GWINNETT TECH AEMT DRUG LIST Flashcards Learn Test Match Flashcards Learn Test Match Created by TNASHA4032 Terms in this set (100) DEXTROSE 50% CLASS CARBOHYDRATE DEXTROSE 50% CLASS HYPERGLYCEMIC DEXTROSE 50% MECHANISM OF ACTION AEROBIC METABOLIC SUBSTRATE (ATP PRODUCTION) DEXTROSE 50% CLINICAL EFFECTS Managing other trauma injuries, including but not limited to: AEMT VENTILATION SKILLS Successful Unsuccessful 1. The National Registry of EMT's relies heavily on input from volunteers in the EMS community to improve our products and services. Successfully completing this program allows you to take the NREMT certification exam for EMTs and apply for Georgia EMT licensure. franchise vs chain pros and cons los angeles parking ticket 0 Comments 0 Views 0 Likes . Candidates must possess a valid Georgia driver's license and have dependable transportation. Verification Form, Public Health Nursing - Emergency Response Management, Cancer Early Diagnosis and Treatment ECHO, Public Notices, Regional and Statewide Meetings, Regional and Statewide EMS Meetings Calendar, Post-Licensure Skills (PLS) for Paramedics, Specialty Care Centers (Cardiac, Trauma, Stroke), Emergency Medical Services for Children (EMSC), TRAIN Georgia Course Provider Organization Information, Attached Agencies and Participating Councils. The major side effect of glucagon is nausea and vomiting, this occurs due to glucagons smooth muscle relaxing effects which change the way the intestines pass food. AHS 109 CHAPTER 9. DOSAGE AND ADMINISTRATION: ADULTS--> Tablets:0.3-0.4mg SL; may repeat in 3-5 minutes to maximum of 3 doses. Electromobility is generally seen as an efficient means of decarbonizing the transport sector. Local, state, and federal government websites often end in .gov. 31-11-3 and DPH Rule 511-9-2-.04. All applicants are required to use the Georgia EMS License Management System (LMS) to apply for licensure as an EMS provider. More benign side effects are headache, fatigue, malaise, drowsiness, dizziness, and constipation. GEORGIA OFFICE OF EMS AND TRAUMA POLICY: SOP-2021 (effective 10/27/2021) EMT-R R EMT E EMT-I I AEMT A CT C PMDC P Georgia Scope of Practice for EMS Personnel - Effective 10/27/2021 Page 7 of 19 Airway and Breathing Skills Interpretive Guidelines Levels 5. EMT Application Fee $ 35.00 $ 30.00 Add to cart; Trauma Shears Buy product; Contraindications: not; to be used with patient who requires iv fluid replacement or in pt who is; hyperglycemic. Add Study Guide. Adult: 81 mg chewable . This Preferred Drug List is subject to change without notice. Local, state, and federal government websites often end in .gov. 24535 0 obj
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By using this form (or one substantially similar to it), hospitals are more quickly able to contact the agency and specifically the crews if a patient that they transported tests positive for or is suspected of havingCOVID-19 or any other infectious disease. Minimum Qualifications An associate degree in emergency services or related field from a regionally accredited institution. Advanced EMT. The flashcards below were created by user Anonymous on FreezingBlue Flashcards. 5 RI Department of Health - Center for EMS - 2017 EMS Pharmacology Guide V2017.0 Lorazepam 74 Magnesium Sulfate 76 Therapeutic Class Drug Name DURB Recommendation* To register and pay for your fingerprint background check, please follow these instructions: Follow the steps listed in these documents to get fingerprinted once you have received an approval email from the GAPS system: All applicants are required to use the Georgia EMS License Management System (LMS) to apply for licensure as an EMS provider. EMS Regulations and Protocol - Department of Health Job specializations: Healthcare. Other reasons to give dextrose are seizure of unknown origin and confused alcoholic patients in the form of a "banana bag" a yellow IV bag that contains dextrose and the vitamin thiamine. 2 Quantity limits apply - Refer to document at The cognitive portion of the exam comprises 90-110 questions (EMR exam), 70- 120 questions (EMT), 135 questions (AEMT exam), or 80-150 questions (paramedic exam). endstream
