EMT-Basic. Skills include: Those taught in the DOT EMT-Basic course updated in 1994. However, although this level is certified in Georgia and taught in the technical colleges, this level is not certified to work on a transport ambulance at the current time. Hours of training: 130 minimum (122 didactic, 8 clinical). In addition, students must complete an approved CPR course as either a pre- or co-requisite to their EMT course. License requirements: Successfully complete an approved 130-hour minimum EMT -Basic course, plus completion of clinical objectives during training, as well as completing the pre- or co-requisite CPR course and the National Registry EMT-Basic exam, both practical and written. License renewal requirements: Complete approved continuing education consistent with the EMT course curriculum of not less than 40 hours every two years, and provide evidence of current CPR certification (in addition to 40 hours of CE requirements).

AEMT. Skills include: Those taught in the DOT EMT-Basic course updated in 1994, as well as those in the DOT EMT-Intermediate 1985 course, plus D50 and epinephrine administration and intraosseous placement. Does not include intubation. Hours of training: Completion of the EMT-Basic course components as listed above and 192 hours minimum (176 didactic, 16 clinical). License requirements: Successfully complete an approved 192-hour course, National Registry EMT-Intermediate (1985) practical and written exams. License renewal requirements: Complete approved continuing education consistent with the EMT course curriculum of not less than 40 hours every two years, and provide evidence of current CPR certification (in addition to the 40 hours of CE requirements).

Paramedic. Skills include: Those taught in the DOT paramedic course updated in 1998. Hours of training: 824 minimum (504 didactic, 320 clinical). License requirements: Successfully complete an approved 824-hour minimum course, plus an approved ACLS course; successfully complete the current National Registry paramedic practical and written exams. License renewal requirements: Complete approved continuing education of not less than 40 hours every two years, and provide evidence of current CPR and ACLS (in addition to the 40 hours of CE requirements).

Responsible certification agency. All levels of EMS providers in Georgia are licensed by the Georgia Department of Community Health, Office of Emergency Medical Services. Georgia uses a license patch for all levels of provider; a bottom rocker for the patch signifies the level of licensure. The Georgia EMS patch is located at the Public Health Office of EMS website at www.ems.ga.gov.

Georgia no longer trains or certifies students at the Cardiac Technician level, but it maintains approximately 58 providers still licensed at this level

Reciprocity. Georgia recognizes only National Registry certification at the EMT-Basic, EMT-Intermediate (1985) and paramedic levels for reciprocity. Georgia does not license EMT-Intermediates at the 1999 level.

Salary ranges: EMT-Basic: $16,640 – $54,315/yr; EMT-Intermediate: $17,520 -$61,267/yr; Paramedic: $19,560 – 100,000/yr.

Number of licensed vehicles (public and private) in the state: 2,410.

Numbers of EMS personnel (as of the May 2011 renewal period): EMT-Basics, 628; EMT-Intermediates, 10,143; paramedics, 6,335; and CTs, 58.

Numbers of EMS services: Total of approximately 220. Mix of private and governmental services. Some are fire service-based, some are hospital-based, some are third services. There are also approximately 87 licensed Medical First Responder services in the state, as well as 9 licensed neonatal transport services.

Statewide uniform ambulance reporting form: All services use electronic data collection that is completed on all responses by licensed ambulance services, first responder services and neonatal transport services. Data are utilized for local quality improvement, as well as state EMS system assessment. Various updates and upgrades have been made to this system and continue to be made as needs are identified.

Important changes and developments within the last year: Online Licensure Renewal, Laptop grant, Wi-Fi networking/ACLS grant, and Accordent.

Outlook/changes for coming year: Upgrade to new scope of practice and NREMT standards in July 2011. Online personnel licensing.

Job outlook/areas of greatest need: Currently a great need for EMS providers throughout Georgia, especially at the paramedic level, in both urban and rural settings.