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Most states use or require NREMT testing for some level of state certification. [2] [7] [8] NREMT recognizes four levels of EMS: EMR, EMT, Advanced EMT, and Paramedic (some states may have additional certifications). [7] NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements. [9]
EMT-Intermediate (state specific, phased out by Sept. 30 2013 however any EMT with this certification before Sept. 30 2013 could still be an intermediate and by the next recert cycle had to switch to AEMT) [56] EMT-Intermediate Advanced (analogous to EMT-Intermediate/99, phased out by Sept. 30, 2013 ) [56]
Some examples are the states of Colorado, [7] New Jersey, [8] New Mexico, [9] Utah, [10] Michigan and Washington. [11] According to the rationale used to justify Washington's adopting the accreditation requirements, "Requiring accreditation of air ambulance services provides assurance that the service meets national public safety standards.
The Washington EMT-B can set up and maintain an IV that is non-medicated, but EMT-I certification is required to start the IV. WA Office of Emergency Medical and Trauma System (May 2009) Some county protocols (such as Jefferson) accept an EMT/ILS tech which, in addition to all EMT-I and EMT-B skills, can administer D50W, naloxone, albuterol ...
Reciprocity - that is, recognition of one state's EMT certification being valid in another state - between states is somewhat limited, and after 30 years of operation by the National Registry of Emergency Medical Technicians, only about 40 states provide unlimited recognition of the NREMT certifications. [46]
EMR training is considered a bare minimum for emergency service workers who may be sent out in response to an emergency call. It is typically required as a bare minimum of medical training for firefighters, police officers and search and rescue personnel. Many EMRs have location-specific training such as water rescue or mountain rescue and must ...
State-Level Programs Similar to NEPA Nineteen states now have some form of state-equivalent to NEPA, such as California's Environmental Quality Quality Review Act (SEQRA), and others. ERM is highly experienced in coordinating the federal and state requirements to avoid redundancy and potential conflicts and to ensure efficient and successful
NREMT also provides certification information for paramedics who relocate to another state. [26] Paramedics in training. Paramedic education programs can be as short as six months or as long as four years. An associate degree program is two years, often administered through a community college. Degree programs are an option, with two-year ...