National Registry of EMTs

Revised Advanced Level Psychomotor Examination Skill Sheets

To Be Implemented on June 1, 2018

COLUMBUS, OH – 3 May 2018 — The National Registry announces the revision of Advanced Level Psychomotor Examination Skill Sheets. The revisions to the skill sheets, based on stakeholder feedback, provide additional clarity for those administering and scoring the examinations. Multiple rounds of feedback on the proposed revisions were received from Program Directors, Exam Coordinators, Exam Representatives, and State Officials.

The changes to the skills sheets

  • Denoted elements in the skill sheets with corresponding critical criteria
  • Identified time limits for each skill station
  • Replaced multi-point elements with multiple, single-point elements
  • Standardized verbiage across forms
  • Clarified directions when unclear
  • Added the reason for evaluator’s signature

The revised skill sheets are available on the National Registry website in a downloadable digital format. All psychomotor examinations administered on or after June 1, 2018 will be required to use the updated skill sheets.

About the National Registry
Since its founding in 1970, the National Registry of EMTs (National Registry) has offered the nation assurance that the men and women providing emergency treatment in the out-of-hospital setting are capable of providing the care that patients and their loved ones deserve. As the Nation’s EMS Certification organization, the National Registry provides psychometrically-valid proof of entry-level competence for Nationally Certified EMS personnel through rigorous cognitive and psychomotor examinations. National EMS Certification is offered at four levels and must be maintained biennially by demonstrating continued education and skills competence. To date, the National Registry has certified more than 1.8 million EMS professionals. To learn more about the National Registry please visit


Revised Advanced Level Psychomotor Examination Skill Sheets

Media Contact:

Donnie Woodyard, MAML, NRP
Chief Operations Officer