Recertification Information

1994 Curriculum EMT-B Refresher Course Minimum Requirements
EMT-Basic Recertification Brochure
Recertfication Requirements
NREMT Newsletters
68W - Health Care Specialist
National Continued Competency Program
Resources For EMS Professionals

Overview

• The EMT-Basic Refresher course is designed for current EMT-Basics who wishes to maintain their current status.
  
  
• An EMT-B must maintain up-to-date knowledge and skills. Since ongoing research in emergency care causes occasional changes in procedure, some of the information you received during your initial training might be out of date. There are many ways to stay current. Some of these include:

Refresher Training

• National and State requires re-certification every two years. Refresher courses present material to the EMT-B who has already been through a full course but now needs to receive updated information. Refresher courses are at least 24 hours.

Continuing Education

• The National Registry of Emergency Medical Technicians define EMT continuing education as any subject covered in any National Standard EMT-Basic Course or higher.  These topics may be presented utilizing critiques, didactic sessions, practical drills, workshops, seminars, or other State, CECBEMS, or Army approved in-service training.   Topics not contained within the National Standard EMT curricula will require prior approval.  Additionally, the following limits are placed on continuing education:
  
  

  PTHLS or BTLS	up to 16 hours
  Emergency Driving	up to 12 hours
  ABLS	up to 16 hours
  ACLS	up to 16 hours
  AMLS	up to 16 hours
  NALS	up to 16 hours
  PEPP	up to 16 hours
  PPC	up to 16 hours
  Dispatcher Training	up to 12 hours
  Auto Extrication	up to 16 hours
  Teaching CPR	up to 12 hours
  Video/Magazine Courses	up to 10 hours

• A maximum of 24 hours may be applied to any one topic.
  
  
• The US Army is currently evaluating military courses for approved continuing education credit. These include EMT related correspondence courses, MOS, ASI, and SQI producing courses, STB training, EFMB, and teaching the Combat Life Saver course.
  
  
• This type of training supplements the EMT-B's original course. For example, you may wish to learn more about pediatric or trauma skills or driving techniques. You can obtain this education in conferences and seminars, and through lectures, classes, videos, or demonstrations. Minimum hours needed is currently 48 hours.
  
  
• It is important to realize that training is a constant process that extends long past your original EMT-B course.

Recertification

• Recertification is awarded on a biennial basis (once every two years) upon completion and verification of required education and submission of the Rcertification form and fee.  All NREMT-Basic reregistering will have to meet the full requirements currently in effect.
  
  
• To renew registration, the applicant must:
  
  1.  Be actively working within the emergency ambulance service, rescue service, health/patient care activity, or hold the primary MOS of 68W.

  2.  Complete all education requirements outlined in the re-registration brochure prior to March 31.

  3.  Complete the recertification report in its entirety and submit with appropriate signatures, requested verification and the established fee prior to 31 March.

  4.  Complete a total of 72 hours of Continuing Education to re-certify, which includes

• Completion of an approved 24 hour DOT National Standard EMT-Basic Refresher.
  
  
• Completion of 48 hours of additional continuing EMS related education as outlined in the recertification guide.
  
  
• Obtain CPR certification at the appropriate level current to March 31.

           5.  Maintain skills as vertified by Training Program Director, Director of Operations or Physician Medical Director. (Requires signature on recertification application validating competency of skills).

           6.  Submit recertification application processing fee (non-refundable) of $15.00.

• Recertification report forms are mailed to registrants in November prior to the expiration date.  Recertification forms must be postmarked to the Registry office no later than the March 31.
  
  
• Recertification requirements include:
  
  Completion of an approved National Standard EMT-Basic refresher training program consisting of a minimum of 24 hours didactic course work.  Sixteen (16) hours of the 24 hours must be delineated with the six (6) modules as outlined below.  The remaining eight (8) hours must reflect subject matter included in the 1994 EMT-Basic National Standard Curriculum.

