NREMT Testing Changes, Fees and Protocols:

The Bureau of Emergency Medical Services (BEMS) in Utah has announced that all graduates from AEMT Programs must sit for the NREMT exams in order to become AEMT’s. This is good news! Your certification will be at the national level expanding the reach of your education and the designation is a more highly valued and rigorous one to earn making you a more highly valued employee.


The change does affect how AEMT’s test and how much it costs to test. Unfortunately since the process is now more lengthy and rigorous and involves more instructors for a longer testing period and because the test is coordinated and overseen by the NREMT testing fees have increased.


Beginning January 1, 2015 all AEMT courses will be testing through National Registry. There are advantages to doing this as it will better validate the competency of the Advanced EMTs graduating from our program at EMT Utah. The AEMT will have a certification recognized nationally and even internationally.


This program allows students to sit for the National Registry Emergency Medical Technicians examination. The curriculum for the AEMT program at EMT Utah, is already based on NREMT standards so no significant changes to the curriculum will occur. But other changes will affect the program significantly. Below are some details about these changes.




Fees paid to the state with the application: $115 

(BEMS has changed their testing fees from $80/$160 (in state) and $115/$195 (out of state). EVERYONE is now required to pay $115 and get their fingerprints and background check done.)

  • Quality Review and processing fee is $50
  • Criminal Background Check is $65 

Fees paid to NREMT($100) (See Refund policy below)

  • Candidate will pay $100 to National Registry to take the written test at a Pearson Vue site

Testing Protocols


      This psychomotor exam requires considerable numbers of individuals plus a state provided National Registry Representative.

      Staffing the exam requires:

  Exam Coordinator (the Course Coordinator)

      Seven (7) Skills Examiners (EMS Instructors (three or four will be provided by the state))

      One (1) EMT assistant (to help in the random EMT Skills)

      Three (3) simulated patients (one for medical assessment, one for trauma assessment and one for random skills).

      That is a minimum of 11 personnel for testing.

      According to NREMT, the exam runs smoothly with an average of four candidates an hour proceeding through the seven stations.


So for example a class of 24 students it would likely take about six hours of test time


The AEMT exam consists of seven skills stations.

1.  Patient Assessment – Trauma

2.  Patient Assessment – Medical

3. Ventilatory Management – Supraglottic Airway Device

4.  Cardiac Arrest Management – AED

5.  IV and Medications – IV access and IV Bolus Medications

6.  Pediatric Skills – Intraosseous Infusion and Pediatric Respiratory Compromise

7.  Two EMT Skills

  • One Supine Spine Immobilization
  • One of four other random skills:

o   Seated spine immobilization

o   Bleeding Control/Shock Management

o   Long Bone Immobilization

o   Joint Immobilization


Current Utah Pearson Vue Sites:

  •  NREMT Southwest Applied Technology College Cedar City UT 
  • NREMT Pearson Professional Centers-Ogden UT Ogden UT
  • NREMT Pearson Professional Centers-Draper (Salt Lake City) Draper UT
  • NREMT Dixie College of Utah St George UT U
  • NREMT Pearson Professional Centers-Bountiful (SLC) UT Bountiful UT

Quizzes and exams: Studies reveal over and over again that repeated timed testing helps to “seat” information in long term memory. The NREMT exam is more comprehensive and challenging than the state testing has been, and it is timed. For this reason, we post quizzes and exams that are more difficult than or at least as difficult as the NREMT exam — so you are prepared!  And our quizzes and exams are timed. We have increased the number and difficulty of our quiz and exam questions, have added a mid-term and made the final as challenging as the NREMT actual exam is.  


Skills Pass Offs:BEMS and the NREMT requires that you evidence successful mastery of all essential skills and components of skills. For this reason, you will be required to demonstrate skills and they will be ‘passed off’ by instructors – without a completed skills pass off sheet you will not be allowed to test with the NREMT.



Remediation Dates:We offer free remediation dates and times throughout the program so you can schedule a time to catch up, ask questions, and practice skills prior to skills pass offs   (SLC Campus only).


Authorization to Test Expiration Date: Effective date: January 1, 2015  



Beginning January 1, 2015, Authorizations to Test (ATT) for National EMS

Certificationwillbevalidforupto90daysfromthedateofissuance,provided allotherrequirementsforNationalEMSCertificationaremet.Candidateswho donotcompletetheircognitiveexaminationpriortotheexpirationdatewillbe requiredtocompleteanewapplication,includingpaymentoftheapplication fee.NorefundswillbeissuedforexpiredAuthorizationstoTest.(Pleaseseesteps below).  Announced: December 11, 2013


1.      Start Process

2.      Candidate receives a valid ATT but does not test

3.      An ATT is valid for 90 days after date of issue

4.      After 90 days the candidate must complete a new application and submit payment

5.      No refunds will be issued

6.      End Process.

There are two ways to recertify:

1) Documentation of continuing education –

Use the NREMT online recertification process – log in to your NREMT account, click on ‘My Certification,’ affiliate with your Agency (employer), document your continuing education, pay the recertification application fee and submit your records to your Training Officer/Medical Director to verify prior to your expiration date.


2) Recertification by Examination –

During the last six (6) months of your recertification cycle – complete a ‘Recertification by Examination’ application, obtain your Authorization to Test (ATT) letter the next business day and take the current National EMS Certification exam at your provider level.


Upon successful completion of the examination, you will be able to print an abbreviated Recertification Form from the NREMT website. Return the completed form (with required signatures) to the NREMT prior to your expiration date.


*To be eligible for recertification you must be actively working within an emergency medical service or patient health care facility using your EMT skills, or provide proof that you have performed the duties of an EMS provider at your certification level for at least 6 months.


*Individuals requiring a National EMS Certification card to work should submit their application for processing at least two (2) months prior to their expiration date.


*Some employers and states may have special requirements in addition to those of the NREMT. Please contact your employer or State EMS Office for more information.