Nevada
Pat Irwin, EMS Program Manager
EMS and Trauma Systems
Nevada State Health Division
4150 Technology Way, Suite 200
Carson City, NV 89706
775/687-7590, Fax 775/687-7595
https://health.nv.gov/EMS_EmergencyMedical.htm
pirwin@health.nv.gov
Rory Chetelat, EMS Director (Clark County)
Southern Nevada Health District
Emergency Medical Services and Trauma Systems
PO Box 3902
625 Shadow Lane
Las Vegas, Nevada 89127
702/759-1050
https://www.southernnevadahealthdistrict.org/ems/index.php
chetelat@snhdmail.org
First Responder: Skills include: DOT Course. Certification requirements: Successful course completion; pass written and practical exam. Recertification requirements: First Responder refresher or 20 hours of state-approved continuing education.
EMT-Basic: Skills include DOT EMT Course, with AED. Certification requirements: Successful course completion, course Medical Director signs off on skills and course documentation. Successful completion of NREMT practical and written exam, resulting in National Registry certification. Recertification requirements: DOT refresher course or 30 approved Continuing Education hours. Certification valid for 2 years.
EMT Intermediate-85: Skills include: Basic EMT, plus IV (limited medications), intraosseous infusion, ET, Combitube, 1985 DOT National Standard EMT-I Curriculum. Certification requirements: Nevada EMT, successful passage of course, clinical experience, course Medical Director signs off on ILS skills and course documentation. Successful completion of NREMT practical and written exam, resulting in National Registry certification. Recertification requirements: Renew Basic EMT. If licensed, provide proof of ILS skill retention.
Advanced EMT (Paramedic): Skills include: Basic EMT/EMT-I-85, cardiac monitoring; invasive and non-invasive therapy; drug therapy, DOT curriculum. Certification requirements: Nevada EMT, successful completion of course, clinical and field internship and testing. Course Medical Director signs off on ALS skills and course documentation. Successful completion of NREMT practical and written exam, resulting in National
Registry certification: Recertification requirements: 40 hours CME every 2 years, or paramedic refresher curriculum, and ACLS certification. If licensed, provide proof of ALS skill retention.
Responsible certification agency: Nevada State Health Division, Bureau of Licensure & Certification, Office of Emergency Medical Services, for all of the state except Clark County (Las Vegas), which is under the Southern Nevada Health District (Office of Emergency Medical Services & Trauma Systems).
Reciprocity: EMT-Basic, EMT-I-85 and Paramedic: Valid current out-of-state certification and successful completion of NREMT practical and written exam, resulting in National Registry certification or valid current National Registry certification with six month or more before expiration.
Endorsements: EMD, Immunization, Air certification, and Instructor
Salary Ranges: Starting average for EMTs at $12 per hour.
Number of permitted ambulance vehicles (public and private) in the State: 629.
Number of EMS personnel: Licensed Ambulance Attendants, 4139; currently state-certified EMT-Basic, 2,596; currently state-certified EMT-Intermediate-85, 2,455; currently state-certified Paramedic, 1,365; currently state-certified First Responders, 795; EMS-RNs, 158.
Number of EMS services: Fire department (paid), 19; Fire department (volunteer) and volunteer squads, 42; private ambulance, 9; hospital-based, 2; air ambulance, 9; Industrial ambulance, 5; military ambulance, 6, Native American ambulance services, 4.
Number of requests for emergency medical service in the most recent available 12-month period: 283,081.
Statewide uniform ambulance reporting form: Yes, for rural counties only. However, agencies can utilize their own, provided the information can be electronically transferred to the state office database.
Description of statewide data-gathering system: Nevada developed a program to follow (as closely as possible) the National Highway Traffic Safety Administration’s National EMS Information System (NEMSIS) data set. In order to have correct data, it must be submitted in a standardized format and use a standardized definition for each field. As a result Nevada has produced the Nevada Electronic Emergency Medical Services Data System (NEEDS) Data Dictionary and web portal to interface with third-party software submissions.
Federal/government funding: None to run office
State funds allocated to run EMS office: 100% General Funded
Unique funding methods: Certification fee directed back to volunteers for EMS training in rural Nevada $171,000.00 given back to volunteers since inception.
Special projects or programs operated by EMS office: Project Heartbeat, 800MHZ project for statewide communications including all hospitals and ambulance services, Pre-hospital DNR program, and Emergency Medical Services for Children.
Important changes and developments within the last year: New EMS manager.
Outlook/changes for coming year: Online web portal process for Certificate renewals, license renewals and permit renewals.
Job outlook/areas of greatest need: N/A.
