[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-detail-375074-en":59,"doc-seo-375074-105":80},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":5,"data":60},{"doc_id":61,"user_id":62,"nickname":63,"user_avatar":64,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":66,"doc_content":67,"file_id":68,"file_url":69,"file_type":70,"file_size":71,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":24,"language":72,"language_code":73,"site_id":74,"html_lang":73,"table_of_contents":75,"faqs":76,"seo_title":77,"seo_description":66,"update_tm":78,"read_time":79},375074,7971461740909,"Levi","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","LOCAL Continued Competency Requirements (LCCR) - Education Guide 2019 - Version 5 - Issued April 1, 2019","Letter and education guidance for New Hampshire EMS providers outlining revised Local Continued Competency Requirements (LCCR) under the National Continued Competency Program (NCCP). The document explains the shift effective April 1, 2019 from class-specific state requirements to an objective-based approach that supports diverse training options while meeting required subject areas. It defines what LCCR covers, how local topics are selected, and provides an implementation example using meetings, run data review, protocol updates, and training delivery credited through the NREMT system.","John J. Barthelmes  \nCommissioner  \nState of New Hampshire  \nDepartment of Safety  \nDivision of Fire Standards and Training & Emergency Medical Services  \nRichard M. Flynn Fire Academy  \n98 Smokey Bear Boulevard, Concord, New Hampshire Mailing Address: 33 Hazen Drive, Concord, New Hampshire 03305-0002  \nRobert Quinn and Richard C. Bailey, Jr.  \nAssistant Commissioners  \nDeborah A. Pendergast  \nDirector  \nMarch 29, 2019  \nDear New Hampshire EMS Provider,  \nOver the last several months the Division of Fire Standards and Training & Emergency Medical Services has been working in coordination with the New Hampshire Medical and Trauma Coordinating Board on revising the Local Continued Competency Requirements (LCCR) for the National Registry’s National Continued Competency Program (NCCP) . The current LCCR requirements have been in place since the 2015 recertification cycle and didn’t reflect the most current medical practices outlined in the State of New Hampshire Patient Care Protocols. The new LCCR requirements are intended to allow for diversity when selecting the courses while satisfying the content that the State of New Hampshire feels is important for the overall health of our providers as well as their patients.  \nMoving forward and beginning on April 1st of 2019, the LCCR content will change to an objective based approach. Previously the State requirements reflected specific classes that were to be taken to meet the requirements. This did not allow for providers to complete other training that may have met the intended objectives. In the new objective based format, providers will have the flexibility to use any training that they see fit as long as it satisfies the subject areas. An example would be in order to meet the LCCR subject area of “EMS IN THE WARM ZONE”, the provider could attend any of the following courses, as well as others:  \nState of New Hampshire EMS in the Warm Zone Program (Awareness and Operations)  \nTactical Combat Casualty Care (Medical Professionals and All Combatants)  \nTactical Emergency Casualty Care  \nTexas State University-ALERRT (AAIR and MASC)  \nCounter Narcotics and Terrorism Operational Support – CONTOMS (Tactical and Advanced)  \nOn behalf of all of us at the Division of Fire Standards and Training & Emergency Medical Services , thank you for all that you do for the State of New Hampshire. Your dedication, compassion and professionalism ensure the highest level of care to our residents and visitors.  \nSincerely,  \nJustin Romanello Bureau Chief  \nNHDOS-Division of Fire Standards and Training & EMS  \nBureau of Emergency Medical Services Bureau of Fire Training and Administration  \nBusiness: (603) 223-4200 Toll Free: 1-800-371-4503 Fax: (603) 271-1091  \n[http://www.nh.gov/safety/divisions/fstems/](http://www.nh.gov/safety/divisions/fstems/)  \nState of New Hampshire Department of Safety  \nDivision of Fire Standards and Training & EMS  \nIn Collaboration with:  \nNational Registry of EMTs  \nNational Continued Competency Program (NCCP)  \n(NREMT Recertification Requirements)  \nLOCAL Continued Competency Requirements  \n(LCCR)  \nEDUCATION GUIDE 2019  \nVersion 5 Issued: April 1, 2019 NCCP LCCR Education Guide 1  \nLOCAL Continued Competency Requirements (LCCR)  \nLocal Continued Competency Requirements are developed and delivered at the local EMS level. LCCR represents 25% of the necessary requirements for all provider levels. The LCCR topics are chosen by state and local authorities. These topics may include changes in local protocols, tasks which require remediation based upon a quality assurance system, and/or topics noted to be of importance based upon run data reported to the National EMS Information Systems from the local level. These topics are locally chosen and will likely be different for every EMS system in the nation.  \nImplementation of local competencies can occur via a variety of methods. Meetings of local EMS system authorities such as the Chief of Operations, Medical Director, Training Offic","cbCaij1AihL4BFXW","https://ap.wps.com/l/cbCaij1AihL4BFXW","pdf",457751,"English","en",105,"# LOCAL Continued Competency Requirements (LCCR)\n## Purpose and scope of LCCR\n## Selection of local competency topics\n## Implementation methods\n## Example implementation process\n## Version and issue date information","[{\"question\":\"How can local EMS systems implement local competency requirements?\",\"answer\":\"The guide describes using meetings of local EMS authorities to identify topics from known data, selecting appropriate educational methodologies, and delivering education through local leaders or subject matter experts. It also explains tracking attendance and entering credit information into the NREMT website.\"}]","LOCAL Continued Competency Requirements (LCCR) - Education Guide 2019 - Version 5 - Issued April 1, 2019 | PDF",1790205210,13,{"code":4,"msg":81,"data":82},"ok",{"site_id":74,"language":73,"slug":83,"title":65,"keywords":84,"description":66,"schema_data":85,"social_meta":131,"head_meta":133,"extra_data":135,"updated_unix":136},"local-continued-competency-requirements-lccr-education-guide-2019-version-5-issued-april-1-2019","",{"@graph":86,"@context":130},[87,101,121],{"@type":88,"itemListElement":89},"BreadcrumbList",[90,94,96,99],{"item":91,"name":92,"@type":93,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":95,"name":9,"@type":93,"position":14},"https://docshare.wps.com/document/",{"item":97,"name":35,"@type":93,"position":98},"https://docshare.wps.com/document/healthcare/",3,{"item":100,"name":65,"@type":93,"position":19},"https://docshare.wps.com/document/local-continued-competency-requirements-lccr-education-guide-2019-version-5-issued-april-1-2019/375074/",{"url":100,"name":65,"@type":102,"image":103,"author":108,"headline":65,"publisher":110,"fileFormat":113,"inLanguage":73,"description":66,"dateModified":114,"datePublished":115,"encodingFormat":113,"isAccessibleForFree":116,"interactionStatistic":117},"DigitalDocument",{"url":104,"@type":105,"width":106,"height":107},"https://docshare.wps.com/thumbnails/local-continued-competency-requirements-lccr-education-guide-2019-version-5-issued-april-1-2019/375074.png","ImageObject",300,407,{"name":63,"@type":109},"Person",{"url":91,"name":111,"@type":112},"DocShare","Organization","application/pdf","2026-10-30","2026-09-23",true,{"@type":118,"interactionType":119,"userInteractionCount":39},"InteractionCounter",{"@type":120},"ViewAction",{"@type":122,"mainEntity":123},"FAQPage",[124],{"name":125,"@type":126,"acceptedAnswer":127},"How can local EMS systems implement local competency requirements?","Question",{"text":128,"@type":129},"The guide describes using meetings of local EMS authorities to identify topics from known data, selecting appropriate educational methodologies, and delivering education through local leaders or subject matter experts. 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