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Miami County EMS


Miami County EMS Our Code Jason M. Jenkins Chief Objectives Have a working knowledge of the EMT Oath Have an understanding of the EMT Code of Ethics Understand ... – PowerPoint PPT presentation

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Title: Miami County EMS

(No Transcript)
Miami County EMS Our Code
  • Jason M. Jenkins
  • Chief

  • Have a working knowledge of the EMT Oath
  • Have an understanding of the EMT Code of Ethics
  • Understand the Miami County EMS Mission statement
  • Be familiar with Our Code at Miami County EMS
  • Work through some scenarios that have moral and
    ethical dilemmas

  • Where do they come from?
  • What determines if they are right or wrong?
  • Can someone change your morals?

  • of, pertaining to, or concerned with the
    principles or rules of right conduct or the
    distinction between right and wrong ethical
  • founded on the fundamental principles of right
    conduct rather than on legalities, enactment, or

  • Can someone change your ethics?
  • Where do your ethics come from?
  • Whats the difference between an ethic and a

  • the rules of conduct recognized in respect to a
    particular class of human actions or a particular
    group, culture, etc.
  • moral principles, as of an individual His ethics
    forbade betrayal of a confidence.

EMT Oath
  • Be it pledged as an Emergency Medical Technician,
    I will honor the physical and judicial laws of
    God and man. I will follow that regimen which,
    according to my ability and judgment, I consider
    for the benefit of patients and abstain from
    whatever is deleterious and mischievous, nor
    shall I suggest any such counsel. Into whatever
    homes I enter, I will go into them for the
    benefit of only the sick and injured, never
    revealing what I see or hear in the lives of men
    unless required by law.

EMT Oath
  • I shall also share my medical knowledge with
    those who may benefit from what I have learned. I
    will serve unselfishly and continuously in order
    to help make a better world for all mankind.

EMT Oath
  • While I continue to keep this oath unviolated,
    may it be granted to me to enjoy life, and the
    practice of the art, respected by all men, in all
    times. Should I trespass or violate this oath,
    may the reverse be my lot. So help me God.

Code of Ethics
  • Professional status as an Emergency Medical
    Technician and Emergency Medical
    Technician-Paramedic is maintained and enriched
    by the willingness of the individual practitioner
    to accept and fulfill obligations to society,
    other medical professionals, and the profession
    of Emergency Medical Technician. As an Emergency
    Medical Technician-Paramedic, I solemnly pledge
    myself to the following code of professional

Code of Ethic
  • A fundamental responsibility of the Emergency
    Medical Technician is to conserve life, to
    alleviate suffering, to promote health, to do no
    harm, and to encourage the quality and equal
    availability of emergency medical care.

Code of Ethic
  • The Emergency Medical Technician provides
    services based on human need, with respect for
    human dignity, unrestricted by consideration of
    nationality, race, creed, color, or status.

Code of Ethic
  • The Emergency Medical Technician does not use
    professional knowledge and skills in any
    enterprise detrimental to the public well being.

Code of Ethic
  • The Emergency Medical Technician respects and
    holds in confidence all information of a
    confidential nature obtained in the course of
    professional work unless required by law to
    divulge such information.

Code of Ethic
  • The Emergency Medical Technician, as a citizen,
    understands and upholds the law and performs the
    duties of citizenship as a professional, the
    Emergency Medical Technician has the never-ending
    responsibility to work with concerned citizens
    and other health care professionals in promoting
    a high standard of emergency medical care to all

Code of Ethic
  • The Emergency Medical Technician shall maintain
    professional competence and demonstrate concern
    for the competence of other members of the
    Emergency Medical Services health care team.

Code of Ethic
  • An Emergency Medical Technician assumes
    responsibility in defining and upholding
    standards of professional practice and education.

Code of Ethic
  • The Emergency Medical Technician assumes
    responsibility for individual professional
    actions and judgment, both in dependent and
    independent emergency functions, and knows and
    upholds the laws which affect the practice of the
    Emergency Medical Technician.

Code of Ethic
  • An Emergency Medical Technician has the
    responsibility to be aware of and participate in
    matters of legislation affecting the Emergency
    Medical Service System.

Code of Ethic
  • The Emergency Medical Technician, or groups of
    Emergency Medical Technicians, who advertise
    professional service, do so in conformity with
    the dignity of the profession.

