Emergency Medical Technician – Basic
The Emergency Medical Technician – Basic course is designed to provide training to prepare an individual to function independently in a medical emergency.  This course provides the basic knowledge and skills needed to provide basic life support (BLS) care and is required to progress to more advanced levels of prehospital patient care.  The course requires a minimum of 111 hours of classroom and skills instruction and 10 hours of Clinical/Field rotations for a total of 121 hours of training.  Virginia Certification requires successful completion of a written and practical skills examination.  This course is designed to train individuals to serve as a vital link in the chain of the health care team.  This includes all skills necessary to provide emergency medical care as an attendant-in-charge with a basic life support ambulance service or other specialized rescue service. Upon successfully completion of the training program, the student will be capable of performing the following functions: (1) Recognize the nature and seriousness of the patient’s condition or extent of injury to assess requirements for emergency care. (2) Administer appropriate emergency care to stabilize the patient’s condition.  (3) Lift, move, position and otherwise handle the patient in a way as to minimize discomfort and further injury. The EMT-B is a 4 year certification.

EMT-Enhanced
The Emergency Medical Technician-Enhanced: Virginia Standard Curriculum represents the minimum required information to be presented within a course that leads to a Virginia EMT-Enhanced certification eligibility. All skills and subjects contained in the curriculum for EMT-Enhanced are covered in a minimum of 80 hours of instruction plus a minimum of 48 hours devoted to extensive clinical rotations in specialty units and field internship. Clinical rotations of this type are not usually available for lower level providers to attend. These additional clinical rotations include time spent in OR/Recovery Units, Critical Care Units, Labor & Delivery Units, Pediatrics, Emergency Department, Family Practice, Mental Health Clinics, Dialysis Clinics, Neurovascular Rehabilitation Clinics, Detoxification Units, and Extended Care Facilities. It is recognized that there is additional specific education that will be required of the EMT-Enhanced who practices in the field, i.e. ambulance driving, heavy and light rescue, basic extrication, special needs, for example. It is also recognized that this information might differ from locality to locality, and that each training program or system should identify and provide special instruction for these additional training requirements. This is a 3 year certification.

EMT-Intermediate 99
The Emergency Medical Technician – Intermediate 99 Program is designed to certify technicians to a mid-level of pre-hospital advanced life support care in Virginia.  This program fulfills all the requirements of the National Standard Curriculum for the EMT-Intermediate 99. All skills and subjects contained in the curriculum for Intermediate 99 are covered for a minimum of 272 hours of instruction with a minimum of 68 hours devoted to extensive clinical rotations in specialty units.  In addition to the above, the candidate must complete a minimum of 10 patient contact calls in which they act as the team leader on an ALS ambulance.  Clinical rotations of this type are not usually available for lower level providers.  These additional clinical rotations include time spent in OR/Recovery Units, Critical Care Units, Labor & Delivery Units, Pediatrics, Emergency Department, Family Practice, Mental Health Clinics, Dialysis Clinics, Neurovascular Rehabilitation Clinics, Detoxification Units, and Extended Care Facilities. The Intermediate 99 Program is designed to educate the technician in the following areas of pre-hospital care:  preparatory skills, airway management and ventilation, patient assessment, trauma, medical, special considerations and assessment based management. In Virginia, all initial Intermediate 99 Programs are required to satisfy the testing guidelines established by the National Registry of Emergency Medical Technicians.  Upon successful course completion and National Registry EMT – Intermediate 99 certification, the technician must apply for Virginia certification before being allowed to practice at this level.  After receiving Virginia credentials, the Intermediate 99 has the option to maintain National Registry Intermediate certification without affecting their Virginia certification.  However, Virginia certification must be maintained in order to provide patient care at this level in this state.  This is a 3 year certification.

