The acronym EMT is also used in other references such as EMT Nanny, but do not be confused when looking for EMT or EMT paramedic employment options. EMT Nanny does not mean there is a position such as an Emergency Medical Technician Nanny. It refers to a position of an English speaking nanny, called “English Mother Tongue”. While the terms of reference for EMTs may differ from one jurisdiction to another, the universal term of EMT refers to a professional who performs certain medical procedures and transports patients to a hospital or medical facility, all in accordance with protocols and guidelines of the jurisdiction in which they work. Their role is to provide immediate medical care to patients at any location where the patient is, prior to arriving at a medical facility.

Some the most common responsibilities include:

Responding to emergency calls, administering (often life saving) medical procedures, including but not limited to cardiopulmonary resuscitation, controlling external bleeding, maintain patients’ airway and adequate breathing, preventing shock, immobilization and/or damage to the spinal cord, and defibrillation.  Transporting the patient to the nearest medical healthcare facility is a vital part of EMS services. This can be done in many forms of transportation such as an ambulance, life-flight helicopter or military vehicle.

The profession and term is fairly new in the history of medical care. When one considers ancient medical care has been around for centuries, the role of an EMT has only been in place since the 1970s. Previously it was hospital staff or physicians who took on the role of an emergency medical provider. Now EMTs and paramedics perform a vital role, that of the “on the scene” emergency medical care. This emergency care service often means a life is saved, one which otherwise would not have been the case if the patient had to wait to arrive at a hospital or health care facility.

Emergency medical technicians usually work as part of rescue teams formed by hospitals, police, fire departments, and military. Their position can be both paid employment and voluntary services. In fact, in many smaller towns or jurisdictions with little or no funding available, EMTs are often volunteers working from their local fire stations.

The first step towards obtaining EMT training is searching for a college or vocational institute that offers EMT paramedic training courses. The training is short, usually only a few months, unless the student is pursuing a paramedic certification.  That paramedic training usually takes up to two years.

Some of the eligibility criteria of EMT training are as follows:

You must be at least 18 years old (though some agencies allow age 16)
You must have a high school diploma (or equivalent, such as a GED)
You must have no physical disability (must pass a physical)
You must have no criminal record (background checks required)
You must pass basic education courses (such as math and English)
You must pass a drug test

Depending on the level of training you are looking to obtain, you can choose one of the following EMT certifications offered by a large number of colleges and vocational institutes; CPR, First Responder, EMT-B (Basic), EMT-I/85 (lower level intermediate), EMT-I/99 (higher level intermediate), and EMT-P (Paramedic).

Once you have successfully completed one or more of the above levels or courses, you will be required to complete the Nationally Registered Emergency Medical Technician (NREMT) exam. Passing the NREMT allows you to be a nationally certified professional EMT paramedic and obtain licensing anywhere in the United States. This paramedic certification is also recognized in areas outside the US and Canada. To maintain certification, refresher courses and re-certification are usually mandatory every two years, though some states or counties extend that requirement to every three years.

EMTs and paramedics are subject to working in all kinds of weather, environments, and emergency situations and the work performed by EMS personnel is often physically and emotionally stressful. Regardless of the level of the level of certification and the challenges of the work, the profession of an EMT is a vital one in the health care industry, as well as a rewarding career.

Become an EMT – It’s Easy and Affordable

Becoming an EMT could be one of the best career choices an individual can make in this sluggish economy. The U.S. Department of Labor states the health care industry and related fields will see favorable employment and job security through 2018. This includes EMS personnel, EMTS and Paramedics. The Steps are Easy and Affordable:  Start by completing a cardiopulmonary resuscitation program for CPR certification. Many EMT training programs require this training as a prerequisite to entering an EMT school or taking EMS courses…. Read more of this article

The state of Wyoming and the Department of Health – Office of EMS  also requires the individual who has completed EMT training to pass the National Registry of Emergency Medical Technicians (NREMT) exam and recognizes the exam certification if taken in other states. In addition, passing of a state approved exam is also required before state licensing is issued. This exam follows the 1994 EMT B National Standard Curriculum.

Wyoming has four levels of training certification: Basic Emergency Care (BEC), EMT-Basic, EMT-Intermediate and EMT-Paramedic.

To become a certified EMT or paramedic in the state of Wyoming an individual:

•        must be at least 18 years of age
•        must enroll in EMT-basic training and pass EMT certification
•        must pass a criminal background check
•        must possess current CPR certification
•        must have a high school diploma, GED or equivalent
•        must pass a drug screening
•        must have a valid WY driver’s license

Wyoming EMT training information and requirements

EMTs may not work inWyomingat any level of EMS services provider without Wyoming EMS Office EMT Certification.

WY EMT training includes:

•  Basic Emergency Care (BEC) is similar to the First Responder course developed by the Department of Transportation and consists of 40 hours of training.
• Emergency Medical Technician – Basic (EMT-B) follows the basic National Standard curriculum and program enhancements from the Wyoming EMS office.  The courses prepare EMTs to work for EMS services or ambulance services.  The program is 160 hours in length.
• Emergency Medical Technician – Intermediate (EMT-I) is one of the most diverse EMT-Intermediate training programs. The training courses will include EMS skills including, but not limited to: manual defibrillation, IV therapy, general pharmacology and medical emergencies, cardiovascular emergencies, and advanced airway management.

Training courses at the Wyoming EMS are scheduled in the spring or fall cycles.

Training programs in Wyoming must meet minimum standards for coursework and clinical experience to be accredited. These programs vary in length and credit hours due to the variables in each program. In addition to the program course hours, clinical experience is required for each WY EMT training program and paramedic training level.