Code of Ethic
  • The Emergency Medical Technician has an
    obligation to protect the public by not
    delegating to a person less qualified, any
    service which requires the professional
    competence of an Emergency Medical Technician

Code of Ethic
  • The Emergency Medical Technician will work
    harmoniously with and sustain confidence in
    Emergency Medical Technician associates, the
    nurses, the physicians, and other members of the
    Emergency Medical Services health care team.

Code of Ethic
  • The Emergency Medical Technician refuses to
    participate in unethical procedures, and assumes
    the responsibility to expose incompetence or
    unethical conduct of others to the appropriate
    authority in a proper and professional manner.

Our Mission
  • To provide emergency medical services
    commensurate with the expertise of its Medical
    Director, the staff of the EMS and the facilitys
    resources. These services will be provided to
    all patients, regardless of their ability to pay.

Our Mission
  • Develop relationships with other EMS providers to
    assure continuity of care to patients who cannot
    or should not be treated by Miami County EMS, to
    insure that the countys emergency medical health
    needs are met.

Our Mission
  • Evaluate, on a continuous basis, the changing EMS
    system and the countys appropriate role in terms
    of quality, cost, and access.

Our Mission
  • Miami County EMS through the County Commission,
    Chief, and Staff shall, on continuing basis,
    establish goals and objectives consistent with
    this stated mission.

Scenario 1
  • Your unit is dispatched to a MVC. Upon arrival
    your patient requires extrication out of the
    vehicle. She is AO x3 and is stable. The
    patient is in possession of her purse, and SO
    requests you obtain her drivers license. In the
    purse you see a bag of weed. Do you tell the
    Sheriffs Department?

Our Code
  • EMS will challenge you on its personal and
    professional level. The intent of Our Code is
    to help guide the employees through some of those
    challenges. Our Code is advice that has been
    learned the hard way, through trial and
    errorsuccess and failure. Be wise enough to
    learn from others.

Our Code
  • The success you experience at Miami County EMS
    will depend on how well you understand the
    elements in this presentation and apply them to
    your personal and professional life.

Keep your ego in check
  • Maybe youre nice enough. But why do you
    struggle to fit in? A common culprit is ego.
    Beware of the following rapport ruining

Playing topper.
  • When someone tells a funny anecdote, dont rush
    to top it. Example Joe discusses his kids
    soccer game. You pipe up and brag about how your
    kid scored the winning goal last weekend.

  • A co-worker shares his struggles trying to master
    a new skill. You should nod and empathize, but
    instead you interrupt to give unsolicited advice.
    Even if youre an expert and youre itching to
    chime in, wait until someone asks for help.

Taking yourself too seriously
  • A good natured colleague gently jokes about a
    mistake you made. Dont take offense or defend
    yourself. Laugh along. Its OK.

Rid yourself of labels
  • Your colleagues label everyone from the the bean
    counters to the paper pushers. Dont join in.
    Refer to each department by name (finance,
    human resources) without the cute moniker. You
    never know whos going to take offense.

Acknowledge your mistakes
  • everyone makes mistakes. Sometimes we say things
    that can be taken wrong or unintentionally hurt
    someones feelings. The simple fix is to
    acknowledge it and say youre sorry and mean it.
    This will demonstrate maturity and character.

Wait until the right time to provide input
  • when you have an idea, realize that it might not
    be the right time to share it. If it makes
    someone else look bad in front of a group or
    translates into you looking like a Know-it-All,
    the best course is to wait until another time or
    bring it up with your Lieutenant or Battalion
    Chief in private.

Follow the Chain-of-Command
  • Miami County EMS operates with a
    chain-of-command. That means that official
    requests or reports move through the department
    in a logical sequence from one rank to another.
    There are informal means of communicating ideas
    or suggestions within the department by casual
    conversations with the Chiefs. Regardless of the
    idea, it will undoubtedly flow through the
    chain-of-command or flow through a committee
    review process.

You are your Brothers Keeper
  • In this profession you are expected to look out
    for your counterparts. You are expected to be
    honest and demonstrate integrity. Integrity is
    following through on what you say you will. You
    will lose respect within the department if you
    dont practice integrity everyday.

Spend your working hours
  • Talking about golf will probably not make you a
    better EMT or Paramedic.

