it by Dec 15, download an application from the National Registry's web site: www.nremt.org, fill it out, sign it and send it to the FRA.

Please complete the application and send it to the FRA as soon as you get it. Please do not wait until you finish ALS Con Ed. We will verify your attendance prior to mailing the completed form to the National Registry.

Follow the directions on the National Registry application. Here is some additional information to help you accomplish this.

Page One

Registry Number: Be sure your registry number is written in. (This can be found on your card OR on the return address label included in your application.)     

SS#, Name, Address, Phone number, email                 

Felony Statement: MUST ANSWER

Employer Information: 

                                    Baltimore County Fire Department
 
                                   700 East Joppa Road
  
                                 Towson, MD  21286
                                    Training Officer:  Lt. Mark New
                                    410-887-7523

Paramedic Refresher Training (48 hours)
EMT Intermediate/99 Refresher Training (36 hours):
 Include a copy of your MFRI certificate. If  you do not have it yet, we will include a certificate for you as long as you attended  classes sponsored at the FRA.
If you attended an ALS Recertification class outside of Baltimore County, you will need to submit documentation of refresher completion.                                  

CPR CertificationCareer:  FRA Staff will sign
                                   Volunteer: Need a copy of your CPR card.

Page Two

ACLS Certification:  Send a copy of your ACLS card OR ACLS Instructor card. If you took Actronics at the FRA, you should have printed out your certificate before leaving. The FRA should have a copy of it. If you took ACLS outside of the FRA/Actronics, you will need to send a copy of your ACLS card.

Additional EMS Related Continuing Education:

YOU MUST FILL THIS IN.  You should have all the dates you attended  training.  If not, your station log or EMS Supervisor should have this information. Remember, ANY training counts, to include in-station training such as: SCBA, fire skills, computer training, physician led classes, etc.

EMT-Ps need 24 hours

EMT-Is need 36 hours

Method of instruction: C-classroom, P-practical, C-online

Here are some suggestions to help you out:

BLSR, Day 1-09

4 hours

BBP 09

2 hours

BLSR, Day 1-DO-09

4 hours

BBP 10

2 hours

BLSR, Day 2-10

4 hours

WMD

12 hours

BLSR, Day 2-DO-10

4 hours

CPAP

2 hours

ISO 100

3 hours

PEPP

16 hours

ISO 200

3 hours

PALS

16 hours

ISO 700

3 hours

BTLS

16 hours

ISO 800

3 hours

AMLS

16 hours

Protocol Review

2 hours

PHTLS

16 hours

Haz Mat Ops
Refresher 09

4 hours

GEMS

16 hours

Haz Mat Ops
Refresher 10

4 hours

EVOC

12 hours

Verification of Skill Competency:  The FRA will fill out.

Sign the form (on the bottom of Page 2).

Page 3 and Page 4: are your option to fill out.

Make a copy of the application for your records, (we strongly recommend) and send the application, documentation copies, and return address label to the Fire Rescue Academy.

All completed applications must reach the FRA by February 1. Failure to do so could result in your cost of $20/$15 for re-registration fees.

If you have any questions not answered in this document, please contact one of the ALS instructors at the FRA, X7523.

Revised December 20, 2010

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