Continuing Education (CE) and Recertification forWyoming

Wyoming EMTs must take the recertification exam in Cheyenne, WY at the Emergency Medical Services Office. (office information below) EMTs must schedule a specific time with the Office of EMS staff in order to take the test. EMT Basics need to schedule no later than 3:00 p.m.  EMTs holding advanced levels of certification need to test no later than 2:00 p.m. All EMT recertification testing must be completed inclusively between the hours of 8:00 A.M. and 5:00 P.M., Monday through Friday. Recertification materials need to be submitted by December 1st to insure return of new certification by December 31st.

Reciprocity

Wyoming does not offer EMT Reciprocity with the National Registry at any of the EMT certification levels. To be certified in WY individuals must pass a transition process which involves Wyoming state testing. All applicants must take a state-approved test for official Wyoming certification.

Additional Information

Currently Wyoming EMTs are employed either full- or part-time, with about a third of the state’s EMTs working as volunteers. The Wyoming EMS website provides a helpful link, “EMS Employment Opportunities inWyoming”, which publishes current employment openings byEMSagencies looking to employ EMTs.

Most WY EMT training programs are through local community colleges, technical schools and medical centers. Casper College in Casper, WY and Laramie County Community Colleg ein Laramie, WY are just two of Wyoming’s paramedic schools offering certification courses.

According to the United States Department of Labor: Employment of Emergency Medical Technicians (EMTs) and paramedics is expected to grow by 19 percent between 2006 and 2016, which is faster than the average for all occupations. Full-time paid EMTs and paramedics will be needed to replace unpaid volunteers. It is becoming increasingly difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. Not to mention liability. As a result, more paid EMTs and paramedics are needed. Furthermore, as a large segment of the population—aging members of the baby boom generation—becomes more likely to have medical emergencies, demand will increase for EMTs and paramedics. There will still be demand for part-time, volunteer personnel in rural areas and smaller metropolitan areas.

Job prospects should be very favorable and job opportunities should be best in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments which tend to have better salaries and benefits. EMTs and paramedics who have advanced training and education should enjoy the most favorable job prospects as employees and patients demand higher levels of care before arriving at the hospital.

Contact Information

Office of Emergency Medical Services
Hathaway Building 4th Floor
Cheyenne, Wyoming 82002
(307) 777-7955

WY Emergency Medical Services Programs
Andy Gienapp – Emergency Medical Services Administrator
Email: Andy.Gienapp@wyo.gov

For Recertification questions or to schedule a time to test – call 777-7955 in Cheyenne
or 1-888-228-8996 (Wyoming callers only).

Alaska offers 6 levels of EMT training and paramedic training:

1. ETT~ Emergency Trauma Technician. This consists of approximately 40 hours of training in the basics of emergency medical care.
2. EMT-I ~ Emergency Medical Technician-I. This training is the equivalent to the National Standard  EMT-Basic.
3. Defibrillator Technician. An additional 16 hours of training will authorized the EMT-I to use manual defibrillators and become certified as a defibrillator technician.
4. EMT-II ~ Emergency Medical Technician-II. This training is just slightly above the level of the training for the National Standard Training Program for EMT-Intermediate. The EMT-II courses are just over 50 hours in length and train the students to initiate intravenous lines and administer fluids and certain medications.
5. EMT-III ~ Emergency Medical Technician-III. This Emergency medical training program is at least 50hours in length, and includes (among other additional instruction) cardio care skills.
6. MICP ~ Mobile Intensive Care Paramedic. This is the training that continues after the EMT-III level.

For paramedic training in Alaska, students (or MICPs) train under the direct or indirect supervision of a physician.

In order to be employed as an EMT or paramedic in AK requirements include completion of the written examination of certification, and this must include a valid certificate and wallet card.

Once paramedic training is completed, an individual must meet the licensing requirements for the state of Alaska, some of which include:

• Must be 19 years of age or older.
• Must be a high school graduate.
• Provide a physician’s sponsor letter stating you will be under the supervision of a physician at all times, one approved by the board.
• Provide a certified copy of your paramedic program certification, signed and verifying completion of the EMT paramedic training program.
• Must complete the classroom and clinical rotation portions of the curriculum and complete the required 480 hour internship.
• Pass the written and practical NREMT (National Registry of Emergency Medical Technicians) exam.
• Provide other current licensing and fees.

The state of Alaska will issue a license to individuals who have completed EMT or paramedic training in another state if the individual can provide:

• Proof of a valid CPR credential or certification
• Copy of the valid state, territory, or National Registry certification
• Proof of successful completion of the written and practical examination, administered by the department, at the level of which the individual is applying for. This does not include those applying for EMT-I level.
• Proof of evidence of sponsorship of a medical director, and this must be approved by the department.

According to the United States Department of Labor:

Employment of Emergency Medical Technicians (EMTs) and paramedics is expected to grow by 19 percent between 2006 and 2016, which is faster than the average for all occupations. Full-time paid EMTs and paramedics will be needed to replace unpaid volunteers. It is becoming increasingly difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. Not to mention liability. As a result, more paid EMTs and paramedics are needed. Furthermore, as a large segment of the population—aging members of the baby boom generation—becomes more likely to have medical emergencies, demand will increase for EMTs and paramedics. There will still be demand for part-time, volunteer personnel in rural areas and smaller metropolitan areas.

Job prospects should be very favorable and job opportunities should be best in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments which tend to have better salaries and benefits. EMTs and paramedics who have advanced training and education should enjoy the most favorable job prospects as employees and patients demand higher levels of care before arriving at the hospital.

