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REMSA Education and Training
400 Edison Way Suite B,
Reno, NV 89502

(775) 858-5700Telephone:
(775) 858-8735FAX:
Email:
Training Center Coordinator
Public Education Coordinator
Education and Training Manager

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Class Schedule

Hospital employees must show their hospital ID badge to receive a certification.

To ensure a positive learning environment for all, please do not bring children or pets to class.

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CE: Critical Care Paramedic Topics for Recertification

Continuing Educaiton Opportunities for Critical Care Paramedics

Presented by REMSA and Care Flight

 

Current critical care paramedics may register for upcoming continuning education workshops provided by REMSA on Monday's through December.  Please read the schedule below and register for the topics you want by choosing the appropriate dates below.  

09/22/14. 1300-1700, Air Medical Considerations

09/22/14, 1500-1700, Blood Administration

09/29/14, 0800-1200, Lab Data Interpretation

09/29/14, 1300-1800, Peripheral and Central Venous Access

10/06/14, 0800-1030, Basic Radiographic Interpretation

10/06/14, 1030-1500, Transport Physiology

10/06/14, 1500-1800, Hemodynamic Monitoring

10/13/14, 0800-1230, Respiratory 

10/13/14, 1330-1800, Advanced Airway

10/20/14, 0800-1230, Cardiology

10/20/14, 1330-1730, 12 Lead Interpretation

10/27/14, 0800-1400, Mechanical and Circulatory Assist Devices

10/27/14, 1400-1730, Mechanical Ventilation

11/03/14, 0800-1130, Renal and Urology

11/03/14, 1230-1500, Gastrointestinal

11/03/14, 1500-1800, Hematology

11/10/14, 0800-1200, Endocrinology

11/10/14, 1300-1800, Neurology

11/17/14, 0800-1700, Pedicatics

11/24/14, 0800-1230, Trauma Care

11/24/14, 1330-1630, Burn Care

12/01/14, 0800-1200, High Risk OB

12/01/14, 1300-1500, Fetal Heart Monitoring

12/01/14, 1500-1730, Sepis and Multi System OrganFailure

Please choose the appropriate date for the topic you would like to attend.  You must stay for the entire time to receive continuing educaiton hours and certificate.  

These continuing education hours are for Critical Care Paramedics and will assist in recertifing paramedics attempting to maintain current critical care status.  Students will receive a continuing education certificate at the completion of the class.

All questions about utilizng hours for recertification should be directed to the agency that provides your critical care certiication or license.

All course below represent various different topics.  See dates and list above.

CE: Management of Acute Emergencies in the Wilderness

This course will review injury care and treatment specific to the outdoor setting.  Learn how to apply state and local guideloines for emergency care and treatment of patients in the wilderness.  This course will combine inside lecture and skills review with outdoor scenarios that emphasize the importance of long-term patient care of common outdoor emergencies.

This course will review common treatment plans in the urban setting and apply knowledge to improvising splinting and transportation when appropriate.  Hands on portions of the course will take place outside regardless of weather...dress appripriately.  Please bring the pack you would typically bring on a hike.

This course will be held at Mt. Rose Ski Resort  22222 Mt. Rose Highway.

EMS Instructor course


Become an EMS Instructor

The REMSA Education and Training Center’s EMS Instructor course is designed to provide you with the latest techniques and skills necessary to teach students in various EMS courses. Participants must complete 40-hours of classroom education across four weeks, and be monitored teaching in a classroom and lab setting for 12 hours following the course.

Students must be currently certified as an EMT-Basic at a minimum. Successful students will be endorsed to teach EMS courses in the State of Nevada up to the level of their current EMS certification.

The class is scheduled for all Wednesday's during the month of November. Students will be introduced to adult teaching methodologies, classroom management, using simulation in classes, and managing students in the lab setting.

Cost: $425.00, REMSA Employees qualify for a discount and may be reimbursed from their education allowance following the successful completion of the course, payment plans are also optional if requested. Contact HR for more information on your education allowance.

Audience: Course is open to currently certified EMS providers.

For questions please contact us at 775-353-0772 or email swestphal@remsa-cf.com

EMS Transition Course

The REMSA Training Center offers refresher courses for EMT's that meet or exceed the requirements of NREMT for recertification. This course is a review of the skills and knowledge covered in the EMT and EMT II courses. Students attending this course will be provided with the education needed to meet the requirements of the transition from current EMS certifications to the new EMS certification levels that will be in place in Nevada beginning in 2013.  

