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Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
Arizona Fire and Medical Authority, often referred to as AFMA, is a fire authority in Maricopa County, Arizona.Comprising three fire districts that came together to form a Fire and Medical Authority, AFMA provides fire protection and emergency medical services to approximately 75,000 people in the communities of Sun City West, Buckeye, Tonopah, Sun Lakes, and Wittmann. [3]
Most states use or require NREMT testing for some level of state certification. [2] [7] [8] NREMT recognizes four levels of EMS: EMR, EMT, Advanced EMT, and Paramedic (some states may have additional certifications). [7] NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements. [9]
The second-largest US EMS provider is Rural/Metro Corporation, [48] based in Scottsdale, Arizona; Rural/Metro Corporation also provides EMS services to parts of Latin America. Like AMR, Rural/Metro provided other transportation services, such as non-emergency transport and "coach", or wheelchair, transportation.
The United States EMS Compact, officially known as the Recognition of EMS Personnel Licensure Interstate CompAct (REPLICA), is an interstate compact designed to facilitate the day-to-day practice of emergency medical services personnel across state lines. The compact provides a framework for states to extend a "privilege to practice" for ...
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Gila River EMS employs approximately 80 full and part-time staff certified at the Basic EMT and Paramedic levels. All administrative staff are certified by the State of Arizona at the paramedic level. In addition to providing 9-1-1 emergency services, the department is heavily involved in community services.
An EMS provider's post-nominal (listed after the name) credentials usually follow his or her name in this order: Highest earned academic degree in or related to medicine, (e.g. "MD") Highest licensure or certification (e.g. "NRP") Further certifications (e.g. "CCEMT-P") Generally, credentials are listed from most to least prestigious.