National Registry of EMTs

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NREMT Board of Directors Has Physician-at-Large Position Opening

Physician-at-large Board position

COLUMBUS, OH — — The Board of Directors of the National Registry of Emergency Technicians is seeking qualified applicants for the Physician-at-large Board position.



COLUMBUS, OH — A study conducted by researchers with the National Registry of Emergency Medical Technicians (The National Registry) and The Ohio State University Wexner Medical Center shows a significant increase in EMS administration of naloxone during a recent five-year period. Naloxone is a life-saving drug that can quickly reverse the effects of an opioid overdose.


new web tool CAPCE

COLUMBUS, OH — A new web tool will save time and increase the accuracy of the continuing education records submitted to the National Registry during the recertification process.



COLUMBUS, OH — The National Registry of EMTs (National Registry) and its Board of Directors today announced Bill Seifarth as the organization’s new executive director. An industry veteran, Seifarth brings more than 20 years of experience to the position, including Emergency Medical Services (EMS) leadership at both the State and Federal levels, along with a background of managing several comprehensive certification programs.

The National Registry of EMTs Releases New iOS Mobile App

New iOS Mobile App

COLUMBUS, OH – 25 April 2018 — The National Registry of EMTs (National Registry) today announced its first mobile app is now available for EMS personnel to efficiently manage all components of their continuing education and recertification. Compatible with iPhone devices, the National Registry mobile app allows EMS providers, training officers, and medical directors to track education, manage agency affiliations, verify skills and recertify.

Rob Wagoner Recognized with the 2017 Rocco V. Morando Lifetime Achievement Award

Rob Wagoner Recognized with the 2017 Rocco V. Morando Lifetime Achievement Award

COLUMBUS, OH – 3 April 2018 — The National Registry of EMTs announced Rob Wagoner as the recipient of the 2017 Rocco V. Morando Lifetime Achievement Award. The award, presented by the National Association of Emergency Medical Technicians (NAEMT) and sponsored by the National Registry, is a prestigious honor recognizing a lifetime of commitment.

National Registry Publishes Handbooks for Candidates Seeking Initial Certification

candidate handbooks

COLUMBUS, OH – 5 March 2018 — The National Registry announces the release of candidate handbooks for those pursuing their initial certification. The handbooks provide a step by step process for submitting applications and taking the certification exams. They are available on the National Registry website ( in a downloadable digital format. Handbooks are available for EMR, EMT, AEMT, and Paramedic certifications.

The National Registry Board of Directors Has An Opening for an Educator-at-Large

COLUMBUS, OH — 2 March 2018 — The Board of Directors of the National Registry of Emergency Technicians is seeking qualified applicants for the Educator-at-Large position. This position serves a four-year term and Directors are required to attend two Board of Directors meetings each year. Board members may also be requested to serve on committees, requiring additional meetings or conference calls.

The National Registry Announces A Team-Focused Organization Structure

COLUMBUS, OH — 5 February 2018 — The National Registry of Emergency Medical Technicians, the Nation’s EMS Certification, announced a streamlined organizational structure after a January 30 meeting of the Board. The National Registry is now organized in four teams: Certification and Policy, Finance and Administration, Operations and Stakeholder Relations, and Science and Examinations. The focus of the new structure is improved customer relationships, communications and accountability.

First Provider Renews National EMS Certification in 2017-18 Season

COLUMBUS, OH — 4 October 2017 — The National Registry of Emergency Medical Technicians is proud to recognize Mr. Drew Piehl as the first person to renew his National EMS Certification during the 2017-18 recertification season.

REPLICA Names Commission Honorary Chairs

COLUMBUS, OH — 20 September 2017 — REPLICA member states have selected NREMT Board Chair Debra Cason to serve as an honorary chair of the first meeting of the Interstate Commission for EMS Personnel Practice. The inaugural meeting will be held Oct. 7-8 in Oklahoma and will be open to the public.

NREMT Launches Recert2.0

COLUMBUS, OH — 08 September 2017 — The National Registry of Emergency Medical Technicians is excited to announce today’s launch of Recert2.0, the largest update ever of the NREMT’s recertification system. Along with popularly requested features, such as an expanded certification dashboard and the ability for EMS personnel to affiliate with multiple EMS agencies, Recert2.0 also introduces the EMS Education Transcript, a powerful tool for tracking, storing, and managing continuing education.