This course is 36 hours in length and will meet the needs of the current State of Nevada recertification requirements.  EMT Intermediates must attend a 36 hour refresher class if they are using that option for recertification.  EMT Basics must attend a 24 hour refresher class if they are using that option for recertification.  Other options exist that satisfy recertification requirements including continuing education and online education.  Contact state EMS at (775) 687-7590 for more information on your recertification options for the State of Nevada and National Registry.

In addition to reviewing core curriculum, REMSA has used the EMT-Refresher course as a vehicle to inform participants of changes in emergency care such as new equipment, current research, or issues of general concern to EMS providers.

Students must attend all days to receive certificate.  Partial attendence will not be permitted and will not receive individual CE credit.

For questions please contact Shauna Westphal at (775) 353-0772 

swestphal@remsa-cf.com for more information.

EMT Entrance Testing

Course Description - This is the entry level course to the Emergency Medical Service profession. Topics to be covered are: EMT roles and responsibilities, airway management, patient assessment, medical emergencies, anatomy and physiology, documentation, lifting and moving, and communications. Practical labs will be conducted. Upon successful completion of this course, the student will be eligible to take the National Registry test and certify as an EMT in the State of Nevada.

Selection Process- Basic aptitude test includes reading comprehension, math skills, cpr comprehension and a writing sample. Candidates must register for one of the testing dates to become eligible for the EMT course.

Course Information - If selected classes will begin in January 2015.  REMSA Education reserves the right to make changes to the schedule or cancel a class due to low enrollment if needed.

Disclaimer - Students choosing to enter into the EMS profession will be required to participate in both the cognitive classroom education as well as the psychomotor skills educaiton.  This class as well as the EMS profession will require students to be able to perform very physical tasks including lifting and moving, bending, walking, and sitting and standing for long periods.  Students are encouraged to look up the typical tasks of an EMT to gain a full understanding of the physical and mental demands of this class and the EMS profession.  All students will be subject to a background check in class prior to attending any clinical or field internship sites.  Students with adverse information in their background should contact REMSA prior to enrolling to discuss exclusion requirements.


If you have any questions please contact us at 775-353-0772 or email swestphal@remsa-cf.com

EMT - Advanced Entrance Testing

Course Description - The Emergency Medical Technician - Advanced is qualified in advanced emergency care by a competency-based training program of didactic, clinical, and a field internship. Competencies include but are not limited to the recognition, assessment, and management of medical emergencies. The EMT- Advanced primarily provides prehospital emergency care to acutely ill or injured patients. The EMT- Advanced level has as its base the basic EMT program and has proven clinical skills and knowledge to support the skills in addition to the basic program. This level does not conflict or compete with the EMT-Paramedic level; it is another level that exists as a result of different skills being emphasized.


Selection Process - EMT - Advanced entrance testing includes EMT-B knowledge assessment and math knowledge assessment. Candidates must register for one of the testing dates to become eligible for the EMT- Advanced course.

If selected classes will begin in January 2015. Please review the course requirements - EMT- Advanced  Requirements

If you have any questions please contact Avery Baldwin at  abaldwin@remsa-cf.com

For registration information email Shauna Westphal at swestphal@remsa-cf.com
 

Paramedic Program Entrance Testing

 Thank you for considering the REMSA Paramedic Education Program 

There are multiple steps to successfully making it into our program.  This is a highly competitive process and each step should be taken seriously.  If you have questions at anytime, please do not hesitate to contact us to ensure you are prepared for each step in the process.

Step 1: Testing - The REMSA Paramedic program currently uses a standardized exam called the TEAS to evaluate students reading, writing, science and math skills. Candidates must complete this exam at one of the testing sessions.  We do not offer study guides through REMSA, however, commercial prep materials are available from the publisher of the exam.  Click here for more information.  In addition to the TEAS, candidates will also be required to take an EMT written exam as part of the testing process.  This exam is based off of current EMT curriculum and is similar to an EMT final examinination.  No study mateirals are avaialble for this exam either.  It is recommended that you review the latest EMT text of your choice.  Please bring a current EMT or AEMT certification to the test for vertification.  If you do not have a State of Neveda Certification you will be required to obtain one prior to the first day of class through reciprocity. This step should be handled directly with the State of Nevada EMS Division.  Call 775-687-7590 for help with state certificaiton issues.

