Mobile Intensive Care Nurse Authorizations

MICN Authorizations

Authorization as an MICN is valid for two years. Requirements to obtain and maintain this authorization include sponsorship by and continued employment at an Orange County designated Base Hospital, observation of field personnel, continuing education specific to EMS issues, Base radio preceptorship, completion of an OCEMS approved training program, and achievement of a passing score of 80% on the OCEMS Authorization exam.

Fees

Authorization fee: $84.00

Forms

Form Description Form Number Click icon to view PDF
Authorized MICN Application F042_18.1919 Authorized MICN Application - PDF document
MICN Authorization Checklist F042_18.1920 MICN Authorization Checklist - PDF document
MICN Authorization Base Console Preceptorship F042_18.1921 MICN Authorization Base Console Preceptorship - PDF document
MICN Authorization Field Observation Checklist F042_18.1922 MICN Authorization Field Observation Checklist - PDF document
MICN Authorization Renewal Checklist F042_18.1923 MICN Authorization Renewal Checklist - PDF document

REQUIREMENTS TO APPLY FOR AUTHORIZATION:

  • Currently licensed as an RN in the State of California
  • Minimum of 1 year experience as an Emergency Department RN
  • Current employment in the Emergency Department of an Orange County Base Hospital

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TRAINING REQUIREMENTS:

  • Completion of OCEMS approved training course
  • Forty (40) hours precepted on the Base Hospital radio console
  • Orientation at Orange County Communications (OCC)
  • Eight (8) hours of direct Paramedic field observation

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INITIAL AUTHORIZATION

  • Recommendation for authorization by the Base Hospital Coordinator, Emergency Department Nursing Supervisor and the Base Hospital Physician.
  • Completion of the OCEMS MICN Authorizing exam with a minimum passing score of 80%
  • Completion of the online OCEMS Application for Initial MICN Authorization through OC-MEDS
  • Complete and electronically sign a statement (within OC-MEDS online application) attesting that the applicant is not precluded from authorization for any of the reasons defined in Section 1798.200 of the California Health and Safety Code.
  • Payment of the established County fees

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CONTINUING EDUCATION REQUIREMENTS

  • Complete a minimum of thirty (30) hours of continuing education (CE) every two (2) years from an approved CE Provider. At least 50% (15 hours) must be in topics directly related to prehospital care issues or Emergency medicine. This may include but is not limited to:
    • Periodic training sessions or structured clinical experience in knowledge and skills to include advanced airway management and cardiac resuscitation
    • Organized field care audits of patient care records
    • Courses or training relating to direct prehospital emergency medical care, including medical treatment and/or management of specific patients (e.g., burn care, assessment, Advanced Cardiac Life Support, Basic Trauma Life Support, and orientation programs with patient care contact
    • Courses or training related to indirect patient care or medical operations (CQI, cultural diversity, grief support, or critical incident stress debriefing), not to exceed six (6) hours in a licensure cycle
    • Media based and/or serial productions (e.g., films, videos, audiotape programs, magazine articles offered for CE credits, home study, computer simulations or interactive computer modules), not to exceed six (6) hours in a licensure cycle
    • Service as an instructor for an approved CE course or an approved EMT course, not to exceed six (6) hours in a licensure cycle
    • Attendance at OCEMS approved mandatory in-services (or alternative at base hospital coordinators’ discretion with OCEMS approval).

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REQUIREMENTS FOR REAUTHORIZATION

  • Maintain licensure as an RN in the State of California
  • Maintain employment in the Emergency Department of an Orange County Base Hospital
  • Be sponsored by the Base Hospital to function in the role of MICN
  • Possess a current, valid MICN authorization
  • Attendance at four (4) REAC meetings (2 per year)
  • Complete online OCEMS reauthorization application through OC-MEDS
  • Complete thirty (30) hours of continuing education with 15 hours related to prehospital care or emergency medicine
  • Payment of established County fees

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