EMS CEU Request & Approval

Agreement

  • Requests must be submitted at least fourteen (14) days prior to the start of the course.
  • Every student must submit a course evaluation. (Submit with the roster/certificates)
  • A roster and the yellow copies of the certificates will be returned to IWCC within 1 week of the end of the course.
  • If the above guidelines are not met – the continuing education number/hours may be canceled or denied.

This agreement is between Iowa Western Community College (IWCC) and any agency presenting continuing education with the sponsorship of IWCC.

In presenting EMS continuing education classes or programs, the cooperating agency agrees to:

  • Submit an approved IWCC – EMS Education Program Continuing Education Request form.
  • Assign an individual to supervise the program and assure that the number of awarded hours are met.
    Provide qualified instruction as mandated by IWCC and the Iowa Department of Public Health.
  • Provide physical arrangements that are suitable for conducting the program.
  • Understand that IWCC reserves the right to visit and audit any courses that they sponsor, in order to
    ensure quality of instruction.
  • Issue documentation of completion with evidence of the CEHs awarded.
  • Submit a completed roster, evaluations, and a copy of each continuing education certificate to IWCC within on within one week of the completion of the class or program.

In the event that the class or program does not go the entire time requested or the times and dates had to be changed, the cooperating agency will contact the IWCC EMS Education Program immediately so that the records can be adjusted.

IWCC, agrees to:

  • Issue provider/sponsor numbers for approved CEH requests.
  • Notify the cooperating agency of the approved CEH requests.
  • Provide registration and evaluation materials.
    Maintain CEH files on each person in attendance of approved program.
  • Maintain records of approved programs.
  • Notify the Iowa Department of Public Health – Bureau of EMS of any approved programs.
  • Periodically visit and audit courses that they have sponsored, in order to ensure quality of instruction. 

Application

CE: EMS Education CEU Request and Approval

  • MM slash DD slash YYYY
  • :
  • Select one or more options, hold shift to select multiple

Example of EMS CEU Request

Please read the example below of what EMS CEU requests should look like prior to submitting your request.

Name:Jon Smith
Address:2700 College Road, EMS Education, Looft Hall
Council Bluffs, IA 51503-1057
Email:ce@iwcc.edu
Telephone:712-325-3255
Agency:Iowa Western
CEHs:2 Hours
Name of Class:Airway, Respiration, and Ventilation
Date of Class:02-01-2020
Course Times:1800-2000
Course Location:Iowa Western Community College
Intended Audience:Paramedic
Course Objectives:Differentiate between adequate and inadequate breathing. Differentiate between respiratory distress and respiratory failure. Differentiate between alveolar ventilation and minute ventilation. Explain when to oxygenate and when to ventilate a patient. Examine the effect of ventilation on venous return and cardiac output. Spontaneously breathing patient. Artificially ventilated patients identify the use of automated transport ventilators when managing patients. Discuss the AHA’s position on routine suctioning of the newborn. Demonstrate effective bag-valve-mask ventilation at a proper rate and depth. Assess the advantages and disadvantages of various advanced airway adjuncts
Instructor’s Name:Jon Smith
Instructor Credentials:National Association of EMS Educators Level 1 Instructor certified; National Registry of Emergency Medical Technicians, paramedic certification; State of Iowa licensed paramedic with instructor and critical care endorsements
Instructor Qualifications:13 years combined AHA instructor including BLS, ACLS, and PALS courses; 10 years combined service in BLS/ALS 911 response and critical care transport; Five years combined EMS instruction including EMT, AEMT, paramedic, and CCP