TITLE Board Certification. Registered EMT …During the mid-1970s, the National Registry monitored the development of the first National Standard EMT-Paramedic Curriculum. As the cur-riculum

DOCUMENT RESUME

ED 304 537 CE 052 047

TITLE Board Certification. Registered EMT-Paramedic.Registered EMT-Intermediate. RegisteredEMT-Ambulance. Registered EMT-Non-Ambulance.

INSTITUTION National Registry of Emergency Medical Technicians,Columbus, Ohio.

PUB DATE 88NOTE 31p.

PUB TYPE Guides - Non-Classroom Use (055)

EDRS PRICE MF01/PCO2 Plus Postage.DESCRIPTORS Allied Health Personnel; *Certification; *Continuing

Education; *Emergency Medical Technicians; EmergencySquad Personnel; *Employment Qualifications; EntryWorkers; *Occupational Information; PostsecondaryEducation; *Standards

ABSTRACT

These three brochures outline entry requirements andcertification information for: (1) emergency medical technician(EMT)-ambulance and EMT-non-ambulance; (2) EMT-intermediate; and (3)EMT-paramedic. Each brochure provides information on entryrequirements, including provisional registration and expiration date;lapsed registration; examination process; revocation ofcertification; inactive status; and continuing education requirementsfor re-registration. A chart illustrates all of the continuingeducation requirements for re-registration. (YLB)

Reproductions supplied by EDRS are the best that can be madefrom the original document.

BOARD CERTIFICATION

REGISTERED EMT-PARAMEDIC

REGISTERED EMT-INTERMEDIATE

REGISTERED EMT-AMBULANCE

REGISTERED EMT-NON-AMBULANCE

National Registry of Emergency Medical Technicians

P.O. Box 29233

Columbus, OH 43229

U S DEPARTMENT OF EDUCATION:Hit P Of du, atonal Research and improvementtf JCATIONAL CRESOURNTERCRIC

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44

The National RegistryofEmergencyMedicalTechnicians®

Board CertificationRegistered EMT-Paramedic

a

FOREWORD

During the mid-1970s, the National Registrymonitored the development of the first NationalStandard EMT-Paramedic Curriculum. As the cur-riculum and subsequent interest in this advancedlevel of training developed, the Board of Directorsof the National Registry requested the establish-ment of a National certification for EMT-Para-medics. The Registry contracted with the Univer-sity of Kansas Medical Center, EmergencyMedical Training Program, to develop appropri-ate written and practical examinations, based onthe National Curriculum. The examinations werepilot-tested in Denver, Kansas City, and Chicagoprior to their distribution. On February 21, 1978,the first NREMT-Paramedic examination wasadministered in Minneapolis, Minnesota.

The National Registry EMT-Paramedic writtenexamination is drafted by a committee of EMSexperts in education, medicine and field practice.The draft examinrZ'on is reviewed by an item-rating committee, and extensively field-tested.Prior to implementation, the examination isreviewed by a committee of educational meas-urement experts and subjected to a educationmeasurement formula which establishes pass-ing scores for all subtests. This process leads toa fully standardized, statistically valid andreliable testing instrument. The practical exami-nation skill measurement instruments are field-tested and reviewed by multidisciplinary EMSexperts prior to use in the examination process.

From the beginning, the impact of the Regis-try's EMT-Paramedic examination designated theimportance of training programs which recognizeand implement the depth and breadth of instruc-tion in all phases of pre-hospital emergencymedicine. The registration and examination proc-esses act as viable instruments, measuring theskills and competencies necessary to deliverquality Advanced Life Support Care.

The National Registry is a not-for-profit, inde-pendent, non-governmental agency. Its free-standing structure is carefully guarded in orderthat the integrity of the National Board Certifi-cation process is preserved.

ENTRY REOUIREMENTS

All individuals applying for EMT-Paramedic certificationmust meet the following entry requirements to be eligiblefor the National Registry EMTParamedic written andpractical examinations.

1. Applicant must be 18 years or older.

2. Current National Registry or state certification at theBasic EMTAmbulance level.

3. Successful completion of a state approved EMT-Paramedic training program, within the last two years,that equals or exceeds the behavioral objectives ofthe National Standard EMTParamedic Curriculum asdeveloped and promulgated by the U.S. Department ofTransportation.

If the candidate's initial paramedic training is beyondtwo years and the candidate has maintained state cer-tification at the Paramedic level, only 48 hours ofstate-approved paramedic refresher training will benecessary. (Refer to the Note on page 9).

If the initial training is beyond two years and state cer-tification has not been maintained, the candidatemust complete the entire paramedic training programprior to application.

4. In states not mandating National Registry EMT-Paramedic certification, candidates must includedocumentation (card or certificate) showing currentstate certification at the paramedic level.

5. Six months field experience and currently functioningas an EMTParamedic on an Advanced Life SupportUnit, in a mobile prehospital ambulance setting.

Note: Individuals completing an EMTParamedictraining program who will be entering EMT-Paramedicservice, but do not have the required six monthsexperience, will be permitted to apply and take thewritten and practical examinations. Successful com-pletion of the National Registry examinations will pro-vide provisional registration. Full EMTParamedicregistration will be awarded upon written verificationof the required six months experience from theMedical Director, employer or supervisor.

6. Submission of a completed application and feeattesting to the above requirements; the official application must be signed by the Medical Director ofTraining/Operations, attesting to the candidate'scharacter, training, and functional ability as an EMT-Paramedic. Applications submitted for each re-examl-nation must also be completed and signed by theMedical Director of Training/Operations.

7. A registration fee of $35.00 ',money order only),payable to The National Registry of Emergency

Medical Technicians, must be submitted with theapplication This fee covers the cost of all printedmaterial, examination, postage, data processing,reporting of examination results and administration.Failure of the written examination requires the can-didate to submit another complete application andfee. Retesting of the practical examination does notrequire an additional application or fee.

The fee will be refunded if the application is notacceptable. The fee will not be refunded if the applica-tion is accepted and entered into data processing.

Provisional Registration

Policy and procedure for provisional registrants is asfollows:

1. The provisional registrant must complete at least six(6) months EMT-Paramedic experience with a fullyequipped emergency ALS ambulance/rescue serviceby the established expiration date. Written verifica-tion of the required experience must be submitted tothe National Registry by the Medical Director, super-visor, or employer of EMT-Paramedic operations toobtain full registration.

2. The provisional registrant must also complete currentcontinuing education requirements prior to Vie bi-ennial expiration date.