Emergency Medical Technician – Paramedic
The Emergency Medical Technician – Paramedic Program is designed to certify the technician to the highest level of pre-hospital advanced life support care available in Virginia.  This program fulfills all the requirements of the National Standard Curriculum for EMT – Paramedic.  The Paramedic program expands on the skills and subjects contained in the Enhanced and Intermediate courses with a minimum of 800 - 1200 hours of instruction.  Of these hours, a minimum of 136 hours is devoted to extensive clinical rotations in specialty critical care units.  Additional hours may be required to complete all the required competencies.  Clinical rotations of this type are not usually available for lower level providers to attend.  These additional clinical rotations include time spent in OR/Recovery Units, Critical Care Units, Labor & Delivery Units, Pediatrics, Emergency Department, Family Practice, Mental Health Clinics, Dialysis Clinics, Neurovascular Rehabilitation Clinics, Detoxification Units, and Extended Care Facilities.  The Paramedic Program is designed to educate the technician in all areas of pre-hospital patient care.  These areas include instruction in: pre-hospital environments, preparatory skills, airway management and ventilation, patient assessment, trauma care, medical patient management, obstetrical/gynecological conditions, pediatric patients, neonatal care, psychiatric and behavioral emergencies, special considerations, and assessment based management.  In Virginia, all initial Paramedic Programs are required to satisfy the testing guidelines established by the National Registry of Emergency Medical Technicians.  Upon successful course completion and National Registry EMT – Paramedic certification, the technician must apply for Virginia certification before being allowed to practice at this level.  After receiving Virginia credentials, the Paramedic has the option to maintain National Registry Paramedic certification without affecting their Virginia certification, however, Virginia certification must be maintained in order to provide patient care at this level in this state.   This is a 3 year certification.

Emergency Medical Services - Continuing Education
All levels of EMS providers are required to continue their education. This may be done online through approved vendors, at the annual statewide OEMS symposium, through local classes or any combination thereof.

EVOC
  This course was designed to enhance safe vehicle operation by stressing theory and principles of defensive driving in both emergency and non-emergency situations. Virginia Motor Vehicle laws pertinent to the operation of emergency vehicles is included in the course. This class is not designed to teach the student to drive, but rather to explain how emergency driving differs from non-emergency driving. Although some driving experience will be gained through the practical exercises it is strongly recommended that the student have adequate driving experience in the vehicle. The course requires 16 hours of instruction (100% attendance required for certification), 8 hours classroom and 8 hours consisting of practical exercises.   ***All drivers MUST have completed the EVOC course before being released to drive.

Firefighter I & II
Firefighter Level I: An entry level course for new firefighters. Prerequisites: Students must be at least 16 years of age in order to complete all aspects of the course. Junior Firefighters must comply with all Junior Firefighters pre-requisites as defined by Department of Labor and Industry standards. Equip. Req: Full turnout gear and SCBA Hours: 144 Standard/Reg: NFPA 1001 Note: This course is Pro Board certified. ...To be issued a certificate the student must have a current CPR card and Hazardous Materials Operations certificate.

Firefighter Level II: A course designed for the Firefighter who is prepared to assume more of a leadership role in a department. Prerequisites: Must be certified as Firefighter I (Including Hazardous Materials Awareness or Hazardous Materials Operations). Junior Firefighter must currently be certified at Firefighter Level I to participate. Equip. Req: Full turnout gear and SCBA Hours: 44 Standard/Reg: NFPA 1001.

Firefighter Certificates
Hazardous Material First Responder Awareness Operations: A course designed for hazardous materials first responders. Includes both classroom and practical training. Classroom builds upon Hazardous Material First Responder Awareness discussion and goes into properties of hazardous materials, containers, transportation hazards and protective equipment. The practical covers various defensive practice scenarios.

Vehicle Rescue Awareness and Operations: This course developed by the VAVRS, Office of EMS and Dept. of Fire Programs stresses the skills and latest techniques of vehicle extrication. Emphasis is placed on: · Orderly and efficient approach to the accident situation · Safety procedures · Protective equipment · Use of tools (hand tools, power tools, hydraulic tools, air bags, etc) This course contains both classroom and practical portions. Course Hours: 16 hours ( 4 classroom, 12 practical) Basic Course Prerequisites: · Minimum 18 years of age · MUST provide own protective gear which is to include: -helmet (with or without shield) -leather type work gloves -hard sole shoes, steeled toe boots -turnout coat (or long sleeves) -goggles or safety glasses

National Incident Management System (NIMS)
 The NIMS Training Program defines the national NIMS training program as it relates to the NIMS components of Preparedness, Communications and Information Management, Resource Management, and Command and Management. It specifies NIC and stakeholder responsibilities and activities for developing, maintaining, and sustaining NIMS training. The NIMS Training Program outlines responsibilities and activities that are consistent with the National Training Program, as mandated by the Post-Katrina Emergency Management Reform Act of 2006. This program integrates with FEMA training offered through the Emergency Management Institute (EMI) and United States Fire Administration (USFA).

Training Calendar
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