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<. The AEMT possesses the basic knowledge and skills necessary to provide basic patient care and transportation to non-emergent patients. The EMR and paramedic exams are computer-adaptive tests, while the AEMT exam is a computer-based linear knowledge and competency exercise. Wisconsin EMS Scope of Practice The FDA for more than 20 years limited dispensing of the drug to a subset of specialty offices and clinics because of safety concerns. Energies | Free Full-Text | Synergies of Electric Vehicle - mdpi.com Hypotonic dextrose-containing solution 0001 GENERAL GUIDELINES: INTRODUCTION Approved by Denver Metro EMS Medical Directors January 1, 2012. This list does not include all drugs covered under the Georgia Medicaid/PeachCare for Kids outpatient pharmacy program. DOSAGE AND ADMINISTRATION: Code DHS 110.12 states that an emergency medical services (EMS) professional may only perform the skills, use the equipment, and administer the medi- State the law of conservation of energy in your own words . . The cost of the exams is: Section 504 Coordinator: Allison Haynes, 770-533-7003, ahaynes@laniertech.edu. EMT-B to EMT-I | EMTLIFE This paper analyzes combinations of use cases that merge different . . 3 The Vision of the EMS Agenda for the Future The National EMS Scope of Practice Model is part the National Highway Traffic Safety Administration's commitment to the EMS Agenda for the Future.Released in 1996, the EMS Agenda for the Future established a long-term vision for the future of emergency medical services in the United States. Driver's License or Passport). PDF Approved Medication List Kansas Board of EMS June 4, 2021 - ksbems.org Drug List ONLY Medications that are included by name and dose in the 2012 NCCEP Protocols are included in this document; the only purpose of this document is to serve as a reference for the 2012 NCCEP Protocols. of injection. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. this 2020 Georgia Scope of Practice for EMS Personnel Training: PowerPoint Presentation. (b) They all must be processed in a refinery. Advanced airway management I a. CPAP/BiPAP administration and management A C P b. Lingual Spray: 0.4mg metered dose sprayed directly under tongue. The Georgia Office of EMS and Trauma (OEMST) has received notice from the current 911 Zone Provider for Richmond County Emergency Response Zone of surrender and OEMST has directed the Region 06 EMS Council ("Council") to open the Richmond Emergency Response Zone. Under 28 Pa. Code 1027.3 (c) and 1027.5 (b) (relating to licensure and general operating standards; and medication use, control and security), the Department of Health (Department) has the authority to publish in the Pennsylvania Bulletin a list of medications approved for use by emergency medical services (EMS) agencies, by EMS provider . Hypoglycemia is the most common indication for glucagon use. Step 1A: Submit Application for EMS Personnel Licensure in LMS, Step 1B: Complete Fingerprint Background Check (GAPS) Applicant Registration, General Requirements for ALL EMS license applications (EMT-R, EMT, AEMT, Paramedic), Currently Nationally Registered at the EMR, EMT, AEMT or Paramedic level, Never licensed in Georgia, not Nationally Registered, Have an Expired Out of State EMS License, Graduated an EMS Program but not certified with NREMT as an EMR, EMT, AEMT, Paramedic, Not completed an initial education program at the EMR, EMT, AEMT, or Paramedic Level. 494 terms. Most use cases do not combine both the prospect of profit and systemic advantages. AEMT Drug Cards Flashcards | Chegg.com Drug Information Portal - U.S. National Library of Medicine - Quick Access to Quality Drug Information Food and food ingredients means substances, whether in liquid, concentrated, solid, frozen, dried, or dehydrated form, that are sold for ingestion or chewing by humans and are consumed for their taste or nutritional value. State of Georgia government websites and email systems use georgia.gov or ga.gov at the end of the address. may be repeated very 5 minutes up to 3 times is systolic bp remains at least 90 mmhg. asthma/copd Route: nebulizer DOSAGE/ADMINISTRATION: ADULTS--> 2.5MG. | Privacy Policy Data sources include IBM Watson Micromedex (updated 3 May 2022), Cerner Multum (updated 3 June 2022), ASHP (updated 16 May 2022 . GWINNETT TECH AEMT DRUG LIST Flashcards | Quizlet Appointments may be made up to one business day in advance. is based on proof of current certification and/or licensure as an: EMT or EMT-Basic (with successful completion of Georgia State Office of Emergency Medical Services and Trauma (SOEMST) EMT-B to EMT update course); or proof of . AEMTs function as part of a comprehensive EMS response, under medical oversight and typically as part of an advanced EMS team response with a higher level provider. 