Students must take and complete a course of study in Emergency Medical Services that is approved by their state before taking the NREMT examinations, according to the National Registry of Emergency Medical Technicians. To find a list of approved EMT courses in your state, visit Nremt.org. As of 2016, 46 states and the District of Columbia require students to pass the NREMT and become state-certified before they can practice.
The EMT course is normally a one-semester program taught at various places, including EMS academies, community colleges and universities. The student takes the test upon completion, and it consists of a psychomotor performance evaluation and a computer-based written examination, according to NREMT. The EMT Basic/Psychomotor Exam tests student knowledge of topics such as bleeding control and shock management, cardiac arrest, immobilization, patient assessment and oxygen administration. Skill sheets for the test are available at the NREMT website. Graders score the examination on a pass/fail basis.
NREMT also develops and administers tests for related occupations, including Emergency Medical Responder, Advanced Emergency Medical Technician and Paramedic, according to its website. Students who wish to become a paramedic must take a state-approved course accredited by the Commission on Accreditation for Allied Health Education Programs, and can locate an approved educational program at Caahep.org.