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EMR Refresher

Designed Licensing Prepartion 

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EMR Refresher

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8:30 am to 4:30 pm In-Class 

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Price $250

Our EMR Licensing Success Refresher is a focused, high-yield course designed to prepare Emergency Medical Responders for successful licensing. This hands-on training reviews core assessment skills, airway and oxygen therapy, medical and trauma emergencies, and critical decision-making—emphasizing what actually shows up in licensing scenarios. Through interactive skills stations and realistic scenario practice, students build confidence in patient assessment, treatment priorities, and verbalizing care under pressure. The course also includes licensing preparation strategies to help participants stay calm, systematic, and effective during exams, ensuring they are ready to perform safely and successfully in real-world and testing environments.

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Prepare for Success

What’s Included in the Updated Scope of Practice?

The updated Scope of Practice reflects significant changes approved by the Emergency Medical Assistants Licensing Board (EMALB). These updates apply to both First Responders and Emergency Medical Responders (EMRs) and came into effect on September 23, 2022.

First Responder – Schedule 1: Core Services

As part of the core First Responder role, you are now expected to demonstrate competency in:

 

  • Inserting nasopharyngeal airways (NPA)


  • Performing wound management that doesn’t involve tissue perforation (includes wound packing)


  • Fracture management and immobilization, including pelvic binding


  • Lifting, loading, extrication, and evacuation techniques


First Responder – Schedule 2: Vital Signs Endorsement

New vital sign monitoring skills have been added, including:

  • Use and interpretation of pulse oximetry (SpO₂)


  • Use and interpretation of CO oximetry.


  • Use and interpretation of non-invasive blood pressure (NIBP) devices.


  • Use and interpretation of glucometers.


First Responder – Schedule 2: Medications Endorsement

Under medical endorsement, First Responders may now:

  • Assist patients with their prescribed medications.
     

  • Administer epinephrine using an auto-injector, intranasally, or sublingually.


  • Give Naloxone (opioid antagonist) via intramuscular (IM) or intranasal (IN) route.


  • Administer Glucagon (anti-hypoglycemic) IM or IN.


  • Provide oral analgesics (e.g., acetaminophen or ibuprofen)


  • Administer Acetylsalicylic Acid (ASA) orally.


  • Apply topical pro-coagulants or anti-fibrinolytics as needed.



EMR Scope of Practice Updates

EMR – Schedule 1: Core Services

As an Emergency Medical Responder, all of the above First Responder core services and endorsements are now considered **core components** of the EMR level. This means you're expected to be already proficient in those areas.

EMR – Schedule 2: Medications Endorsement

In addition to the First Responder medication skills, EMRs are now authorized to:

Administer **epinephrine intramuscularly 

Deliver bronchodilators by inhaler or nebulization (e.g., Salbutamol)

 Important: To register for and complete the Scope of Practice Update, you must have a current and valid EMR license issued by the Emergency Medical Assistants Licensing Board (EMALB).
Holding a course certificate alone is not enough; you must be fully licensed with EMALB at the EMR level.

Scope Update FAQ’S

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