National Registry of EMTs

ACCOMMODATIONS POLICY


The NREMT complies with the Americans with Disabilities Act (ADA) in regards to requests for examination accommodations consistent with its mission and public protection.

Candidates requesting examination accommodations should share this information with individuals responsible for rendering a diagnosis of the specific disability so that appropriate documentation can be assembled to support the request for accommodations.

Accommodations Policy Overview

It is the policy of the National Registry of Emergency Medical Technicians to administer its certification examinations in a manner that does not discriminate against an otherwise qualified applicant. The National Registry of Emergency Medical Technicians offers reasonable and appropriate accommodations for the written and psychomotor components of the registration examination for those persons with documented disabilities, as required by the Americans with Disabilities Act (ADA).

The NREMT urges candidates requesting any accommodation to submit such requests as early as possible to provide adequate time to resolve any documentation issues that may arise. At a minimum, all requests for accommodations must be received by the NREMT no less than thirty (30) days before the scheduled test date.

The NREMT will review each request on an individual basis and make decisions relative to appropriate accommodations based on the following general guidelines:

  1. To be considered for an accommodation under the ADA, an individual must present adequate documentation demonstrating that his/her condition substantially limits one or more major life activities.
  2. Only individuals with disabilities who, with or without reasonable accommodations, meet the eligibility requirements for certification at the level of the requested examination are eligible for accommodations.
  3. Requested accommodations must be reasonable and appropriate for the documented disability and must not fundamentally alter the examination’s ability to assess the essential functions of out-of-hospital care, which the test is designed to measure.
  4. Professionals conducting assessments, rendering diagnoses of specific disabilities and/or making recommendations for appropriate accommodations must be qualified to do so
  5. The NREMT realizes that each candidate’s circumstances are unique and uses a case by case approach to review the documentation is required.
  6. All documentation submitted in support of a requested accommodation will be kept in confidence and will be disclosed to NREMT staff and consultants only to the extent necessary to evaluate the accommodation. No information concerning an accommodation request will be released to third parties without written permission from the candidate.
EMS Education and the ADA

The NREMT does not set policy for educational institutions regarding appropriate accommodations in the classroom. However, in the interests of public protection and appropriate counseling of prospective EMS students, coordination of NREMT and educational accommodation policies is critical. EMS educators should seek guidance from the Disabilities support services connected with their educational institution. Independent education courses that are not sponsored by institutions with disability support should contact their State EMS Office for advice. Furthermore, educators and state offi ces should familiarize themselves with these guidelines for standard use:

  • No discussion or screening for disabilities, or other addressing of potential disabilities should be performed prior to a student’s admission to a training program. No inquiry may be made of a prospective student about any disability. Aptitude or diagnostic testing may only be required prior to admission if it is required of all students
  • The EMT job description, which is included in EMT curricula, should be provided for each student at the beginning of their training.
  • At the beginning of a course (but never before the course begins), instructors should inquire if there are students who may request accommodations for disabilities. If students request accommodations, the instructor should refer or advise the individual to contact the state EMS office directly to assure a consistent approach to the application of appropriate accommodations in the classroom.

Educators should request documentation of the disability before providing accommodations in the classroom. This documentation should be reviewed by the school’s disability coordinator. Understanding psychological reports requires expertise that almost every EMS educators does not possess. Accommodations in the classroom setting should be approved by an expert assigned to the school.

Students who have stated they have a disability and are seeking an accommodation on the NREMT examination should be directed to the NREMT website and follow the instructions provided. The NREMT recommends that all applicants complete an online profi le and apply to take an NREMT National EMS Certification examination 4-6 weeks prior to the desired date of examination.

Requesting an Accommodation

The NREMT National EMS Certification has two components: a computer based cognitive examination and a psychomotor examination, where candidates must perform competently some psychomotor aspects of the job of an EMT.

Candidates requesting accommodations should print out and follow the “How to request an accommodation” step by step guide in the section below. Following these steps, including the timely submission of appropriate documentation, will facilitate the NREMT’s review regarding appropriate accommodations.

Although each accommodation request is analyzed separately, some general principles guide NREMT decisions. Documentation must be current and provided by a qualified professional. Documents will be reviewed by NREMT psychoeducational consultants and approval of accommodations must be obtained by the NREMT.

