A. Each MICN applicant must attend an organized field care audit of recorded and/or written patient care records for no less than six (6) hours every two (2) years, at a base hospital or an alternative base hospital within the North Coast EMS region.

B. Each MICN applicant must complete at least sixteen (16) hours of continuing education every two (2) years. This continuing education must relate specifically to prehospital care and is in addition to the required field care audit attendance.

C. Each MICN applicant must ride with a North Coast EMS approved LALS/ALS ambulance as a third-person for two (2) LALS/ALS field patient contacts every two (2) years. This observation will be documented by the Field Preceptor’s signature on the North Coast EMS Verification of MICN Field Observation form. See Policy #4705 "MICN ALS Field Observation Guidelines" for specifics.

D. Each MICN applicant must complete at least twenty (20) radio and/or telephone calls every two (2) years, ten (10) of which must be evaluated by the base hospital Prehospital Care Nurse Coordinator (PCNC) utilizing the MICN tape audit form. Calls may be simulated, but it is recommended that each MICN direct at least ten (10) genuine radio and/or telephone calls per year.

E. It is recommended that each MICN maintain verification of Advanced Cardiac Life Support (ACLS) course completion; proof of current ACLS is required upon authorization and reauthorization.

F. Only MICN authorization maintenance requirements completed within the last twenty-four (24) months prior to submitting the application for MICN authorization will be accepted.

A. The CE Provider shall distribute course completion records to attendees to document attendance at field care audits and/or continuing education sessions (following the state prehospital continuing education guidelines and California state laws and regulations) for reauthorization purposes.

B. The MICN applicant shall attend the appropriate field care audits, continuing education classes, and LALS/ALS field patient observations on an ambulance, and complete the necessary radio and/or telephone calls to maintain MICN authorization.

C. The MICN will notify North Coast EMS if they work as an MICN in more than one hospital.

D. The MICN applicant shall obtain and maintain documentation of sufficient field care audit attendance, continuing education, ambulance LALS/ALS field patient observation, and radio and/or telephone call evaluations for a period no less than four (4) years.

E. The MICN applicant shall submit to North Coast EMS all documentation listed above upon request.

F. The base hospital PCNC shall evaluate the necessary radio and/or telephone calls.

A. North Coast EMS may audit hospital records to assure that MICN authorization maintenance requirements have been met.

B. North Coast EMS may audit MICN application and maintenance documentation verifying compliance for cause.

C. North Coast EMS will randomly audit 10% of the MICN applicants to verify FCA and CE attendance documents.