Step 2: Submit Completed Application - Applications are available during the testing session and will be emailed to you after you have completed the exams and are accepted to move to the next step in the process. The application has many parts including reference letters and atranscript requests.  Please be prepared to put work into this step and do not wait until the last minute to complete.

Application Deadline: December 12, 2014

Step 3: Panel Interview - All successful candidates will be contacted and scheduled for a board interview. Five to seven board members including REMSA field staff will ask standard interview questions allowing the candidate to share work history and reasons why you are seeking a career as a paramedic.  It is imperative that you come prepared to share why you want to be a paramedic, what experience you have that will make you successful in the class, and what dives you personally.

Oral interview boards: December 15, 17, and 19, 2014

Successful Acceptance into the Program:  REMSA Education Coordinators will score the application, letters of recommendation, exam scores, and panel interview scores. A list of accepted candidates will be compiled and notifications will me made.  

Notifications will be be made on December 26, 2014

Part of choosing to become a paramedic should also include some research and understanding of what the job entails. It is important to understand the physical and mental challenges of the job and ensuring that you are prepared to meet them prior to spending a substantial amount of time and money on the program. Please review the functional job analysis provided by NHTSA to understand the finer details of the day to day expectations of a paramedic.

Functional Job Analysis  

For more information go to Paramedic Program or contact

Cindy Green, Paramedic Program Coordinator

(775)353-0785

cgreen@remsa-cf.com



ACLS

Description: The ACLS Provider Course provides the knowledge and skills needed to evaluate and manage the first 10 minutes of an adult ventricular fibrillation/ventricular tachycardia (VF/VT) arrest. Providers are expected to learn to manage 10 core ACLS cases: a respiratory emergency, four types of cardiac arrest (simple VF/VT, complex VF/VT, PEA and asystole), four types of prearrest emergencies (bradychardia, stable tachycardia, unstable tachycardia and acute coronary syndromes) and stroke.

Audience: Personnel staffing emergency, intensive care or critical care departments; emergency medical providers such as physicians, nurses, emergency technicians, paramedics, respiratory therapists and other professionals who may respond to a cardiovascular emergency.

Please Bring: Current ACLS Provider Manual and completed pre-test certificate. Every student must come to class with a current provider manual. Manuals are available for purchase at REMSA Education for $32.00. Please contact us at 775-353-0772 for more information.

Prerequisites: Current valid Healthcare Provider CPR card and a completed pre-course exam. The pretest can be accessed by going to http://www.heart.org/eccstudent and enter the code compression.

ACLS Recertification


Description: The ACLS Provider Course provides the knowledge and skills needed to evaluate and manage the first 10 minutes of an adult ventricular fibrillation/ventricular tachycardia (VF/VT) arrest. Providers are expected to learn to manage 10 core ACLS cases: a respiratory emergency, four types of cardiac arrest (simple VF/VT, complex VF/VT, PEA and asystole), four types of prearrest emergencies (bradychardia, stable tachycardia, unstable tachycardia and acute coronary syndromes) and stroke.

Audience: Personnel staffing emergency, intensive care or critical care departments; emergency medical providers such as physicians, nurses, emergency technicians, paramedics, respiratory therapists and other professionals who may respond to a cardiovascular emergency.

Please Bring: Current ACLS Provider Manual and completed pre-test. Every student must come to class with a current provider manual. Manuals are available for purchase at REMSA Education for $32.00. Please contact us at 775-353-0772 for more information.

Prerequisites: Current valid Healthcare Provider CPR  and  ACLS Provider certification,  and a completed pre-course exam. The pretest can be accessed by going to http://www.heart.org/eccstudent and enter the code compression.

ACLS Prep Class

Course Description

Specifically designed to address a key knowledge gap in Electrocardiogram (ECG) and Pharmacology, the American Heart Association’s Adult ECG and Pharmacology Course is a program focused on specific ECG recognition skills and drug treatment knowledge. This is a pre-course option for ACLS students and other healthcare providers, and is also for ACLS students who need to improve after the ACLS pre-course self-assessment test.

