EMTs and Paramedics are licensed by the State of Missouri. Both EMTs and Paramedics must complete 144 hours of CEUs (continuing education credits) every five years. An EMT-P must complete 196 hours of CEUs every five years. In addition, EMT-Ps must maintain CPR and Advanced Cardiac Life Support (ACLS) certifications every year and every two years respectively. Osage Ambulance District strives to ensure that our staff accomplishes these requirements by utilizing a training program that allows personnel to attend courses required for relicensure.