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Transition Policy

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The NREMT Board of Directors is committed to implementation of the EMS Education Agenda for the Future: A Systems Approach. Included within this agenda is the National EMS Scope of Practice Model. Therefore, in order for NREMTs to maintain National EMS Certification, as outlined in the EMS Education Agenda for the Future, all NREMTs must meet the minimum requirements of knowledge and skills outlined in the National EMS Scope of Practice Model. Transition dates and processes which certified EMS providers must follow to obtain National EMS Certification vary according to the level of EMS provider and are outlined below.


Current Level New Level
NREMT First Responder Emergency Medical Responder (NREMR)
NREMT-Basic (NREMT-B) Emergency Medical Technician (NREMT)
NREMT-Intermediate/85 (NREMT-I/85) Advanced Emergency Medical Technician (NRAEMT)
NREMT-Intermediate/99 (NREMT-I/99) Paramedic (NRP)
NREMT-Paramedic (NREMT-P)

First Responder

All NREMT First Responders who have expiration dates of September 30, 2011 or September 30, 2012 have two registration cycles (four years) to complete a state approved First Responder to Emergency Medical Responder transition course in order to be eligible for National EMS Certification as an Emergency Medical Responder (NREMR).

  • Completion of a transition course that is state approved must be validated by attending and successfully completing a course that issues a certificate that has within its title:
    • First Responder's name
    • transition course completion date
    • The certificate must contain the following statement: "has completed a state approved First Responder to Emergency Medical Responder (EMR) transition course."
    • name of the sponsoring agency
    • signature of the individual responsible for the training
  • To transition to the EMR level, the First Responder is not required to complete a National EMS Certification Examination.
  • NREMT First Responders who do not attend the required state approved transition course from First Responder to EMR will be dropped from the registry of National EMS Certification upon reaching their expiration date of September 30, 2015 or 2016.

    First Responder expires: Complete EMR Transition by:
    September 30, 2011 September 30, 2015
    September 30, 2012 September 30, 2016

EMT-Basic

All NREMT-Basics who have expiration dates of March 31, 2011 or March 31, 2012 have two registration cycles (four years) to complete a state approved Emergency Medical Technician-Basic (EMT-B) to Emergency Medical Technician (EMT) transition course in order to be eligible for National EMS Certification as an Emergency Medical Technician (NREMT).

  • Completion of a transition course that is state approved must be validated by attending and successfully completing a course that issues a certificate that has within its title:
    • NREMT-Basic's name
    • transition course completion date
    • The certificate must contain the following statement: "has completed a state approved EMT-Basic to Emergency Medical Technician (EMT) transition course."
    • name of the sponsoring agency
    • signature of the individual responsible for the training
  • To transition to the EMT level, the NREMT-Basic is not required to complete a National EMS Certification Examination.
  • NREMT-Basics who submit an acceptable recertification application but do not include successful completion of a state-approved transition course from EMT-Basic to EMT will be issued National EMS Certification as an Emergency Medical Responder (NREMR) upon reaching their expiration date of March 31, 2015 or 2016.

    NREMT-Basic expires: Complete EMT Transition by:
    March 31, 2011 March 31, 2015
    March 31, 2012 March 31, 2016

Intermediate/85

All NREMT-Intermediate/85s will have two registration cycles (four years) to complete a state approved Intermediate/85 to Advanced Emergency Medical Technician (AEMT) transition course in order to be eligible for National EMS Certification as an Advanced Emergency Medical Technician (NRAEMT). To be awarded National EMS Certification as an NRAEMT all NREMT-Intermediate/85s after completing the approved transition course must successfully complete the NRAEMT computer delivered cognitive examination and a transition course-ending practical examination within the past two years that validates competency over the following skills:

