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Generally, credentials are listed from most to least prestigious. A degree, once earned, cannot be taken away. Sometimes, licensure and certifications must be periodically renewed by examination or the completion of a prescribed number of continuing education units (CEUs). EMS providers may also hold non-EMS credentials, including academic degrees.
Even though primary management and regulation of prehospital providers is at the state level, the federal government does have a model scope of practice including minimum skills for EMRs, EMTs, Advanced EMTs and Paramedics set through the National Highway Traffic Safety Administration (NHTSA).
Emergency medical responder levels by U.S. state; Emergency Medical Services for Children; Emergency Medical Services for Children Reauthorization Act of 2014; Emergency Medical Services Week; Advanced emergency medical technician; Emergency Medical Treatment and Active Labor Act; EmPATH unit; List of EMS provider credentials
In reality, there are at least 40 types of certification for EMS personnel within the United States, and many of these are recognized by no more than a single state. This creates significant challenges for the career mobility of many EMS providers, as they must often re-sit certification examinations each time they move from one state to another.
Most states use or require NREMT testing for some level of state certification. [2] [7] [8] NREMT recognizes four levels of EMS: EMR, EMT, Advanced EMT, and Paramedic (some states may have additional certifications). [7] NREMT certification at an EMT Intermediate level may or may not be sufficient for some state EMT-I requirements. [9]
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Nationally Certified EMS Educator: NCEE: Education credential awarded by the National Association of EMS Educators upon demonstrated experience teaching EMS programs and earning a successful passing score on the National EMS Educator Certification (NEMSEC) Exam Music Therapist- Board Certified: MT-BC: Certification Board for Music Therapists [59]