There are three rules that supersede all other
  • 1) Do right
  • 2) Treat Others Like You Would Like To Be Treated
  • 3) Do Your Best
  • You will be held to these without exception by
    those you work with.

Know what is expected of you
  • do it, and then do a little more than what was

Learn something new everyday
  • Those that have been in EMS for over 28 years at
    times feel that they have just scratched the
    surface of the knowledge required to be great in
    EMS. Always learn something new every chance you

If it doesnt have your name on it

Read everything
  • you find about EMS, listen to advice and war
    stories from fellow EMTs and paramedics, and
    observe everything around you at a call or
    accident scene. Remember what works and what
    does not.

Dont leave dishes in the sink
  • Youre mother should have taught you better.
    Also, pick up after yourself. The reputation of
    a slob is hard to discard.

  • your shoes

An EMT/Paramedic
  • should be able to trust you with his life, his
    wife, and his money. Violate any one of them and
    youre done.

Its better to give than receive
  • Help a co-worker out when you can, but dont
    expect much in return. EMS folks like most
    people will soon forget a favor received, until
    they need you again. Just enjoy the good feeling
    of helping others, thats why you are in the

Regardless of what happens
  • be reliable. Show up when you say you will.
    Work for someone when you say you will. Carry
    through with your commitments to others. You may
    get by with letting people down once or twice,
    but it will be no secret on the job as to your

Pay back anything thats owed
  • whether you owe time, money, or a favor pay it
    back. You will damage your character and look
    dishonest if you blow off a commitment or a debt.

Practice good hygiene
  • In EMS we all live together and there is nothing
    worse than living next to someone who doesnt
    bathe and quite frankly, smells.

When you need help
  • ask for it. Whether its personal or a
    professional dilemma you are experiencing, odds
    are you are working with someone who has already
    been there. Your officers and co-workers can be
    a great resource, but you have to let them know.

Nobody likes a complainer
  • Another good term for this in EMS is a whiner.
    The best way to isolate yourself and to
    demonstrate a flawed character is to complain
    about everything the pay, the hours, the
    station, the food. It wont take you long to
    earn what you deserve if you engage in whining.

Youre not better than anyone else
  • As much pride as EMS has, the bottom line is, we
    are public servants. We work for those who live
    in our community. Your chest should swell with
    pride, but it should be pride in providing a
    caring and compassionate service.

Demonstrate respect
  • for the symbols of the department and wear your
    uniform with pride. Be proud of who you are and
    the organization you are part of. Be respectful
    towards any retiree, they spent a lifetime
    earning the publics trust that you now enjoy.

The job of an EMT/Paramedic
  • is important, but so are your lifelong
    relationships. Take care of your mate and kids
    and come to work ready to perform heroic deeds
    and undertake courageous endeavors that very few
    people will ever get the opportunity to
    experience. However, for the safety of everyone,
    you have to have your head in the game.

Nobody likes a slacker
  • When new, every job is your job unless it is
    assigned to someone else. You should be the
    first one up and the last one to sit down when
    there is work to be done. Doing so will gain you
    respect and increase your influence.

You will be defined
  • by the habits you practice. If you have a spare
    minute, do you spend the time reading the paper,
    working the crossword, or studying the streets.
    If you develop good study habits and put in the
    time necessary to be thoroughly knowledgeable in
    your job you will reap the accolades of your
    co-workers and supervisors. If you are known as
    someone who has to be pushed to study, you will
    be widely known for that also.

Not following orders
  • and going your own way will cost you your career.

Be careful
  • of what you do or say. This is how you will be
    remembered for the rest of your career.

Its very tough to understand
  • what someone is telling you with your mouth

Read. Read. Read.
  • Never stop learning.

Go at this job like it was your calling
  • Doing less is obvious to those you work with.

When training
  • listen to what is being taught. Its being
    respectful to the instructor, which will be you
    some day.

Dont sit
  • in any Chiefs chair

There are only a handful of jobs
  • when you truly have peoples lives in your hands.
    This though should be on your mind when training
    and preparing yourself to do whatever is asked of

Represent this department
  • with pride whenever attending training or
    conferences. Acting like an idiot will get you

Be respectful to those with rank
  • around the public use their rank in addressing

If you have a question
  • ask it. Its better to know than to not know and
    get caught short. There are no dumb questions.
    Someone else is probably thinking it too, look
    like the smart one for asking it!