8 Years. The Traditional AEMT Class typically meets one to three nights a month on campus. Total Cards. 2. ibuprofen (motrin) 200-400 mg every 6-8 hours orally. The use of a spacer device is preferred when administering albuterol by metered-dose inhaler, especially in pediatric patients. Please enable Cookies and reload the page. KEY: Preferred / P: medications associated with a lower . MOA: Provides nutrients in the form of dextrose as well as free water Below you'll find short activities to help you review, reinforce, and repeatedly see the medication information you need to know. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. This section will focus onGlucagon, anti-nausea medications, and IV formulations of several EMT level medications. Georgia Medicaid/PeachCare Preferred Drug List Pennsylvania Bulletin Scope is based on NCOEMS Protocols. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Alabama Department of Public Health, Office of EMS Intermediate EMT and Advanced EMT Medication Formulary . Aspirin (ASA) Definition. The AEMT has an expanded scope of practice compared to the EMT, this scope includes the administration of several medications that are not routinely given by EMT's in most jurisdictions. jlnovotny Plus. 24526 0 obj
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Volunteer Firefighters will not incur a fee for a (Class E or F) license. More than 49,000 drugs can be searched. JHW04. MOA:Replaces water and electrolytes Ondansetronblocks the serotonin receptors present through the body and in the brain, especially in the areas that are responsible for detecting chemicals present in the blood. Advanced Emergency Medical Technicians perform interventions with the basic and advanced equipment typically found on an ambulance. PDF Table of Contents - National Registry of Emergency Medical Technicians Glucagon delivered intra-muscularly is the preferred treatment for hypoglycemia due to its rapid administration and rapid onset. Do not use on patient with a traumatic brain injury or stroke. x]o775blr44HvcIS"_}t>?ywq|7~a;7? Georiga State, AEMT patch - 2-5/8 x 4-1/2". EMR. Advanced EMT Traditional - Georgia Institute of EMS may be repeated very 5 minutes up to 3 times is systolic bp remains at least 90 mmhg. 2018 REMSA Paramedic Program Drug List Acetaminophen (APAP) Class: Analgesic, antipyretic Action: Increases pain threshold and reduces fever by acting on the hypothalamus. NREMT-AEMT Drugs. Drug Surveillance Unit . The AEMT (Advanced EMT) educational program must be conducted by an approved . Indications-Papid sequence intubation (RSI) Contraindications-Hypersensitivty to the drug. PDF 2-19 REMSA Paramedic Program Drug List Drug Index Medication List PARAMEDIC ADENOSINE (Adenocard) ALBUTEROL (Proventil) AMIODARONE (Cordarone) ASPIRIN ATROPINE CALCIUM GLUCONATE CYANIDE ANTIDOTE KIT DEXTROSE DIAZEPAM (Valium) Auto-Injector DIPHENHYDRAMINE (Benadryl) DILTIAZEM (Cardizem) EPINEPHRINE FENTANYL (Sublimaze) GLUCAGON (Glucagen) HEPARIN HYDROXOCOBALAMIN (Cyanokit) In Savannah, EMTs make $27,452 per year. Asthma Case Study We receive 750 to 1,000 complaints each year involving diversion of controlled substances from legal outlets. Sets found in the same folder. If you have a license from an EMS Compact state, please see the information above. Oral administration may be considered if vomiting is not present, but the IM route is preferred. Now lfems.vaems.org. 2-4 weeks/55-65 hours. We accept credit/debit cards (fastest) or Money Orders, and Business/Cashier's Checks ONLY. Georgia State - AEMT Patch is backordered and will ship as soon as it is back in stock. Hypersensitivity (severe reaction or anaphylaxis) to a previous dose of glucagon or to lactose are the only contraindications to glucagon. This EMS Quick Report complies with the EMS Rule 511-9-2-.14. The smallest source resistance you can practically design for is 5050 \Omega50, but you can add any other series resistance if you need to. Action-Binds to acetylcholine receptors at the neuromuscular junction causing paralysis. That is worth at least 100% of a subscription price. All applicants MUST use the Georgia Applicant Processing Service (GAPS) for the submission of your fingerprint-based criminal history records check. The most common side effects of IV 50% dextrose administration are a sensation of warmth or burning at the infusion site, this rarely occurs with lower concentration 5% dextrose solutions. Advanced Emergency Medical Technicians . $32. Summa Health 2023 | All Rights Reserved, [{"RootId":"ba198066-3078-4dcd-8e69-28251bebb940","RootUrl":"/glossary/"}]. As with all IV infusions leakage of IV fluid into the surrounding tissue can lead to edema or "thrombophlebitis" a clot in the small veins of the arm and resultant swelling. The Cognitive Exam. Call 1-800-GEORGIA to verify that a website is an official website of the State of Georgia. Note that IV dextrose is a second line treatment for acute hypoglycemia in patients with no established IV access. NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. Hypoglycemia: 1mg via IV, IM, or SubQ bolus followed by IV access and 50% dextrose administration, Beta-blocker or calcium channel blocker toxicity: 3 to 10mg IV bolus over 3 to 5 minutes followed by 3 to 5mg/hr infusion. Please contact Health Licensure at (615) 532-3202 or (800) 778-4123 to report issues with obtaining a license such as an initial or renewal of a license. Indications: Fever, pain relief Contraindications: Hypersensitivity and use caution in patients with liver disease. If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. An official website of the State of Georgia. PDF Scope of Practice for Ems Personnel Georgia Office of Ems and Trauma An official website of the State of Georgia. For information regarding EMS Procedures, Forms and Related Documents contact the State Office of EMS at 770-996-3133 or your Regional EMS Office. PDF 2018 REMSA Paramedic Program Drug List - REMSA Health 2021 Preferred Drug List - Georgia Department of Community Health Naturally, the medications AEMT's can administer includes all those that are given by EMT's, for information on those medications (albuterol, aspirin, epinephrine, oral glucose, naloxone, and nitroglycerin) see the EMT medications unit. The Utah EMS Protocol Guidelines were developed for the Utah Office of EMS and Preparedness by a panel of physicians, EMS medical directors, pediatric emergency medicine specialists, paramedics, and EMTs in order to provide EMS agencies with a set of up-to-date treatment guidelines and standing orders. 1. oxygen. Indiana EMS Rules - Title 836. In other cases, it is advisabel to administer the fluid at a moderate rate. Paper applications are NOT accepted. titrated to maintain an spo2 of at least %95 via inhalation. | Social Media Policy EMT-Intermediate Drug Dosages Flashcards Must possess and maintain a Georgia driver's license, able to pass drug screening, and is subject to a background check. Alphabetical The Georgia Medicaid Exclusion List below is updated at least monthly. Respiratory Meds - ProEMS CFM. 2 0 obj
Dextrose is a carbohydrate very similar to glucose that can be rapidly converted to true glucose by the body for use as fuel. Pharmacy is one of the most highly used benefits. Terms and Conditions These forms/criteria will go into effect on January 1, 2023. Title IX Coordinator: Nancy Beaver, 770-533-7000, nbeaver@laniertech.edu. Indication- chest pain, anginal pain. How you know. Ariana Grande Cloud Intense Uk Release Date, Losantiville Country Club Membership Cost, what happened at rockford christian school. 