These are just a few of the requirements and procedures necessary for certification and licensing within the state of Alaska.

Further information can be obtained by contacting the Emergency Medical Services (EMS) program in Alaska via email EMS Certification Specialist or by phone: (907) 465-3029.

The path towards a paramedic career begins with EMT training, available in all 50 states, Canada and the UK. Each country has its specific method and levels of instruction, and the training is intense. Many other countries also have EMT training, and whether referring to it as EMS (emergency medical services) or referring to their EMS personnel by other titles, the training level can be very different. Thus the following details on this site refer more to training within the US and Canada, though much is parallel to the UK and other countries.  Furthermore, while countries can vary when it comes to training and certification requirements, the recognition of EMS certification is taken into account by all countries when hiring both nationally and internationally.

The educational requirement to entering EMS courses is a high school degree or GED, and often completion of a Math and English entrance exam is necessary.  A training school or EMS courses or program will also have (at least) these entrance requirements:

• High school diploma or GED
• 18 years of age
• Oral interview
• Drug test, including screening for tuberculosis and hepatitis B
• Pass a physical examination
• Background Check

Once you are accepted into the paramedic program you will need to complete 3 levels of training in order to advance to paramedic training.

• First Responder: A First Responder has completed an approved course consisting of basic first aid classroom work as well as hands-on fieldwork.
• The next level of certification is Basic EMT certification. This is usually the entry level, designed to provide training in order to help you enter the workforce in a relatively short period of time. Basic  consists of approximately 200 additional hours of EMS courses, including “on the job” training. It qualifies you to assess patient needs and administer certain types of medications.
• EMT-I/85 (lower level intermediate) and EMT-I/99 (higher level intermediate) are the next levels. This consists of approximately 250-300 hours of field work (though EMS courses range from 200-400 hours), and provides skills needed for patient care at the next level of assistance.

While EMS course programs will vary in calendar length, advanced paramedic courses are usually months long in duration and will take up to 2 years for completion by paramedics in an Associate Degree program.

An EMT certificate allows you to advance towards the next level, that of paramedic training. Paramedic courses allow you to perform pre-hospital care on patients. This level, like the EMT-Intermediate level, entails a different set of requirements in every state and country.

Seasoned EMS personnel makes for better paramedics and the education you receive is crucial towards becoming a skilled and qualified paramedic. In fact, because a paramedic is an advanced EMT Basic, much of the expertise required to be a good medic will be acquired at the basic level and then enhanced in paramedic training. Thus it makes sense that paramedic school begins with the reinforcement of basic EMS skills.

Paramedic training continues with EMS courses such as; CPR, Defensive Driving, Pharmacology, Cardiology, EMT System Management, Disease Control, First Aid, Advanced Life Support (including Pediatric), Medical Terminologies, Basic Anatomy and Physiology and their respective labs, Psychology of Aging, Geriatric Education for Emergency Medical Services, and Neonatal Resuscitation. Certification for areas such as Advanced Cardiac Life Support (ACLS), Pre-Hospital Trauma Life Support (PHTLS) and Pediatric Emergency Pre-Hospital Provider (PEPP) certification are often included.

Important Facts:

When advancing from EMT basic training to paramedic, be sure to make note of your state’s requirements, especially if you have trained in one state or country and are looking to certify or continue your education in another. Training can and does vary state to state and country to country.
Currently 46 states in the U.S. require passing the NREMT exam in order to be certified.

Keep in mind you could pursue online paramedic schools and EMT paramedic training courses online. In order to be certified, you will still be required to attend and pass clinicals and participate in hands-on EMT training.

Once paramedic training courses are completed, specific requirements are necessary in order to be certified as a paramedic. Within the U.S. the following requirements are necessary in order to be certificated as a paramedic:

• Acquire a current National Certification at the EMT-Basic level or current state certification at the EMT-Basic level or higher.
• Completion and certification of a state-approved EMT-Paramedic school/Paramedic course that meets or exceeds the U.S. Department of Transportation (DOT) Paramedic National Standard Curriculum. You must have completed the course within the past two years. Verification of your successful completion of the course on the NREMT web site is required and this is usually done through your paramedic school program director.
• If your initial Paramedic training program was completed more than two years ago and you have maintained a state license at the EMT-Paramedic/Paramedic level, you must submit documentation confirming completion of a EMT Paramedic refresher training course within the past two years. If your initial Paramedic training program was completed more than two years ago and you never gained state licensure at the  Paramedic level, you must complete a state-approved EMT Paramedic training program prior to applying for certification.
• Verification from the paramedic school program director that you hold current CPR certification and have demonstrated competence in Paramedic skills.

In addition, to be successful as a paramedic you must be able to lift heavy objects, work indoors and outside, and be prepared to work unusual hours and schedules. Due to the 24 hour nature of the job you could most likely work over 40 hours a week, rotating shifts, and weekends. Nonetheless, the hours are often guaranteed and the position secure. Better than that, a career as a paramedic is considered one of the most rewarding in the field of health care.

EMS certification requires an individual to have education beyond a high school diploma. In most cases, especially to advance to the highest level of an EMT, a degree at or beyond an Associate Degree is required. Though each state and country will vary in pre-requisites for applying to a program, most paramedic schools follow the same basic requirements. Stipulations for admittance, as well as the application process, will also vary so it helps to do some research before applying to any program.

