The DHEC 2353 form is a comprehensive document that serves as the backbone for the recertification process of paramedics within South Carolina, under the jurisdiction of the Department of Health and Environmental Control's Division of EMS & Trauma. This form encapsulates various facets of a paramedic's recertification requirements, including traditional refresher courses, continuing education necessities, verification of skill competence, and other required credentials such as BLS (CPR) and ACLS certifications, along with a state criminal background check. The form meticulously outlines the specifics of each section, from the detailed breakdown of the refresher requirements, which cover broad areas like trauma, medical emergencies, airway management, and special considerations, to the continuing education component that demands 24 hours of learning every two years. Furthermore, it delves into the verification of skills competence, ensuring paramedics can demonstrate proficiency in vital tasks such as patient assessment/management and ventilatory management skills. The DHEC 2353 form stands as a pivotal tool in ensuring that paramedics in South Carolina maintain the high standards set by the state, combining both theoretical knowledge and practical skills to provide exceptional emergency medical services.
Question | Answer |
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Form Name | Form Dhec 2353 |
Form Length | 4 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 1 min |
Other names | D 2353 is any fill the form before paramedics |
SC DHEC Division of EMS & Trauma
State
SC State Certiication Number |
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SSN (Last 4 #s) |
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SC |
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SC State Expiration Date |
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Last Name
National Registry Certiication Number
National Registry Cert. Exp. Date
First Name
Date of Birth (mm/dd/yyyy)
Mailing Address
City, State, Zip Code
Home Phone Number (Including Area Code)
Cell Phone Number (Including Area Code)
Section IA & 1B: Paramedic Traditional Refresher Requirement
(Must satisfy all refresher requirements every two years)
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Paramedic "Traditional" Refresher Requirement |
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(1A) 1st |
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(1B) 2nd |
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Date |
Method |
Hours |
Topics |
Hours |
Method |
Date |
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6 |
Preparatory |
6 |
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6 |
Airway Management |
6 |
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10 |
Trauma |
10 |
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18 |
Medical |
18 |
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6 |
Special Considerations |
6 |
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2 |
Operations |
2 |
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48 |
Total |
48 |
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If a formal Paramedic Refresher course was completed, please attach a copy of the course completion certiicate for each
Section 1A & 1B:
A maximum of 10 hours can be applied from Distributive Education toward refresher requirements and must be CECBEMS or DHEC approved.
DHEC 2353 (09/2011) |
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL |
Section IC & 1D: Paramedic Refresher Requirement (Must satisfy all refresher requirements every two years)
Paramedic Refresher Requirement
(1C) 1st |
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(1D) 2nd |
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Date |
Method |
Hours |
Divisions |
Hours |
Method |
Date |
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Airway, Breathing and Cardiology |
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A 16 hour ACLS course meets all objectives for this division |
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Mandatory Core (Must cover ALL topics) |
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Provide ventilatory support for a patient |
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8 |
Provide care to a pt experiencing cardiovascular compromise |
8 |
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Attempt to resuscitate a patient in cardiac arrest |
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Provide post resuscitation care to a cardiac arrest patient |
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Flexible Core |
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Assess & provide care for an adult pt in respiratory distress |
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8 |
Use oxygen delivery system components |
8 |
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Perform techniques to assure a patient airway |
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Assess & provide care to a pt experiencing |
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Medical Emergencies |
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A 16 hour AMLS course meets all objectives for this division |
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Mandatory Core (Must cover ALL topics) |
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Assess & provide care to a pt experiencing an allergic reaction |
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3 |
Assess & provide care to a |
3 |
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Assess a patient with possible overdose |
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Flexible Core |
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Assess & provide care to a pt w/ altered mental status |
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Assess & provide care to a pt experiencing a seizure |
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5 |
Assess & provide care to a pt w/a behavioral problem |
5 |
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Assess & provide care to a pt w/a history of diabetes |
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Assess & provide care to a pt exposed to heat and cold |
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Assess & provide care to a pt w/suspected communicable disease |
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Trauma |
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A 16 hour PHTLS, BTLS, ITLS meets all objectives |
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Mandatory Core (Must cover ALL topics) |
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Perform a rapid trauma assessment |
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Assess & provide care to a pt w/suspected spinal injury |
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5 |
Provide care to a pt w/an open abdominal injury |
5 |
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Assess a patient with a chest injury |
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Assess a patient with a head injury |
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Provide care to a pt with shock/hypoperfusion |
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Flexible Core |
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1 |
Provide care to a pt w/a painful, swollen, deformed extremity |
1 |
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Assess and provide care to a pt with a burn injury |
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Obstetrics & Pediatrics |
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A 16 hour PEPP, PPC, PALS course meets all objectives |
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Mandatory Core (Must cover ALL topics) |
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Assess & provide care to an infant/child w/cardiac arrest |
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8 |
Assess & provide care to an infant/child w/shock/hypoperfusion |
8 |
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Assess & provide care to an infant/child w/respiratory distress |
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Assess & provide care to an infant/child w/trauma |
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Flexible Core |
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Assess & provide care to an infant/child w/suspected abuse or neglect |
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Assess & provide care for the obstetric patient |
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8 |
Provide care to the mother immediately following delivery of a newborn |
8 |
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Assess & provide care to an infant/child w/a fever |
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Provide care to a newborn |
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Operational Tasks: Flexible Core |
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2 |
Use body mechanics when lifting & moving pts |
2 |
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Communicate with patient while providing care |
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48 |
Totals |
48 |
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Section 1C & 1D:
A maximum of 10 hours can be applied from Distributive Education toward refresher requirements and must be CECBEMS or DHEC approved.
