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NREMT-P Challenge


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Your best bet is to contact National Registry directly and ask.  They'll be best able to answer your question.  I can tell you when I spoke to them about maintaining my NRP while I was in school they were not supportive of the education I was receiving at the time.  However, that was a few years ago and their position may have changed.

 

Also, if you live in a Registry state (meaning the state requires NR certification in order to practice as a prehospital provider), consider contacting your state EMS office.  They may be able to help.

 

There's a lot of talk about PAs being able to fill a role in some EMS systems.  Pennsylvania is the only state I know of that has taken the steps to create a prehospital certification for PAs.  And even then they've not created a system in which to actually certify PAs to fill this role.  So while it's on the books it's languishing in a sort of prehospital/legislative purgatory.

 

Let us know what you find out.  There are several EMS providers here now working as PAs.  It'd be good to know your experience for future reference.

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You cannot challenge.  I am currently an EMT-Intermediate so looked in to it when I graduated school.  Regulations changed about a year or so ago for national registry - you must graduate from a NR accredited course or you cannot sit for the exam.  Some states will let you challenge the state exam - but you would have to look into that in your state as it varies.  There is a course (I think in NV) that is about 2 weeks long specifically designed for folks with prior EMS experience who are currently health care providers (MD's, PA's, RN's, etc) that is accredited.  When I looked into it, it was about 5K and you were basically in class all day with clinicals evenings/nights.  But you knocked it out in 2 weeks.  Can't remember the name now, sorry. 

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You cannot challenge.  I am currently an EMT-Intermediate so looked in to it when I graduated school.  Regulations changed about a year or so ago for national registry - you must graduate from a NR accredited course or you cannot sit for the exam.  Some states will let you challenge the state exam - but you would have to look into that in your state as it varies.  There is a course (I think in NV) that is about 2 weeks long specifically designed for folks with prior EMS experience who are currently health care providers (MD's, PA's, RN's, etc) that is accredited.  When I looked into it, it was about 5K and you were basically in class all day with clinicals evenings/nights.  But you knocked it out in 2 weeks.  Can't remember the name now, sorry. 

 

Nebraska, actually.  http://ems.creighton.edu/training-certification/paramedic-certification-healthcare-providers-0

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Thanks Ace - that is the course I was referring too.

 

PACdan - I could be wrong but I do not believe you can take the National Registry just for having a state certification - I think you still have to prove that you graduated from an accredited course.  But you could certainly still practice in your state as a paramedic with only a state certificate. 

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Here's the process for getting an NREMT-P with a state cert (ie challenge in VA). Honestly, it might be easier to just take a bridge course somewhere.

 

Entry and/or re-entry into the National Registry may be granted to a previously state licensed or Nationally Certified Paramedic (NRP) provided you:

  1. Officially document completion of a DOT Paramedic (NRP) Training Program after January 1, 1977.  *

  2. Show satisfactory evidence to the NREMT of prior state licensure at the Paramedic (NRP) level.

  3. Have current ACLS provider or instructor credential.

  4. Completed either PHTLS or ITLS as a provider or instructor within the past two (2) years.

  5. Have completed a state-approved Paramedic (NRP) refresher or 48 hours of equivalent continuing education covering the mandatory and flexible core content topics specified within the past two years.

  6. Have a letter of approval from the state EMS office in the state where you work or are to work. The letter should show the state's support for you to obtain state licensure through this process.

  7. Successfully complete the NREMT Paramedic (NRP) cognitive and psychomotor examinations.

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PAs and NPs may challenge the paramedic examination in Virginia.

http://www.vdh.virginia.gov/OEMS/Training/TPAM/Forms/TR-37%20-%20PA%20&%20NP%20Paramedic%20Competency%20Summary.pdf

 

I do not know how obtaining the state license allows one to challenge/gain the national certification. Anyone?

 

Now that's cool. I might have to look for a job near a volunteer EMS agency. Virginia Beach sounds kinda nice. 

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Here's the process for getting an NREMT-P with a state cert (ie challenge in VA). Honestly, it might be easier to just take a bridge course somewhere.

 

Entry and/or re-entry into the National Registry may be granted to a previously state licensed or Nationally Certified Paramedic (NRP) provided you:

  1. Officially document completion of a DOT Paramedic (NRP) Training Program after January 1, 1977.  *

  2. Show satisfactory evidence to the NREMT of prior state licensure at the Paramedic (NRP) level.

  3. Have current ACLS provider or instructor credential.

  4. Completed either PHTLS or ITLS as a provider or instructor within the past two (2) years.

  5. Have completed a state-approved Paramedic (NRP) refresher or 48 hours of equivalent continuing education covering the mandatory and flexible core content topics specified within the past two years.

  6. Have a letter of approval from the state EMS office in the state where you work or are to work. The letter should show the state's support for you to obtain state licensure through this process.

  7. Successfully complete the NREMT Paramedic (NRP) cognitive and psychomotor examinations.

 

Thats exactly what I was looking for. Glad theres is this option.

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