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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]
The Recognition of EMS Personnel Licensure Interstate CompAct, also known as REPLICA, is an interstate compact that extends a "privilege to practice" in the United States from a 'home state' to 'remote states' for qualified Emergency Medical Services personnel. For a state to participate in the compact, a state must pass the model legislation ...
The Texas Health and Human Services Commission (HHSC) is an agency within the Texas Health and Human Services System. It was established by House Bill 2292 in 2003 during the 78th Legislature, [ 1 ] which consolidated twelve different healthcare agencies into five entities under the oversight of HHSC.
EMT-Intermediate (state specific, phased out by Sept. 30 2013 however any EMT with this certification before Sept. 30 2013 could still be an intermediate and by the next recert cycle had to switch to AEMT) [56] EMT-Intermediate Advanced (analogous to EMT-Intermediate/99, phased out by Sept. 30, 2013 ) [56]
Texas has a five-tier system, consisting of emergency care attendant, EMT-basic, advanced EMT, EMT-paramedic, and paramedic. [16] In Virginia, the first level of ALS is advanced EMT. The AEMT certification replaced the EMT-enhanced, unique to Virginia, starting in 2013 and fully replaced in the EMT-E certification in 2016.
The Texas Department of Licensing and Regulation (TDLR) is a state agency of Texas. TDLR is responsible for licensing and regulating a broad range of occupations, businesses, facilities, and equipment in Texas. [1] TDLR has its headquarters in the Ernest O. Thompson State Office Building in Downtown Austin. [2] [3]
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EMS providers may also hold non-EMS credentials, including academic degrees. These are usually omitted unless they are related to the provider's job. For instance, a paramedic might not list an MBA, but a supervisor might choose to do so.