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The National Registry of Emergency Medical Technicians, shortly referred to as NREMT, is a non-profit certification organization that provides a valid, unified process to evaluate the knowledge and skills of the candidates required for competent practice as an Emergency Medical Technician (EMT). Holding the NREMT certificate means that an applicant has met a set of standards and is ready for performing this job role. This certification enables the public, healthcare providers as well as employers to identify the practitioners who possess sufficient expertise to work safely and effectively. The National Registry is recognized in all the states of the United States and 46 U.S. states utilize the NREMT certificate as a basis for licensure.
NREMT: Requirements
The NREMT certification is specifically designed for those individuals who want to establish a career as an Emergency Medical Technician. Before you can apply for this certificate, you are required to be enrolled for the initial education program. The potential candidates for this certification must complete the official course that satisfies the National Emergency Medical Services Education Standards for an EMT. If one does not currently hold a government license for an EMT and more than two years have passed since the date of completion of the approved course, he or she will be required to complete a new course before applying for the National Registry certificate. The students also need to possess the current CPR-BLS for “Healthcare Provider” or its equivalent. Additionally, they must ace two exams to get certified.
NREMT: General Overview
As mentioned above, the NREMT certification process requires that the candidates complete two exams, including one cognitive (knowledge) test as well as one state approved psychomotor (skills) exam.
The cognitive exam is taken on a computer at any authorized Pearson VUE testing center. Its content is developed by the members of the EMS community, including medical directors, providers, and educators. The exam contains around 70-120 questions, 10 of which are unscored and will not affect the final results. The unscored questions are included in the test to verify that future questions are appropriate. The examinees are given a maximum of 2 hours to complete all the questions. This cognitive option is a computerized adaptive test (CAT). This means that the number and complexity of the exam questions may vary for each session, but the passing standard remains the same for all the applicants. The more questions you answer correctly, the harder the CAT will be. The purpose of such an approach is to find out if a candidate possesses enough level of knowledge compared to the passing standard.
The topics covered in the cognitive exam include the following: Airway, Respiration & Ventilation (18-22%), Cardiology & Resuscitation (20-24%), Trauma (14-18%), Obstetrics & Gynecology (27-31%), and EMS Operations (10-14%).
The Emergency Medical Technician psychomotor exam is not administered by the National Registry. All the psychomotor tests are delivered by either the State EMS Office or at the training institution (approved by the State EMS Office). The EMT course instructors should provide the applicants with the relevant information on this exam. This test validates your practical skills in close-to-real out-of-hospital settings and requires that you react to realistic situations that they may encounter in your future work as EMTs.
NREMT: Registration Process and Retake Policy
Once you have enrolled for the required EMT educational program, you need to create your National Registry account. Using your account on the official website, submit a National Registry application about four weeks before you complete your education. The application is to be approved by the Program Director. After that, you will be required to pay the non-transferable and non-refundable application fee of $98. If you are eligible for the cognitive exam, you will receive an electronic Authorization to Test (ATT). It will contain the scheduling instructions as well as important details regarding identification required at the testing centers. You will have 90 days from the date of your ATT issue to sit for your cognitive exam. The candidates lose their ATT and the fee they paid if they do not take their ATT within a 90-day period. You can schedule your appointment for the cognitive test on the Pearson VUE site. After completing the exam, your official results will be published in your National Registry account within 1-2 business days.
If a student fails the exam, he or she can apply for retesting 15 days after the last attempt. The applicants have a maximum of six attempts to sit for the cognitive exam. If they fail their test three times, the National Registry will require them to complete remedial education.
Once you have earned your NREMT certification, you can download or print it through your National Registry account or the official National Registry app, available both on iOS and Android. This certificate is required to be renewed every two years. To maintain your certification status, you can take a recertification exam or submit continuing education hours. The National Continued Competency Program (NCCP) requires that the applicants complete at least 40 hours of continuing education to recertify.
NREMT: Career Prospects and Salary Outlook
The NREMT certification equips the practitioners with the essential knowledge and skills that they will need in their daily work as Emergency Medical Technician (EMT). The responsibilities of these specialists is to provide emergency medical services, including responding to emergency calls, executing medical services, as well as transporting patients to medical facilities. The EMTs are most commonly employed by private ambulance services, governments, hospitals, municipal EMS agencies, and fire departments. The alternative job titles that these professionals can explore include an Emergency Room (ER) Technician, an Emergency Response Coordinator, and a Medical Assistant, among others. The average salary for the certificate holders is $44,749 per annum, according to PayScale.
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