3. Provisional registrants not meeting both the continu-ing education and experience requirements by theexpiration date will not be eligible for full registrationand/or reregistration.

Eviration Date

Initial expiration dates are established in reference to thedate of successful completion of the examination. Individ-uals initially registered during the first six months of theyear will revert to the beginning of that year for an anniver-sary date. Those initially registered during the last sixmonths of the year will begin their biennium the first dayof the following year. All subsequent registration periodswill be for the full two-year period.

For example.

Individuals successfully completing the examination betweenthe dates of January 1, 1989 and June 30, 1989 will receivean expiration date of December 31. 1990

Individuals successfully completing the examination betweenthe dates of July 1, 1989 and December 31, 1989 will receivean expiration date of December 31, 1991

LAPSED REGISTRATION

To be r^instated once EMT-Paramedic National Registra-tion has lapsed, the candidate must:

If lapsed within a two-year period, successfully complete45 hours of state-approved refresher training, adhering tothe current National Standard EMT-Paramedic Curricu-lum; submit a new application and fee; and successfullycomplete the National Registry written and practicalexaminations.

If lapsed beyond a two-year period and still currently state-certified at the EMTParamedic level, successfully com-plete 48 hours of state-approved refresher training, adher-ing to the current National Standard EMT-Paramedic Cur-riculum; submit a new application and fee; and successfullycomplete the National Registry written and practicalexaminations.

If lapsed beyond a two-year period and state certificationat the EMT-Paramedic level has not been maintained, suc-cessfully complete a state-approved National StandardParamedic Training Course; submit a new application andfee; and successfully complete the National Registry writ-ten and practical examinations.

Note: Refer to Note on page 9 for detail of refresherrequirement.

EXAMINATION PROCESS

A National Registry Representative is present at all Na-tional Registry EMT-Paramedic written and practical ex-aminations. In addition to meeting current entry require-ments and submitting an acceptable application, you willbe required to present a photo identification at the exam-ination site prior to sitting for the written andlor practicalexamination. Please contact the Registry office for infor-mation relative to an examination in your area.

The Written ExaminationThe written examination consists of 150 multiple choice ques-tions contained in six major parts. Each part includes ques-tions from a division or major section of the EMT-Paramediccurriculum with minimum passing scores for each part. Apassing score requires that the candidate obtain a minimumscore on each part and an overall average score. The results

received by the candidate after completion of the examina-tion will indicate the required minimum score for each partand the passing or failing score for the particular examina-tion taken by the candidate. Failure to obtain the overall pass-ing score andlor failure of any part will constitute complete

failure of the written examination. Candidates failing the writ-ten examination may reapply by submitting another com-pleted application and fee for re-examination.

The Practical Examination

The practical section of the examination process consistsof the following EMT-Paramedic skills tested in fiveseparate stations. The emphasis is placed on skill profi-ciency, rather than station proficiency and the skill sta-tions are in accordance with the National Standard EMT-Paramedic Curriculum and current A.H.A. standards. Theprocess is a test of the candidate's "hands-on" skill andknowledge, not a learning or teaching situation.

The candidate must demonstrate an acceptable level ofcompetency in each of the following skill areas:

1. Trauma Assessment/ManagementCandidates will be required to perform a "hands-on,"head-to-toe, physical assessment and voice manage-ment of a trauma patient for a given scenario. This sta-tion includes:1) Primary Survey, Resuscitation, Secondary Survey,

and Definitive Prehospital Care

2. Static CardiologylMedical EmergenciesThis oral station includes:1) ECG interpretation and treatment2) Medical emergency questions

3. Cardiac Arrest SkillsCa:idiaates will be required to perform the followingskills:1) Intravenous therapy2. IV medications (mannequin)3) Defibrillation (dynamic station including

candidate's ability to integrate BLS, definitive ther-apy, ECG interpretation and use of defibrillator)

4) Endotracheal intubation (mannequin)

4. Cardiopulmonary ResuscitationCandidates will be required to perform the followingskills as per American Heart Association standards:1) One & Two Person CPR2) Obstructed Airway techniques3) Infant Resuscitation

5. Fracture ImmobilizationCandidates will be required to per'orm the followingskills:1) "C" Collar and Short Spine Board2) Traction Splint Application3) Pneumatic Anti-Shock Garment (MAST)

Grading of the practical examination is on a Pass/Failbasis. Failure of four (4) or less skills (when taking theentire practical) entitles the candidate to retest the skill(s)failed. Failure of five (5) or woe skills constitutes failure

of the practical examination. Failure of a Meet con-stitutes a failure of the practical examination The can-didate is then required to re-examine the entire practicalexamination.

In the Trauma Assessment/Management Station, primarysurvey, resuscitation, secondary survey and definitiveprehospital care represent one skill. Failure of any ofthese sections will require the candidate to complete theentire Trauma Assessment/Management Station.

The passed portion of the examination, either the writtenor practical, will remain valid for a 12 month period fromthe date of the examination. Candidates not completingthe failed portion of the examination within the 12 monthperiod will be required to reapply and retake both the writ-ten and entire practical examinations.

Candidates are allowed three opportunities to pass thewritten and/or practical examinations. Candidates apply-ing for the fourth time must submit a written statementfrom their Medical Director verifying that they have suc-cessfully completed the 48 hours of state-approved Para-medic refresher training, covering the behavioral objec-tives of the National Standard Paramedic Curriculum(refer to the note on page 9) or that the candidate has suc-cessfully completed another EMT-Paramedic training pro-gram.

INACTIVE STATUS

An inactive status has been designated for NationallyRegistered EMT-Paramedics who are not actively en-gaged in EMT-Paramedic service at the time of reregistra-tion. The inactive status was designed for those Para-medics who must be inactive for a period of time due tomoving, illness, pursuit of education, family responsibil-ities, etc. The period of inactive status is limited to twoyears. or what would normally be one registration period.Inactive status will be awarded only to those Paramedicswho have fulfilled all of the reregistration requirements. Itshould be noted that provisionally registered Paramedicsare not eligible for the inactive status.

A return to active status at the EMT-Paramedic level mustbe verified in writing by the Medical Director, employer orsupervisor of operations and must include a statelnentattesting to the registrant's ;ompetency in all skill levels.

REVOCATION OF CERTIFICATES

Information relative to Disciplinary Procedures and Rightof Appeals may be obtained by contacting the NationalRegistry.

3

CONTINUING EDUCATIONREQUIREMENTS

FOR REREGISTRATION

Reregistration is on a biennial basis (once every two years)upon completion and verification of the required continu-ing education and submission of the reregistration formand fee. All EMT-Paramedics reregistering will have tomeet the full requirements currently in effect.