• May be completed as in-service training through State, CECBEMS or Army approved continuing education.  Course may NOT be completed via correspondence, videotape or computer-assisted instruction.


• College Courses - The following are maximum hours per college course that can be applided toward additional continuing education hours:
• A maximum number of 24 hours can be applied from:

Anatomy	Pharmacology
Cellular Biology	Physiology
Chemistry	Psychology
Microbiology



• A maximum number of 3 hours can be applied from Communication and Sociology.


• Hours from the following courses can be applied hour for hour with no maximum.

Advanced Trauma Life Support
Refresher Course Instruction
Wilderness EMS Training

• Courses that cannot be applied towards additional continuing education hours:

Clinical Rotations	CPR
First Responder Course	Home Study Programs
Instructor Courses	Management/Leadership Courses
Performance of Duty	Preceptor Hours
Serving as a Skill Examiner	Volunteer Time with Agencies

• CPR credential current to March expiration date.
  
  
• Additional 48 hours of continuing education as outlined in the re-registration brochure.
  
  
• All continuing education must have been completed within the current recertification period.  Continuing education completed prior to March 31st of your previous year of expiration will NOT be accepted.
  
  
• If this is the first recertification, only continuing education completed after the date of initial registration will be accepted.
  
  
• Verification of EMT-Basic skills by Training Program Director, Service Director of Operations or the Physician Director (signature required on recertification form.)
  
  
• The NREMT considers registration to be an individual responsibility.  When registrants expect employers, medical directors or others to submit their applications for registration or recertification and this is not accomplished, the registrant is held accountable.
  
  
• The NREMT reserves the right to investigate recertification materials at any time from any registrant.
  
  
• Registrant may be required to re-submit all materials upon written notice from the NREMT.  Registrants must retain verification of attendance of all education sessions.  Failure to submit education verification when audited will result in denial of eligibility to reregister.
  
  
• Registrants who postmark their materials on or after April 1, will have their material returned by the NREMT.  From date of return, individuals will have 30 days to return the expired Recertification materials to be eligible for "re-instatement" in the NREMT, provided he/she has met the current Recertification requirements by their March expiration date.  A re-instatement fee of $70.00  will be required to accompany the appropriate Recertification fee for all levels.  No re-instatement will be made beyond April 30 or after the 30 day time period expires for return of the materials. 
  
  
• Registrants are responsible for notifying the NREMT of any change in address by telephone at 614-888-4484 or via their web site at http://www.nremt.org.
  
  
• It is important to realize that training is a constant process that extends long past your original EMT-B course.

Initial Testing Information

The Written Examination

Your test will be different from every other candidate’s. NREMT EMT-Basic and Paramedic cognitive exams are computerized adaptive tests. Computer Adaptive Testing (CAT) is state-of-the art in high stakes certification testing. It is the most accurate and fair evaluation technology available.

CAT testing is different from most other forms of testing in that each exam adapts to each candidate’s ability level. Depending on how a question is answered, the computer determines the difficulty of the next question. Consequently, each candidate’s testing experience will be unique.

There is no minimum percentage of correct items needed to pass the test. CAT exam scores are based on the characteristics of the questions you get right and wrong—not how many you get right.

What You Need to Know About the Computer Adaptive NREMT Exam

The Practical Examination

NREMT Skill Sheets 

The practical portion of the examination will be administered by approved EMT Training Programs or approved CE providers. The National Registry Skills Sheets will be used and maintained by the school. A CE record should be completed for each student who successfully passes the skills examination. No CE hours are available for skills testing and the program title should be NREMTB Skills Test.

The practical skills tests consist of the following:

• Patient Assessment - Medical
• Patient Assessment - Trauma
• Cardiac Arrest/AED
• Spinal Immobilization - Supine
• Ventilator Management - Supraglottic Airway Device - Pediatric Respiratory Compromise
• Intravenous Therapy
• Pediatric Intraosseous Infusion
• Random Skill (one of the following)

Updated: 03 Apr 2023