The course is divided into two modules – one for ECG and one for Pharmacology – which can be taught together or separately, depending on the need. Skills taught in the ECG module include heart anatomy, basic electrophysiology, normal ECG measurements and basic arrhythmias. The Pharmacology module covers basic ACLS drugs and usage; drugs, doses and routes of administration during cardiovascular emergencies; and integrating basic drug pharmacology into ACLS algorithms

ECG & Pharmacology Student Workbook ECC Handbook is provided in class

Audience

For a variety of healthcare providers, including physicians, nurses, paramedics, residents, respiratory therapists, nurse practitioners, physician assistants, clinical pharmacists and ECG technicians. 

Course description provided by American Heart Association®

Prerequisites
Current valid Healthcare Provider CPR card
 

BLS for Healthcare Providers


The American Heart Association BLS for Healthcare Providers Course covers core material including adult and pediatric CPR (including two-rescuer scenarios and use of the bag mask), foreign-body airway obstruction, and automated external defibrillation.


Intended Audience:
For healthcare providers such as EMS personnel, physician assistants, doctors, dentists, nurses, respiratory therapists and anyone who must have a credential (card) documenting successful completion of a CPR course. Course description provided by American Heart Association®

American Heart Association Basic Life Support for Healthcare Providers Student Manual  is provided in class.
 

BLS for Healthcare Providers Recertification

Description: The American Heart Association BLS for Healthcare Providers Recertification Course reviews core material such as adult and pediatric CPR (including two-rescuer scenarios and use of the bag mask), foreign-body airway obstruction, and automated external defibrillation. Participants will be required to pass a written and skills exam without remediation to successfully complete this course.

Intended Audience: This course is intended for currently certified healthcare providers such as EMS personnel, physician assistants, doctors, dentists, nurses, and respiratory therapists who are required to recertify a current HCP credential (card).

Course description provided by American Heart Association®

Please bring Basic Life Support for Healthcare Providers Student Manual, it is not provided in class. Books are available for purchase at Remsa Education and Training Center for $11.00. If you have any questions, please contact us at 775-353-0772 or swestphal@remsa-cf.com
Prerequisites: Current valid American Heart Association Healthcare Provider CPR card.

Community CPR

Description:
The Heartsaver AED Course teaches one-rescuer CPR, Automated External Defibrillator use, and relief of choking in adults, children, and infants. The use of barrier devices for all ages will also be covered.
Intended Audience:
This course is intended for those who have a duty to respond to a cardiac emergency because of job responsibilities or regulatory requirements or those interested in learning how to respond in the event of an emergency.

This community course is open to all participants. Course description provided by American Heart Association® 

Student Manual is provided in class.
 

Heartsaver First Aid, CPR, and AED

Description: The Heartsaver First Aid Course teaches how to manage illness and injuries in the first few minutes until professional help arrives. Course content includes Rescuer Safety, Recognition of Emergencies, General Principles, Medical Emergencies, and Injury Emergencies. CPR and AED, and Environmental Emergencies will also be covered in this course.
Intended Audience:For those who have a duty to respond to a first aid or cardiac emergency because of job responsibilities or regulatory requirements or anyone interested in learning how to respond to various illnesses and injuries. This community course is open to all participants. Course description provided by American Heart Association®
Student Manual is provided in class.

Kid Care

Description: The Kid Care Babysitting class is designed to teach adolescents the basics of caring for young children. Techniques for setting up babysitting opportunities, diaper changes, bottle-feeding, playtime activities, and taking charge of situations while babysitting are covered. The course also includes pediatric first aid and CPR training.

Audience: For those interested in babysitting for young children. Average age for this course is between 12 and 15 years old. Minimum age is 10 years old.

Course includes lunch (not a beverage), student manual and course completion card. Please complete and bring the attached release form and a beverage or money for the vending machine. Any questions please contact us at (775)353-0772 or swestphal@remsa-cf.com

Kid Care Release Form

EMPACT

Emergency Medical Patients: Assessment, Care and Transport (EMPACT) is a sixteen hour training program that emphasizes group discussion, case studies, and Socratic method to help new and veteran practicioners alike better understand and refine the differential of the medical patient.  Realistic imagery and facilitated form the basis for supportive, low-stress environment to explore the depth of a medical complaint to the extent not previously seen in other medical assessment programs. 


EMPACT is accepted by the National Registry of EMT's as part of the refresher process for a paramedic recertification.  It is CECBEMS approved for 16 hours or EMS continuing education credit.