Requirements for ReregistrationTo renew registration, the registrant must:

1 Compute the official National Registry reregistrationand continuing education report form and return withthe proper documentation and fee to the Registryoffice.

2. Be currently active on a fully equipped ALS ambulance/rescue service, performing Advanced Life Supportskills as an EMT-Paramedic.

3. Complete all the continuing education requirements inSection 14, IB, IC, II, & Ill prior to the December 31 ex-piration date.

Note: Section IA, refresher training, may be a formal48-hour program approved by the State EMS office. Inareas lacking a formal state-approved 48-hourrefresher, the registrant may complete 48 hours oftraining that represent an overview of the 15 moduleEMT-Paramedic National Standard Curriculum. Nospecific number of hours are required for each module,however all modules must be reviewed at some pointduring the two year registration period. This trainingmust be documented as to topics, dates and number ofhours attended. The American Heart Association'sACLS course may be utilized for 16 hours under thissection.

Reregistration report forms are mailed the first ofNovember prior to the expiration date. Reregistrationforms must be submitted to the Registr, office no laterthan March 31 of the following year.

ActivityEMT-Paramedic Reregistration Requirements

Standard VerificationSettten IA la hours of refresher training, adhering to

and including the content of the 15 modulesof the National Standard EMT-ParamedicCurriculum (D 0 T )

May be conducted by the Medical Director or the departmental training officer May becompleted, as in service training through the resource hospital, or a recognizedteaching institution A maximum of 16 hours for the ACLS cot rse is applicable towardthis section within the appropriate modules

Statement outlining date, timeand topical content on officialletterhead signed by super-visor, training officer or Medi-cal Director

6 Annual CPR certification "Basic Life Sup-port"

Regardless of teaching agency, all CPR dawning must adhere to A H A standardsOne year of CPR requirement will be met if CPR training is included in the 48 hrsof refresher training (Sec IA) An additional CPR course must be successfullycompleted in the alternate year

Copy of card or certificate

C-1 Biennial certification "Advanced Car-diac Life Support",

Biennial ACLS certification by the A H A including written and practical examinationsOnly the ACLS Provider Course Core curriculum should be utilized If a formal cot rse isnot available, the Medical Director must affirm that the ACLS knowledge and skills havebeen examined and demonstrated by the registrant

Copy of card or certificate

Statement of verfication onofficial letterhead from Medi-cal Director, outlining date,time and content

Section IIAdditional Required Continuing Education Par-ticipation by the EMT Paramedic in 24 hours ofadditional continuing education

In addition to tr e topics listed below any sublect covered in the National StandcrdParamedic Curriculum will be accepted These topics may be presented utilizing critique, didactic sessions, practical drills, wokshops or seminars, or other approved in-service training

TOPICSair ambulance crime scene response farm machinery

emergency care athletic injuries extricationchild abuse hazardous materials 'adioactive matariaisindustrial accidents crisis intervention special rescue (divingexplosion injuries Protective breathing aerial mount..imbattered wives apparatus

Certificates where applicableIn remaining cases, submitstatement of verification onofficial letterhead from thesupervisor, training officer,etc (All verification must in-diode the dates. topical COO-tent, a....1 number of clockhours )

Successful completion of any of the followingNational Standard courses, with specified num-ber of hours may be Tlphed toward Section II

PHTLe 16 hOurS Emergency Driving 12 hoursBTLS 16 hours Dispatcher Training 12 hoursAuto Extrication 16 hOurS

Card certificate or statementoutlining date, time and topi-al content on official letter-

head signed by supervisor,training officer or MedicalDirector

Section IIIEMT-Paramedic skill maintena ice Statement of satisfaction by Physician Director of EMT-Paramedic training/opera-

tions that reregistront c ntinues to remain competent in all of the following skills1 History taking2 Trau.aa Assessment/Management3 CPR One and Two Resct.er4 Infant Resusc.:ation. Rx of airway obstruction5 Esophageal obturator placement and/or endotracheal intubation6 Bag-valve mask and hag-valve tube ventilation7 .nterpretation of oscilloscopic and hard-copy electrocardiograms, including

monitored arrest and defibnllation techniques8 Spinal immobilization including application of cervical collar, short and

long boards9 Fracture immobilization including traction splint

10 Voice and ECG telemetry cornmunica.ions procedures, including actions duringcommunications failure

11 Intravenous therapy12 Parenteral drug administration13 Application aad removal of pneumatic anti-shock trousers14 0 B delivery procedures

Signature of Physician Direc-for of EMT - Paramedic tram-inloperations Mtype Of evaluation

ustmechanincludeism

(field evaluation, practical per-formance or other)Note Verification must beon form provided b, NationalRegistry in reregistrationpacket,

lI

PFcT COPY AVAILABLE

National Registry ofEmergency Medical Technicians

BOARD OF DIRECTORSConsists of a representative from each of the following

AMERICAN AMBULANCE ASSOCIATION

INTERNATIONAL ASSOCIATION OF CHIEFS OF POLICE

INTERNATIONAL RESCUE AND EMERGENCY CARE ASSOCIATION

INTERNATIONAL ASSOCIATION OF FIRE CHIEFS

NATIONAL ASSOCIATION OF EMTS

NATIONAL SHERIFFS ASSOCIATION

NATIONAL FUNERAL DIRECTORS ASSOCIATION

and

Four At-Large Physician Board members, plus two Emergency MedicalTechnicians selected from the ranks of Nationally Registered EMTs, anda consumer representative

ConsultantsFive physicians representingAmerican College of Surgeons

American College of Emergency Physicians

American Society of Anesthesiologists

American Academy of Orthopaedic Surgeons

American Psychiatric Association

LiaisonMembers representingAmerican Medical Association

American Heart Association

Department of Health and Human Services

Department of Transportation (NHTSA)

US Army Medical Corps

National Council of State EMS Training Coordinators

Emergency Nurses Association

U S Air Force Medical Service

Medical Service Corps, U S Navy

National Asscciation of State EMS Directors

US Department of Defense

Executive Director: Rocco V Morando

NREMT

P 0 Box 29233

Columbus, Ohio 43229

614-888-4484P-7/11/88/5M

110 10 i6 ';niiorP 1,1P0 01 , 01 a ne,qe,Cq Uedici Teclinvans inc Ere no,deduct , 'IL O 40 ^romp zurnoses 71vments may De deauctD:e

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The National RegistryofEmergencyMedicalrechniclans®

Board CertificationRegistered EMT - Ambulance

Registered EMT - Non-Ambulance

13

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*

FOREWORD

Emergency ambulance service is a vital part of theemergency medical care system and should be consid-ered a prcfessionr service with due recognition andstatus similar to that of other allied health professions.

