© County of SLO EMS Agency 2011 to 2017
Last updated 1/11/2017
MICN Authorization
To become an MICN in the County of San Luis Obisipo candidates must:
  • Be currently employed by a Base Hospital in the County of San Luis Obispo.
  • Possess a minimum of one year of experience in emergency department nursing.
  • Successfully complete the County of San Luis Obispo EMS Agency MICN authorization course.
  • Pass the County of San Luis Obispo EMS Agency MICN written examination with a minimum
    passing score of 80%. This test must be taken at the conclusion of the MICN authorization
    course and must be taken prior to the start of proctored radio calls and field observation time.
  • Successfully complete an orientation to Base Hospital radio operation techniques and
    hardware provided by the Paramedic Liaison Nurse at the candidate’s Base Hospital using
    the Hospital Orientation Form.
Initial authorization candidates must provide the following to the EMS Agency:
  • Completed MICN Authorization Application
  • Copy of Current California Registered Nurse license
  • Copy of your current CPR certification equivalent to American Heart Health Care Provider or American Red Cross Professional Rescuer level.  Online
    courses are not accepted without hands-on skills competency exams.
  • Current ACLS provider certification issued by the American Heart Association
  • Letter confirming current employment and at least one year of emergency department nursing experience from a San Luis Obispo County Base
    Hospital.
  • Course completion certificate from the County of San Luis Obispo MICN Authorization Course.
  • Completed Hospital Orientation Form,  MICN Field Orientation Checklist, including EOC/Med-Com visit documentation if applicable and Record of
    proctored radio calls
  • Non-refundable course and application fee

Upon successful completion of requirements and confirmation that the applicant is not precluded from authorization, an individual is eligible for MICN
authorization.  The EMS Agency has up to 14 days to issue your MICN authorization.  The expiration date shall be the last day of the month two years from
the date you pass the MICN Authorization Course.
As a condition of continued authorization, MICNs may be required to:
  • Successfully pass competency-based written examinations if the EMS Agency makes changes to the local scope of practice;
  • Attend and pass mandated training meetings as may be required from time to time.
MICN Reauthorization
All reauthorization candidates shall meet the following continuing education requirements:
Attendance at a minimum of six (6) County of San Luis Obispo Base Hospital meetings during the 24-month period preceding reauthorization. In addition, 6
additional hours are required and can be completed as follows:

  • Ride time with an ALS transporting agency FTO or agency training officer (each hour of ride time equals one base hospital meeting credit for maximum
    allowable 6 hours)
  • LEMSA pre-approved EMS Continuing Education courses that review prehospital/base station issues. A list of approved courses will be available at the
    LEMSA office and posted to the calendar. Each CE course is  equivalent to one base hospital meeting.
  • Attendance at an additional six (6) base hospital meetings.
  • The combined total of required continuing education (a minimum of 6 required base hospital meetings plus options a, b, c or any combination thereof)
    must meet a total minimum of 12 hours.

Completion of the EMS Agency
MICN reauthorization course and MICN written examination with a minimum passing score of 80 or completion of the didactic
portion of the EMS Agency Advanced Protocol Review course and MICN written examination with a minimum passing score of 80%.
Re-authorization candidates must provide the following to the EMS Agency:
  • Completed MICN Authorization Application.
  • Current California Registered Nurse license.
  • Copy of your current CPR certification equivalent to American Heart Health Care Provider or American Red Cross Professional Rescuer level.  Online
    courses are not accepted without hands-on skills competency exams.
  • Current ACLS provider certification issued by the American Heart Association.
  • Letter confirming current employment from a County of San Luis Obispo Base Hospital.
  • Copy of MICN reauthorization course completion certificate.
  • Non-refundable course and application fee.

Upon successful completion of requirements and confirmation that the applicant is not precluded from authorization, an individual is eligible for MICN
reauthorization.  The EMS Agency has up to 14 days to issue your MICN authorization.  The expiration date shall be the last day of the month two years from
the date you pass the MICN Reauthorization Course.
Lapsed MICN
There are no extensions for lapsed MICN authorizations. Once an authorization has expired an individual may not work
as an MICN or represent him/herself as an MICN.  
  • MICN authorization that has expired less than six (6) months shall complete the same requirements as an applicant for MICN reauthorization.
  • MICN authorization that has expired more than six months but less than 12 months must complete the same requirements as an applicant for MICN
    reauthorization plus an additional 6 hours of field observation with an FTO on an ALS ambulance.
  • MICN authorization that has expired more than 12 months but less than 24 months must complete the same requirements as an applicant for MICN
    reauthorization plus an addtional 12 hours of field observation with an FTO on an ALS ambulance.
  • MICN authorization that has expired more than 24 months must complete the initial MICN authorization process.

Upon successful completion of requirements and confirmation that the applicant is not precluded from reauthorization, an individual is eligible for MICN
authorization.
  • Successfully complete a minimum of fifteen (15) Paramedic radio calls proctored by an authorized MICN. A minimum of ten (10) calls must be ALS. A
    record of proctored radio calls  will be provided to the EMS Agency, including: date, time, and nature of the case (e.g., major trauma, syncope, chest
    pain). Each recorded call will be signed by the candidate and the proctoring MICN.
  • Successfully complete ten (10) hours of field observation time accompanying an FTO as follows: six (6) hours with an ALS Ambulance and four (4)
    hours with a non-transporting ALS agency. The supervising FTO will complete and sign the MICN Field Orientation Checklist . The candidate may elect
    to tour the Emergency Operations Center (EOC)/Med-Com of the County of San Luis Obispo in lieu of the four-hour field observation time with a non-
    transporting ALS agency. The candidate will provide documentation to the EMS Agency of this tour.
COUNTY OF SAN LUIS OBISPO HEALTH AGENCY
PUBLIC HEALTH DEPARTMENT
EMERGENCY MEDICAL SERVICES DIVISION
Working to assure that our county’s residents and visitors receive optimal prehospital care on a daily basis and protection during public health emergencies.