5. Emergency Medical Services - Paramedic Program. Policies, Documents, Forms and Meeting Minutes The scope of practice is a description of what a licensed provider or individual legally can, and cannot, do. An email notification will be sent from the GAPS system once the Office of EMS and Trauma approves of your GAPS registration. IV Therapy. PDF EMS Pharmacology Reference Guide - Rhode Island Steps for EMS Personnel Licensure. Complaints. Paramedics earn $33,946. EMT EMT-I Paramedic Originally known as Monroe Area Vocational-Technical School - a school with only 175 students - Albany Technical College today offers a Firefighter/EMSP diploma program that qualifies you for certification/licensure and employment as a Firefighter I, Firefighter II, EMT or AEMT in Georgia. Related to OFFICIAL AEMT DRUG INVENTORY. Approved and Required Medications List for EMS Agencies and EMS Providers EMS Regulation - 28 Pa.Code 1001 Scope of Practice for EMS Providers Out-Of-Hospital Do-Not-Resuscitate (DNR) Orders Required Ground and Air Ambulance Equipment and Supplies Expanded Scope of Practice for Emergency Medical Services Providers of Air Ambulance Services Winchester, Virginia 22602 . Taken from the book EMS NOTES.com. Georgia Institute of EMS Traditional Advanced EMT Program builds upon the EMT program preparing students for a challenging, yet rewarding, career in EMS. R-P11A: Scope of Practice for EMS Personnel - Revised 12/03/2015 Page 8 of 8 2. Wisconsin Admin. gX|@Q2L//,/"A+++@\bGv;Fk(I=# ojC+IqM;?t` mD1|u5J
D#9Ly~H1AP$M+bT@c (c) They are all gases at room temperature. Medication EMR EMT AEMT Activated Charcoal Not Approved Oral Oral B2-agonist and/or anticholinergic bronchodilator* MDI MDI; Neb MDI; Neb . If given to a patienttaking antidepressants watch for changes in the level of consciousness, dramatic swings in blood pressure/heart rate, and sudden flushing of the skin and diaphoresis. GSA Ambulance Design Specifications (KKK-1822F): This document describes the required specifications for all Vermont licensed ambulances. The mission of Mississippi Emergency Medical Services (EMS) is to organize, regulate, and maintain a statewide program to improve emergency medical care. 36 terms. The Burke County EMA is accepting applications for the following position of Firefighter / AEMT. This has the effect of decreasing any sensation of nausea and the bodies resultant desire to vomit. The most common reasons for increased ICP are head trauma, bleeding in the brain (headache, progressive decrease in mental status, and focal neurological deficits). Before sharing sensitive or personal information, make sure youre on an official state website. Dosage: usually Up to 12 hours Metabolism Minimally metabolized in liver/Excreted in Urine (85% as unchanged drug) Metabolized in liver excreted in kidney Half-life 2 hr. Cash and Personal Checks are NOT accepted. Hypovolemic shock; titrate according to patient's physilogic response. In Columbus, an EMT makes $28,426 in salary. 188 terms. 1680 Phoenix Boulevard, Suite 200 Atlanta, GA 30349 (770) 996-3133 website Georgia EMS Exams Information Georgia EMR Exams Georgia does not offer EMR Licenses Georgia EMT Exams Prior to licensure, all applicants must be certified by the National Registry of Emergency Medical Technicians (NREMT) at the level for which they are applying. Your Order. PDF 2022 Wisconsin EMS Scope of Practice 42 AEMT Salaries in Georgia, US provided anonymously by employees. Pennsylvania PDL 01-01-2019; Last updated 2020-05-20. Drug Control - Register, Verify | SCDHEC Local, state, and federal government websites often end in .gov. In Pediatric patients, the dosage of 0.15mg/kg up to a max of 16mg/dose should be used. georgia aemt drug list The Ordered Dose: Formulas & Step by Step Instruction & Tips. Ventilate an apneic patient (simulated) a. MAST/PASG Not approved for use in Georgia. Part 3: Last, complete clinical rotations at PERCOM clinical sites across the US. ROUTE:IV Applicantsfor licensure must submit the following through LMS: Applicants currently/previously licensed as a healthcare provider: Incomplete applications will expire within 45 days of receipt by the Office of EMS and Trauma. Special thanks to the number #1 internet training site id44.com and also to EMSNOTES.com "What you need to know" EMT and Paramedic Study Guides Look for the book Written by Forrest Munden EMT-P that's the good one! . THIS FORM DOES NOT REPLACE THE NEED TO SUBMIT AN ELECTRONIC PATIENT CARE REPORT (ePCR). There are many types of specialized mixing valves that will ensure the correct ratio of nitrous oxide to oxygen is being used. Maintain a mask seal c. Appropriate rate (10-12 breaths/min) d. Appropriate volume for patient size e. Monitor chest rise f. No insufflation of stomach, if applicable 3. A 100100 \Omega100-load needs 10mA10 \mathrm{~mA}10mA to operate correctly. Georgia Office of Ems and Trauma Scope of Practice for Ems Personnel INDICATIONS: IV access for emergency drugs, for dilution of concentrated drugs for IV infusion hb```@( 1Gr2l [!d/0242(O`}!AaGJkv nc1LM*xd1LuR` qq>PO:|` Georgia State - AEMT Rocker Patch $2.99 Georiga State, AEMT Rocker patch. <>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
