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As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. [3] These levels are denoted below using an asterisk (*). At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.
The number would remain constant, even if the individual changed their name, national certification level, etc. [15] Similar to the NPI number issued by the Centers for Medicare and Medicaid Services (CMS), the number is a 12-position, intelligence-free numeric identifier (12-digit number). The EMS-ID is not intended to replace the individual ...
The purpose of the model is to provide a guide toward standardization in patient care that both improves patient outcomes but allows for reciprocity between states. [36] Prior to certification as a paramedic, candidates must be a certified EMT. Traditionally, a paramedic is allowed to perform all skills an EMT may perform. [37]
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Conversely, efforts can be made at interstate reciprocity, so that a license or a certification earned in one federated state or province qualifies the holder to practice in any of the other states or provinces of the federation, which can lower the overall cost and burden of adequately staffing the profession in all regions.
In the United States, the state governments have jurisdiction for issuing most professional licenses to individuals and corporations.In areas that naturally cross states' borders, the national government may be the issuer.