NREMT Certification

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The State Office was recently asked how the new policies adopted by the National Registry of Emergency Medical Technicians (NREMT),  as listed below, will affect a Nebraska licensed emergency  medical responder, emergency medical technician, EMT- Intermediate, or paramedic.

The answer is as follows:  There will be no affect on a Nebraska EMS provider’s license.  If an individual wants to maintain their Nebraska license, he/she will have to obtain the required continuing education hours for their specific level of EMS license.  If the individual wants to maintain their National Registry of Emergency Medical Technicians (NREMT) certification, he/ she will have to meet the requirements outlined below for their individual level of certificate. 

In order for Nationally Registered EMS Providers to maintain National EMS Certification, as outlined in the EMS Education Agenda for the Future, all NREMTs must meet the minimum requirements of knowledge and skills outlined in the National EMS Scope of Practice Model.

Transition dates and processes which NREMT certified EMS providers must follow to maintain their National EMS Certification vary according to the level of EMS provider. 

An overview of the process is outlined below.  The complete policy is available on the NREMT website (www.nremt.org) under General Policies.

First Responder:
All NREMT First Responders who have expiration dates of September 30, 2011 or September 30, 2012 have two registration cycles (four years) to complete a state approved First Responder to Emergency Medical Responder transition course* in order to be eligible for National EMS Certification as an Emergency Medical Responder (NREMR).

NREMT-Basic expires:

Complete EMT Transition by:

March 31, 2011

March 31, 2015

March 31, 2012

March 31, 2016

    EMT- Basic:

All NREMT-Basics who have expiration dates of March 31, 2011 or March 31, 2012 have two registration cycles (four years) to complete a state approved Emergency Medical Technician-Basic (EMT-B) to Emergency Medical Technician (EMT) transition course* in order to be eligible for National EMS Certification as an Emergency Medical Technician (NREMT). 

NREMT-Basic expires:

Complete EMT Transition by:

March 31, 2011

March 31, 2015

March 31, 2012

March 31, 2016

    
    Intermediate/85:

All NREMT-Intermediate/85s will have two registration cycles (four years) to complete a state approved Intermediate/85 to Advanced Emergency Medical Technician (AEMT) transition course* in order to be eligible for National EMS Certification as an Advanced Emergency Medical Technician (NRAEMT).  To be awarded National EMS Certification as an NRAEMT all NREMT-Intermediate/85s after completing the approved transition course must successfully complete the NRAEMT computer delivered cognitive examination (exam fee will be $70, rather than the standard initial exam fee of $100) and a transition course-ending practical examination within the past two years that validates competency over the following skills:

o   Patient Assessment/Management - Medical

o   Airway Ventilation and Oxygenation of an Infant/Child in Respiratory Distress/Failure

o   Cardiac Arrest Management /AED

o   Intravenous Bolus Medications

o   Pediatric Intraosseous Infusion 

NREMT-Intermediate/85 expires:

Complete AEMT Transition by:

March 31, 2011

March 31, 2015

March 31, 2012

March 31, 2016

March 31, 2013

March 31, 2017

  

Intermediate/99:

All NREMT-Intermediate/99s will have three registration cycles (six years) to complete a state approved Intermediate/99 to Paramedic transition course* in order to be eligible for National EMS Certification as a Paramedic (NRP).  To be awarded National EMS Certification as an NRP all NREMT-Intermediate/99s after completing the approved transition course must successfully complete the NRP computer delivered cognitive examination.

NREMT-Intermediate/99 expires:

Complete Paramedic Transition by:

March 31, 2011

March 31, 2017

March 31, 2012

March 31, 2018

March 31, 2013

March 31, 2019

 
    Paramedic: 
All NREMT-Paramedics who have expiration dates of March 31, 2011 or March 31, 2012 have two registration cycles (four years) to complete a state approved Emergency Medical Technician-Paramedic to Paramedic transition course* in order to be eligible for National EMS Certification as a Paramedic (NRP). 

NREMT-Paramedic expires:

Complete Paramedic Transition by:

March 31, 2011

March 31, 2015

March 31, 2012

March 31, 2016

March 31, 2013

March 31, 2017

 
For ALL transitions, the NREMT will require:

·       A course completion certificate that includes - EMS provider's name, transition course completion date and the statement:  "has completed a state approved [level] to [new level] transition course"*, name of the sponsoring agency, signature of the individual responsible for the training.

·       Nationally Certified EMS providers who submit an acceptable recertification application but do not include successful completion of a state-approved transition course by the deadline for their provider level, will be issued National EMS Certification at the next lower level (i.e.  EMT-Basic will receive EMR; Intermediate/85 will receive EMT; Intermediate/99 will receive AEMT; Paramedic will receive AEMT).


Level specific requirements:

·       I/85 to AEMT - transition must include course-ending verification of the following skills:  Patient Assessment/Management - Medical; Airway Ventilation and Oxygenation of an Infant/Child in Respiratory Distress/Failure; Cardiac Arrest Management/AED; Intravenous Bolus Medications; Pediatric Intraosseous Infusion and successful completion of the current National EMS Certification AEMT cognitive examination.

·       I/99 to Paramedic - upon successful completion of the transition course all Nationally Certified EMS providers must successfully complete the current National EMS Certification Paramedic cognitive examination.

* In Nebraska a State approved transition course is the same thing as the new State refresher courses that include new knowledge and/or skills.  To find a State approved transition/refresher course, please contact your EMS Training Agency.  The training agency contact information is available on the State website:  http://www.hhs.state.ne.us/crl/rcs/ems/ems.htm

Click on training agency.

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