Typically these requirements must be met before entrance into courses can be obtained:

• Each applicant must be a minimum of 18 years old to apply
• High school diploma or the equivalent
• Proof of up-to-date immunization records including Tuberculosis, Rubella, Measles, Mumps and Varicella are needed. TB shots cannot be older than six months from the start of class
• Hepatitis C vaccination series need to be completed, or a form stating you don’t wish to take part in the vaccination is required before the start of EMS courses
• Satisfactory completion of a college level English and Math course
• Proof of a “passing” physical exam- no older than one year
• A clean background check and proof of medical insurance

Within the EMS field there are four levels. The first level begins with EMT 1, and continues through EMT 2, EMT 3, and then Paramedic, which is the most advanced degree. If you are beginning your training with plans to make paramedics your career, you’ll want to find a school that can take you through all 4 levels. If you are already working as an EMT basic, find a school or courses for your present level, making certain the EMS course program allows you to advance from your current EMS level to the level of paramedic. For instance, a hospital may offer EMT training, but it may not certify beyond a First Responder or EMT Basic level. There are many schools and EMS courses that do not advance beyond an Basic, and this can be a problem when it comes to transferring certification to another school or program. Regardless of what institution or program you choose, it is crucial you know what level of certification you desire and what career path you choose before enrolling in any program.

EMS education programs can be taken at a college, university, technical school, and even hospitals. To become a certified paramedic an exam is administered, therefore picking a school that offers hands on instruction in a clinical setting is vital. It is also important the school or courses you choose are accredited for certification within your state or country. This is pertinent in order to become licensed or certified within the state in which to wish to work. After you check to make sure it is accredited, check to see that the program follows the guidelines established by the U.S. Department of Transportation.

Online courses are becoming more available as our cyber world advances. Some of the EMS online programs consist of basic classroom courses such as biology, physiology, psychology, etc. While courses can be taken online, you will still be required to participate in clinicals at a college or university for the hands-on portion of the class. You will also continue with instruction in the field. Much of this in-field education takes place in training facilities, hospitals, private ambulance services, or fire stations. If you are planning to take on-line classes, be sure you have access to the facility you will need to complete your instruction and education.

Finally, before enrolling in any courses, take these steps:

• Check to see what the qualifications and overall reputation of the program is. One way to find these answers is by talking to other people who have taken paramedic training courses and are now working in the field.
• Consider cost, but do not let it be a ruling factor. You may be tempted to think that more expensive schools offer better programs than less expensive schools. This is not always the case. Keep in mind that you might qualify for financial aid which can lower the cost of the school, making it more affordable. Many careers that involve community services have educational funding grants available. Do not let cost get in the way of attending a great school.
• Choose a program that guides you through the NREMT exam. This certification test is called a National Registry of Emergency Medical Technicians. Currently 46 states in the U.S. require passing the NREMT exam in order to be certified. This NREMT certification is recognized in Canada and a few other countries as well.
• Become familiar with the expectations, courses and schedules of the program you choose. By preparing yourself ahead of time to be a successful student, you will not be tripped up with unexpected requirements.

While you may not want to take the time to research EMT paramedic schools and programs, keep in mind the education that you choose is a very important decision. The school or institution where you enroll can affect your job prospects, as well as how prepared you are when you go out into the field. For that reason, it is important to do the research and make the right choice before enrolling in any EMT paramedic training program.

First and foremost, be consistent and committed to your EMS education. If you struggle with routines or schedules, make one. Set a place and time each week for study and then be committed to it. Find a peer (or peers) to study with, accountability to another reaps rewards and helps you to stay focused, on a schedule, and dedicated to your coursework. This is especially helpful if you are juggling a job and/or family responsibilities. If they suffer, so do you. So make a schedule, commit to a routine, and stick with it. Then you can have your free time for other responsibilities without the stress of wondering when you can find time to devote to study.

Be a specialist when it comes to communication. It is not a skill that is easy or natural for everyone, nonetheless, it is one that you will prefect through clinicals and the hands-on field work required in EMT training studies and paramedic courses.  Often your patients cannot speak for themselves or articulate clearly. This is when you can step in and provide lifesaving EMS techniques merely by communicating for the patient through the correct line of questions and your calm, re-assuring responses. The hands-on portion of the paramedic school requires proof of your ability to provide emergency services to patients and good communication skills are part of the service.

Be a specialist when it comes to listening (which is a crucial part of communication). You can often determine the patient’s needs, even before you complete a physical assessment, simply by listening to what the patient is saying.  Clear your thoughts, put “textbook” talk aside and just listen. Not being distracted, listening to what the patient says and how they say it, determines how quickly and effectively you gain the patient’s trust. Once that is established, caring for the patient is a much easier task. If you cannot build a rapport and trust, a patient, in his or her fear, will often fight you and not cooperate without realizing they are even doing so. These are skills you need to perfect when you attend paramedic training school. Learn to listen effectively.

Do not ignore these important tips:

Sit up front in the classes. It is a fact that the best students usually sit up front. Align yourself with these peers. They make great partners in study groups and can be an asset if there is an area in which you are struggling.

Take notes. Sounds simple, a “no-brainer”, but there are many students who do not succeed because they spent the time chatting with a classmate verses concentrating on the instructor. Stay engaged. Taking notes helps you to do this. Statistics show that the brain responds to both visual and oral commands.  Pay attention to both.  By writing what you have been given in the way of lessons reiterates and seals the material into the part of the brain that retains information.

Stay focused, don’t be distracted.  Use your school time and study periods wisely. This will be one of the hardest courses you will have ever participated in. You’ll be putting good money into the school and courses you choose. Don’t waste money and time because you did not make paramedic training your top priority. By focusing on the instructions and training you are preparing yourself to be a “responder”, not an academic student. Academics do not make a good paramedic. Focusing 100%, engaging in class and clinicals, and developing good people skills; these help to make the best EMTs and paramedics.

