EMT State Licensed Pathway

If you have a current state EMT license/certification, an equivalent EMT level license/certification, or recognized higher EMS level license/certification, and you are applying for National Registry EMT certification, you must meet the following requirements:

Requirements for Certification

• Proof of education requirements. The following methods are acceptable:
  • Successful completion of a state‐approved EMT refresher course or
  • 20 hours of continuing education that meets all requirements of the current National Component of the 2016 National Continued Competency Program within the past two years.
  • Passed portions of the cognitive and psychomotor exam remain valid for 24 months provided all other eligibility requirements are met.

  National Component - 20 Hours

  The National Component requires EMTs to complete 20 hours of approved continuing education.

  

  
  Airway/Respiration/Ventilation - 1.5 hrs

  • Ventilation
  • Oxygenation

  

  
  Trauma - 1.5 hrs

  • Trauma Triage
  • Central Nervous System (CNS) Injury
  • Hemorrhage Control

  

  
  Medical - 6 hrs

  • Special Healthcare Needs
  • OB Emergencies
  • Infectious Diseases
  • Pain Management
  • Psychiatric and Behavioral Emergencies
  • Toxicological Emergencies – Opioids
  • Neurological Emergencies – Seizures
  • Endocrine Emergencies – Diabetes
  • Immunological Emergencies

  

  
  Operations - 5 hrs

  • At-Risk Populations
  • Ambulance Safety
  • Field Triage—Disasters/MCIs
  • EMS Provider Hygiene, Safety, and Vaccine
  • EMS Culture of Safety
  • Pediatric Transport
  • Crew Resource Management
  • EMS Research
  • Evidence Based Guidelines

  

  
  Cardiovascular - 6 hrs

  • Post-Resuscitation Care
  • Ventricular Assist Devices
  • Stroke
  • Cardiac Arrest
  • Pediatric Cardiac Arrest

  Application Process

  1. Create your account/log in to your profile.
  2. Create an application - Select the EMT level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
  3. Pay the application fee. The application fee is non-transferable and non-refundable. This fee is charged for each attempt of the cognitive examination.
  4. Email your current state EMT license/certification and proof of education to support@nremt.org. Please include your application confirmation ID number.
  5. Monitor the progress of your application from your “Certification Application Status” in case additional actions are needed. Once the National Registry approves your application and your status is “Ready to Test,” you can view your ATT letter and contact Pearson Vue to schedule your exam.

  Related Policies

  • Responsibilities of Nationally Registered EMS Personnel
  • Disciplinary Policy and Rights of Appeal
  • Americans with Disabilities Act

  Nationally Registered Emergency Medical Technicians (EMTs) must notify the National Registry within 30 days
  regarding the following matters:

  • Change in mailing address (the best way to update a mailing address is by editing the user profile page)
  • Any criminal conviction.
  • Disciplinary action taken by any state has resulted in suspension, revocation, or expiration of state registration/licensure; termination of right to practice; voluntary surrender of state registration/licensure while under investigation.
  • The National Registry considers the individual to be solely responsible for their certification.

  The National Registry has disciplinary procedures, rights of appeal and due process within its policies. Complete information about the National Registry Disciplinary Policy and Rights of Appeal can be found here.
  

  The National Registry complies with the Americans with Disabilities Act (ADA) of 1990 and offers reasonable accommodations for individuals with disabilities. Pearson VUE test centers are also ADA compliant. Complete information about the National Registry Accommodations Disability Policy can be found here.

  Expiration Dates

  Initial expiration dates are determined by the date the candidate successfully completes the entire national certification process (cognitive and psychomotor exams). EMT candidates completing the national certification process between the January 1 and June 30 will receive an expiration date of March 31 two years in the future. Individuals successfully completing the national certification process between July 1 and December 31 will receive an expiration date of March 31 three years in the future.

  

  
  Initial Certification

  If you successfully complete the national
  certification process between:

  January 1 - June 30
  July 1- December 31

  

  
  Initial Cycle

  Your initial certification date will be
  March 31:

  COGNITIVE EXAM

  Exam Type: Computer Adaptive
  Questions: 70-120
  Time Limit: 2 hours

  EMT INFO

  Cognitive Exam Fee: $104 (Per exam attempt)
  Renewal Fee: $25
  Late Fee: $50 + Renewal Fee

  RESOURCES

  • EMS.GOV Education Resources
  • Scope of Practice Model
  • EMS Education Standards
  • National EMS Core Content
  • 2020 AHA Guidelines

  QUICK LINKS

  • Technology Enhanced Items (TEIs)
  • EMT Certification Handbook
  • Cognitive Exam Information
  • Apply For A Cognitive Exam
  • Psychomotor Exam Information(EMR & EMT Level)
  • ADA Information & Policy
  • State EMS Offices
  • NCCP Recertification Model
  • 2014 Practice Analysis
  • Certification vs. Licensure
  • General Policies

  

  The Registry

  Topics

  • Recertification
  • EMS Compact
  • Maps, Stats & Data
  • NCCP Recertification