In some states there are also EMS-RN's which is a Registered Nurse trained in Pre-Hospital response. not used for new or continuing providers) is not listed. Any level that has been completely phased out (i.e. While no new certifications are provided at this level, providers can sometimes be grandfathered in provided they meet recertification requirements. Finally, some states have levels that have partially been phased out.
Texas uses EMT-Paramedic and Licensed Paramedic). In addition, not all states use the "EMT" prefix for all levels (e.g. The use of the terms "EMT-Intermediate/85" and "EMT-Intermediate/99" denotes use of the NHTSA EMT-Intermediate 1985 curriculum and the EMT-Intermediate 1999 curriculum respectively. At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.Īny provider between the levels of EMT and Paramedic is either a form of EMT-Intermediate or an Advanced EMT. These levels are denoted below using an asterisk (*). As of 2011, 38 states use the NREMT examination for EMT certification and 45 states use the NREMT examination for Paramedic certification. Individual states are allowed to use NREMT certification as part of their certification process, but are not required to. The NREMT offers a national certification based on the NHTSA National Standard curriculum for the levels of EMR, EMT, Advanced EMT and Paramedic.
While states are able to set their own additional requirements for state certification, a quasi-national certification body exists in the form of the National Registry of Emergency Medical Technicians (NREMT). Even though primary management and regulation of prehospital providers is at the state level, the federal government does have a model scope of practice including minimum skills for EMRs, EMTs, Advanced EMTs and Paramedics set through the National Highway Traffic Safety Administration (NHTSA).
Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state.
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Each state is free to add or subtract levels as each state sees fit. In the United States, the licensing of prehospital emergency medical providers ( emergency medical technicians) (EMTs) and oversight of emergency medical services are governed at the state level.
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