Read the chapter prior to attending the course. The majority of EMS courses are designed for the chapter to be read first.  This is another chance for the brain to focus on repetition and gain re-enforcement of the materials covered in the classes. Not only will you have an idea of what is expected, but if you see an area you know you struggle in, you can be prepared to get the help you need, asking questions necessary to be successful in that portion of the program.

Do your workbook assignments as you do the specific courses.  Don’t jump ahead, assuming information that could very well be incorrect. Don’t lag behind, you set yourself up for failure, forgetting information, or causing unnecessary panic trying to catch up.

Don’t skip class, you have no idea how much you will miss! Sounds like grade school advice? Well, there is a reason why your kindergarten teacher seemed so smart when you were five! Simple really can be smart!

Study, read, study and review. Repetition is your friend.  Read and study prior to classroom courses, then after class; read and review what you covered in the class. The more you repeat these steps, the more you will retain.

Turn experiences into skills. Learn from them. No one goes into any profession fully equipped, trained and experienced. Experience comes from both success and failure. Take both and use them to become the type of emergency medical provider who can respond in a situation void of stress and second guessing. Know your strengths and weaknesses.

Take care of yourself. Physically, mentally, emotionally – take care of yourself.  If you put aside your own health, you risk being the patient. The old saying, “You’re not good to anyone if you are not good to yourself” is wise advice that has been around many years and for a good reason. Need I say more? Just remember those words of wisdom.

Part of taking care of you is in the attitude. Always remember why you wanted to be a paramedic. Sure, the pay is great, you are in an “elite” profession, you are every child’s “hero”, right? Yet what about wanting a rewarding career, one where you make a difference in people’s lives, even saving a life?

Fine tune your five senses, have good instincts and hone in on your abilities. Every patient needs 100% of your capabilities and your assessment skills. Make these life-saving skills a priority to obtain while attending paramedic school.

Finally, don’t waste extra energy worrying.  Everything you need to know and read to be ready for paramedic school is in your EMT-Basic book. If you dedicate yourself to these EMT paramedic school tips, you’ll be on your way to certification in no time.

EMT and paramedic training, licensing and certification in the state of South Carolina are governed by the Department of Health and Environmental Control – Emergency Medical Services. This state bureau must approve all the applicants, and their certifications before the individual can be employed in the state as an EMT.

The state of South Carolina and the Dept. of Health and Environmental Control also requires the individual who has completed EMT training to pass the National Registry of Emergency Medical Technicians (NREMT) exam and recognizes the exam certification if taken in other states. In addition, passing of a state approved exam is also required before certification is awarded in SC.

South Carolina has three levels of training certification: EMT-Basic, EMT-Intermediate and EMT-Paramedic. The state also has an EMS level of First Responder, though it is not a certified level.

EMT and paramedic training programs in South Carolina must meet minimum standards for coursework and clinical experience to be accredited. These programs vary in length and credit hours due to the variables in each program. In addition to the program course hours, clinical experience is required for each SC EMT training program and EMT paramedic training level.

To become a certified EMT or EMT paramedic in the state of South Carolina an individual:

• must be at least 18 years of age
• must enroll in EMT-basic training and pass EMT certification
• must pass a criminal background check
• must possess current CPR certification
• must have a high school diploma, GED or equivalent
• must pass a drug screening
• must have a valid SC driver’s license
• must pass a physical

South Carolina EMT training information and requirements

It is important to know South Carolina does not recognize EMT certification by way of “on-line” courses such as e-ACLS, etc.  Certification course information can be found on the S.C. Emergency Medical Services website.  Forms and applications are also available, including a downloadable form for a criminal background check application and a checklist for steps to take the NREMT exam.

Recertification/Continuing Education (CE)

The state of SC requires all EMS personnel to re-certify every four years. This can be done by taking a refresher course or completing a state approved course for continuing education. EMS workers are also required to re-certify through the Red Cross or the American Heart Association in order to keep CPR certifications current.

Reciprocity

Like most states, South Carolina requires an individual to have passed the NREMT exam and/or be certified from another state to become certified or licensed as an EMT or EMT paramedic. In addition, you will need:

• to pass a transition course
• hold a valid credential certification as an EMT-Basic, EMT-Intermediate and EMT-Paramedic with at least one year of valid certification remaining in any US state or US territory
• must hold a current CPR credential
• must hold a current ACLS credential (for paramedics)

Individuals who are certified as an EMT in other states, hold an NREMT card, or are certified through the National Academy of Emergency Dispatchers may seek issue of a South Carolina certification through a Reciprocity/“Legal Recognition” process. To begin this procedure one must first be a resident of South Carolina. Next one must attend an EMS educational program in South Carolina, or work for a licensed SC EMS provider.

South Carolina has a Credentialing Information System (CIS), which is used for Reciprocity/Legal recognition. Forms are found online through the SC Office of Emergency Medical Services.

To begin the reciprocity process you must first create a CIS profile. After you have created your profile, log into CIS, select “Profile” from the drop down menu on the left and choose “Request Legal Recognition.” After you have applied for legal recognition (reciprocity) online, you will receive an information packet in the mail. Once you complete the reciprocity process and return the required information you should receive your certification by mail within 10-12 business days.

Additional information

Most SC EMT training programs are through local community colleges and technical schools. Trident Technical College in Summerville, SC and Greenville Technical College in Greenville, SC are just two South Carolina paramedic schools offering certification courses.

