If you have a lapsed National Registry AEMT certification, lapsed state AEMT license including a lapsed equivalent AEMT certification, or recognized higher level of EMS certification and want to gain National Registry AEMT certification, you must meet the following requirements.

Requirements for Certification

  • 50 credits of continuing education that meets all requirements of the current National Component of the National Continued Competency Program within the past two years.
  • The National Registry accepts State EMS Office approved and CAPCE accredited education, education from EMS education programs, and U.S. accredited academic credit or college course. All education must be directly related to EMS patient care. 
  • Successful completion of the National Registry AEMT Certification Examination.
  • Copy of a lapsed state AEMT license/certification if never nationally certified as an AEMT.
  • Verification of skills competency prior to the first expiration date.
    1. Skills verification must be completed by one of the following mechanisms between the date of issuance of national EMS certification and the first expiration date.
    2. If the candidate does not successfully demonstrate skills verification within the allocated timeframe, the candidate will not be allowed to recertify, and the certification will lapse.
    3. Approved skills competency verification must be completed by one of the following methods:
      1. If the candidate affiliates with a National Registry Agency and has their skills competency verified (third-party) by their Agency’s medical director or training officer, this satisfies the requirement for re-entry. 
      2. A State EMS Office or State-Approved or CAAHEP Accredited Education Program.
      3. Provide verification of their current, full, and unrestricted state license.
        • With a current, full, and unrestricted state license to provide care, the candidate demonstrates minimum skills competency, as required by a state licensing body.

National Component - 25 Credits

The National Component requires Advanced-EMTs to complete 25 credits of approved continuing education. 


Airway/Respiration/Ventilation - 5 Credits

  • Ventilation
  • Oxygenation


Trauma - 4 Credits

  • Trauma Triage
  • Central Nervous System (CNS) Injury
  • Hemorrhage Control
  • Fluid Resuscitation


Medical - 7 Credits

  • Special Healthcare Needs
  • OB Emergencies
  • Infectious Diseases
  • Medication Delivery
  • Pain Management
  • Psychiatric and Behavioral Emergencies
  • Toxicological Emergencies – Opioids
  • Neurological Emergencies – Seizures
  • Endocrine Emergencies – Diabetes
  • Immunological Emergencies


Operations - 3 Credits

  • At-Risk Populations
  • Ambulance Safety
  • Field Triage—Disasters/MCIs
  • EMS Provider Hygiene, Safety, and Vaccine
  • EMS Culture of Safety
  • Pediatric Transport
  • Crew Resource Management
  • EMS Research
  • Evidence Based Guidelines


Cardiovascular - 6 Credits

  • Post-Resuscitation Care
  • Ventricular Assist Devices
  • Stroke
  • Cardiac Arrest
  • Pediatric Cardiac Arrest
  • Acute Coronary Syndrome

 

Local or State Component - 12.5 Credits

If specific local and/or state are not specified, these required credits are considered flexible content. You may use any state or Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) approved EMS–related education to fulfill these requirements. 

Individual Component - 12.5 Credits

The individual hours are considered flexible content. You may use any state or Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE) approved EMS–related education to fulfill these requirements.

Application Process

Follow these easy steps to apply for a National Registry exam:
  1. Create your account/log in to your profile.
  2. Create an application - Select the AEMT level. Verify your personal information and make any necessary changes. Then, follow the prompts through the application process.
  3. Pay the application fee. The application fee is non-transferable and non-refundable. This fee is charged for each attempt of the cognitive examination.
  4. Email your lapsed AEMT license/certification (if applicable) and proof of education to support@nremt.org. Please include your application confirmation ID number.
  5. Monitor the progress of your application from your “Certification Application Status” in case additional actions are needed. Once the National Registry approves your application and your status is “Ready to Test,” you can view your ATT letter and contact Pearson Vue to schedule your exam.

Related Policies

Expiration Dates
Initial expiration dates are determined by the date the candidate successfully completes the entire national certification process. AEMT candidates completing the national certification process between the January 1 and June 30 will receive an expiration date of March 31 two years in the future. Individuals successfully completing the national certification process between July 1 and December 31 will receive an expiration date of March 31 three years in the future.


Initial Certification

If you successfully complete the national
certification process between:

January 1 - June 30
July 1- December 31


Initial Cycle

Your initial certification date will be
March 31:

2 years in the future
3 years in the future