EMS Rule for Late In-Service - LSA Document #10-361. If you use EMT National Training as recommended and still fail your NREMT or state AEMT examination we will refund 100% of your subscription. Pennsylvania Medical Assistance Statewide Preferred Drug List (PDL) Pennsylvania PDL 01-09-2023 (current) Archived Statewide PDL Files. You must complete the top portion of the form and provide it to the appropriate licensing authority. here, For Response Data for Richmond County ERZ Minimum of two minutes b. You cannot proceed to fingerprinting until the Office of EMS and Trauma has approved your GAPS registration. Georgia EMTprep Ped: 0.01 mg IV/IM 2 to 2.5 times the dose ET) repeated/2 to 3 min as needed up to 10mg. DOSAGE AND ADMINISTRATION: Akron, OH 44304, Phone: 888.905.6071
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Privacy Statement -- Any State -- Pacific Mountain West North Central West South Central East North Central East South Central Middle Atlantic South Atlantic New England Alabama Alaska Arizona Arkansas Armed Forces Americas . Medicine Advanced EMT Georgia Drug List Term 1 / 14 Albuterol Click the card to flip Definition 1 / 14 Sympathomimetic,bronchodilator Beta-2 agonist; stimulates adrenergic receptors Smooth muscle relaxation in bronchial tree and peripheral vasculature. 18 terms. Pre-Hospital Standard Patient Care Treatment Protocols. Contraindications:CHF or Renel Failure Design a practical power source to provide the needed current. 42 CFR 410.40 addresses the coverage of ambulance services. EMS Agencies may adapt this form and place their agency name on it, as long as minimal information is kept on this document. MOA:Lactated Ringer's replaces water and electrolytes Not Applicable. Program Directors are responsible for validating the competency of candidates seeking . Serotonin syndrome is another uncommon side effect that may result from a serious interaction with other medications that affect serotonin receptors. Isotonic crystalloid solution The National EMS Scope of Practice Model, the Virginia EMS Education Standards (VEMSES) and the American Heart Association Guidelines for Cardiopulmonary . Click here to review the new forms which are listed under the Vehicle Inspection Forms section. See Color Coded List. Advanced EMT. National Registry Medications List - National Registry Test Preparation stedman08. Receive the Summa Health eNewsletter for the latest health tips, advice andupdates. The Department does not accept criminal history reports from the applicant or other sources. | Contact Us How is it feasible for a population of sponges to spread out over a bigger area considering that they are sessile animals? INDICATIONS:Hypovolemic shock; keep open IV Precautions/major interactions. EMS World Expo is excited to offer something for everyone this year. lip.04 Komentari iskljueni za asymptomatic viral shedding definition asymptomatic viral shedding definition Posted by Quit struggling with "Med Math", let's end the cycle of confusion today. An official website of the State of Georgia. We are unable to offer CEUs for watching the recorded webinar. Recorded Webinar from 12/27/2019. Indiana EMS Statutes - Title 16-31. Advanced Emt Drug List - drugsmed.info 1 Month $59.95 3 Months $79.95 6 Months $99.95 1 year $129.95. Computer adaptive testing. Be prepared to provide ventilatory support if higher concentrations of oxygen needed. What salary does a AEMT earn in Georgia? 1 0 obj
If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Click The National Fire Protection Association (NFPA 1917) Ground Vehicle Standards. If paying by Money Order or Business/Cashier's Check, your payment must be submitted with a completed, A completed background check (see requirements above), Additional requirements based on the license application level (click on the appropriate link below), If you are currently (or have ever been) licensed as any type of healthcare provider in any U.S. State or Territory, you must complete the.