Prior to 1970 there were a number of organizationswhose membership consisted of individuals engagedin ambulance service, however, there was no nationalcertifying agency which could attest to the proficiencyof ambulance personnel. Individuals engaged in otherallied health activities such as X-Ray and laboratorytechnr...ans, physical, occupational and inhalationther4, sts, had been certified or registered for years bythem respective national organizations, thereby attest-ing to their competency through uniform training andqualification examinations.

In 1969, President Lyndon Johnson's Committee onHighway Safety recommended establishment of anational certification agency for EMS. Realizing suchan organization was essential for improved ambulanceservices, the Commission on EMS of the AmericanMedical Association appoirsted a Task Force to studythe feasibility of a Registry for EMTs

The Task Force initially met on January 21, 1970 andimiuded representatives from the various organiza-tions involved in America's ambulance service. The par-ticipants at this meeting indicated the industry's con-cem for proper reccgnition, professional status anduniform standards for personnel and training Theyrecognized that improved care of the victims of medicalemergencies depended on these key issues beingaddressed in an effective manner.

On June 4, 1970 at the A.M A. headquarters inChicago, Illinois, the National Registry of EmergencyMedical Technicians was born It was on that date thatthe Task Force dissolved into the first meeting of theBoard of Directors of the National Registry. Officerswere elected, the Constitution and Bylaws were arawnand the Examination Committee was appointed.

Initial operational funds were provided in the form ofloans from the Ambulance Association of America, theAmerican Medical Association and the EmployersInsurance of Wausau

The National Registry is a noi-for-profit, independ-ent, non-governmental agency. tts free-standing struc-ture is carefully guarded in order that the integrity ofthe National Board Certification process is preserved.

ENTRY REQUIREMENTS

Two classifications of national board certification have beenestablished for the Basic Emergency Medical Technician'

EMT-Ambulance EMT-Non-Ambulance

Individuals applying for Basic EMT certification must meet thefollowing requirements to be eligible for the National RegistryPasic EMT written and practical examinations.1. Each applicant must be 18 years of age or older2 Successfully complem, within the last two years, a state-

approved National Sti,..idard Basic EMT training program, asdeveloped and promulgated by the U.S. Department ofTransportation.

If the candidate's initial training is beyond two (2) years andthe candidate has maintained state certification, the candi-date must complete a current state approved Basic EMTrefresher training program.

If the candidate's initial training is beyond two (2) years andstate certification has not been maintained, the candidatemust complete the entire Basic EMT training program

3. In states not mandating National Registry Basic EMT cer-tification, candidates must include documentation (card orcertificate) showing current state certification at the BasiEMT level.

All candidates are required to successfully complete all sec-tions of a state-approved Basic EMT practical examinationthat equals or exceeds the established criteria of theNational Registry.

5. Six (6) months experience completed within twelve (12)months prior to the date of application. This experience maybe in either of the following classifications.EMTAmbulance

Persons eligible include emergency ambulance, rescue, mili-tary field service and military independent duty personnel.EMINonAmbulance

Persons eligible include patient/health care personnel, , e.R.N., L.P N., surgical technician, lab technician, X-Ray tecnni-cian, orderly, law enforcement, industrial safety and mil tarycorpsman without field service.

Note: Individuals that do not have the required six monthsexperience may apply for Provisional Registration.

6. Submission of an acceptable application and fee attesting tothe above requirements.

7 A registration fee of $15.00 (money order only), payable toThe National Registry of Emergency Medical Technicians,must be submitted with the application. This fee covers thecost of all printed material, examination, postage, data proc-essing, reporting of examination results and administration.The fee will be refunded if an application is not acceptable.The fee will not be refunded if the app lication is accepted andentered into data processing


Provisional registration applies to both classifications ofNational Registry certification. Provisional registration wasestablished for those individuals who do not have the required six(6) months experience at the time of application Policy and pro-cedure for provisional registration is as follows1 The provisional registrant must complete at least six (6)

months experience in either the emergency ambulance!rescue or the patient/health care field on or before theirexpiration date.

2 The provisional registrant must complete the current contin-uing education requirements for reregistration on or beforetheir expiration date.

3 F,ovisional registrants not meeting both the experience andthe continuing education requirements by their expirationdate will not be eligible for full registration and/or reregistra-tion.

Expiration Date

Initial expiration dates are established in reference to the date ofsuccersful completion of the examination. Individuals initiallyregistered during the first six months of the year will revert to thebeginning of that year for an anniversary date. Those initiallyregistered during the last six months of the year will begin theirbiennium the first day of the following year. All subsequent regis-tration periods will be for the full two-year periodFor example:

Individuals successfully completing the examination betweenthe dates of January 1, 1987 and June 30, 1987 will receive anexpiration date of December 31, 1988.

Indivtd .als successfully completing the examination betweenthe dates of July 1, 1987 and December 31, 1987 will receive anexpiration date of December 31, 1989.

LAPSED REGISTRATION

To be reinstated once Basic EMT National Registration haslapsed, the candidate must:

If lapsed within a two-year period, successfully complete a state-approved National Standard Basic EMT Refresher TrainingCourse; submit a new application and fee; and successfully com-plete Ine National Registry written examination and a state-approved practical examination that meets or exceeds theNational Registry guidelines.

If lapsed beyond a two-year period, and st,I1 currently state cer-tified at 'he Basic EMT level, successfully compete a state-approved National Standard Basic EMI Refresher TrainingCourse; sutrnit a new application and fee; and succesMully com-plete the Natich-Al Registry written examine:ion ano a state-e- p,oved practical examination that meets c.r 'Ads the

ion:=1 Registry guidelines.

,0 beyond a two-year period, and state ertification at the= -MT level has also lapsed, successfully cc nplete another

e% ed '';ational Standard Basic EMT Training Course;new Application and fee; and successfully complete the

.3 II P.:-.gistry written examination and a state-approved prac-'ii. .amination that meets or exceeds the National Registry

idelines.

EXAMINATION PROCESSThe Practical Examination

The practical examination requires the candidate to physicallyapply the necessary skills of the Basic EMT and to answer ques-tions relative to the prescribed practical skills. All candidates arerequired to successfully complete, within a 12-month period priorto the submission of an acceptable application, all sections of astate-approved Basic EMT practical examination that equals orexceeds the established criteria of the National Registry.

