Recovering The SelfA Journal of Hope and Healing


EMT- Paramedic: Advance Emergency Medical Care Worker

paramedicsby Katie Bernath

EMT Paramedics are these emergency care workers, who have completed advanced level of emergency medical training and certified with a Certification/License after passing of the NREMT – Paramedic examination.

EMT-Paramedics are the highest level of EMTs, among all level of emergency medical workers. They respond to emergency medical situation and provide an advanced life support in the out-of-hospital environment for critically injured and seriously ill patients at homes, scene of accidents, and while transporting patients to medical facilities in an emergency response vehicle or ambulance. The training program offers required competencies to EMS providers for higher level emergency care services. The certification examination evaluates their competency level for pre-hospital and transportation cares.

The training programs for Paramedics covers entire EMT- Basic, Intermediate level and Advance level courses that include advance curriculum on medications, intravenous fluids, wound stitching, knowledge, use of complex airway devices, Advanced Life Support Training, I.V. support, tracheal intubation and other courses. The rigorous training is extended from 1,200 hours to 1,800 hours or 2 years, and divided into eight core content modules that again have 52 sections. The training program includes didactic instructions, lab skill trainings, clinical trainings, and field trainings.

The responsibility to develop EMT-Paramedic curriculum is vested upon the National Highway Traffic Safety Administration (NHTSA) that develops the courses based upon the standards set by the Highway Safety Act of 1966 (Amended). The main motto of the curriculum is to prepare entry level paramedics who can serve patients with up-to-date, current, and the highest level competencies.

However, NHTSA-approved training curriculum requires completion of two (2) prerequisites including Emergency Medical Technician-Basic and Physiology and Anatomy.

The training program completion is essential for appearing in the National EMS Paramedic Certification test. The certification test is offered by the National Registry of Emergency Medical Technicians (NREMT), a nationally recognized agency for offering all levels of EMT certification examination. The NREMT Paramedic Certification test consists of two parts including:

  • Cognitive Examination
  • Psychomotor Examination

The applicants will have to pass both arts of the exam to earn EMS Paramedic Certification.

There are also certain NREMT entry requirements for the Certification test that must be completed by the applicants. These prerequisites include:

  • Minimum 18 years of age
  • Possession of the current state EMT level or higher level EMT certification or license.
  • Completion of the state-approved and CAAHEP-accredited Paramedic (NRP) program (Beginning January 1, 2013), or must have completed Paramedic course meeting the standard of the National EMS Education Standards for Paramedic..
  • Verification of the course on NERMT website by the applicant’s program director.
  • Completion of the Paramedic re-entry requirements if NRP has expired for more than 2 years.

Moreover, the applicants, who have completed Paramedic (NRP) educational program 2 years back and currently, holding the Paramedic (NRP) level license, must submit evidence of completing 48 hours continuing education or refresher course. In addition, if two or more years have been passed since the applicant had completed Paramedic course without holding a Paramedic or NRP license, the applicants will have to complete the entire CAAHEP-accredited Paramedic program to obtain National Certification.

The completion of these requirements and Application process allows applicants to sit for the EMS Paramedic Certification Test, and passing of the test awards them EMS Paramedic Certification/License.


Katie Bernath is a successful health care field writer. She is well known by her dedication to serve others through her writings. For further details, you can browse





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