So I thought it would be smarter to get a state certification, as opposed to a local certification. But I can't find any information on how to be state certified in California.
You have no choice. When you apply for your EMT certification at your county's EMS agency, you will get a California EMT card.
I think you are confused. You are either looking at outdated stuff and/or looking at stuff that may be required to work in a county in addition to having your California EMT card.
Before July 1st, 2010, there used to not be a California EMT card. You'd go to your county and get a county EMT card. This doesn't exist anymore.
Some counties require additional certification, training, orientation, or accreditation to work as an EMT within their county. Example:
- Santa Clara County is one example that @squirrel15 mentioned. In addition to your California EMT card, you'll need to get SEMS, ICS 100, NIMS 700, AWR 160, IS 3, NIMS 704, Hazmat FRO, and attend an orientation to the county all within a year to get a System ID badge. Santa Clara County EMS requires that all private ambulance field personnel have a System ID badge. Therefore having a California EMT card is not good enough by itself to work in Santa Clara County.
- To work 911 in San Diego, you have to take a bridge EMT course.
- To work in Kern County/Halls Ambulance, you need to take an AED and supraglottic airway class.
I know a lot about Santa Clara more than the other counties because I worked there for about three years, lol. There are probably more things to those counties than what I mentioned. There are definitely more counties that have more requirements, different requirements, etc. to work in them. Even though they have more requirements, they won't deny you your state EMT card when you apply for it. You can go to Santa Clara County with just your NREMT card and AHA CPR for Healthcare Provider, pay the fees, do a background check, and you'll get a California EMT card. Just because you got your California EMT card from Santa Clara County doesn't mean you will be able to work in all counties without their (the other counties) additional requirements, fees, etc.