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Last Updated: 10/30/14 12:54:26 PM

Emergency Medical Systems


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Physician Order for Life Sustaining Treatment (POLST) Form
It is preferred that this form be printed on HOT PINK paper.  This is a recommendation and not a requirement.  It is also recommended that the completed form be registered with the Living Will Lockbox through the Nevada Secretary of State Office.  Information regarding the Living Will Lockbox can be found at   Please also make sure all medical providers have a copy for their records to ensure that they know your wishes.
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The mission of the Emergency Medical Systems program is to promote and support a system that provides prompt, efficient and appropriate emergency medical care, ambulance transportation and trauma care to the people of Nevada.
The Emergency Medical Systems program, as authorized in NRS 450B inclusive, establishes and enforces standards for the provision of quality out of hospital emergency medical care, the operation of ambulance services, certification of EMS personnel, licensure of attendants and the delivery of trauma care. The program also supports the emergency medical services system for Nevada's rural counties (15 counties) and Washoe County by providing technical assistance, consultation and training to EMS managers and personnel as well as public officials. A registry of all persons certified in Nevada, including Clark County, is maintained as part of the Emergency Medical Systems program activities. Additionally, this program is responsible for implementation, monitoring, and maintaining a database for Nevada's out of hospital emergency care and a statewide EMS radio network.
To support this mission it is necessary to provide technical assistance, consultation, training and regulatory oversight in a consistent and timely fashion. To accomplish its mission the Emergency Medical Systems program maintains three regional offices that provide these services and monitoring of training programs to those involved with the EMS System and the public. To support this mission it is also necessary for the program to:
  • Evaluate and approve emergency medical service training programs.

  • Test applicants for emergency medical technician certification.

  • Issue certification to persons demonstrating appropriate knowledge, skills and abilities in emergency medical care.

  • Issue permits for the operation of ambulances, air ambulances and fire-fighting agency vehicles.

  • License attendants to staff ambulances, air ambulances and fire-fighting agency vehicles.

  • Inspect the operations and equipment of ambulances, air ambulances and fire-fighting agency vehicles.

  • Investigate complaints concerning the operations and personnel of agencies involved in the EMS and Trauma Care system.

  • Collect and analyze data concerning out of hospital emergency and trauma care.


The principal revenue source for the Emergency Medical Systems program is State General Fund Appropriation. The 1997 Legislature authorized the Emergency Medical Systems program to establish a self-supporting fund to provide financial support of training programs for volunteer EMS agencies. Regulations were enacted to establish a fee for issuance of all EMS certifications. Funds will be granted to counties and cities to provide training that will enhance the skills of their volunteer EMS providers.

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