1. Healthcare

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2015 National Registry EMT 24 Hour
Refresher REGISTRATION FORM
Complete this registration form and send a check or money
order (no cash please) with the class number and student’s
birthdate written on the lower left hand corner. We will call
you to confirm faxed registrations. Tuition and fees are due
at time of registration.
Name ________________________________________
Birthdate ______________________________________
Address _______________________________________
City ______________________ State _____Zip ______
Phone _____________ Cell Phone _____________
email _________________________________________
Certification/License number(s):
State # _______________________________________
National Registry Level __________________________
National Registry # ____________________________
Please select schedule:
_____ Entire 24-hours ($100) Course: #153774
_____ Saturday only ($50) Course: # 153776
_____ Sunday only ($50) Course: # 153777
Make checks payable to “Eastern Iowa Community
Colleges” or use your Credit Card. Please charge
all fees to (check one):
o MasterCard o VISA o American Express o Discover
Card Number:____________________________________
Name on credit card (please print):__________________
_______________________________________________
Expiration Date: _________________
Signature: ________________________ Date: ________
Refunds and substitutions – If your plans change, you may cancel your
registration up to three business days (Monday - Friday) prior to the start of
the program and receive a full refund. After that, no refunds will be issued.
Please note that if you don’t cancel and don’t attend, you are still responsible for
payment.
The Eastern Iowa Community Colleges endorses the principle of equal
educational opportunities for all people regardless of race, color, creed, marital
status, national origin, sex, sexual orientation, religion, ancestry, age, or nonjob related handicap or disability in the educational programs or activities it
operates. Persons having inquiries concerning the colleges accommodation for
or compliance with Title VI, Title IX, Section 504, the American Disabilities Act
and the Age Discrimination Act may contact Affirmation Action Officer, 306 West
River Drive, Davenport, IA 52801-1221 or call (563) 336-3300.
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This 24 hour DOT National EMT- Refresher
sponsored by Eastern Iowa Community Colleges
and Medic EMS will satisfy the following renewal
requirements:
Emergency Medical Services
2015 NATIONAL REGISTRY
EMT REFRESHER COURSE
Section 1 of the
National Registry Renewal
(24 hour DOT curriculum Refresher)
These approved hours can also be used as part of the
mandatory additional 48 hours of continuing education
required by the National Registry, if you already have
taken an official refresher, or have the required hours
and topics for Refresher training.
Preparatory ………….....……........... 1 hour
Airway……………………...................... 2 hours
OB / Peds………………….................. 2 hours
Patient Assessment……............. 3 hours
Medical / Behavioral…............... 4 hours
Trauma……………………..................... 4 hours
Elective…………………..….................. 8 hours
Completion of the entire 24 hour program will also
satisfy the IOWA transition from EMT-B to EMT and
FR to EMR transition.
MARCH 7 and 8, 2015
8:00 a.m. - 7:00 p.m.
Bettendorf High School
3333 18th Street
Bettendorf, IA
Co-Sponsored by:
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EMERGENCY MEDICAL SERVICES - 2015 NATIONAL REGISTRY EMT REFRESHER COURSE
Saturday, March 7, 2015
Sunday, March 8, 2015
8:00 - 8:50am
Head Trauma
8:00 - 8:50am
Trauma – Bleeding
8:55 – 9:45am
PEDS
8:55 – 9:45am
Excited Delirium
9:50 – 10:40am
Communications
9:50 – 10:40am
Cardiac Emergencies
10:45 – 11:35am
Documentation
10:45 – 11:35am
Drugs of Abuse
11:40am – 12:30pm
IPOST
11:40am – 12:30pm
OB Emergencies
Course # 153776
Completion of this entire 24 hour DOT
National EMT Refresher satisfies section 1
for National Registry EMT-Basic renewal.
Completion of the entire 24 hours will also
satisfy the IOWA EMT-B to EMT transition
as well as First Responder to EMR
(Emergency Medical Responder) Transition
requirements.
Course # 153777
(Lunch provided on site)
(Lunch provided on site)
12:45 – 2:30pm
EMT Procedures and Skills
12:45 – 2:30pm
Cardiac Arrest Management
2:35 – 3:25pm
WMD
2:35 – 3:25pm
Trauma – Immobilization
3:30 – 4:20pm
ALICE/Scene Assessment
3:30 – 4:20pm
Extremity/Ag Trauma
4:25 – 5:15pm
Airway/Ventilation
4:25 – 5:15pm
Spinal Immobilization
5:20 – 7:00pm
Mandatory Abuse Reporter
5:20 – 7:00pm
Patient Assessment
COURSE DETAILS:
Time:
8am — 7pm each day
Schedule;
Entire 24-hours ($100) Course: #153774
Saturday only ($50) Course: # 153776
Sunday only ($50) Course: # 153777
Lunch:
Provided on site.
Breaks:
Refreshments provided
REGISTRATION PROCEDURE!
To register call
Scott Community College
563-441-4100 or
toll-free 1-888-336-3907
For more information about this
program please call 563-336-3444