NREMT Announces Interim Executive Director

COLUMBUS, OH — 28 July 2017 — The Board of Directors of the National Registry of EMTs announced today the appointment of seasoned national EMS leader and former NREMT Board Chair Drew Dawson as Interim Executive Director, following notification of the pending resignation of current Executive Director Severo Rodriguez. Mr. Dawson, retired Director of the National Highway Traffic Safety Administration Office of EMS, will begin work with the National Registry immediately, and will assume full responsibilities as the Interim Executive Director on September 1. Debbi Cason, Chair of the NREMT Board of Directors, stated "We are excited that Mr. Dawson, an accomplished and respected national EMS leader, will be joining us in fulfilling our mission as the Nation’s EMS Certification. The NREMT Board of Directors is delighted to work with him again."

The Nation's First EMS Compact Announces Date for First Official Meeting

July 28, 2017 (Falls Church, Va.) The Recognition of EMS Personnel Licensure Compact (REPLICA) participating states announce that the first full meeting will be held on Oct. 7-8, 2017, in Oklahoma City, Oklahoma. Member state representatives will be officially seated on the Interstate Commission for EMS Personnel Practice (Interstate Commission). In addition, the public is invited to participate in a public hearing on Sunday, Oct. 8, 2017, as part of the second day of Interstate Commission's meeting. REPLICA member states include Alabama, Colorado, Georgia, Idaho, Kansas, Mississippi, Tennessee, Texas, Utah, Virginia and Wyoming.

REPLICA meets Goal. Interstate Compact becomes official!

May 8, 2017 (Columbus, OH) With the 10th member state enactment, the Recognition of Emergency Medical Services Licensure Interstate Compact (REPLICA) has become official. Governor Nathan Deal of Georgia signed Senate Bill 109 on today activating the nation’s first EMS licensure compact. States that have passed REPLICA to date include: Colorado, Texas, Kansas, Virginia, Tennessee, Idaho, Utah, Mississippi, Wyoming and Georgia.

National Registry of EMTs’ Awarded the NBRI Circle of Excellence Award for the second consecutive year!

April 2017 - Based on a recent customer satisfaction survey, the NREMT call center team was awarded the Circle of Excellence award for the second consecutive year by the National Business Research Institute (NBRI). The NBRI Circle of Excellence Award recognizes organizations that place a high value on employee engagement and customer satisfaction. The NREMT is committed to continually improving our registrants' experiences, and we are honored to be recognized by the NBRI for our efforts.
View the press release

Firemedically Speaking: Inside the NREMT Exams

Fire Engineering's EMS editor and NREMT Board Member, Mike McEvoy talks with Rob Wagoner, the Chief Operating Officer of the National Registry of EMTs who has spent the last 30 years intimately involved in the Registry's cognitive and psychomotor testing development and administration. Rob describes the computer adaptive testing (CAT) used for the National Registry EMR, EMT and Paramedic exams including how the exams are developed, validated, scored, administered and updated.
This prerecorded show will fill you in on everything you ever wanted to know about National Registry exams.

Psychomotor Authorization to Test Letters Coming Soon

October 27, 2016 - Effective January 1, 2017, any candidate for advanced level certification (AEMT, I-99 or Paramedic) will be required to obtain a Psychomotor Authorization to Test (PATT) letter before registering for the NREMT advanced level psychomotor examination. The PATT will only be used by the NREMT, and it is similar to the Authorization to Test (ATT) process that has been in place for cognitive examinations since 2007.

Continuing Education Policy Change

NREMT Implements Rolling CE Calendar

September 1, 2016 - Effective immediately, continuing education hours can be earned for your next NREMT recertification as soon as you complete your current recertification. Previously, hours would not count for the next recertification period unless they were earned after the March 31 expiration date—regardless of when you recertified. Now, hours begin to count for the next period immediately.
For example: Complete your recertification on October 1, and you can count education beginning October 2 for the next recertification cycle.

NREMT to Support National EMS Compact Project

July 2016 - The NREMT is excited to announce a commitment to supporting REPLICA, the Recognition of EMS Personnel Licensure Interstate Compact project. Every day, EMS practitioners cross state lines while caring for patients, responding to disasters, or performing other work duties. These routine occurrences present an assortment of legal, regulatory and compliance challenges: Each state has laws protecting and regulating the EMS profession, so before an individual can practice—or in most states, even utilize titles such as EMT or Paramedic—the individual must complete the credentialing or license process specific to that state.