Audience: Personnel staffing emergency, intensive care or critical care departments; emergency medical providers such as physicians, nurses, emergency technicians, paramedics, respiratory therapists and other professionals who may respond to a medical emergency.

For further information contact us at 775-353-0772 or swestphal@remsa-cf.com
 

ITLS

Course Description: Advanced ITLS is a comprehensive course for EMT-P's, trauma nurses, physicians and other advanced EMS personnel. The ITLS Advanced course covers the skills necessary for rapid assessment, resuscitation, stabilization and transportation of trauma patients , using as its core, the ITLS Basic Course. The 16-hour course emphasizes evaluation steps and sequencing and techniques for resuscitation and packaging a patient. Hands-on stations include: basic and advanced airway, chest decompression and fluid resuscitation, spinal restriction/rapid extrication, short back board, helmet management, log roll and long back board, traction splints, patient assessment and management.

Course description provided by International Trauma Life Support®

Please Bring: Current ITLS Provider Manual and completed pre-test. Manuals are available for purchase at REMSA Education for $45.00 and a link to the pre-test is found below and in the registration confirmation email. Contact us at (775)353-0772 or swestphal@remsa-cf.com for more information.
 ITLS Pre-Test

ITLS Recertification

Course Description: Advanced ITLS is a comprehensive course for EMT-P's, trauma nurses, physicians and other advanced EMS personnel. The ITLS Advanced course covers the skills necessary for rapid assessment, resuscitation, stabilization and transportation of trauma patients , using as its core, the ITLS Basic Course. The 8-hour recertification course emphasizes evaluation steps and sequencing and techniques for resuscitation and packaging a patient. Hands-on stations include: basic and advanced airway, chest decompression and fluid resuscitation, spinal restriction/rapid extrication, short back board, helmet management, log roll and long back board, traction splints, patient assessment and management.

Course description provided by International Trauma Life Support®

Please Bring: Current ITLS Provider Manual and completed pre-test. Manuals are available for purchase at REMSA Education for $45.00 and a link to the pre-test is found in the registration confirmation email. Contact us at (775)353-0772 or swestphal@remsa-cf.com for more information

ITLS Pre-test

PALS

Description: Designed to aid the pediatric healthcare provider in developing the knowledge and skills necessary to efficiently and effectively manage critically ill infants and children, resulting in improved outcomes.

Audience: For pediatricians, emergency physicians, family physicians, physician assistants, nurses, nurse practitioners, paramedics, respiratory therapists, and other healthcare providers who initiate and direct advanced life support in pediatric emergencies.
Course description provided by American Heart Association®

Please Bring: Current PALS Provider Manual and completed pre-test. Manuals are available for purchase at REMSA Education for $36.00.For questions, please contact us at 775-353-0772. The pretest can be found by following this link www.heart.org/eccstudent and entering the code palsprovider.

Please remember to print your results and bring them with you to class.

Prerequisites:
Current valid Healthcare Provider CPR card and a completed pre-course exam.

 

PALS Recertification


Description: Designed to aid the pediatric healthcare provider in developing the knowledge and skills necessary to efficiently and effectively manage critically ill infants and children, resulting in improved outcomes.

Audience: For pediatricians, emergency physicians, family physicians, physician assistants, nurses, nurse practitioners, paramedics, respiratory therapists, and other healthcare providers who initiate and direct advanced life support in pediatric emergencies.
Course description provided by American Heart Association®

Please Bring: Current PALS Provider Manual and completed pre-test. Every student must come to class with a current provider manual and completed pre-test. Manuals are available for purchase at REMSA Education for $36.00. Contact us at 775-353-0772 for more information. The pretest can be found by following this link www.heart.org/eccstudent and entering the code palsprovider.

Please remember to print your pre-test results and bring them with you to class.

Prerequisites: Current valid Healthcare Provider CPR card and a completed pre-course exam.

Nevada First Responder

Course Description: The First Responder Certification Course is an Emergency Medical Service Course. This program was developed to provide highly trained individuals with the skills necessary to begin assessing and caring for patients at the scene of an injury or illness. As a First Responder, you are considered a part of the EMS System. The care and treatment that you will be able to provide will follow local, state, and national guidelines. In conclusion to this course you will be able to access, evaluate what is wrong, lift or move the patient when required, transfer a patient, and how to obtain patient information.