DHEC 2353 (09/2011)
Section II A & B: Continuing Education Requirement (Must satisfy all CE requirements every two years)
24 hours of Continuing Education Required every
DATE
Topics of Training
(2A) First
Method of Instruction
Hours
DATE
Topics of Training
(2B) Second
Method of Instruction
Hours
Sections 1 & 2: |
May be satisied every two years by successful completion of the National Registry Paramedic |
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"Assessment" Exam. Documentation of successful examination must be within 60 days of the |
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end of each |
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Section 2A & 2B: |
A maximum of 12 hours can be applied from Distributive Education toward CE requirements and must be |
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CECBEMS or DHEC approved. |
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Hour for hour credit can be applied from each of the following: ABLS, ACLS, AMLS, BTLS, ITLS, NALS, |
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PALS, PEPP, PHTLS, PPC, etc. |
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A maximum of 12 hours can be applied from Emergency Driving, Dispatch Training or Teaching CPR. |
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A maximum of 12 hours can be applied from any one topic area. |
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Hour for hour credit can be applied from |
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DHEC 2353 (09/2011)
Section III A & B: Veriication of Skill Competence (Must satisfy every two years)
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Paramedic Skill Competence |
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(3A) 1st |
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(3B) 2nd |
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Date |
Method |
Skill |
Method |
Date |
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Patient Assessment/Management |
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Medical
Trauma
Ventilatory Management Skills/Knowledge
Simple Adjuncts
Supplemental Oxygen Delivery
Alternative Airways
(PTL,
Endotracheal Intubation (adult & pediatric)
Chest Decompression
Transtracheal Jet Ventilation/Cricothyrotomy
Cardiac Arrest Management
Megacode & ECG Recognition
Therapeutic Modalities
Monitor/Deibrillator Knowledge
Hemorrhage Control & Splinting Procedures
IV Therapy & IO Therapy
Medicaton Administration
Spinal Immobilization
Seated & Supine Patients
OB/Gynecologic Skills/Knowledge
Other Related Skills/Knowledge
Radio Communications
Report Writing & Documentation
As the Medical Control Physician for this EMT, I do hereby afix my signature attesting to continued competence in all skills
____________________________________________________________________________________________
Signature of Medical Control Physician (Must be original signature) + Date Signed
Section IV: Other Required Credentials
BLS (CPR) Credential |
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SC State Criminal Background Check |
Attach a copy of a valid / current BLS Credential |
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Expiration date must be GREATER |
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Attach a copy of your lBT |
than your SC state EMT expiration date |
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ingerprint receipt |
BLS card MUST be one of the following: |
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You may call IBT at |
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AHA: BLS for the Healthcare Professional |
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to make an appointment |
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ARC: CPR for the Professional Rescuer |
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ASHI: CPR Pro |
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SC DHEC EMS ORI #: SC920111Z |
ACLS Credential
Attach a copy of a valid / current ACLS Credential
Expiration date must be GREATER
than your SC state EMT expiration date
ACLS card MUST be one of the following:
AHA: ACLS
ASHI: ACLS
I hereby afirm that all statements on the SC
________________________________________________________________________________________________________________________
Signature of IST Training Director or EMS Service Director + Date Signed |
Signature of EMT Recertiication candidate + Date Signed |
DHEC 2353 (09/2011)