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NREMT Transitions to National Scope of Practice

The National EMS Scope of Practice Model is a framework of interdependent systems that are to be used as a guide to each state in developing their Scope of Practice legislation, rules, and regulations. When used in conjunction with the National EMS Core Content, National EMS Certification, and National EMS Education Program Accreditation, states that closely follow the National EMS Scope of Practice Model and the National EMS Education Standards will see an increase in the consistency of instruction, nomenclature used, and competency of out-of-hospital emergency personnel nationwide. This will in turn improve reciprocity and mobility of EMS professionals.

While the Standard of Care deals with questions like, “Did you do the right thing and
did you do it properly?”  The National EMS Scope of Practice does not define a standard of care, or define what should be done in a given situation. In other words, it is not a practice guideline or a set of protocols. The National EMS Scope of Practice Model defines what you are legally permitted to do at your certification or license level.

The National EMS Scope of Practice Model defines and describes four levels of EMS licensure:

  • Emergency Medical Responder (EMR)
  • Emergency Medical Technician (EMT)
  • Advanced  EMT (AEMT)
  • Paramedic

Each level will have its own minimum psychomotor skills and knowledge base. National EMS Education Standards will be developed for each level and replaces the National Standard curriculum.

The bottom line is that each state will need to review the National Scope of Practice Model in light of their current EMS program, laws, and regulations. New laws and regulations will need to be implemented and training programs updated as educators will need to be transitioned to the National EMS Education Standards curriculum. The overhaul of the existing system in each state adopting the National Scope of Practice Model will take time. The best thing you can do is check with the EMS authority in your state for more information.

NREMT Implementation of the National EMS Education Standards

Transition Levels

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

NREMT Transition Policy

First Responder

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

EMT-B

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

EMT-Intermediate

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

 

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

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

Provider Levels Begin:

Advanced EMT June 1, 2011
Emergency Medical Responder January 1, 2012
Emergency Medical Technician January 1, 2012
Paramedic January 1, 2013

National EMS Certification exams based on National Standard Curriculum End: 

First Responder December 31, 2011
EMT-Basic December 31, 2011
EMT-Intermediate/85 March 31, 2013
EMT-Intermediate/99 December 31, 2013*
EMT-Paramedic December 31, 2012

* NREMT will offer access to exam to States for purposes of state licensure after 12/31/13

References
Webinar
https://www.nremt.org/nremt/downloads/2010-08-17%2014.03%20Encore%20presentation_%20Certification%20Exam%20_%20Transition%20Plans.wmv

NHTSA Scope of Practice Document
http://www.nremt.org/nremt/downloads/Scope%20of%20Practice.pdf

NREMT Transition Policy
https://www.nremt.org/nremt/about/transition_policy.asp

Provider Level Information:

EMR
https://www.nremt.org/nremt/about/reg_1st_history.asp

EMT
https://www.nremt.org/nremt/about/reg_basic_history.asp

Advanced EMT
https://www.nremt.org/nremt/about/reg_aemt_history.asp#Entry_Requirements

Paramedic
https://www.nremt.org/nremt/about/reg_para_history.asp

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