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EMS delivery in the US can be based on various models. While most services are, to some degree, publicly funded, the factor which often differentiates services is the manner in which they are operated. EMS systems may be directly operated by the community, or they may fall to a third-party provider, such as a private company. [2]
Already previously certified BLS and ALS members may join the system and bypass the BLS Academy, but must complete an internship and skills verification prior to being released as an Attendant in Charge. All Virginia Beach EMS providers are required to maintain State of Virginia AND National Registry EMS certification at their appropriate level.
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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.
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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]
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In the United States, the paramedic is an allied health professional whose primary focus is to provide advanced emergency medical care for patients who access Emergency Medical Services (EMS). This individual possesses the complex knowledge and skills necessary to provide patient care and transportation.