1

Candidates must demonstrate an acceptable level of compe-tency in each of the following skill areas:1 Patient Assessment2 Cervical/Spinal Injuriescare and immobilization3. Long Bone Fracturescare and immobilization including

traction splinting4. Wound Care and Bandaging5. Shockrecognition and care6. Pneumatic Counter Pressure Device (MAST)7 Cardiopulmonary ResuscitationCandidate will be required

to perform the following skills to American Heart Associationstandards:1) One and Two-Rescuer CPR2) Infant CPR3) Obstructed Airway

8. General Knowledge

Verification of successful completion and measured compe-tency in each of the required skill areas, must be completed onthe reverse side of the Registry application.

The National Registry reserves the right to review any practicalexaminations that may be in question.

The Written Examination

The written examination, consisting of 150 multiple-choice ques-tions, is based on the National Standard Basic EMT Curriculumas developed and promulgated by the U.S. Department of Trans-portation. The subtests are as follows:

1. Patient HandlingTransportation2. Anatomy/PhysiologyPatient Assessment3. BreathingResuscitationCardiac ArrestCPR4. Medical Emergencies5 Environmental Emergencies6. Soft Tissue InjuriesBleedingShockPneumatic

Counter Pressure Device (MAST)7. Fractures and Dislocations8. Obstetrics9. InjuriesHead-Face-Neck-Spine-Chest-Abdomen-

Genitalia10. Psychological Aspects

Each candidate must realize an overall minimum score of 70% topass the examination. Individuals failing the written examinationmay reapply for subsequent examination by submitting anotherapplication and fee and meeting the current entry requirements.If a candidate fails the written examination, the practical exami-nation remains valid for a 12-month period from the date it wassuccessfully completed. Candidates are allowed three opportuni-ties to complete the written examination. Candidates applyingfor the fourth time must submit, as a minimum, written verifica-tion (card or certificate) of successful completion of a state-approved National Standard Basic EMT Refresher Course Thisrefresher course must be completed within two years of reappli-cation

Oral Examinations

The National Registry will allow its Basic EMT written examina-tion to be presented orally under the following specificguidelines. This procedure is to be utilized only at the Basic EMTlevel.

a. Oral examinations will be permitted only with the approval ofthe State EMS office.

b. Requests to the Nationa' Registry for oral examinations mustbe made in advance of the scheduled examination date.

c. Requestb to the National Registry for oral examinations mustinclude a statement signed by the Medical Director of Serv-ice/Training that there is an assurance of an acceptable levelof visual acuity necessary to perform the tasks of the EMT,including verification of skill competency, despite the readingproblem

d. Oral examinations will not be permitted if the candidate hasfailed in an initial attempt to write the examination.

e. Candidates must mark their selected answers on the standardRegistry answer sheet.

f An appropriate verification form, developed and provided bythe Registry, must be completed and signed by both the candi-date and proctor attesting to the credibility of the oral exami-nation experience.

REVOCATION OF CERTIFICATION

Information relative to Disciplinary Procedures and Right ofAppeals may be obtained by contacting the National Registry.

INACTIVE STATUS

An inactive status has been designated for Nationally RegisteredEMTs, who are not actively engaged in ambulance service/rescueservice or patient/health care activity at the time of reregistration.Inactive status is designed for those who must be inactive for aperiod of time due to moving, illness, pursuit of education, familyrebponsibilities, etc.

The period of inactive status will be limited to two years, or whatwould normally be one reregistration period. Inactive status willbe awarded only to those who have fulfilled all of the continuingeducation requirements. At the end of or prior to the end of the in-active period, the registrant may request a return to Basic EMTactive status by way of official written verification from theiremployer or supervisor. It should be noted that provisionallyregistered EMTs are not eligible for the inactive status.


FOR REREGISTRATION

Reregistration is on a biennial basis (once every two years) uponcompletion and verification of the required continuing educationand submission of the reregistration form and fee. All BasicEMTs reregistering will have to meet the full requirements cur-rently in effect.

Requirements for Reregistration

To renew registration, applicant must:1. Be actively working within the emergency ambulance serv-

ice, rescue service or patient/health care activity.2 Complete all continuing education requirements in Sections

IA, IB and II prior to the December 31 expiration date.3. Complete reregistration continuing education report form

and return with the required documentation and reregistra-tion fee to the National Registry office.

Reregistration report forms are mailed the first of November priorto the expiration date. Reregistration forms must be submitted tothe Registry office no later than March 31 of the following year

1;i

Activity Reregi ion RequirementsStandard Verification

SECTION IA National Standard Basic EMT Refresher Course State-approved National Standard Basic EMT Refresher course with successful comple-lion of local written and practical examinations In states utilizing re-examination ,n lieuof refresher training, official state verification of passing the examination must be submated

Copy of card or certificate inclica;-,rig successful completion, issuedby the recognized teachingagency

B Annual C P R Certification(Regardless of teaching agency all CPR trainingmust adhere to A H A Standards)

Annual CPR certification by the American Heart Assn the American National Red Cross orthe State EMS Office Completion of the National Standard Refresher Course fulfills the CPRcertification for one year Venfication of successful completion of an additional CPR course onthe alternate year, must be submitted

Copy of card or certificate indicat-ing successful completion issuedby the recognized teachingagency

SECTION IIAdditional 48 Hours 01 Continuing Education

In addition to the topics listed below, any sailed covered in the National Standard EMT Coursewill be accepted for continuing education credit These topics may be presented utilizing cn-agues didactic sessions practical dnlls workshops or siminars or other approved inservice train-ing Those topics not specified below or within the EMT curriculum will require prior approvalfrom the National Registry

TOPICSpneumatic trousers industrial accidents crisis interventionshock management explosion iniuries protective breathingcommunications electrical hazards apparatushypothermia Si other neonatal care/SIDS farm machinery

environmental injuries battered wives extricationair ambulance crime scene response medical terminologyemergency care athletic injuries radioactive materials

child abuse rappelling medico-legal aspectsrape intervention hazardous materials special rescue (diving,

aerial, mountain)

Certificates where applicable Inremaining cases statement outlin-ing dates times and topical con-tent on official letterhead signed bysupervisor, training officer, etc

Information on credit available forEMT Instructors may be obtainedoy writing to the National Registryof Emergency Medical Tech -nicians

Successful completion of any of the following Na-tional Standard courses, with specified number ofhours may be applied toward Section II

PHTLS 16 Hours Emergency Driving 12 HoursBTLS 16 Hours Dispatcher Training 12 HoursAuto Extrication 16 Hours

