KillTank
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I have heard rumors that they might abolish the national registry. Do any of you know that this could be true?
Away with the national registry
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bstone
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Very doubtful. The NREMT keeps growing and adding more. You might want to post this in the NREMT forum, tho. It's a few above this one.
Asclepius
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Not that it is stellar, but right now NREMT is the closest thing this nation has to a uniformed approach to EMT education and certification. I doubt highly that it is going anywhere. I'm curious though, where did you hear that from? Perhaps you have a better source than the rest of us?
Arkymedic
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I highly doubt it.
bstone
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Not only medic schools. Some basic schools. Even Intermediate schools. all of them, infact.
Are you saying that all EMT schools are not up to par with NREMT standards?
NREMT Sets Deadline for Paramedic Education Programs
Will certify only graduates of accredited programs after 2012
http://www.jems.com/news_and_articles/articles/NREMT_Sets_Deadline_for_Education_Programs.html
Will certify only graduates of accredited programs after 2012
http://www.jems.com/news_and_articles/articles/NREMT_Sets_Deadline_for_Education_Programs.html
Ridryder911
EMS Guru
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I am sure it is from those that do not want to adhere to the new requirements of accreditation for NREMT/P testing (please note, it is ONLY for the Paramedic level). As others described, this event has shaken many and actually made them more credible. This will help abolish the "**** & Jane" Paramedic schools and courses.
The accreditation process usually only certifies advance level courses.
Again, it is NOT the NREMT that has these standards. It rather is the accrediting agency (CAAHEP) as the article describes.
There are very few accredited programs out there. In reality there are very few good EMS programs at all.
Most EMT's will inform you two things. Either they attended the best or worse... Why? Most do not attend more than one in comparison.
I get amused that most describes how "great" their course was, only to later find out they were taught very little, had poor instruction/teachers, and the whole process.... well.. basically sucked.
That is why it is so essential that students investigate their education facility, and why it is important that those institutions be held accountable and be accredited. Just because the state approves it and one can take the NREMT doe NOT automatically ensure it meets any true standards and distributes the needed education.
R/r 911
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bstone
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Why do you use a / and not a - like everyone else, including the NREMT?
bstone
Forum Deputy Chief
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I think that every program should be licensed by their state and accredited by a national accreditation board and the students required to pass a national certification exam.
Ridryder911
EMS Guru
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Because that was the original approved DOT abbreviation and title for the Paramedic. Alike many other approved EMT titles (EMT-A = EMT Ambulance NOT advanced, EMT/A = Advanced, etc.). Many used to use RP (registered Paramedic) and totally removed the EMT wording altogether.
bstone
Forum Deputy Chief
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Ok, but you wrote NREMT/P, when everyone else, including the NREMT, write it -P.
Sometimes I see just REMT-P. What's up with that?
JPINFV
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We could always do away with basics and have just one (paramedic) standard level of care across the country. That'll solve the nomenclature problem pretty quickly.
Yeah, just as soon as there is more incentive for someone to become a medic.
JPINFV
Gadfly
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As long as a 120 hour advanced first aid course is considered enough "training" to be in charge of patient care, then it wouldn't be. Of course, as long as that's the case, EMS will maintain its red headed step child status in the medical community.
Asclepius
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I took my first paramedic class at a "training center" - that is to say, it was not a fully accredited university based class. It was good, but it wasn't great. I then chose to repeat the paramedic training at a major university in Ohio. I received much better classroom instruction through the university, but had a better internship experience at the training center.
I am telling you this because I can vouch for the importance of accreditation. If you have a choice, elect to take it through an academic institution. It may cost you a little more, but you'll walk away with college credit which can be used towards a degree. Additionally, I think you will find that they adhere to a more uniformed approach to learning and you're educational experience will be far greater.
bstone
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Yes. At the same time we can do away with Licensed Practical Nurses, Licensed Vocational Nurse, Registered Nurse, Certified Critical Registered Nurse, Certified Emergency Registered Nurse, Certified Registered Nurse Anesthetist, Nurse Practitioner, Advanced Registered Nurse Practitioner, Certified Nurse Specialist....shall I go on? Find one to standardize on? Certainly not. I think the nursing unions would put a stop to any attempt real quick.
Also, standardizing on paramedic is an idea of folly. It would get rid of about 80% of the volunteers out there (more?) and eliminating their positions would leave the door wide open to no licensing, regulation, training, etc. Do you really advocate for that?
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KEVD18
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would never work, purely from a financial standpoint. here in mass, basics make anywhere from 11-13 or better. medics start at 14 and go from there. now the jump from 13 to 14 isnt much, but imagine if you run an entirely bls transport service( no 911, just dialysis and dr appts) and pay your guys say 11.50. so a law is passed that there is now one level(paramedic). well here, you'll have to pay them at least 14(and that really really low end). so you entire payroll just went up $3/hr/person+. i know of services that would just throw in the towel right there. just call it a day.
aside from that, we cant even get a national standard curriculum. everybody gets taught something different. its insanity.
I think you are confusing entry level requirements for the nursing profession which is the equivalent of 2 years with the additional opportunities available after that minimum is met. BTW, the LVN/LPN has been limited in what areas they are now allowed to work in since RNs established their 2 year minimum or almost 30 years. LVN/LPNs are also represented by SEIU (Service Employees Internaional Union) and not a nursing union in many unionized area. They are now in the "tech" category.
I do believe there will continue to be a place for the EMT-B. However, the paramedic should have a minimum of a two year degree for their entry level. After that, they can get their critical care or flight certs with much more additoinal training and not just the bare minimum overview classes offered now.