National Registry of EMTs’ Awarded the NBRI Circle of Excellence Award

June 2016 - Based on a recent customer satisfaction survey, the NREMT call center team was awarded the Circle of Excellence award by the National Business Research Institute (NBRI). The NBRI Circle of Excellence Award recognizes organizations that place a high value on employee engagement and customer satisfaction. The NREMT is committed to continually improving our registrants' experiences, and we are honored to be recognized by the NBRI for our efforts.

Certification Tips For U.S. Navy Corpsman Transitioning to Civilian Workforce

March 2016 - U.S. Navy Corpsman perform advanced medical procedures in various locations on many different platforms. Whether they are on a submarine or in the back of a military vehicle, they act as first-line medical providers for U.S. service members, coalition and enemy forces, and civilians. The Navy practice of medicine is not exclusive – Corpsman often provide medical care for wounded Marines and their units. Read More...

NRP Psychomotor Examination and Regional Scenario Development Workshops

The National Registry of EMTs (NREMT) is changing the way it verifies psychomotor competency for National Registry Paramedic (NRP) certification. All students who begin their paramedic program on or after August 1, 2016, are required to complete a portfolio that becomes a part of their permanent education file and is a prerequisite to seeking NRP certification.

Beginning January 1, 2017, the NREMT will start testing Phase 1 of the new scenario psychomotor exam. In this phase, a total of six (6) skills will be tested, five (5) currently evaluated in the NRP psychomotor examination and one (1) out-of-hospital scenario. This out-of-hospital scenario will reflect either a pediatric, geriatric, or adult patient. Each candidate will be provided with a trained paramedic partner and evaluated on his/her ability to manage a call, lead the team, effectively communicate, and maintain professionalism throughout the simulated patient encounter.

To assist Paramedic programs in preparing for these changes, the NREMT will be conducting Regional Scenario Development Workshops in 2016. The NREMT has partnered with the National Association of Emergency Medical Service Educators (NAEMSE) to facilitate these workshops. NAEMSE will reach out to the national EMS educator community and provide information, registration, and continuing education hours for those who attend a workshop in 2016.

These workshops are designed to provide Paramedic Program Directors and educators hands-on experience with formative and summative scenarios. Participants will be guided through the scenario development process by NREMT staff and Workshop Instructors who have experience piloting the portfolio and scenario psychomotor examination. Activities include scenario writing, calibration, and evaluation when student volunteers run the scenarios during the workshop. All of the scenarios created will then be available for use by participants in their training programs following the workshop

2017 NREMT Fee Increase

The NREMT will be increasing the cognitive examination fees effective January 1, 2017. The NREMT Board of Directors approved the fee increase effective 2017 following a ten-year price freeze (2007-2017). The 2017 fee increase reflects the renewed relationship between the NREMT and Pearson VUE. The new fees are:

  • EMR: $75
  • EMT: $80
  • AEMT: $115
  • I/99: $125
  • Paramedic: $125


In 2012, the NREMT introduced a new recertification model, the National Continued Competency Program (NCCP). While reduced hours are just one of the many benefits with the new model, the change allows a platform for evidence-based medicine to reach EMS professionals all over the country. Additionally, it gives state and local agencies the control to dictate a portion of the recertification requirements and provide a foundation for the EMS professional to embrace life-long learning.

The new model streamlines the recertification process into three categories of continuing education: National, Local, and Individual. The National requirement (NCCR) or the ‘new’ refresher makes up 50% of the new recertification model. Topics will be updated every four years and will reflect current trends and changes in EMS. The Local requirement (LCCR) accounts for 25% of your recertification. These hours will be decided by local entities, including the state, region or agency. Finally, the Individual requirement (ICCR) will complete the remaining 25% of your recertification. Much like the “additional continuing education” section for the traditional model, an individual is free to take any EMS related education.

Another benefit of using this model is an increase in the amount of distributive education that can be used towards your recertification. Distributive education is defined as an approved Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) (Formerly known as CECBEMS)F3 course. You can now take just over half of your hours as distributive education. This breaks down to allow for 1/3 of your national component, 2/3 of your local component, and your entire individual component to be distributive education (Table 1).

States across the nation are beginning to implement this new recertification model. Please check with your state EMS office for information on the upcoming implementation in your state. The NREMT website has NCCP Recertification Resources available to assist you and your state through the transition to the new model.