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EMT-Intermediate/85

NREMT Statement Re: EMT-Intermediate/85

As part of the NREMT's support of the EMS Education Agenda for the Future: A Systems Approach, effective March 31, 2013 the NREMT no longer offers National EMS Certification a the Intermediate/85 provider level.

Currently Certified EMT-Intermediate/85 EMS Providers who wish to continue their advanced level certification must transition to Advanced EMT (AEMT) by March 31, 2016/2017 (depending on their current expiration date). Certified providers who do not transition to AEMT by the transition deadline will be issued Emergency Medical Technician (NREMT) Certification when recertifying after their deadline, provided all other requirements are met.

Contents:
    Responsibilities of Certified EMT-Intermediate/85
    EMT-Intermediate/85 Recertification
    Inactive Status

Responsibilities of Certified EMT-Intermediate/85

Certified EMT-Intermediate/85's must notify the NREMT within 30 days regarding the following matters:

  • change in mailing address.

  • any felony 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 NREMT considers the individual to be solely responsible for their certification.

EMT-Intermediate/85 Recertification

In applying for recertification, certified EMS professionals agree to comply with all recertification requirements, rules and standards of the National Registry of Emergency Medical Technicians (NREMT). The recertification applicant bears the burden of demonstrating and maintaining compliance at all times.

To Apply For Recertification You Must:

  1. Be actively working within an emergency medical service, rescue service, or patient health care facility using your ALS skills.

  2. Complete all educational requirements prior to March 31.

  3. Complete the recertification report in its entirety and submit the completed report prior to March 31.

  4. Demonstrate continued cognitive (knowledge) competency through continuing education.

Continuing Education

Complete a total of 72 hours of education including:

  • Completion of an approved 36 hour EMT-Intermediate/85 Refresher

  • Completion of 36 hours of additional continuing EMS related education as outlined below

  • Pay the $15.00 (US funds only) recertification application fee at the time of submission of documentation



  • All continuing education hours, to include the refresher, must be completed within the current recertification cycle. Education completed prior to the previous March 31 expiration date will NOT be accepted. If this is the first recertification period, only education completed after the date of initial certification will be accepted. See information below for detailed recertification requirements.

Detailed Continuing Education Requirements

  1. Complete an approved EMT-Intermediate/85 Refresher

  2. The EMT-Intermediate/85 refresher course can be completed through two different options:

    • Traditional refresher course - an approved DOT National Standard EMT-Intermediate/85 Refresher*

    • Continuing education topical hours** - EMT-Intermediate/85 refresher may be completed by continuing education equivalent to a Refresher Course. You may count hours received in lectures, standardized courses (such as ABLS, ACLS, PEPP, PALS, PHTLS, ITLS, etc.), college courses, in service training, case reviews, conferences, etc*. and must include both mandatory and flexible content.

     

    You must ensure that you cover every topic within the four divisions of the mandatory core content.  You must also cover each of the five divisions of the flexible core content; however, you are not required to cover each topic.

    Mandatory Core Content - 18 hours total
    Airway, Breathing and Cardiology - 6 hours
    • Provide ventilatory support for a patient
    • Attempt to resuscitate a patient in cardiac arrest
    • Provide care to a patient experiencing cardiovascular compromise
    • Provide post resuscitation care to a cardiac arrest patient

     

    Medical Emergencies - 2 hours
    • Assess and provide care to a patient experiencing an allergic reaction
    • Assess a patient with possible overdose
    • Assess and provide care to a near-drowning patient
     
    Trauma - 4 hours
    • Perform a rapid trauma assessment
    • Assess a patient with a head injury
    • Assess and provide care to a patient with a suspected spinal injury
    • Provide care to a patient with a chest injury
    • Provide care to a patient with an open abdominal injury
    • Provide care to a patient with shock/hypoperfusion
     
    Obstetrics and Pediatrics - 6 hours
    • Assess and provide care to an infant or child with cardiac arrest
    • Assess and provide care to an infant or child with respiratory distress
    • Assess and provide care to an infant or child with trauma
    • Assess and provide care to an infant or child with shock/hypoperfusion
     
    Flexible Core Content - 18 hours total  
    Airway, Breathing and Cardiology - 6 hours
    • Assess and provide care for respiratory distress in an adult patient
    • Use oxygen delivery system components
    • Perform techniques to assure a patent airway
    • Assess and provide care to a patient experiencing non-traumatic chest pain discomfort
     
