Failed NREMT Again

[chbare]

I believe that there were or are I/99's in Iowa who are state certified as paramedics?

[Jeremy M]

Paramedic Mike,

In iowa I am a Paramedic have all the same skills that a PS NREMT PM has with the exception of 6 I cant RSI I cant monitor chest tubes, I cant digitally intubate I cant do gastric Lavage and one other one. In any other state in the country I would be considered an EMT I-99. Iowa didnt want people pushing meds, with out having the Paramedic Title, SO yes I am a Paramedic and an I-99. As far as what got me kicked out I copied a signature on my clinical paperwork and they called it fraud in procuring state certification, I was suspended revoked for a year and had to go through all the con ed at my own cost plus the reinstatement fees plus the cost of a couple of other courses that looked good on the reinstatement request about ethics.

Yes chbare you are correct we have a little more training than the I-85 but a little less than the NREMT PS/ Pm medics have

[island emt]

Just because Iowa decided to call you a "paramedic" doesn't mean you have the same skillset and education as a national registry Paramedic.

Hence your problems testing at that level.

Don't get me wrong: I'm honestly not busting your chops here.

I was also an I-85 updated to I-99 with a few extra's under our state licensing over a twenty year period of time.

We had much additional education requirements to get to that level over the years as more skillsets were added to our scope of practice.

We are a rural state with limited access to Paramedics and the I-99 level met the needs of many communities for a lot of years as they did away with the critical care level which was just a little above I-99 and a little below Paramedic.

I was repeatedly encouraged by our med control Doc to take the bridge class to move up to full Paramedic.

However as retirement was coming up soon I chose to become an AEMT rather than spending the additional 250 hours in the bridge course for something that I would not use in practice.

Edited March 4, 2014 by island emt

[paramedicmike]

Forgery, eh?

Well, good luck with that.

[Jeremy M]

not forgery as there was never a crime completed I legally obtained the signature just photo copied it. I took the bridge class that was when I got into trouble with the state. this was all on 2009 and I was reinstated in 2010 with out any problems since. I am just struggling with this test and I dont understand y

[chbare]

What content areas are you struggling in? Also, how is your reading capability and do you really understand what the test questions are asking? Do you need to spend time taking many tests? It's probably well beyond our ability to fix on this forum but you will need to do so e research and honest self reflection to figure out what is going on. Best of luck, I don't know your struggles but I'm emphatic as I have had some academic struggling over the past couple of months as well.

[Jeremy M]

Chbare,

I have completed 4 College degrees including a Bachelors Degree in Fire Scinece and Disaster Managment. I am getting discouraged as I love being a medic. I am unable to get a position near me as I am not the new standard of medic. I am even considering going to RN school which I have started.

[island emt]

The below chart is from the Iowa EMS office website.

* Development of transition will not begin until Education Standards are approved in 2009 ** Testing will be the National Registry computer-based exam

Certified Provider in Iowa

* Rostered means a providers is recorded as currently practicing

Current Certification Levels

Transition Level

Transition Requirements

First Responder

Classroom Hours: 50-60 Renewal Hours: 12

Emergency Medical Responder

Training Hours: * Renewal Hours: *

Continuing Education*

EMT-Basic

Classroom Hours: 120-130 Renewal Hours: 24

Emergency Medical Technician

Training Hours: * Renewal Hours: *

Continuing Education*

EMT-Intermediate

Classroom Hours: 54-60 Renewal Hours: 36

Emergency Medical Technician

OR

Advanced EMT

Training Hours: * Renewal Hours: *

No expected requirements

Continuing Education* Testing**

EMT-Paramedic

(Iowa Paramedic)

Classroom Hours: 280-310 Renewal Hours: 48

Advanced EMT

OR

Paramedic

Training Hours: * Renewal Hours: *

No expected requirements

Continuing Education* Testing**

Paramedic Specialist

(National Paramedic)

Classroom Hours: 600-660 Renewal Hours: 60

Paramedic

Have you completed the transition education course as prescribed by the state to transition fromIowa Paramedic to nat reg Paramedic?

[Jeremy M]

Yes Island I have

[paramedicmike]

Is that the same course that resulted in your suspension? Sounds like it has been a while since you've taken it. Is that correct?