  • Patient Assessment/Management - Medical
  • Airway Ventilation and Oxygenation of an Infant/Child in Respiratory Distress/Failure
  • Cardiac Arrest Management /AED
  • Intravenous Bolus Medications
  • Pediatric Intraosseous Infusion
  • Completion of a transition course that is state approved must be validated by attending and successfully completing a course that issues a certificate that has within its title:
    • NREMT-Intermediate/85's name
    • transition course completion date
    • The certificate must contain the following statement: "has completed a state approved EMT-Intermediate/85 to Advanced Emergency Medical Technician (AEMT) transition course including successful completion of a course-ending practical examination." The individual skills below should also be listed on the certificate:
      • Patient Assessment/Management - Medical
      • Airway Ventilation and Oxygenation of an Infant/Child in Respiratory Distress/Failure
      • Cardiac Arrest Management /AED
      • Intravenous Bolus Medications
      • Pediatric Intraosseous Infusion"
    • name of the sponsoring agency
    • signature of the individual responsible for the training
  • NREMT-Intermediate/85s must complete an online application, including submission of a $70.00 application fee and successfully complete the NRAEMT cognitive examination prior to their Intermediate/85 expiration date.
  • Intermediate/85s who are unable to successfully complete the NRAEMT cognitive exam by their expiration date will be issued a NREMT certification and have 2 years from date of lapse to obtain NRAEMT certification provided they meet all NREMT requirements currently in effect.
  • All Intermediate/85s transitioning will have a maximum of six attempts to successfully complete the NRAEMT cognitive exam.
  • Any Intermediate/85 transitioning who fails six attempts will be required to successfully complete an entire AEMT education program to regain eligibility to apply for NRAEMT.
  • NREMT-Intermediate/85s who submit an acceptable recertification application but do not include successful completion of a state-approved transition course from EMT-Intermediate/85 to AEMT will be issued National EMS Certification as an Emergency Medical Technician (NREMT) upon reaching their expiration date of March 31, 2016 or 2017.

    NREMT-Intermediate/85 expires: Complete AEMT Transition by:
    March 31, 2011 March 31, 2015
    March 31, 2012 March 31, 2016
    March 31, 2013 March 31, 2017

Intermediate/99

All NREMT-Intermediate/99s will have three registration cycles (six years) to complete a state approved Intermediate/99 to Paramedic transition course in order to be eligible for National EMS Certification as a Paramedic (NRP). To be awarded National EMS Certification as an NRP all NREMT-Intermediate/99s after completing the approved transition course must successfully complete the NRP computer delivered cognitive examination.

  • Completion of a transition course that is state approved must be validated by attending and successfully completing a course that issues a certificate that has within its title:
    • NREMT-Intermediate/99's name
    • transition course completion date
    • The certificate must contain the following statement: "has completed a state approved EMT-Intermediate/99 to Paramedic transition course.
    • name of the sponsoring agency
    • signature of the individual responsible for the training
  • NREMT-Intermediate/99s must submit an online application, including submission of the application fee (currently $110) and successfully complete the NRP cognitive examination prior to the Intermediate/99 expiration date.
  • Intermediate/99s who are unable to successfully complete the NRP cognitive exam by their expiration date will be issued a NRAEMT certification and have 2 years from date of lapse to obtain NRP certification provided they meet all NREMT requirements currently in effect.
  • All Intermediate/99s transitioning will have a maximum of six attempts to successfully complete the NRP cognitive exam.
  • Any Intermediate/99 transitioning who fails six attempts will be required to successfully complete an entire CAAHEP-accredited Paramedic education program to regain eligibility to apply for NRP certification.
  • NREMT-Intermediate/99s who submit an acceptable recertification application but do not include successful completion of a state-approved transition course from EMT-Intermediate/99 to Paramedic will be issued National EMS Certification as an Advanced Emergency Medical Technician (NRAEMT) upon reaching their expiration date of March 31, 2018 or 2019.

    NREMT-Intermediate/99 expires: Complete Paramedic Transition by:
    March 31, 2011 March 31, 2017
    March 31, 2012 March 31, 2018
    March 31, 2013 March 31, 2019

Paramedic

All NREMT-Paramedics who have expiration dates of March 31, 2011 or March 31, 2012 have two registration cycles (four years) to complete a state approved Emergency Medical Technician-Paramedic to Paramedic transition course in order to be eligible for National EMS Certification as a Paramedic (NRP).

  • Completion of a transition course that is state approved must be validated by attending and successfully completing a course that issues a certificate that has within its title:
    • NREMT-Paramedic's name
    • transition course completion date
    • The certificate must contain the following statement: "has completed a state approved EMT-Paramedic to Paramedic transition course."
    • name of the sponsoring agency
    • signature of the individual responsible for the training
  • In order to transition to the Paramedic level, the NREMT-Paramedic is not required to complete National EMS Certification Examinations.
  • NREMT-Paramedics who submit an acceptable recertification application but do not include successful completion of a state-approved transition course from EMT-Paramedics to Paramedic will be issued National EMS Certification as an Advanced Emergency Medical Technician (NRAEMT) upon reaching their expiration date of March 31, 2016 or 2017.

    NREMT-Paramedic expires: Complete Paramedic Transition by:
    March 31, 2011 March 31, 2015
    March 31, 2012 March 31, 2016
    March 31, 2013 March 31, 2017

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