HOW MANY CERTS DOES YOUR STATE RECOGNIZE

[firemedic37]

Iowa currently provides the following certs:

Iowa Law Enforcement Emergency Care Provider (Very Basic Skills less than FR)

First Responder (NREMT-FR)

EMT-Basic (NREMT-Basic)

EMT-I (NREMT-I/85 not NREMT-Basic)

EMT-Paramedic (NREMT-I/99)

EMT-Paramedic Specialist (NREMT-P/98)

[Kiwiology]

Us Kiwi's have 5 which will soon be 4 because EMT-IV and EMT-I are being merged.

FR + AED (O2, AED, Entonox)

EMT-B (mix of EMT-B and EMT-I/85 (LMA, GTN, allbuterol) )

EMT-IV (0.9% NaCI, manual defib, IV cannula)

EMT-I (Epi, Naloxone, D5W, Metoclopramide (maloxon) and morphine)

EMT-P (NREMT-P)

Any one of these can work on the ambulance.

[zmed441]

State of Texas DOES HAVE nremt at ECA level. and they ARE allowed on the ambulances. The can drive and they can tech. We have 2 on our service at this time. And they have NREMT patch to prove it. They follow First Responder, and they have EMT-B protocol with some restrictions. As per Medical Control. They also have Medical Control Numbers.

[Richard B the EMT]

Village EMT wrote:

New York (upstate at least)

CFR- Certified First Responder - Cannot transport - the only time we have one is when a 17 yo gets permission to join the squad and plans to upgrade to EMT when they turn 18. Some of the surrounding villages have First Responder Units.

EMT - Basic - our squad doesn't have any, see below

EMT - D - Basic Defib - Tioga County requires an AHA CPR/AED Cert. at Healthcare Provider level

EMT - I - our squad has only one of these, grandfathered in (Hell, he is a Grandfather!)

EMT - CC - Critical Care - Almost all of the skills of a P with less phys and pharm training

EMT - P

EMTD29 Wrote:

EMT-D is no longer recognized by NY since defib (AED) is taught as part of the basic curriculum Anyone that still has a EMT-D card ( if there's still any out there )will recert as an EMT-Basic

Also NASSAU and SUFFOLK counties do not recognize EMT - Intermediate ( as well as NYC someone correct me if I'm wrong ) Individuals with such certs are ONLY allowed to function as EMT - BASIC

OK, now I take a stab at this.

In the NYC area, the FDNY Fire Fighters are supposed to be trained to state certification as "CFR-D" (Certified First Responder-Defibrillator), which is something like American Red Cross Advanced First Aid, with FR2 AED training. As far as I know, they all got this training, and are maintaining their certifications at this level.

Then, we have the EMT-B (Basic). As indicated, the AED training has been incorporated into the EMT-B curriculum, so there are no longer any EMT-D. My name tag says EMT-D, so if you want to buy me a new one...didn't think so.

From nearby "upstate," and Nassau and Suffolk Counties (Long Island), we have the EMT-CC (Critical Care) and EMT-IV (that one should be obvious), which are, I presume, an equivalent of an EMT-I (Intermediate, midway between "Basic" and "Paramedic". Nassau County also, if memory serves, has EMT-A (Advanced), or A-EMT, which was explained to me as being another level of Intermediate.

However, when a Nassau County EMT-CC, EMT-IV, or A-EMT crosses the county line into the Queens County areas of New York City, they are no longer recognized in these titles, and are either just EMT-B or EMT-P (Paramedic).

I had mentioned a long time ago, using this department only because of it's proximity to the Queens line, that if an Inwood, (Nassau County) NY VFD Ambulance crew of A-EMTs starts an advanced treatment on their side of the line, there is no problem, but if the same crew starts the same procedure a block further west, in Queens County, they are, if only technically, practicing above their level of training, as they, again, technically, are now only EMT-Bs when in NYC.

On that last...

Charles Dickens wrote:

The Law Is A Ass

[Retread]

the certification system is like a rat maze wherever you go!

[JPINFV]

Meh, since this was bumped anyways.

All the state certs (fully sourced) on one handy web page:

http://en.wikipedia.org/wiki/Emergency_med...levels_by_state

[Don1977]

Well Pennsylvania has the following:

Ambulance Attendant --which I never heard before here.

First Responder

EMT-Basic

EMT-Paramedic*

Prehospital Registered Nurse

Health Professional Physician

there is also a critical care paramedic, which is for a few more drugs to do and balloon pump.

There was talk about EMT-I here, but I think pigs will fly before that happens.

[JPINFV]

Well Pennsylvania has the following:

Ambulance Attendant --which I never heard before here.

I think one of the problems with building a list like that is that, not being intimately knowledgeable of all 50 states, it's hard to tell what has been phased out and is only listed because no one has gotten around to changing the laws governing prehospital care. It's very possible that the Ambulance Attendant level only exists now in theory with zero practicing providers. If this is true, and there's a source available, please feel free to post it.

[Don1977]

I think one of the problems with building a list like that is that, not being intimately knowledgeable of all 50 states, it's hard to tell what has been phased out and is only listed because no one has gotten around to changing the laws governing prehospital care. It's very possible that the Ambulance Attendant level only exists now in theory with zero practicing providers. If this is true, and there's a source available, please feel free to post it.

Well, its basically someone who has CPR and/or standard first aid or just a driver, it doesn't show up on our PCR's. Its not recognized. PA also has CC medic, they can transport more drugs and handle balloon pumps and a few other things.

[stone13]

I didn't see Ohio anywhere on the list so here it is

First Responder

EMT-B

EMT-I (85 &99) However 85 card carriers had to take a bridge to the 99 level starting a few years back

EMT-P

Most First Responders work on fire departments and don't ride on ambulances.

All levels are required to take NR written and practicals and meet CEU's to maintain cards.

Our basics have intubation and AED training, however can only intubate if pulseless and apnic. Basics can also "assist the patient" with his own Epi Pen or Nitro.

Intermediates can push an array of meds and do chest decompressions, and intubation doesn't have any restrictions other than patient need. The meds they can push are outlined in local protocol and vary from place to place.

You ae not required to maintain NR certification but are required to achieve it in order to receive your first state certification. After that you are only required to maintain state cert with CEU's.