Saturday, April 19, 2014


NREMTs reviews for NREMT preparation is the one website that seems to have the most traffic coming in and out of it. I think
that it is because offers free exams for those looking to pass their station or national certification.
There are several quizzes amd exams to chose from, all you have to do is select wether or not you are going to
be an EMT or Paramedic. It looks like they are also getting into firefighter exams, but there does not seem
to be any. Maybe that's in their future?

We hear a lot about this site, so we will be checking it out next month. The site itself is a bit "scattered" but does
have some good content.

That's all for now!



First U.S. Community Paramedic Course Underway

Ten paramedics in Minnesota will become the first U.S. "Community Paramedics" this spring when they complete a course that prepares them to provide expanded health services in areas short on other health-care practitioners.

The course is based on a new CP curriculum developed by the Community Healthcare and Emergency Cooperative, a consortium founded in July 2007 to develop a new community health provider model to address critical health care shortages in rural and remote areas. CHEC includes EMS and rural health leaders from Minnesota, Nebraska, Australia and Canada, and the CP Program is similar to those serving parts of Nova Scotia. (See "Nova Scotia Expands Paramedic Use," July 2007 EMS Insider .)

The pilot course began in January at a fire station on the Mdewakanton Sioux Reservation near Minneapolis under the auspices of Hennepin Technical College. The first class includes three paramedics from Mdewakanton Emergency Services (who will use their new skills on the MES 18-wheel mobile medical clinic), three from the Mayo Clinic's Gold Cross Ambulance Service, three from North Memorial Medical Center and one paramedic educator who's taking the course "to see if she'd want to put this into her program," said Mike Wilcox, MD, Mdewakanton's EMS medical director.

The course includes 150–200 hours of classes plus 28 hours working one-on-one with Wilcox or another mentor.

"I see most of them functioning in a public-health setting, doing some history-taking relative to chronic conditions and some preventive measures," Wilcox said. "They might do vaccinations, blood draws and blood testing, suturing, immobilizing extremities via fiberglass splints or go into homes to see if something should be changed."

Bob McCarthy, BS, EMT, Hennepin Technical College's EMS education director, said, "The first class will get a certificate from the school. We expect this will turn into an advanced occupational certificate program and it could go into a two- or four-year degree program."

Anne Willaert, MS, director of project design and development, Minnesota State Colleges and Universities' Healthcare Education-Industry Partnership, who helped develop the CP curriculum, said, "We interviewed EMTs and paramedics from rural communities and asked if they'd be interested in pursuing more than EMS. Many said they were the 'go-to' person in the community -- for example, if someone has a seizure, they get called, not the clinic -- and want to do more than quick emergency treatment. We dreamed up how to teach a paramedic how to be an advocate, a liaison, a connector to services."

The CP curriculum is built in modules so it can be used to teach paramedics, EMTs and community health workers, by building on what they already know. "Because it's in modules, it will be highly flexible," said Gary Wingrove, director of government relations and strategic planning for Gold Cross Ambulance, who has been the sparkplug for developing the curriculum and the pilot course. He said many colleges and universities have already received permission to download and use the CP curriculum.

"This is a new and exciting option for paramedics," McCarthy said. "There's such a great need for this in rural and frontier areas … where paramedics are often the only providers available." He stressed that the curriculum is designed to allow local areas to determine how CPs can best fit local needs.

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NREMT Certification and Licensure

The Legal Differences Between Certification and Licensure

Although the general public continues to use the terms interchangeably, there are important functional distinctions between the two concepts.

The federal government has defined “certification” as the process by which a non-governmental organization grants recognition to an individual who has met predetermined qualifications specified by that organization.1 Similarly, the National Commission for Certifying Agencies has recently defined certification as “a process, often voluntary, by which individuals who have demonstrated the level of knowledge and skill required in the profession, occupation, role, or skill are identified to the public and other stakeholders.”2

Accordingly, there are three hallmarks of certification (as functionally defined).

Certification is:


  1. voluntary process;

  2. by a private organization;

  3. for the purpose of providing the public information on those individuals who have successfully completed the certification process (usually entailing successful completion of educational and testing requirements) and demonstrated their ability to perform their profession competently.

Nearly every profession certifies its members in some way, but a prime example is medicine. Private certifying boards certify physician specialists. Although certification may assist a physician in obtaining hospital privileges, or participating as a preferred provider within a health insurer’s network, it does not affect his legal authority to practice medicine. For instance, a surgeon can practice medicine in any state in which he is licensed regardless of whether or not he is certified by the American Board of Surgery.

Licensure, on the other hand, is the state’s grant of legal authority, pursuant to the state’s police powers, to practice a profession within a designated scope of practice. Under the licensure system, states define, by statute, the tasks and function or scope of practice of a profession and provide that these tasks may be legally performed only by those who are licensed. As such, licensure prohibits anyone from practicing the profession who is not licensed, regardless of whether or not the individual has been certified by a private organization.

Confusion between the terms “certification” and “licensure” arises because many states call their licensure processes “certification,” particularly when they incorporate the standards and requirements of private certifying bodies in their licensing statutes and require that an individual be certified in order to have state authorization to practice. The use of certification by the National Registry by some states as a basis for granting individuals the right to practice as EMTs and calling the authorization granted “certification” is an example of this practice. Nevertheless, certification by the National Registry, by itself, does not give an individual the right to practice.

Regardless of what descriptive title is used by a state agency, if an occupation has a statutorily or regulatorily defined scope of practice and only individuals authorized by the state can perform those functions and activities, the authorized individuals are licensed. It does not matter if the authorization is called something other than a license; the authorization has the legal effect of a license.

In sum, the National Registry is a private certifying organization. The various state offices of EMS or like agencies serve as the state licensing agencies. Certification by the National Registry is a distinct process from licensure; and it serves the important independent purpose of identifying for the public, state licensure agencies and employers, those individuals who have successfully completed the Registry’s educational requirements and demonstrated their skills and abilities in the mandated examinations. Furthermore, the National Registry’s tracking of adverse licensure actions and criminal convictions provides an important source of information which protects the public and aids in the mobility of EMT providers.

1 U.S. Department of Health, Education, and Welfare, Report on Licensure and Related Health Personnel Credentialing (Washington, D.C.: June, 1971 p. 7).
2 NCCA Standards for the Accreditation of Certification Programs, approved by the member organizations of the National Commission for Certifying Agencies in February, 2002 (effective January, 2003).



What is the hardest part of the NREMT exam?

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