Emergency medical responder levels by U.S. state

In the United States, the licensing of prehospital emergency medical providers (emergency medical technicians (EMTs)) and oversight of emergency medical services are governed at the state level. Each state is free to add or subtract levels as each state sees fit. Therefore, due to differing needs and system development paths, the levels, education requirements, and scope of practice of prehospital providers varies from state to state. Even though primary management and regulation of prehospital providers is at the state level, the federal government does have minimum requirements for EMT-Basics and EMT-Paramedics set through the National Highway Traffic Safety Administration (NHTSA).[1] In the list, certification levels are provided from most basic to most advanced.

While states are able to set their own additional requirements for state certification, a quasi-national certification body exists in the form of the National Registry of Emergency Medical Technicians (NREMT). The NREMT offers a national certification based on the NHTSA National Standard curriculum for the levels of First Responder, EMT-Basic, EMT-Intermediate 1985, EMT-Intermediate 1999, and EMT-Paramedic.[2] Individual states are allowed to use NREMT certification as part of their certification process, but are not required to. As of 2006, 39 states use the NREMT examination for EMT-Basic certification and 44 states use the NREMT examination for EMT-paramedic certification.[3] These levels are denoted below using an asterisk (*). At present time, use of the NREMT examination for EMT-Intermediate 85 and 99 have not been included in this list.

Any provider between the levels of EMT-Basic and EMT-Paramedic is either a form of EMT-Intermediate or an Advanced EMT. The use of the terms "EMT-Intermediate/85" and "EMT-Intermediate/99" denotes use of the NHTSA EMT-Intermediate 1985 curriculum and the EMT-Intermediate 1999 curriculum respectively. In addition, not all states use the "EMT" prefix for all levels (e.g. Texas uses EMT-Paramedic and Licensed Paramedic). Finally, some states have levels that have partially been phased out. While no new certifications are provided at this level, providers can be grandfathered in provided they meet recertification requirements. Any level that has been completely phased out (i.e. not used for new or continuing providers) is not listed.

Contents

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Transition to new levels began January 2011, and will be completed March 2015. [24]

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

(endorsements are listed below each level are optional and can be achieved in any order and combination)

Nebraska

Nevada

New Hampshire

New Jersey

Current System

System Following Passage of NJ EMS Redesign Bills (A2095, S818)

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Transition to new EMS levels issued in accordance to beginning of NREMT testing dates.[60]

Virginia

Virginia also has two levels no longer in use: EMT-Shock Trauma and EMT-Cardiac Tech

Transition to new levels began January 2011, and will be completed December 2013.[62]

Washington

West Virginia

Wisconsin

Wyoming

References

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