Good hearted joking
  • around the station is one thingits a totally
    different thing to get into belittling someone or
    trying to raise your own stock by devaluing
    others. Realize it for what it is and dont join

Treat the stations
  • as if they were your home it is. Turn off the
    lights. Clean up after yourself, and double
    flush if you need to.

If you want a raise
  • earn it

Dont put toast crumbs
  • back in the butter dish

Being good at something
  • is no accident. To excel in any field you must
    practice in situations that are as realistic as
    possible, only then can you find out where your
    weaknesses are.

The best
  • never quit looking for ways to get better

Bring your own soap
  • Use your own towel. Whats the last thing you
    wash? Me too, and you just washed your face.

If you know--Teach
  • If you dont, listen and learn.

Never put yourself
  • above your crew, station, or team.

Have a plan
  • No matter where you are in your career have a
    plan. Too often we are reactive, without
    planning you are always playing catch-up.

Look for ways
  • to make the job safer, easier, faster,
    anythingJust because thats how weve always
    done it doesnt make it the best way possible.

Live without regrets
  • you never know when the opportunity to mend could
    be gone forever.

Find a way!
  • Too often we find ourselves saying, I wish I
    couldI wish I wasI sure would like toI dont
    think I can If we said instead, I willIm
    going toI can youd find yourself standing at
    your goal.

Bring money to work
  • Pay your food bill.

Leave your cell phone turned off
  • during the day especially during classes and
    training. Use your voice mail to return calls at
    an appropriate timeduring training is NOT that

Avoid complacency
  • Dont start off your career going full blast,
    then slack off because you have the badge.

Be the first one
  • in line when a supervisor asks for volunteers to
    do something.

Attend all schools and classes
  • you can. The more knowledge the better you will

Learn from the classes
  • Do not simply attend. Someone has put a lot of
    effort into preparing and teaching the class.
    Respect the effort.

The old saying
  • first impressions last forever is very true.
    Be yourself, be honest, and be prepared to play
    the new guy game.

Never think you know it all
  • It makes you look silly and immature.

Both ends of a generation gap
  • Have something to learn from the other.

Respect the age and experience
  • of older EMS people. You can benefit greatly
    from their insights.

Choose your heroes carefully
  • Who you associate with and who you choose to
    emulate will speak loudly for who you are.
    Choose poorly, and you will be remembered that

Although retirement
  • seems so far away, make decisions now that will
    afford you comfort in 30 years. Recognize you
    start investing in KPF today and treat sick
    leave as something sacred. You never know when
    the need will arise for an extended use of sick

If it stinks
  • Wash it.

Its never a bad
  • thing to buy too much food, but its always a bad
    thing to buy too little.

Set high standards for yourself
  • Dont be coerced into keeping secrets or covering
    up bad behavior or poor performance. If you do,
    you become involved in a conspiracy. Not a place
    to be it never ends well.

If someone on the job needs help moving,
  • with projects, or suchand you have the
    timevolunteer to help them. It will be repaid
    in spades.

What happens here
  • This is your primary job. Day off jobs are just
    that. Dont get them confused or reversed.

Always remember
  • that in the eyes of many (especially children),
    we are heroes. Wear the title well. It is our
    duty to continue this tradition and our
    obligation to retain this designation for those
    that follow us. We can do this by acting
    appropriately and professionally, while on and
    off duty.

The most popular person
  • In the world is the hard-worker. In every
    country and every culture a hard-worker is
    appreciated and will always be accepted. Not all
    people will warm up to the most intelligent, or
    the best looking, or the wealthiest, but a
    hard-worker is welcomed in any circle.

Dont mess with anything relating to trade time!
  • In theory only a third of the cant be missed
    graduations, funerals, and birthday parties, etc.
    should fall on our off duty days. However, by
    some mysterious quirk of the universe about two
    thirds of them actually do. This job would be
    miserable without trade time, so be a good trade
    partner. When youve agreed to work for someone,
    show up! If you owe someone time, work it back
    willingly. Dont do anything to cause management
    to question our trading policy!

If you have something
  • that bothers you like flatulence, swearing,
    certain music, or the middle being taken out of
    the new cake, dont tell anyone. Everyone will
    do it just to get your goat. So dont tell, or
    have some thick skin, which isnt a bad thing to
    have anyway.

