Ensure You Are Certified by the National Registry of Emergency Medical Technicians

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National Registry of Emergency Medical Technicians

Faithful Guardian Training Center - South Metro wants you to learn about the National Registry of Emergency Medical Technicians.


General facts


  • The NREMT is a non-profit organization founded in 1970 whose mission is to serves as the national EMS certification organization by providing a valid, uniform process to assess the knowledge and skills required for competent practice required by EMS professionals throughout their careers
  • The NREMT has certified over one million EMS providers since its inception. 270,000 are Nationally Certified at the current time
  • Entry requirements for certification include completing a state-approved EMS education course, and passing the NREMT written and practical examinations


Exam development


  • The NREMT currently certifies four levels of Emergency Medical professionals: EMR, EMT, AEMT, and Paramedic. Exam questions (items) are written by national experts in EMS including state officials, educators, employers, and EMS physicians
  • A single test item takes about one year to develop and pilot test and costs approximately $1,000 to produce
  • Each of the item banks for the five levels of certification has thousands of questions that are calibrated to entry-level competency, and lead to certification that is legally defensible and psychometrically sound


How entry-level competency is determined


  • Consistent standards set by the EMS community means patients can expect the same level of competency from EMS providers, regardless of whether they are volunteers or career-based, or located in urban or rural settings
  • Certification through the NREMT indicates that a standard level of competency has been met. Certification means an individual has demonstrated entry-level competency but does not authorize a person to work. Emergency medical professionals are required to obtain a state license to work
  • The NREMT defines entry-level competency through committees of providers, regulators and medical directors. Examinations are directly tied to practice through data obtained from the NREMT Practice Analysis
  • Assessing psychomotor competency (practical exam) takes place through an interdisciplinary team-oriented process involving EMS educators, state offices of emergency medical services, thousands of skill station examiners across the country, examination site coordinators, hundreds of NREMT representatives, thousands of EMS system medical directors and others involved in the delivery of EMS


How states use the NREMT


  • 46 states currently use the NREMT for certification for one or more EMS levels
  • States that do not use the NREMT must develop their own standards, which leads to inconsistency. In addition, these states must develop and defend their own examination/certification proves, which may not be recognized by other states


Why recertification is important


  • To ensure continued competency, national recertification requires continuing education and competency verification every two years
  • Recertification requirements: Follow links below for specific certification level(s)


Call us for more information.

EMR Recert EMT Recert AEMT Recert Paramedic Recert

Recertification Requirements

Effective January 1, 2015, Authorizations to Test (ATT) for National EMS Certification will be valid for up to 90 days from the date of issuance, provided all other requirements for National EMS Certification are met. Candidates who do not complete their cognitive examination prior to the expiration date will be required to complete a new application, including payment of the application fee as no refunds will be issued for expired Authorizations to Test.


Please refer to the updated policy for additional information.

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Learn About the National Registry of Emergency Medical Technicians

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(678) 432-2243

(678) 432-2243

Went to school for EMT with little to no medical knowledge and passed everything on my first try and went straight to medic school and passed everything on the first try. Awesome school.

- Frank Robinson

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