Copy of card or certificate issuedby recognized agency

Successful completion of a select group of moduli'sas listed m the next column, and as outlined in ft eNational Standard EMT-P Curriculum and EMT-PCourse Coordinator's Guide, will fulfill the require-manta of Section II This training must be Stateapproved

EMT-Intermediate (Sections 1, 2. 3 4, 5 6, 7 81EMT-Paramedic(Divisions 1 2.3 4, 5. 61

Copy of card or -ertificate issuedby recognized agency

Successful completion of the National Standard Paramedic Program will fulfill all continuing education requirements for Basic EMT reregistration TheNational Registry does suggest that EMTs who have attained EMT-Paramedicstatus apply for National Registration as EMT-Paramedics EMT Paramedicregistration will supersede the Basic EMT registration

Note II you have a previous Basic EMT reregistration, claiming your EMT-P training course for credit you may again fulfill the requirements forBasic EMT reregistration by providing verification of1 Your continued involvement as an EMT-P,2 Current State EMT-P certification and fulfillment of

local or state continuing education requirements for EMT P

Copy of card or certificate issuedby recognized agency


BOARD OF DIRECTORSConsists of a representative from each of the following


INTE'NATIONAL ASSOCIATION OF CHIEFS OF POLICE


INTERNATIONAL ASSOCIATION OF FIRE CHIEFS



NATIONAL FUNERAL DIRECTORS ASSOCIATION

and

Four At-Large Physician Board members, plus two Emergency MedicalTechnicians selected from the ranks of Nationally Registered EMTs, anda consumer representative

ConsultantsFive physicians representing:American College of Surgeons





liaisonMembers representing.American Medical Association




U S Army Medical Corps



U.S Air Force Medical Service

Medical Service Corps, U.S Navy

National Association of State EMS Directors

U S Department of Defense

Executive Director: Rocco V. Morando

NREMT

P O. Box 29233


614-888-4484 A 5/4.88/20M

Payments Or contributions to the National Registry of Emergency Medical Technicians Inc are notdeductible as charitable contributions for Federal Income Tax purposes Payments may be deductibleas a business expense If in doubt please consult your tax advisor

The National RegistryofEmergencyMedicalTechnicians®

Board CertificationRegistered EMT-Intermediate

FOREWORDIn 1979, resp ,nding to direction from the Board

of Directors and requests from the field, theNational Registry surveyed the State EMS leadagencies in reference to establishing an inter-mediate level of certification. The majority of thestates responding favored IV/E0A certification.Accordingly, in early 1980, the Registry pilot-tested the first version of the EMT-Intermediateexamination in Louisiana and Vermont. Follow-ing pilot-testing and analysis, the first NationalEMT-Intermediate Board Certification examina-tion was held in the summer of 1980. In 1982, theEMT-Intermediate certification level was re-evaluated and a free-standing examinationencompassing a reassessment of the EMT-Basicknowledge and skills and the required EMT-Inter-mediate knowledge and skills was developed.

From the beginning, the impact of the Regis-try's EMT :ntermediate examination designatedthe importance of training programs whichrecognize and implement the depth and breadthof instruction in pre-hospital emergency medicalcare. The registration and examination proc-esses act as viable instruments, measuring theskills and competencies necessary to deliverquality Advanced Life Support care.

The National Registry is a not-for-profit, inde-pendent, non-governmental agency. Its free-standing structure is carefully guarded in orderthat the integrity of the National Board Certifi-cation process is preserved.

ENTRY REQUIREMENTS

Individuals applying for EMT-Intermediate certification mustmeet the following requirements to be eligible for the NationalRegistry EMT-Intermediate written and practical ex-aminations

1 Applicant must be 18 years of age or older2 Current National Registry or state certification at the Basic

EMT level

3 Successful completion of a state-approved EMT-Intermediate training program that equals or exceeds thebehavioral objectives of the EMT-Intermediate NationalStandard Curriculum as promulgated by the U S Depart-ment of Transportation Candidates in EMT-Paraiedictraining are eligible to take the Intermediate examinationprovided they supply a written report from their educationalinstitution in which the medical director verifies they havecompleted Divisions I and II of the EMT-Paramedic Cur-riculum.

If the candidate's initial Intermediate training is beyond twoyears and the candidate has maintained state certificationat the Basic EMT and EMT-Intermediate levels, the ,,an-didate must complete current Basic EMT and EMT-Intermediate refresher training programs.

If the initial training is beyond two years and only BasicEMT state certification has been maintained, the candidatemust complete a Basic EMT refresher training course andthe entire EMT-Intermediate training program.

If the initial training is beyond two years and state certifica-tion at the Basic EMT and EMT-Intermediate levels hasnot been maintained, the candidate must complete the en-tire Basic EMT and EMT-Intermediate training programsprior to application

4. In states not mandating National Registi y EMT-Intermediate certification and having a state EMT-Intermediate certification examination, candidates must in-clude documentation (card or certificate) showing currentstate ceMfication at the Intermediate level.

5. Six months field experience and currently functioning asan EMT-Intermediate in the ambulance/rescue service orpatient/health care setting, that has local/state authorityto administer intravenous fluids Certification will be award-ed in either of the following categoi,es.

EMT-Intermediate-Ambulance: emergency ambulance,rescue, mil ary field service, or military independent dutypersonnel.

EMT-Intermediate-Non-Ambulance: patient health carepersonnel including, R.N., L P N., surgical technician, labtechnician, X-ray technician, orderly, lew enforcement, in-dustrial safety, or military personnel without field ex-perience

Note: Individuals completing an EMT-Intermediate train-ing program who will be entering EMT-Intermediate ser-vice, but do not have the required six months experience,will be permitted to app'y and take the written and prac-tical examinations Successful completion of the Registryexam will provide provisional registration Full EMT-Intermediat a registration will be awarded upon writtenverification of the required six months experience from theMedical Director, emplcyer or supervisor

6 Submission of a completed application attesting to theabove requirements, the official application must be sign-ed by the Medical Director of Training/Operations, attestingto the candidate's character, training, and functional abilityas an EMT-Intermediate Applications submitted for eachre-examination must also be completed and signed by theMedical Director of Training/Operations.

