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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]
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.
For example, to maintain NREMT certification, EMTs must obtain at least 48 hours of additional education and either complete a 24-hour refresher course or complete an additional 24 hours of CE that cover, on an hour by hour basis, the same topics as the refresher course would. [41] [42] Recertification for other levels follows a similar pattern.
EMT-Intermediates can establish IVs in addition to the EMT-basic skills. An Iowa paramedic is a NREMT-intermediate/99 and is not the highest level of care in Iowa. This allows them to insert ET tubes and perform needle decompressions, manual defibrillations and medication administrations. The Iowa paramedic specialist is the NREMT-paramedic.
As of 2006, 39 US states utilize the NREMT EMT exam as part of the state licensing and/or certification procedure. [3] Once certified, EMTs are required to obtain continuing education hours to recertify. Recertification requirements vary from state to state.
The National Registry of Emergency Medical Technicians (NREMT) is a private, central certifying entity whose primary purpose is to maintain a national standard. 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 ...
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