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Even though primary management and regulation of prehospital providers is at the state level, the federal government does have a model scope of practice including minimum skills for EMRs, EMTs, Advanced EMTs and Paramedics set through the National Highway Traffic Safety Administration (NHTSA). [1]
The National Registry of Emergency Medical Technicians (NREMT) is a US based, non-profit certification organization for pre-hospital emergency medical providers that exists to ensure that every Emergency Medical Technician has the knowledge and skills required for competent practice.
In a variant of this model, the EMS system may be recognized as a legitimate third emergency service, but provided under a contractual agreement with another organization, such as a private company or a hospital, instead of direct operation. This model is sometimes referred to as the "public utility" model. [6]
The advanced EMT or AEMT is the new mid-level EMS provider that has been introduced at the national level according to the new national EMS scope of practice model. [3] The AEMT replaced the EMT-I/85 and EMT-I/99, however some states have continued to teach similar levels, but they are not nationally recognized.
"Emergency medical responder", or "EMR", [2] is an EMS certification level recognized by the National Registry of Emergency Medical Technicians. [3] The term "emergency medical responder" is used loosely in many states, with "first responder" and "medical first responder" still being common terms.
Governing, licensing, and law enforcement bodies are often at the sub-national (e.g. state or province) level, but national guidelines and regulations also often exist. For example, in the United States, the National Highway Traffic Safety Administration in the Department of Transportation has a national scope of practice for emergency medical ...
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National Association of Emergency Medical Technicians; Abbreviation: NAEMT: Formation: 1975; 50 years ago () [1] Type: professional association: Tax ID no. 04-2576267 [2]