According to the United States Department of Labor:

Employment of Emergency Medical Technicians (EMTs) and paramedics is expected to grow by 19 percent between 2006 and 2016, which is faster than the average for all occupations. Full-time paid EMTs and paramedics will be needed to replace unpaid volunteers. It is becoming increasingly difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. Not to mention liability. As a result, more paid EMTs and paramedics are needed. Furthermore, as a large segment of the population—aging members of the baby boom generation—becomes more likely to have medical emergencies, demand will increase for EMTs and paramedics. There will still be demand for part-time, volunteer personnel in rural areas and smaller metropolitan areas.

Job prospects should be very favorable and job opportunities should be best in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments which tend to have better salaries and benefits. EMTs and paramedics who have advanced training and education should enjoy the most favorable job prospects as employees and patients demand higher levels of care before arriving at the hospital.

Contact Information

South Carolina Department of Health and Environmental Control
2600 Bull Street
Columbia, SC 29201
(803) 898-DHEC (3432)

Questions:  contact DHEC-EMS Director Jennifer Paddock or call  (803) 545-4204.

EMT and paramedic training, licensing and certification in the state of North Carolina are governed by the NC Division of Health Service Regulation – North Carolina Office of Emergency Medical Services.  This state bureau must approve all the applicants and certifications before the individual can be employed in the state as an NC EMT.

The state of North Carolina and the NC Office of Emergency Medical Services also requires the individual who has completed EMT training to pass the National Registry of Emergency Medical Technicians (NREMT) exam and recognizes the exam certification if taken in other states.

North Carolina has five levels of EMT training certification: Medical Responder, EMT-Basic, EMT-Intermediate (in NC this is between an EMT/85 and EMT/99), EMT-Paramedic and EMT-Advanced Practice Paramedic. In NC this EMT-Advanced PP is much like a paramedic; however they can do more advanced services in community preventative care.

EMT and paramedic training programs in North Carolina must meet minimum standards for coursework and clinical experience to be accredited. These programs vary in length and credit hours due to the variables in each program. In addition to the program course hours, clinical experience is required for each NC EMT training program and EMT paramedic training level.

To become a certified EMT or EMT paramedic in the state of North Carolina an individual:

• must be at least 18 years of age
• must enroll in EMT-basic training and pass EMT certification (for advancement to Paramedic)
• must pass a criminal background check
• must possess current CPR certification
• must have a high school diploma, GED or equivalent
• must pass a drug screening
• must have a valid NC driver’s license
• must pass a physical

If you currently hold a North Carolina issued EMS credential, you may only apply for legal recognition at a higher or lower EMS credentialing level.

Reciprocity (referred to as Legal Recognition in NC)

Individuals who are certified as an EMT in other states, hold an NREMT card, or are certified through the National Academy of Emergency Dispatchers may seek issue of a North Carolina certification through a “Legal Recognition” process. To begin this process one must first be a resident of North Carolina. Next one must attend an EMS educational program in North Carolina, or work for a licensed North Carolina EMS provider.

North Carolina has a Credentialing Information System (CIS), which is used for Legal Recognition (Reciprocity). Forms are found online through the NC Office of Emergency Medical Services. There you will find easy to follow steps, including a tutorial allowing you to find your EMS certification number, including what to do if you cannot find your information. An individual must first create a CIS profile.

After you have created your profile, log into CIS, select “Profile” from the drop down menu on the left and choose “Request Legal Recognition.” After you have applied for legal recognition (reciprocity) online, you will receive an information packet in the mail. Once you complete and return the required information, the OEMS will keep your online application open for six months. You should allow a minimum of 60 days to complete this process.  If you have not been a resident of NC in the past 5 years, you will be required to pass a background check.

Most North Carolina EMT training programs are through local community colleges and technical schools. Wake Technical Community College in Raleigh, NC, Guilford Technical Community College in Jamestown, NC and Forsyth Technical Community College in Winston-Salem, NC are just a few of the paramedic schools offering certification courses in NC.

According to the United States Department of Labor:

Employment of Emergency Medical Technicians (EMTs) and paramedics is expected to grow by 19 percent between 2006 and 2016, which is faster than the average for all occupations. Full-time paid EMTs and paramedics will be needed to replace unpaid volunteers. It is becoming increasingly difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. Not to mention liability. As a result, more paid EMTs and paramedics are needed. Furthermore, as a large segment of the population—aging members of the baby boom generation—becomes more likely to have medical emergencies, demand will increase for EMTs and paramedics. There will still be demand for part-time, volunteer personnel in rural areas and smaller metropolitan areas.

Job prospects should be very favorable and job opportunities should be best in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments which tend to have better salaries and benefits. EMTs and paramedics who have advanced training and education should enjoy the most favorable job prospects as employees and patients demand higher levels of care before arriving at the hospital.

Contact information

North Carolina Office of Emergency Medical Services
Chief: Regina Godette-Crawford
Physical Address: 1201 Umstead Drive, Raleigh, North Carolina 27603-2008
Mailing Address: 2707 Mail Service Center, Raleigh, NC 27699-2707
Telephone: 919-855-3935
Fax: 919-733-7021

Questions: email McKenzie Cook at – mckenzie.cook@dhhs.nc.gov

Reciprocity/ Legal Recognition

Questions call: Alesia Hester at 919-855-3956 or Gloria Currie at 919-855-3944

The state of Mississippi and the Mississippi Emergency Medical Services (EMS) also requires the individual who has completed training to pass the National Registry of Emergency Medical Technicians (NREMT) exam and recognizes the exam certification if taken in other states. Passing of a MS state approved exam is also required before state licensing is issued.

