State vs. Nation Registry

I posted this question in another forum that was sort of about this topic and got no response, search showed up nothing.

What is the main difference between state registered and nation registered?
Is there different restrictions on age?
Different things you can do being state vs. nation?

And all other things you can think of!

JJR512

Forum Deputy Chief

In some states or jurisdictions, you only need the national registry certification to function; for example, Washington DC. In other states, you need a specific state certification; for example, Maryland. In MD, if you have the NR, you cannot function as an EMT. However, in many (maybe most?) jurisdictions, having the NR smooths the reciprocity process; in other words, it makes it easier for you to get certified in another jurisdiction. For example, in Maryland, if you have the NREMT-B certification, you'd only need to take the EMT-B refresher course (a 24-hour course) to get certified as a Maryland EMT-B.

To my knowledge, having an NR certification does not change your scope of practice. So it does not change what you can or can't do.

- Justin J. "JJR512" Rebbert

Patient: "Oh, more medical mumbo-jumbo designed to confuse the layman!"
Dr. Brackett: "Yes sir, but please allow me to say it; I spent most of my youth learning the proper pronunciation!"
(Quoted from an episode of Emergency!)

Cameron

Forum Crew Member

Thanks for the quick response!

I understand now, sort of. . Do you know where I can find a website of the restrictions/policys Per state?

bstone

Forum Deputy Chief
The NREMT has a letter about this on their website, written by a law firm.

NREMT-I85 / CT Advanced-EMT / EMT-B Instructor / BLS Instructor (ECSI)

Whoever destroys a life, it is considered as if he destroyed an entire world. And whoever saves a life, it is considered as if he saved an entire world.
- Babylonian Talmud, Sanhedrin 4:8 (37a)

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JJR512

Forum Deputy Chief

Thanks for the quick response!

I understand now, sort of. . Do you know where I can find a website of the restrictions/policys Per state?

Umm. nope, I don't know that, sorry.

Since you are a student (according to your profile), perhaps your instructor could be of some help in that regard? Although I'm sure someone with more knowledge on the subject than I have will be along soon to provide more help.

- Justin J. "JJR512" Rebbert

Patient: "Oh, more medical mumbo-jumbo designed to confuse the layman!"
Dr. Brackett: "Yes sir, but please allow me to say it; I spent most of my youth learning the proper pronunciation!"
(Quoted from an episode of Emergency!)

Cameron

Forum Crew Member
The NREMT has a letter about this on their website, written by a law firm.

I've been on their site and have not been able to find anything on it, just searched again. I must be blind :wacko:. Any chance you have a link?

@JJR512 I guess I will have to ask my instructor the next time I see him, I was looking to see if I could get a answer before then. Thanks though.

94H

Forum Lieutenant

Last I checked NY is not a National Registry State. You need to take an EMT class, get certified by a state and then transfer it over to NY. Or take a NYS approved course and pass the test.

bstone

Forum Deputy Chief

I've been on their site and have not been able to find anything on it, just searched again. I must be blind :wacko:. Any chance you have a link?

@JJR512 I guess I will have to ask my instructor the next time I see him, I was looking to see if I could get a answer before then. Thanks though.

NREMT-I85 / CT Advanced-EMT / EMT-B Instructor / BLS Instructor (ECSI)

Whoever destroys a life, it is considered as if he destroyed an entire world. And whoever saves a life, it is considered as if he saved an entire world.
- Babylonian Talmud, Sanhedrin 4:8 (37a)

EMTLife.com is kindly requested to enable the content of posts in notification emails. Thank you.

Cameron

Forum Crew Member

Thank you for the last two posts. They are greatly appreciated.

In a private PM from someone, they mentioned for NREMT you need to be 18 (Which I was aware of), they also said it was for NYS too, can anyone confirm this?

Tigger

Dodges Pucks
Community Leader 7,872 2,829 113

So far as I am aware, the National Registry does not certify anyone per-say. It is your state EMS office that gives you your certification. In many states, passing the NR test is enough, and the state office will certify you after you complete some paperwork. This is how it worked in Colorado, at least for me.

In other states, like Massachusetts, the NR helps but it doesn't guarantee that you get your certification. I still had to take the MA written test, but since I passed a practical test the NR approved, I didn't have to take the MA practical test.

A coworker told me that the NR does nothing for you in NYS, not sure if that's true but I thought I'd pass it along.

In regards to age, this EMT school in NY says 18 too.

Cost is high pay is low, cost is high pay is low. -Pepper, Rent

TransportJockey

Forum Chief
8,623 1,675 113

The only way a NR cert is a cert to practice are on US Government installations (ie Military bases) and in DC since it's not a state.

N. Zecco
FP-C #003175, NRP, TX EMT-P, CO EMT-P w/ CC, C-NPT, CCEMTP
"EMS does not save lives, EMS is to care for people. It is 95% of what we do."

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mjrett

Forum Ride Along

Check the above link.

JJR512

Forum Deputy Chief

My instructor made a point of explaining on the first day of class that EMT-Bs are certified, and EMT-Is and EMT-Ps are licensed.

I once posted a comment here in which I referred to being a licensed EMT-B, in which I did not specifically mean to indicate being "licensed" as an EMT-B, but I just happened to use that word erroneously in the same manner that many people erroneously interchange "licensed" with "certified". And some people were quite happy to jump all over me about that mistake.

The NREMT's letter on this topic says that a certification is, "1. [A] voluntary process; 2. By a private organization; 3. For the purpose of providing the public information on those individuals who have successfully completed the certification process (usually entailing successful completion of educational and testing requirements) and demonstrated their ability to perform their profession competently."

The letter also goes on to say, "Licensure, on the other hand, is the state’s grant of legal authority, pursuant to the state’s police powers, to practice a profession within a designated scope of practice. Under the licensure system, states define, by statute, the tasks and function or scope of practice of a profession and provide that these tasks may be legally performed only by those who are licensed. As such, licensure prohibits anyone from practicing the profession who is not licensed, regardless of whether or not the individual has been certified by a private organization."

All persons who want to function in Maryland as an EMT-B must take and pass a test by MIEMSS, the Maryland Institute for EMS Systems. MIEMSS is an independent state agency and is the state's regulatory agency for EMS. When one passes the test, one is issued a card with an identification number and a statement of level (EMT-B, for example), affiliation, expiration date, etc.

Given the NREMT's two statements defining certification and licensure, and the fact that MIEMSS is a state agency, not a private organization, does it not then appear that (at least in MD) all EMT-Bs are licensed and not certified?

- Justin J. "JJR512" Rebbert

Patient: "Oh, more medical mumbo-jumbo designed to confuse the layman!"
Dr. Brackett: "Yes sir, but please allow me to say it; I spent most of my youth learning the proper pronunciation!"
(Quoted from an episode of Emergency!)