Rutherford County Emergency Medical Service Masthead image


– CALL 911 –

(615) 896-2520

Poison Control Center

606 East Burton Street
Murfreesboro, TN 37130
(615) 898-7790

Mike Nunley, EMT-P, RN
Director of EMS

Paramedic Accreditation Program

The Rutherford County EMS Accreditation Program is designed to evaluate new paramedic employees on skills and knowledge. RCEMS EMT-P accreditation paramedics, who possess a valid Tennessee EMT-P license that is current, will be scheduled for the accreditation process in Rutherford County. Successful completion of the accreditation evaluation is required for a paramedic position with Rutherford County EMS.

The evaluation process is intended to evaluate paramedics and identify a paramedic’s strengths and weaknesses. In addition, it ensures that each challenge paramedic possesses the knowledge necessary to function safely and effectively in the Rutherford County EMS System. While the evaluation process is not intended to be a teaching process, each call will be reviewed with the paramedic. At the conclusion of the evaluation, the paramedic will receive a written summary of the strengths and weaknesses observed by the evaluator, as well as an overall performance summary. Each phase of the program must be completed in order prior to advancing to the next phase.

First the paramedic will take an entry level Paramedic exam, a basic pharmacology exam, and a basic arrhythmia test. Paramedics will need to pass these tests with a score of 80% or better before they can advance to the next phase of the program. Paramedics may only take these tests three (3) times within a six-month period. It may be necessary to remediate appropriate topics as assigned by the Education Director.

The practical phase of the accreditation process will consist of all practical skills within the DOT guidelines consistent with the paramedic’s scope of training. The paramedic will be provided a list of skills in the Accreditation Packet. Paramedics will be given two opportunities to pass these skills with a 100% satisfactory rating within a six-month period. It may be necessary to remediate appropriate topics as assigned by the Education Director.

RCEMS EMT-P accreditation paramedics will be assigned to a Field Training Officer for the ambulance evaluation phase of the program. Once the paramedic begins field evaluation, they will function as the primary caregiver. The paramedic will be rated by the evaluator on all “ALS Patient Contacts” encountered during the accreditation evaluation. For the purpose of this evaluation, an ALS Patient Contact shall be defined as the paramedics performance of two or more ALS skills, except cardiac monitoring and basic CPR, on a patient. It must be documented that the paramedic, acting as the caregiver, evaluated, assessed and followed a treatment plans consistent with the policies and procedures set forth by RCEMS Standing Orders, RCEMS policy and procedures handbook, and RCEMS protocols.

The accreditation field evaluation will end after the paramedic has successfully completed enough ALS calls to satisfy the FTO as to the paramedic’s competence, or has failed one (1), ALS patient contact. Successful completion shall be defined as receiving no unsatisfactory ratings in any phase of the evaluation program. If the paramedic is unsuccessful, the evaluator will advise the paramedic as to where s/he failed to meet the standard. The paramedic may then repeat the evaluation.