Mississippi has four levels of EMT training certification: Medical First Responder, EMT-Basic, EMT-Intermediate and EMT-Paramedic. To qualify for entering an EMT training program in the state of Mississippi an individual:

• must be at least 18 years of age
• must enroll in EMT training through an approved EMT course
• must pass a criminal background check
• must possess current CPR certification
• must have a high school diploma, GED or equivalent
• must pass a drug screening

Mississippi EMT training information, requirements and prerequisites

Training programs in Mississippi must meet minimum standards for coursework and clinical experience to be accredited. These MS programs vary in length and credit hours due to the variables in each program. In addition to the program course hours, clinical experience is required for each MS EMT and paramedic training level. Mississippi also requires at least 5 hours of ambulance experience for certification.

1.  Prerequisites for Mississippi certification as a Medical First Responder:

• must be at least 18 years of age
• must successfully complete a Board approved Medical First Responder Training Program
• must pass the NREMT exam
• must register with the National Registry as a First Responder

First Responders certified from out-of-state must provide the following, according to the MS Bureau of EMS:

a. completion of a Medical First Responder program which meets the guidelines of the First Responder National Standard Curriculum. Provide written verification from the State of training and of current status.
b. completion of a State-approved Medical First Responder skills course which must include automatic external defibrillation and the required sections of the DOT EMT-Basic module for oxygen therapy (or equivalent, with MSDH, BEMS approved terminal competencies).

2.  Prerequisites for Mississippi certification as an EMT-Basic:

• must be at least 18 years of age
• must successfully complete a Board approved EMT training program
• must pass the NREMT exam
• must provide verification of medical control (Jurisdictional Medical Control Agreement)

EMTs certified from out-of-state must provide the following, according to the MS Bureau of EMS:

a. present a need for reciprocity by submitting a Jurisdictional Medical Control Agreement from a licensed ambulance service or a facility providing basic life support service indicating the applicant is presently employed or will be employed upon moving to MS.
b. completion of an EMT program (basic level) which meets the guidelines of the national standard curriculum. A copy of the program curriculum and educational objectives must be submitted to an approved by the DEMS.
c. proof of registration as an EMT-Basic by the National Registry of EMTs

3.  Prerequisites for Mississippi certification as an EMT Advanced:

• must be at least 18 years of age
• must successfully complete an approved EMT Intermediate or Paramedic Training Program
• must pass the NREMT exam
• must provide verification of medical control (Jurisdictional Medical Control Agreement)
• completion of a DEMS approved EMT-I defibrillation course and passage of the state defibrillation exam (applicable to EMT-Intermediate only), or equivalent with MDH, DEMS approved terminal competencies (ACLS may be substituted for the EMT-I defibrillation course, but applicant must still pass the state defibrillation exam.)
• must meet all Mississippi criteria for EMT Basic certification

EMS Reciprocity for Mississippi

EMTs/paramedics certified from out-of-state must provide the following, according to the MS Bureau of EMS:

a. present a need for reciprocity by submitting a Jurisdictional Medical Control Agreement from a licensed ambulance service or a facility providing Advanced life support service indicating the applicant is presently employed or will be employed upon moving to MS.
b. completion of an EMT-Intermediate or EMT-Paramedic program (Advanced level), which meets the guidelines of the national standard curriculum for EMT-I or EMT-P. A copy of the curriculum and educational objectives must be submitted to and approved by the DEMS.
c. must provide verification of medical control (Jurisdictional Medical Control Agreement)

Applications for certification can be found online; however the form is dated 5 years old, so you will be better served if you contact the State EMS office for current information and to verify the forms.

Once training courses have been successfully completed, all candidates applying for certification must pass the National Registry Exam (NREMT) and must keep current registration within the state of Mississippi. The Mississippi Office of Emergency Planning and Response (OEPR) is responsible for administering the NREMT Exam. There are test sites located across the state and often the OEPR will travel to locations approved to administer the National Registry Exam by remotely connected computers.

In the state of Mississippi EMT certification will expire concurrently with the National Registry certification. If a certification lapses, the Bureau of EMS could deny or withhold re-certification for a certain amount of time. This time period is usually equal to the time that the certification was lapsed.

Additional information and requirements for entry to EMT training and training sites are listed online or available at OEPR. Application for courses and application for certification forms can be found online.

Currently Mississippi states that ninety-six percent of the land area of Mississippi is served by Paramedics, equivalent to 99 percent of the population.

Most Mississippi EMS training programs are through local community colleges and technical schools. East Central Community College in Decatur, Holmes Community College in Ridgeland, and University of Mississippi Medical Center in Jackson are just a few of Mississippi paramedic schools offering certification courses.

According to the United States Department of Labor:

Employment of Emergency Medical Technicians (EMTs) and paramedics is expected to grow by 19 percent between 2006 and 2016, which is faster than the average for all occupations. Full-time paid EMTs and paramedics will be needed to replace unpaid volunteers. It is becoming increasingly difficult for emergency medical services to recruit and retain unpaid volunteers because of the amount of training and the large time commitment these positions require. Not to mention liability. As a result, more paid EMTs and paramedics are needed. Furthermore, as a large segment of the population—aging members of the baby boom generation—becomes more likely to have medical emergencies, demand will increase for EMTs and paramedics. There will still be demand for part-time, volunteer personnel in rural areas and smaller metropolitan areas.

Job prospects should be very favorable and job opportunities should be best in private ambulance services. Competition will be greater for jobs in local government, including fire, police, and independent third-service rescue squad departments which tend to have better salaries and benefits. EMTs and paramedics who have advanced training and education should enjoy the most favorable job prospects as employees and patients demand higher levels of care before arriving at the hospital.