    Medical Emergencies - 4 hours
    • Assess and provide care to a patient with an altered mental status
    • Assess and provide care to a patient with a history of diabetes
    • Assess and provide care to a patient experiencing a seizure
    • Assess and provide care to a patient exposed to heat or cold
    • Assess and provide care to a patient experiencing a behavioral problem
    • Assess and provide care to a patient with suspected communicable disease
     
    Trauma - 1 hour
    • Assess and provide care to a patient with a painful, swollen, deformed extremity
    • Assess and provide care to a patient with a burn injury
     
    Obstetrics and Pediatrics - 6 hours
    • Assess and provide care to an infant or child with suspected abuse or neglect
    • Assess and provide care to an infant or child with a fever
    • Assess and provide care to an obstetric patient
    • Provide care to a newborn
    • Provide care to a mother immediately following delivery of a newborn
     
    Operational Tasks - 1 hour
    • Use body mechanics when lifting and moving a patient
    • Communicate with a patient while providing care
     
    * A Maximum number of 10 hours can be applied refresher education.  
    **Some states require the traditional refresher course and will not accept continuing education hours. Please refer to your state's particular requirements. 


  3. Additional EMS Related Continuing Education-36 hours

  4. The following are maximum hours per course that can be applied towards Additional Continuing Education hours:

    • A maximum number of 18 hours can be applied from any one topic area

    • A maximum of 16 hours can be applied from each of the following courses: ABLS; ACLS; AMLS; BTLS; ITLS; NALS; PALS; PEPP; PHTLS; PPC; teaching EMS courses

    • A maximum number of 12 hours can be applied from each of the following courses: Teaching CPR - Emergency Driving - Dispatch Training

    • A maximum number of 18 hours can be applied from Distributive Education towards this section and must be state or CECBEMS approved.

    College Courses

    A maximum of 18 hours can be applied for college courses that relate to your role as an EMS professional (for example, but not limited to: anatomy, physiology, biology, chemistry, microbiology, pharmacology, psychology, sociology, statistics, etc.)

    Hours from the following courses can be applied hour for hour with no maximum: Advanced Trauma Life Support, EMS Course Instruction, and Wilderness EMS Training.

    Courses that cannot Be applied towards additional continuing education hours: Clinical Rotations, CPR, EMR Course, home study programs, instructor courses, management/leadership courses, performance of duty, preceptor hours, serving as a skill examiner, and volunteer time with agencies.


  5. CPR Certification

  6. Submission of approved CPR credential for the professional rescuer. Credential must be current through March 31. Verification may be in the form of an instructor's signature on the recertification application or copies of both sides of a current card.

    Maintain skills as verified by your Physician Medical Director. (Requires signature on your recertification application validating psychomotor competency).

Inactive Status

Inactive status can only be requested by NREMTs who have completed at least 6 months of EMS patient care during their first registration cycle.

Inactive status with the NREMT signifies a National Certified provider who is currently not providing patient care. Often this is misunderstood. Registrants who wish to declare inactive status must continue to meet the NREMT recertification requirements. The NREMT confirms that “inactive” EMS providers are “not working.” Therefore, inactive status is useful for administrators, educators, managers, etc., but not for those who have left EMS and also failed to maintain competency via completion of the recertification education requirements.

Inactive status is not for those unable to obtain and meet the educational requirements or those who have had limitations or revocation of a health care license.

Registrants who request inactive status at the EMR and EMT levels do not need to obtain verification of skills from their training officers. Again, these registrants must complete all refresher, continuing education and CPR requirements. These registrants are eligible to recertify via examination if they so choose. CPR certification remains a requirement even for those who pass the examination.

Registrants who request inactive status at the AEMT or Paramedic levels do not need to obtain verification of skills from their medical directors. Again, these registrants must complete all refresher, continuing education and both CPR and ACLS requirements. These registrants are eligible to recertify via examination if they so choose. CPR and ACLS remain a requirement even for those who pass the examination.

Applying for Active Status when registered as Inactive

Movement from Inactive to Active status requires the registrant to complete Section III of the re-certification requirements. Fundamentally the registrant must work with their future or current employer so that he/she is willing to verify competency of the skills found on the recertification form. In order to do this the registrant must retrieve the form from the NREMT website Click here, have the form completed and then forward it to the NREMT. No fee is required to move from inactive to active status.

Download the EMT-Intermediate/85 Recertification Requirements Brochure.

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