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HEMS Facility and Service Participation LIFE SUPPORT UNIT PERSONNEL STAFFING Alternate ALS Staffing* Request Form Date: June 23, 2017, Update May 23, 2019Section124This form is to be completed by
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01
Obtain the necessary forms from your EMS agency or government office.
02
Fill out personal information such as name, address, and contact details.
03
Provide information about your availability and desired schedule for rural staffing.
04
Include any relevant certifications or qualifications you have for EMS work.
05
Submit the completed form to the appropriate department for review and approval.

Who needs ems alternate rural staffing?

01
EMS agencies in rural areas that experience staffing shortages.
02
Government agencies looking to improve emergency medical services in underserved rural communities.
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EMS alternate rural staffing is a program that allows ambulance services in rural areas to staff their ambulances with emergency medical responders who have received alternate training.
Ambulance services in rural areas are required to file EMS alternate rural staffing.
EMS alternate rural staffing can be filled out online through the designated portal or submitted via mail following the instructions provided.
The purpose of EMS alternate rural staffing is to ensure that ambulance services in rural areas have adequately trained personnel to respond to emergency calls.
EMS alternate rural staffing requires reporting on the number of emergency medical responders on staff, their training credentials, and the number of hours they are available for duty.
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