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You have to wear the NREMT or state patches on your uniforms? Ew. Are you sure you haven't misunderstood. Wearing any patches received anywhere other than the hiring service is looked down (and mocked horribly) around here.
i knew one guy who had done quite a bit of moving around and carried current tickets for like 4 or 5 different states. just to screw with people, he had a different state patch on each shirt. it was funny. for a while we had a pool going on which he'd wear to work that day. it was entertaining for about a week.