Includes student manual, course guide, Healthcare Provider CPR certification, BBP training, and State application fees.

Audience: Park rangers, utility workers, teachers, childcare workers, school bus drivers, designated industrial workers in a large facility (industrial plant) or at a remote site (fish-packing plant, commercial vessel, oil rig), truck drivers, security guards, bodyguards, general aviation pilots, commercial flight attendants, sports coaches, athletic trainers, hunting and fishing guides, search and rescue personnel, community and campus responders, lifeguards and Ski Patrollers.

Nevada First Responder Refresher Course


Course Description: The First Responder Refresher Course is an Emergency Medical Service Course. This program was developed to provide highly trained individuals with a refresher covering the skills necessary to begin assessing and caring for patients at the scene of an injury or illness. As a First Responder, you are considered a part of the EMS System. The care and treatment that you will be able to provide will follow local, state, and national guidelines. In conclusion to this course you will be able to access, evaluate what is wrong, lift or move the patient when required, transfer a patient, and how to obtain patient information.

Includes Healthcare Provider CPR recertification, BBP training, and State application fees. Please bring student manual.

Audience: Park rangers, utility workers, teachers, childcare workers, school bus drivers, designated industrial workers in a large facility (industrial plant) or at a remote site (fish-packing plant, commercial vessel, oil rig), truck drivers, security guards, bodyguards, general aviation pilots, commercial flight attendants, sports coaches, athletic trainers, hunting and fishing guides, search and rescue personnel, community and campus responders, lifeguards and Ski Patrollers.
 

REMSA Paramedic Pre-Employment Testing **PARAMEDICS ONLY**

Pre-Employment Testing is for individuals who have already met with the Human Resource Department and have been referred to schedule Pre-Employment Clinical testing.  If you have NOT met with Human Resources, you will not be eligible to sit for this examination.

Pre-Employment Testing is held at the REMSA Center for Pre-Hospital Education, 400 Edison Way, Suite B (Blue awning overhead the entrance).

Paramedic Testing (4 hour limit)

Once you have registered, you will receive an email with more specific information regarding testing.

Thank you

Clinical Services 

***This examination is for those who possess a Nevada State Paramedic Certification or are National Registered Paramedic**

REMSA Advanced EMT Pre-Employment Testing **Advanced EMT/EMT-IIs ONLY**

Pre-Employment Testing is for individuals who have already met with the Human Resource Department and have been referred to schedule Pre-Employment Clinical testing.  If you have NOT met with Human Resources, you will not be eligible to sit for this examination.

Pre-Employment Testing is held at the REMSA Center for Pre-Hospital Education, 400 Edison Way, Suite B (Blue awning overhead the entrance).

Advanced EMT / EMT-Intermediate  (2 hour limit)

Once you have registered, you will receive an email with more specific information regarding testing.

Thank you

Clinical Services

***This examination is for those who possess a Nevada State Advacned EMT or EMT Intermediate Certification or are National Registered Advanced EMT or EMT-Intermediate**

CareFlight HPS Clinical Lab ** EMPLOYEES ONLY**

Mandatory annual skills and HPS clinical lab for all active medical flight crew members.  This course will provide scenario-based clinical evaluation of care provided that is consistent with protocols and standards of practice and replaces the need for hospital clinical rotations. There will be scenarios covering pediatric, high risk OB/newborn care, critical care medical and trauma patients as well as advanced practice skills.

Traffic Incident Management

The National TIM Responder Training Program was developed by responders for responders, and was designed to establish the foundation for and promote consistent training of all responders to achieve the three objectives of the TIM National Unified Goal (NUG): 

·       Responder Safety 
·       Safe, Quick Clearance 
·       Prompt, Reliable, Interoperable Communications 

This 4-hour condensed version of the National TIM Responder Training Program is designed to equip responders with core competencies to address responder safety on highway incidents; safe, quick clearance practices for incidents and supports prompt, reliable, interoperable communications.  The target audience for this course is all TIMdisciplines, including: Public Works, Law Enforcement, Fire/Rescue, Emergency Medical Service, Towing and Recovery, Emergency Management, Communications, and Highway/Transportation

This training is offered free of charge, however, agencies are responsible for all travel related expenses including lodging and meals.