Contact Information

Further information can be obtained by contacting the following Mississippi state agencies:

Bureau of Emergency Medical Services
EMS and Trauma Care System
Mailing address: Post Office Box 1700
Jackson, Mississippi 39215
24 Hour Information (866)458-4948 or (866)HLTHY4U

Physical address: 570 East Woodrow Wilson
Annex Building, 3rd Floor
Jackson, Mississippi 39215
601-576-7380

Address questions regarding Mississippi EMT Certification, Training and Testing to:
Scott Stinson, NREMTP
Director of EMS Testing, Training, and Certification
601-576-7380, Fax 601-576-8097
scott.stinson@msdh.state.ms.us

Address questions regarding Mississippi EMT Licensure to:
Karey Riddle, NREMTB
Interim Licensure Officer
601-576-8145, Fax 601-576-7373
karey.riddle@msdh.state.ms.us

If you’re cool-headed enough to thrive in high pressure situations, aren’t put off by blood or dreadful scenes, and have a natural proficiency for biology, anatomy and physiology, then a career as an Emergency Medical Technician or Paramedic may be a perfect job track for you. More important, if you care about helping others and can stay focused in stressful situations then you could be a perfect candidate for EMS courses. EMTs are the first responders who arrive on scene for medical emergencies, health care assistance and 911 calls. Often their EMS expertise can mean the difference between life and death.

The first step toward becoming a paramedic involves obtaining a basic EMT certification. Before you embark on formal instruction, it’s wise to determine whether you really have an aptitude for this line of EMS work. You can do this without spending a penny on your education by volunteering at a local hospital, fire station, or health care facility. There you can get exposure to patients receiving medical care and you will be able to observe nurses and hospital personnel in action. Then you can better determine if EMS work is something you could or want to do.

Enrolling in an American Red Cross Advanced First Aid Provider Course will give you some skills that are also used when taking EMS courses. This class will teach you field emergency techniques such as cardiopulmonary resuscitation (CPR), as well as assessment skills and triage strategies. These are the type of skills you will be called upon to use as a paramedic. By taking this class you can conclude if you have the necessary aptitude.

Once you’ve established that emergency medical field work appeals to you, it’s the perfect time to pursue EMT training certification. The path towards a paramedic career begins with EMT training, which is available in all 50 states. The educational requirement to entering a program or course-work is a high school degree or GED, and often completion of a Math and English entrance exam is required.

Entrance requirements also include:

• High school diploma or GED
• 18 years of age
• Oral interview
• Drug test, including screening for tuberculosis and hepatitis B
• Pass a physical examination
• Background Check

Once accepted into a program, there are four groups of medical technician training and three levels of certification, each with a degree of accreditation.

• First Responder: A First Responder has completed an approved course consisting of classroom work as well as 40 to 60 hours of hands-on fieldwork. A First Responder has been trained in several patient care responsibilities, including, but not limited to: airway maintenance, emergency oxygen administration, CPR, defibrillation AED, trauma assessment, splinting and bandaging, and emergency childbirth.

• The next level of certification is basic EMT certification. This is usually the entry level, designed to provide the instruction needed in order to help you enter the workforce in a relatively short period of time. Basic EMT courses consist of approximately 200 additional hours of education and skills. In addition to the skills described above, Basic EMT qualifies you to assess patient needs and administer certain types of medications.  Most community colleges offer EMT-Basic classes; they cost approximately $500-$900 and last about 3 to 6 months, or one semester.
• EMT-I/85 (lower level intermediate) and EMT-I/99 (higher level intermediate) are the next level of EMT training. This consists of approximately 250 hours of field work and provides teaching on patient care at the next level of assistance. Some of the skills acquired are needle-decompression of tension pneumothorax, intravenous cannulation, endotracheal intubation, nasogastric tubes, and the administering of certain medications.

EMS courses and EMT programs will vary in calendar length. The fast-track basic training programs can be completed in as little as two to six weeks, depending upon the EMS course hours held in one day. Additional time would include the clinicals and the “on the job – in the field experience that is required. Average EMT Basic training usually consists of 110-120 hours of EMS classroom instruction covered over a period of 12 weeks to 6 months.

Once you have completed EMT training, and you are certified at that level, you are on your way to a career as a Paramedic.

EMT Paramedic is the highest level of an EMS provider, often referred to as EMT paramedic training. This certification/degree takes between 12 and 24 months to complete and involves approximately 1,000-1,500 hours of training. Advanced EMT paramedic training courses will take up to 2 years for completion by paramedics in an Associate Degree program. This paramedic school program covers, in more depth, anatomy and physiology, patient assessment survey and triage, airway management, oxygen therapy, treatment of shock, and bleeding control. Care for fractures, spinal injuries, cardiac arrest, and various other medical emergencies are taught in both the classroom and clinicals for hands-on EMT paramedic training. In addition, the paramedic student will have an introduction to pharmacology. At this level you will develop skills and training which provide a paramedic a great amount of professional sovereignty in the field of medical emergency responders.

When advancing from EMT Basic to the level of paramedic, be sure to make note of your state’s requirements, especially if you have trained in one state or country and are looking to certify or continue your education in another. Training can and does vary state to state and country to country.  Currently 46 states in the U.S. require passing the NREMT exam in order to be certified.

To be successful as an EMT, you must be able to lift heavy objects, work indoors and outside, and be prepared to work more than 40 hours a week. Due to the 24 hour nature of the job, you may have to work irregular hours and shifts can be 10-24 hours. Nonetheless, the hours are often guaranteed, the position secure, and the job satisfaction is endless.