7 A registration fee of $35.00 (money order only), payableto The National Registry of Emergency Medical Techni-cians, must be submitted with the application. This feecovers the cost of all printed material, examination,postage, data processing, reporting of examination resultsand administration

The fee will be refunded if the application is not accept-able The fee will not be refunded if the application is ac-cepted and entered into data processing


Policy and procedure for provisional registrants is as follows

1. The provisional registrant must complete at least six (6)months EMT-Intermediate experience in either theemergency ambulance/rescue or the patient/health caresetting, that has local/state authority to administer in-travenous fluids. Written verification of the required ex-perience must be submitted to the National Registry bythe Medical Director, supervisor, or employer of EMT-Intermediate operations. This experience must be com-pleted prior to the designated expiration date

2 The provisional registrant must also complete the currentcontinuing education requirements prior to the biennial ex-piration date

Expiration Date

Initial expiration dates are established in reference to the dateof successful completion of the examination Individuals in-itially registered during the first six months of the year willrevert to the beginning of that year for an anniversary date.Those initially registered during the last six months of the yearwill begin their biennium the first day of the following yearAll subsequent reg,tration periods will be for the full two-yearperiod

It

For example

Individuals successfully completing the examination betweenthe dates of January 1, 1988 and June 30, 1988 will receivean expiration date of December 31, 1989

Individuals successfully completing the examination betweenthe dates of Ju. 1, 1988 and December 31, 1988 will recewean expiration date of December 31, 1990

LAPSED REGISTRATIONTo be reinstated once EMT-Intermediate Registration haslapsed, the candidate must-If lapsed within a two-year period, successfully completea state-approved National Standard Basic EMT RefresherTraining Course and state-approved 12 hours of Intermediaterefresher training, adhering to the current National StandardEMT-Intermediate Curriculum; submit a new application andfee, and successfully complete the National Registry writtenand practical examinations

If lapsed beyond a two-year period, and still currently statecertified at the EMT-Intermediate level, successfully completea state-approved National Standard Basic EMT RetresherTraining Course ana state-approved 12 hours of Intermediaterefresher training, adhering to the current National StandardEMT-Intermediate Curriculum; submit a new application andfee, and successfully complete the National Registry writtenand practical examinations.

If lapsed beyond a two-year period, and state certificationat the EMT-Intermediate level has not been maintained butcurrent state and/or National Basic EMT certification has beenmaintained, successfully complete a state-approved NationalStandard Basic Refresher Course, and state-approved Na-tional EMT-Intermediate Training Course; submit a new ap-plication and fee; and successfully complete the NationalRegistry written and practical examinations

If lapsed beyond a two year period and state certificationat the Basic EMT and EMT-Intermediate levels has not beenmaintained, successfully complete a state-approved NationalStandard Intermediate Training Course, as well as a state-approved National Standard Basic EMT Training Course, sub-mit a new application and fee, and successfully complete theNational Registry written and practical examinations

EXAMINATION PROCESSA National Registry Representative is present at all NationalRegistry EMT-Intermediate written and practical examina-tions Please contact the Registry office for informationrelative to an examination in your area

The Written ExaminationThe written examination consists of two parts Part I is areassessment of the Basic EMT skills and knowledge con-sisting of 70 multiple-choice questions covering the materialpresented in the National Standard EMT Basic training dro-gram and Part II is a measure of the required Intermediate

knowledge consisting of 80 multiple-choice questions deriv-ed from the objectives of the National Standard EMT-Intermediate Curriculum The parts and subtests are asfollows

Part I -EMT Basic Reassessment

Breathing-Resuscitation-CPRWounds-Bleeding-ShockInjuries to the Head-Face-Neck-SpineChest-Abdomen-GenitaliaMedical EmergenciesEnvironmental Emergencies-Burns-HazardousMaterialsFractures and DislocationsEmergency ChildbirthPsychological AspectsPatient Handling and Transporation

Part :I - EMT IntermediateRoles and ResponsibilitiesEMS SystemsMedical Legal ConsiderationsMedical TerminologyEMS CommunicationsGeneral Patient Assessment and Initial ManagementAirway Management 2,1c1 VentilationAssessment and Management of Shock

Each candidate must realize an overall score of at least 70%on each part in order to pass the written examination Failureof either part will constitute complete failure of the entire writ-ten exam. Candidates failing tie written examination mayreapply by submitting another application and fee for re-examination.

The Practical Examination

The practical section of the examination process consists ofthe following EMT-Intermediate skills and is tested in fourseparate stations. The emphasis is placed on skill proficiency,rather than station proficiency r ^"i t' skill stations are in ac-cordance with the National Standard Basic Curriculum, thebehavioral objectives of the National Standard EMT-Intermediate Curriculum and current A.H.A standards Theprocess is a test of the candidate's "hands-on" skill andknowledge, not a learning or teaching situation

The candidate must demonstrate an acceptable level of com-petency in each of the following skill areas:

1. Trauma Assessment/ManagementCandidates will be required to perform a "hands-on,"head-to-toe, physical assessment and voice managementof a trauma patient for a given scenario This station in-cludes:1) Primary Survey, Resuscitation, Secondary Survey, and

Definitive Prehospital Care

i

2. Esophageal Obturator /Intravenous TherapyThis station includes:1) Placement of the EOA2) Intravenous Therapy

3. Cardiopulmonary ResuscitationCandidates will be required to perform the folinwingskills as per American Heart Association standards'1) One & Two Person CPR2) Obstructed Airway techniques3) Infant Resuscitation

4. Fracture ImmobilizationCandidates will be required to perform the followingskills:1) "C" Collar and Short Spine Board2) Traction Splint Application3) Pneumatic Anti-Shock Garment (MAST)

Grading of the practical examination is on a Pass/Failbasis. Failure of three (3) or less skills (when taking theentire practical) entitles the candidate to retest the skill(s)failed. Failure of four (4) or more skills constitutes failureof the practical examination. Failure of a retest consti-tutes a failure of the practical examination. The candidateis then requ;red to re-examine the entire practical.In the Trauma Assessment/Management Station, primarysurvey, resuscitation, secondary survey and definitiveprehospital care represent one skill. Failure of any ofthese sections will require the candidate to complete theentire Trauma Assessment/Management Station.

The passed portion of the examination, either the writtenor practical, will remain valid for a 12 month period fromthe date of the examination. Candidates not completingthe failed portion of the examination within the 12 monthperiod will be required to reapply and retakeboth the writ-ten and entire practical examinations.

Candidates are allowed three opportunities to pass thewritten and/or practical examinations. Candidates apply-ing for the fourth time must submit official documenta-tion verifying that they have successfully completed 12hours of Intermediate refresher training and a state-approved Basic EMT Refresher Training program. Thisremedial training must be completed after the third unsuc-cessful attempt of the examination.

