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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.
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.
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]
In the United States, the National Scope of Practice Model is designed to standardize and improve EMS provider education. It provides four levels of provider: Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced EMT (AEMT), and Paramedic. [2]
In 2009, the NREMT posted information about a transition to a new system of levels for emergency care providers developed by NHTSA with the National EMS Scope of Practice Project. [32] By 2014, these new levels replaced the fragmented system found around the United States.
In the United States there are no federal rules or regulations for the scope of practice for any level of EMS provider, though there is a noncompulsive scope of practice model. In the field, paramedics follow a set of pre-approved procedures and interventions for particular scenarios, which may be known as protocols or guidelines.
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Most advanced procedures and skills are not within the national scope of practice for an EMT. [61] As such most states require additional training and certifications to perform above the national curriculum standards. [62] [63] In the United States, an EMT certification requires intense courses and training in field skills. A certification ...