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Nurse Health Line

Nurse Health Line

REMSA Health’s Nurse Health Line is an Accredited Center of Excellence (ACE) staffed with specially-trained registered nurses, called nurse navigators, to provide assessment, care recommendations and/or referral to the appropriate health care or community service.

These registered nurses provide care using the Emergency Communications Nurse System (ECNS), which is comprised of more than 200 protocol-based algorithms:

The ECNS symptom-based protocols guide the nurse through a series of medical questions. After confirming there are no priority symptoms requiring emergency care and additional information about the caller is gathered, the appropriate ECNS protocol is selected and the nurse then conducts additional clinical assessments.

Based upon the caller’s answers, a recommended level of care is selected, including options such as: send ambulance now, seek immediate care at an emergency department, seek care at urgent care center/clinic, schedule appointment with primary care doctor or stay home with self-care instructions provided.

Our unique integrated locally-developed directory of community services allows the nurse to identify a recommended location of care and to assist the patient in gaining access to an array of available medical and community services closest to their home. These include urgent care centers, primary care doctors, medical clinics, mental health services, community service agencies, public assistance programs and alternative means of transportation.


In cooperation with healthcare partners, this program safely:

  • Improves each patient’s satisfaction with their overall healthcare experience
  • Reduces patient wait times for non-emergency care and reduce patient out-of-pocket costs
  • Provides referrals to in-network care locations where patient’s insurance is accepted

Patients can avoid an unnecessary emergency department visit or emergency ambulance transport when another location of care may be more appropriate.


The Nurse Health Line’s evidence-based system is certified by the International Academy of Emergency Dispatch. REMSA Health’s program is unique in the following ways:

  • Protocol-driven algorithms decrease liability compared to guideline-based systems
  • Registered nurses (licensed in both Nevada and California) with additional certifications in Emergency Medical Dispatch (EMD) and ECNS provide assessment and triage
  • More than 2,000 medical, mental health and community resources in Northern Nevada are included in the locally-developed directory of services used by the nurses
  • Geo-mapping identifies open locations of care that are closest to caller’s home and accept caller’s insurance
  • The Nurse Health Line provides covered callers with easy access via a non-emergency number as an alternative to 9-1-1 for non-emergencies
  • Nurses are co-located and fully integrated with the 9-1-1 emergency medical dispatch system, which assures warm hand-off of callers transferred to 9-1-1

The Nurse Health Line has achieved Accredited Center of Excellence designation from the International Academy of Emergency Dispatch. REMSA HEalth is honored to be the first ECNS nurse triage center in the world to achieve this accreditation.

ECNS provides an effective and standardized clinical assessment and assignment of the recommended level of care.

Online Survey

Our online survey is currently available for past Nurse Health Line Callers. 


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