The psychomotor examination evaluates necessary skills and simulations of skills required of an EMT. Use of assistive devices on the psychomotor examination to assist disabled persons to demonstrate psychomotor competency may be permitted provided these same assistive devices can be used safely and effectively on the job. Prior approval of use of any of these devices on an NREMT psychomotor examination must be obtained. Decisions can not be made at the examination site. Documentation of a physical disability must be submitted in accordance with information found on the NREMT website.

NREMT’s Response and Role Regarding Disabilities

The NREMT took a lead role in responding to the ADA in 1991 to assess its impact upon testing, licensing and certification of Emergency Medical Technicians. The NREMT has worked with psychoeducational consultants, occupational rehabilitation specialists, reading specialists and legal counsel to develop its current accommodation policies. These disability and educational specialists reviewed job descriptions, functional job analysis, tasks within the NREMT practice analysis, and observed EMS providers in the field. The NREMT also worked in conjunction with state EMS licensing agencies to develop the current policies.

The NREMT is committed to the provision of reasonable accommodations which do not compromise the ability of its certification tests to evaluate a candidate’s ability to safely and effectively perform the critical tasks in the provision of EMS care. NREMT certification attests to a standard of care in the interest of public protection. Accordingly, this standard guides the accommodations that can be made for candidates taking the NREMT examination. The NREMT also recognizes that each disability is unique to the individual and all NREMT decisions regarding reasonable accommodation are evaluated on a case-by-case basis.

The NREMT is the national EMS certification agency and does not issue a state license or permit to work. Not all aspects of an EMT’s job are covered in the NREMT cognitive or psychomotor examinations. Accordingly, the state licensing agencies will continue to have the responsibility and authority to determine an applicant’s ability to safely and effectively provide EMS services with respect to those physical and mental skills not tested on NREMT certification examinations.


ABOUT THE AMERICANS WITH DISABILITIES ACT

The Americans with Disabilities Act (ADA) is designed to eliminate unnecessary barriers to people with disabilities in the areas of employment, transportation, public accommodations, public services, and telecommunications. This comprehensive federal act has many sections that affect builders, state and local governments and employers. Title III of the ADA specifically assures that certification test sponsors must provide appropriate accommodations to otherwise qualified candidates so as to permit candidates to be tested on their true abilities.

How to Request an Accommodation
If you are requesting an accommodation on any level of the NREMT examination, you must complete the following steps:

____ If you do not already have a NREMT account with a username and password, create a New Account on the NREMT homepage. If you forgot your username or password, use the Password Recovery Page for assistance.

____ Complete an application to take the examination

____ After receiving an accommodation response, pay the fee to take the NREMT examination.

____ Print out the following documents: ____ Obtain the requested documentation in support of your request from the professional who has diagnosed your disability and recommends that you be granted an accommodation. Be sure to review the NREMT’s Examinations Accommodations Policy to make sure that you are submitting all the requested documentation and that the diagnosis is by a properly qualified professional. You are encouraged to review the documentation requirements with the professional who made the diagnosis. Submitting all the necessary documentation the first time will help to expedite the processing of your request.

____ Complete and sign the Questionnaire for Applicants Requesting Accommodations.

____ FAX or send the Questionnaire, your psychological evaluation, completed by a qualified analyst, which includes a diagnosis and the scores from your tests of achievement and ability to the NREMT 614-396-2401 at least 3 weeks prior to the date you want to test.

____ Wait for the NREMT’s review of your request. The NREMT will send you an e-mail and follow this up with a letter indicating whether your request has been granted and, if so, what accommodations you will be provided.

____ If you have not completed the EMS training course but have already received a letter from the NREMT approving your accommodation, you need to wait until your course has been completed and your EMS Program Director validates your successful completion on the NREMT website. The EMS Program Director’s validation of your course completion will result in your receipt of an Authorization to Test (ATT) letter.

____ If you have already completed your course and received an Authorization to Test (ATT) letter, you should wait for notification from the NREMT regarding your accommodation request before scheduling a test.

____ Do not attempt to schedule your examination with Pearson VUE until you have received BOTH your accommodation letter AND Authorization to Test (ATT) letter from the NREMT.

____ When you receive notification from the NREMT approving your accommodation request, the notification will include instructions on how to schedule your test with Pearson VUE via telephone. Do not schedule your test date via the Web, and be sure to alert Pearson VUE when you call that you have been approved for an accommodation.

____ Arrive on time at your scheduled examination appointment with two forms of identification (one must be a government issued identification with a photo) and prepare to take a computer based examination as outlined in your ATT letter and per the instructions regarding accommodations given to you by the Pearson VUE Accommodation Coordinator.