Scenario 2
  • You are dispatched to the scene of a cardiac
    arrest. Upon arrival you find a 24 y/o male in
    cardiac arrest. Your protocol states to work the
    code for 20 minutes and to stop any further
    efforts. It is a winter day, roads are snow
    covered, and the hospital is 30 minutes away.
    You prepare to call the code, and tell the
    mother about your plan of action. She becomes
    very emotional and wants you to transport him.
    What do you do?

Whenever possible
  • Handle minor internal disputes and problems at
    your own level. As an EMT/Paramedic you find
    that the off going shift is leaving a lot of
    stuff sitting around, handle the matter in a
    mature manner with your counterparts on that
    shift. The likelihood of a problem being
    resolved in a quick fashion with minimal hurt
    feelings, is inversely proportional to the number
    of bars on the collar being brought to bear on
    said problem.

Always strive
  • to be First to work, First to start cleaning,
    First to the truck, First to start training,
    First to do the dishes, and the First one up in
    the morning.

Always strive
  • To be Last to finish cleaning, Last to finish
    training, Last one to get your food, and the Last
    one to do your laundry.

The New Guy game
  • You will always be the new guy at the station
    until someone with less time is stationed with
    you. You may still be the new guy after being
    on the job several years. Your day will come
    when you are no longer the new guy and it will
    be someone elses turn.

Use sick leave only
  • when youre truly sick or helping your family
    with sickness. Youre not fooling anyone if you
    abuse it. If you have a serious event, you will
    be glad you have some to draw upon.

There is no rule
  • that says the last piece of cake has to be
    divided 32 times before someone washes the pan.

Dont use every pan
  • in the kitchen if you cook. You clean items as
    you work.

Support others in time of crisis
  • A kind word. Thoughtful listening. And, empathy
    will demonstrate your character.

The only thing EMS workers
  • can steal from other shifts is food (this is
    called borrowing, except its hard to return

Look for the best traits
  • in everyone and make them your own.

Never talk behind someones back
  • It makes you look small and odds are those same
    people youre sharing things with will soon be
    sharing things about you with others. Its
    disloyal and petty behavior.

You will buy ice cream,
  • if youre in the newspaper!

All work and no play
  • makes you old. Enjoy the job and those you work
    with. Work when youre supposed to, play when
    you can fit it in.

Your health
  • is the most important thing you have. Protect it.

The Unwritten
  • Professional Advice

If you become lost
  • in a train wreck call, STOP. Gain control of
    your thoughts, and your breathing develop a plan
    and execute it.

Its OK to feel panicky
  • Anyone can feel that way at any time. Whats not
    OK is to act that way. If you feel panicked
    STOPthink how you were trainedand do that.
    Fall back on your training. It will save you.

Stay in voice
  • and visual contact with crew members. Do not
    go it alone.

Check your equipment
  • Each time you check a truck, check to see that
    its all there and in good condition. Cutting
    corners in checking your equipment endangers your
    life as well as the others on your truck. Dont
    do it. You lose respect and become unreliable.
    That tag is not easy to overcome. Check the
    compartments for missing equipment, it may just
    refresh your memory of where items are.

Each morning
  • after you put your gear on the truck and check it
    over, report to your Battalion Chief that the
    unit is ready to go. Management will
    appreciate it and it demonstrates that youre
    responsible. Dont fake it. Dont report
    something you havent done, you will eventually
    be found out.

Avoid pathogen exposures
  • Always wear your gloves and eye protection. Be
    consistent in this and management will notice.

Always wear your seatbelt
  • In the unit youre driving. Its department
    policy and just makes good sense. How many lives
    have you seen that were saved by seatbelts?

Wait for help
  • in lifting heavy loads or patients. Back
    injuries can produce a life time of pain and end
    careers. No one has to injure themselves. If
    there is a question in your mind whether or not
    something is too heavystopask for some help.
    Thats why we work together.

If youre hurt, injured,
  • or reached your fatigue point, tell your
    Battalion Chief. The worst thing you can do is
    compound an emergency by becoming a patient
    instead of a rescuer.

Maintain your
  • Situational awareness. If youre in trouble
    ask for help quickly.

