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Dear Prospective Student, Thank you for expressing your interest in the Advanced Medical Transport of Central Illinois Hybrid Pre-Hospital Registered Nurse Course. We are excited to announce that registration for the 2021 class is now open. Enclosed in this registration packet you will find the following documents: Course InformationTechnology RequirementsImmunization Record Student Data FormTuition for the course is $1,250.00. This includes: Course software, textbooks, criminal background check, and uniform shirt. (If you are currently an AMT employee, please contact Bret Ramp regarding tuition.) All required documents must be completed in full and received by January 29, 2021. Partial or incomplete documents will not be considered. Please note that class size is limited and will be filled on a first come, first serve basis. Please review the following pre-requisites to ensure that you meet all requirements prior to applying to the Program. Registered nurse with current Illinois license in good standing in accordance with the Illinois Nurse Practice Act. Students are required to maintain their License throughout the course. Current healthcare provider CPR card through AHA or a recognized affiliate. Students must maintain certification throughout the course.Minimum of one year clinical practice in emergency or critical care nursing.Written approval to ride with, or evidence of employment with an approved ALS Provider Agency.Liability insurance coverage.Healthcare insurance coverage. Physical examination signed and dated by a qualified health care practitioner (PCP) within a year of beginning class or current with hospital employer physical exam requirements. This also includes being up-to-date on immunizations. (see immunization record section)Clean universal 10 panel Urine Drug Screen. Clear criminal background check. (Will be completed by AMT.) Required Documents: Student data form, a copy of your driver’s license, a copy of your RN license, a copy of your CPR card, written proof of one year clinical practice in emergency or critical care nursing, a copy of your liability and healthcare insurance, and a copy of your physical examination, immunization records, and drug screen. You may retain all other documents in this packet for your convenience. Please feel free to contact Bret Ramp for questions:EMS Academy Director - Bret RampEmail: bramp@Office Phone: 309-999-4051COURSE INFORMATIONThis is a hybrid style course, meaning that the majority of didactic course work will be completed online via a learning management system. 7 class days will be held in person. All in person classes will be held from 0830-1630 at Advanced Medical Transport (AMT), 1718 N Sterling, Peoria, Il 61604First day of class will be February 1, 2021 at AMT from 0830 - 1630. The course will run from February 1, 2021 through April 21, 2021.In addition to the time dedicated to course work in the classroom/online, students are required to complete 8 endotracheal intubations on live patients, and complete a minimum of 10 ALS calls in their field internship, along with demonstration of entry-level competence equivalent to IDPH and CoAEMSP Paramedic program requirements.Endotracheal intubations and field internship must be completed by October 21, 2021. Applications and all required documents must be received no later than January 18, 2021 at 1700. Once the didactic and clinical components of the course have been completed, students can take the National Registry Paramedic Cognitive Exam. STUDENTS MUST SUCCESSFULLY PASS THE NATIONAL REGISTRY PARAMEDIC COGNITIVE EXAM IN ODER TO RECEIVE A STATE OF IL PHRN LICENSE.Course Technology RequirementsAll students are required to have access to and bring to class an electronic device (laptop) that meets the following requirements:System RequirementsTo work successfully with Navigate 2 your computer/mobile device should match one of the supported browser and operating system configurations. Navigate 2 may run on newer (or even slightly older) versions of these browsers, but a version is not considered fully supported until it is specified with an "X" in the matrix below.OperatingSystem/Platform*Safari 7.0Safari 8.0Firefox 36Chrome 41IE11IE10MAC 10.7XXXXMAC 10.9XXXXWindows 7XXXXWindows 8.1XXXXiPad 2 with IOS 8+XiPad 3/Air with IOS 8+XiPad Mini with IOS 8+XiPhone with IOS* 8+XAndroid tablet with OS 4.3**XAndroid phone with OS 4.1*XWindows 8 tabletXX"+" Means minimum version, tested to latest current version widely available.* Applications currently operate correctly, but in an attenuated manner within small screen sizes. Additionally, the Navigate eReader is not compatible with mobile devices with screen sizes smaller than seven inches. Users on smaller screens cannot necessarily access all functionality. Issue will be addressed in future release.?** Excludes Kindle and Nook platforms. Flash player used in offline ebook reader is not supported beyond Android 4.1. Issue will be addressed in future release.Students will utilize their device for access to LMS, homework assignments, quizzes, tests, and skills lab documentation. Students will also use their electronic device to document all clinical and field experiences.STUDENT IMMUNIZATION REQUIREMENTSleft1460500 Measles, Mumps, and Rubella (MMR) 2 Doses of MMR vaccine given after the 1st birthday and at least 30 days apart OR Positive blood test showing immunity for Measles, Mumps, and Rubellaleft25654000Annual Influenza Vaccineleft889000 DPT/Td/Tdap Vaccine Three dose series. All three doses must be on file to be considered valid Td booster is recommended every 10 yearsleft952500 Hepatitis B Three dose series. All three doses must be on file to be considered validleft889000 Varicella Vaccine (Chicken Pox) Two doses Varicella vaccine to be considered valid OR Positive blood test showing immunity Most students should be able to obtain a copy of their immunization records from one of the following sources: pediatrician’s office, current health care provider office, high school records. Should you be deficient in one or more areas, vaccinations are available through your private health care office, city/county health department, or quick health clinics (Walgreens). STUDENT DATA FORMNAME:___________________________________ AGE:________ DOB:_________ STREET ADDRESS:____________________________________________________ CITY:_______________________ STATE:________ ZIP CODE:____________ PRIMARY PHONE NUMBER:____________________________________________ EMAIL ADDRESS:_____________________________________________________ A “yes” to any of the following questions does not automatically disqualify you from admission to the course:Have you ever been suspended from an EMS System? Yes NoAre you currently suspended from an EMS System? Yes No Have you ever been convicted of a felony or are you currently charged with a felony? Yes No Emergency Contact Information: NAME:________________________________________________________________________ ADDRESS:______________________________________________________________________ PRIMARY PHONE NUMBER:________________________________________________________ THE FOLLOWING DOCUMENTS MUST BE INCLUDED IN YOUR APPLICATION: STATE OF IL RN LICENSEVALID CPR CERTIFICATIONCOPY OF DRIVERS LICENSEWRITTEN PROOF OF ONE YEAR CLINICAL PRACTICE IN EMERGENCY OR CRITICAL CARE NURSING COPY OF LIABILITY AND HEALTHCARE INSURANCECOPY OF YOUR PHYSICAL EXAMINATION, IMMUNIZATION RECORDS, AND DRUG SCREENI attest the above information is true and accurate to the best of my knowledge. _________________________ __________________________ _________________ Applicant Signature Applicant Name (Print) Date ................
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