INACTIVE STATUS

An inactive status has been designated for NationallyRegistered EMT-Intermediates who are not activelyengaged in EMT-Intermediate service at the time ofreregistr pn The inactive status was designed forthose' "ermediates who must be inactive for a period of time

e to moving, illness, pursuit of education, family

ai

18

ie

responsibilities, etc. The period of inactive status islimited to two years, or what would normally be oneregistration period. In0 five status will be awarded only tothose Intermediates who have fulfilled all of thereregistration requirements. It should be noted that provi-sionally registered Intermediates are not eligible for theinactive status.

A return to active status at the EMT-Intermediate levelmust be verified in writing by the Medical Director,employer or supervisor of operations and must include astatement attesting to the registrant's competency in allskill levels. The inactive registrant must complete all ofthe reregistration requirements during the inactive period.

REVOCATION OF CERTIFICATION

Information relative to Disciplinary Procedures and Rightof Appeals may be obtained by contacting me NationalRegistry office


FOR REREGISTRATION

Reregistration is awarded on a biennial basis (once everytwo years) upon completion and verification of the re-quired continuing education and submission of thereregistration form and fee. Provisional registrants mustmeet all continuing education requirements and gain therequired six months experience prior to reregistering.

Requirements for Reregistration

To renew registration, applicant must:I. Be currently active on an ambulance/rescue service or

patient/health care setting, performing IntermediateSkills such as intravenous therapy under medical con-trol.

2. Complete all the continuing education requirementsin Section IA, IB, II, & III prior to the December 31 expi-ration date

3. Complete reregistration continuing education reportform and return with the required documentation andreregistration fee to the National Registry office.

Reregistration report forms are mailed the first ofNovember prior to the expiration date. Reregistrationforms must be submitted to the Registry office no laterthan March 31 of the following year.

r:: 3

ActivitEMT-Intermediate Reregistration Requirements

StandardSection IA Basic EMT Refresher Training Must be state approved and adhere to the National Standard Basic EMT Refresher Course with

successful completion of written and practical examination or where state approval of refreshertraining does not exist, an equivalent program must be approved in advance by the NationalRegistry Refresher course may be given in one block, or in sections over the two year periodThe Registry reserves the right to review examinations in instances where the Credibility of theexam is questioned

Copy of card or certificate indicat-mg successful completion issuedby the recognized teachingagency

B Annual CPR certification(Regardless of teaching agency all CPRtraining must adhere to A H A standards)

Annual CPR certification by the A H A , the American Red cross or the State EMS office Com-pletion Of the National Standard Refresher course fulfills the CPR certification for one year Verdi-cation of successful completion of an additional CPR course, on the alternate year, must besubmitted

Copy of card or certificate inclicat-ing successful completion issuedby the recognized teachingagency

C 12 hours of refresher training, adheringto the contents of the DOT NationalStandard EMTIntermediate Curriculum

May be conducted by Medical Director or department training officer May be completedas inservice training, through the resource hospital, or a recognized teaching institutionMay be given in one block or in sections over the two year period Successful Completionof Divisions I and II of this DOT Paramedic Curriculum will satisfy the requirement forSection IC

Statement outining date time andtopical consent on official letter-head signed by supevisor. train-mg Wirer or Medical Director

Section IIAdditional 36 hours of Continuing Education In addition to the topics listed below, any subject covered in the National Standard Basic

EMT, EMTI and/or EMTP courses will be accepted These topics may be presented utillzing catiques, didactic sessions, practical drills, workshops or seminars

TOPICS

air ambulance crisis intervention electrical hazardsemergency care protective breathing rappelling

industrial accidents apparatus rape interventionexplosion injuries farm machinery medical terminologycrime scone moons' extrication special rescuildiving,athletic iniuniss radioactive materiels aenal mountain)hazardous materials communications

Certificates where applicable Inremaining cases, statement outlin-mg dates times and topical con-tent on official letterhead signed bythe training officer supervisor, etc

Successful completion of any Of the listed NationalStandard courses, with specified number of 1,1urs maybe applied toward Section II

PHTLS 16 hours Emergency C. ding 12 hoursBTLS 16 hours Dispatcher Training 12 hoursAuto Extrication 16 lours

Copy of card or certificate issueuiby recognized agency

Section IIIEMTIntermediate Skill Maintenance

Statement of satisfaction by Physician Director of EMT Intermediate training/operationsthat reqlstrsnt continues competence in all of the following skills

1 Primary Survey, Resuscitation, Secondary Survey and Definitive Prehospital Care2 Esophageal obturator airway insertion3 Intravenous therapy4 Pneumatic anti shock garment (MAST)

Signature of Physician Direct" ofEMTIntermediate training/opera-bons Must include type of evalu-ation mechanism Verificationmust be on a form provided by theRegistry at the time ofreregistration

Successful Completion of the National Standard Paramedic Curriculum will fulfill 311 continuing education requirements for EMT Intermediate rereg stration A copy ofthe card or certificate showing successful course completion must be submitted The National Registry suggests that EMT Intermediates who have attained Paramedicstatus apply for national registration as EMT Paramedics National EMTParamedic registration will supersede the Basic EMT and EMT Intermediate registrations


BOARD OF DIRECTORS

Consists of a representative from each of the following


INTERNATIONAL ASSOCIATION OF CHIEFS OF POLICE


INTERNATIONAL ASSOCIATION OF FIRF CHIEFS



NATIONAL FJNERAL DIRECTORS ASSOCIATION

and

Four AtLarge Physician Board members, plus two Emergency MedicalTechnicians selected from the ranks of Nationally Registered EMTs, anda consumer representative

ConsultantsFive physicians representingAmerican College of Surgeons





LiaisonMembers representingAmerican Medical Association




US Army Medical Corps



US Air Force Medical Service

Medical Service Corps, US Navy

National Association of State EMS Directors

U S Department of Defense

Executive Director. Rocco V Morando

NREMT

P 0 Box 29233


614-888-4484A 5110 C815M

Payments or contrIout,om, to the Nahonal RemStf a at Emergency Mearcal Techmcains Inc a lotdecluct,ble 35 cnantabre cOrlribullons or Federal Income Tax purPOseS Payments may be deduCtibIeas 1 .3 uyress expense If in CouOt °lease consult your tax adosor

NATIONAL REGISTRYOF

EMERGENCY MEDICAL TECHNICIANSP.O. BOX 29233

COLUMBUS, OHIO 43229

Documents

TITLE Board Certification. Registered EMT …During the mid-1970s, the National Registry monitored the development of the first National Standard EMT-Paramedic Curriculum. As the cur-riculum