Using your nose
  • to identify chemicals only shortens your life and
    your career.

You can kick your way
  • through sheetrock walls into an adjoining space
    if youre trapped.

Never go into an emergency
  • scene empty handed. Carry something that would
    be of value.

We cant save everyone
  • we just provide them the best chance to survive.

Never don what you are
  • going to wear on the way to an emergency without
    your seatbelt on. Dress before you respond or
    after you arrive.

When on the street
  • or next to a highway, stay out of the traffic
    lane. Do not assume other drivers will see you.
    Wear your vest!

If youre working on the roof
  • Look up.

Practice controlling
  • yourself. Realize you didnt create the
    emergencies and we have prepared you to deal with
    them. You have to get control and calm yourself.

If you worked for another department
  • nobody cares how they did it there. Make
    constructive suggestions at the right time and in
    the right place.

No where on your job description
  • did it list human sacrifice as a job
    requirement. Operate so that everyone goes home.

After the call
  • be eager to begin getting ready for the next one.
    Demonstrate your work ethic and determination to
    get the job done. Everyone wants to go home ASAP.

When people die
  • stay focused on your job. Its OK to get
    tearyit only shows you care.

Someone has to protect the county
  • when everyone else is at the Big One. Thats
    just as important.

The difference between
  • part-time and full-time is not a paycheck. Its
    how you conduct yourself and the professionalism
    you display. Both can fall short.

If you dont know where
  • youre going, turn off the siren and find out.

Radios can
  • and will fail you at the worst possible time.

If someone wants to
  • talk about a difficult call they had, let them.
    An understanding ear can do more for the heart
    and soul than therapy.

  • Never-Ever-bet your life on technology.

Drive to reach
  • the scene of the emergency safely. Everyones
    life depends on it the victims, your fellow
    co-workers, people on the street, and even your

When things become more dire
  • on the emergency scene you have to be more
    disciplined in carrying out your assignments.
    Efficiency and speed may save someones life.

  • only a cuss word will help.

  • is not what you do in the face of fear its the
    actions you take despite it.

Calm yourself before
  • using the radio. Sounding hysterical is not
    reassuring to the incident commander or scanner

Sadly, there is no place
  • for you in this department if you freelance at
    emergencies. That endangers everyone and drives
    Battalion Chiefs crazy. You dont want that.

Scenario 3
  • You are dispatched to the scene of a fire stand
    by. You are aware that there are patients
    trapped in the structure. Mother has been
    extricated and has 2nd degree burns to her body.
    Her children are trapped inside. The FD states
    to you that they have found the bodies of the
    children and they are dead. The mother says she
    wont be transported to the hospital until she
    knows her children are out and OK. What do you

Needle sticks
  • are not funny. Use the sharps containers, and
    immediately report the incident to management.

Keep your hands off
  • other peoples bags. Stay out of their lockers,

We will not risk anything
  • for lost property or victims that cannot be
    saved. You need to keep that in mind.

Dont put any equipment
  • back on the truck dirty. Everyone will know you
    did it.

If you take something off
  • a truck, report it to your Battalion Chief.

If you get the chance
  • pick up any medical trash (containers and such)
    before you leave the scene. People will
    appreciate it.

Medical Alarms
  • are not always false alarms. Go in as prepared
    to a medical alarm as you would a code blue.
    Dont get caught with your pants down.

911 emergencies
  • Are not emergencies for EMS. That is what we are
    trained to handle. Act with confidenceyouve
    been prepared.

Never forget to say thank you
  • for a meal or drink if anyone provides it for you
    (especially at the scene of an emergency). Even
    if its a baloney sandwich.

Be observant of who is around you
  • off-hand joking after someone has suffered a loss
    can reflect badly on the department and makes us
    appear to be uncaring.

Be wary of management
  • that does not train regularly with their crews.

Simply because you have a blister
  • doesnt mean everyone has to see it.

Were not at war with
  • law enforcement or fire over whos most
    important. We all have a job to do, even though
    people like us better.

Its OK
  • to tell someone you are sorry for their loss.

And my personal favorite!
  • If youre hungry EAT, you never know when your
    next chance will be.

Thank you!
  • Please make sure you signed in on the attendance
  • Please fill out an evaluation for the class and
    turn it in to receive CEUs
  • Do you have questions???
  • What did you think of the program?

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