The NREMT mission statement is: To serve as the national EMS certification organization by providing a valid, uniform
process to assess the knowledge and skills required for competent practice of (EMS) professionals throughout
their careers and by maintaining a registry of certification status.
This mission statement encompasses many concepts. The NREMT certifies individuals by issuing a certification. The NREMT does not issue a license or permit to work. EMTs must have a state license or state certification to work. The NREMT then places the name of those who are registered into a “Registry” or list of those who are certified according to the standards and processes established by the NREMT Board of Directors. Certification by the NREMT is based upon meeting the NREMT entry requirements, completing an application process, passing the written and practical examinations, paying the application fee and meeting the re-registration requirements.
The NREMT certifies EMS Professionals. Currently this includes First Responders, EMT-Basics, EMT-Intermediates who have completed either an EMT-Intermediate/85 course of training or an EMT-Intermediate/99 course of training and EMT-Paramedics.
The NREMT is committed to continued competency and thus has a re-registration process which must be accomplished every two years. Registered EMTs must complete refresher training, continuing education, CPR and/or AL and have their skill competency validated by either their supervisor/training officer at the EMT-Basic level or the medical director at the NREMT-Intermediate/85,
NREMT-Intermediate/99 or NREMT-Paramedic level. These requirements are verified via a re-registration application which must be completed every two years by all NREMTs.
The NREMT strives to achieve high levels of validity with all standards and processes. The NREMT follows a peer review psychometric development process to establish the cut score for all examinations. The performance examination (practical examination) is developed by national committees of experts, peer reviewed, pilot tested and adopted by the NREMT Standards and Examination Committee and the Board of Directors. All other NREMT policies and procedures are reviewed by the multi-disciplinary Board of Directors.
The NREMT provides uniform services, standards, and procedures.
The NREMT assesses the knowledge and skills necessary for competent practice. This assessment is accomplished in a team oriented process with the 50 state offices of emergency medical services, thousands of skill station examiners, examination site coordinators, hundreds of NREMT representatives, thousands of EMS system medical directors and others involved in the delivery of EMS in this nation. The NREMT has written examinations that assess knowledge and practical examinations that assess skills. The NREMT does not assess the affective domain of applicants.
Competent practice is an important process of the NREMT mission. The NREMT sets its competency levels at the entry-level via committees of providers, regulators and medical directors. NREMT examinations are tied directly to practice via data obtained from the NREMT practice analysis. Items on all NREMT examinations are directly related to tasks within the practice analysis and areas of emphasis on the examination are balanced to data received from practicing EMTs on the important tasks required to deliver the knowledge and skills of the occupation.
