SNHD EMS Protocol Exam Study Guide

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All individuals seeking licensure through the Southern Nevada Health District must undergo a protocol exam before obtaining an attendant license. The passing threshold for this exam is set at 80% across all levels.

To initiate the process, applicants must first submit an application via the EMS Portal ( and ensure all necessary documentation is uploaded. Following this, applicants will be scheduled for the exam upon receipt of a letter of intent to hire from a Clark County permitted agency.

It’s important to note that the exam will be tailored to the level of licensure for which the applicant is being considered. For instance, if an individual holds certification as an AEMT but is seeking employment as an EMT, they will undertake the EMT protocol exam.

The exam will cover key areas outlined in the Clark County EMS System Emergency Medical Care Protocols, including:

  • Foreword
  • Adult Treatment Protocols/Pearls
  • Pediatric Treatment Protocols/Pearls
  • Operations Protocols
  • Procedures Protocols
  • Formulary
  • Alternate Formulary
  • Appendices

Applicants will have up to three attempts to achieve a passing score. Should an applicant fail to meet the 80% threshold after the third attempt, the sponsoring agency is required to notify the OEMSTS (Office of Emergency Medical Services Training and Support) confirming the completion of remedial training by a Clark County endorsed EMS Instructor prior to a fourth attempt.

In the event of continued failure, if an applicant has not passed after the sixth attempt, they will be ineligible to take the licensure exam for a minimum period of one year from the date of the last unsuccessful attempt.