1. Does your State allow persons licensed in other …

1 1. Does your State allow persons licensed in other medical fields ( nursing, PAs, dentists and/or veterinarians) to either receive reciprocity for or test out as an EMT or Paramedic ( without attending an EMT or Paramedic training program?) Arkansas NO. We do have a transition course for RN to EMT course. It is approximately 96 hours compared to the regular 176 hour course. We eliminate 24 hours ER time, 56 hours didactic (lecture & lab). Connecticut licensed healthcare providers RNs, MDs, DOs, PA-Cs may "Test out" after they can prove competence (class attendance - typically) of Spinal Immobilization, MCI management, and triage. Delaware No DC No Florida No, Florida will allow a physician, physician assistant, dentist, or registered nurse to be certified as a paramedic if the physician, physician assistant, dentist, or registered nurse is certified in Florida as an emergency medical technician, has passed the required emergency medical technician curriculum, has successfully completed an advanced cardiac life support course, and has passed the examination for certification as a paramedic.

2 Georgia: NO. Kentucky No Louisiana The only medical person allowed to challenge the exam without taking any kind of formal course (from our State s perspective) is a physician and this is done on a strict and individual basis. Maryland Yes, we do. We have a licensed Healthcare Provider to EMS Provider process through which one can attend sections of the course(s) and then test-out. The portions of courses the individual attends is determined on a case-by-case basis and takes into consideration the individual s education and clinical experience. Michigan Michigan does not allow other medical fields to receive reciprocity. We do have a matriculation course for the RN to Paramedic. In addition, a PA, doctor, nurse, etc. can work with an education program and test out of certain criteria, but that is evaluated through the education program and the education program must verify competencies and submit to us a roster of students who have successfully completed their course prior to our State allowing them to test.

3 Minnesota RNs, PAs, and MDs, licensed in Minnesota, may take a "short-cut"by taking taking the 24-hour EMT-Basic Refresher Course and the practical skills exam at an EMSRB approved training program. They must also pass the National Registry of EMTs cognitive exam and they then receive Minnesota EMT-Basic certification. This option is not open to dentists or veterinarians. RNs, PAs, and MDs, licensed in Minnesota, may take the National Registry of EMTs paramedic practical skills exam, provided they hold a current Minnesota EMT-Basic certification. They do not receive a paramedic certification, but are allowed to provide ALS care under medical direction. This option is not open to dentists and veterinarians. Missouri Yes, RN's and MD/DO's can work on an ambulance as crewmember and work to their level. By law, no one call themselves a Paramedic or EMT without having a license as one.

4 In other words, a nurse works as a nurse on a unit not as a Paramedic. To receive an initial license as an EMT, EMT-P and soon to come EMT-I, the applicant needs an NREMT card at that level Nebraska No New Jersey A physician, physician assistant, NJ registered nurse or advanced practice nurse may obtain EMT-Basic certification by complying with the requirements set forth at 8 (a)1ii, iii and iv. (Reciprocity) The steps to this process are: 1) Create an account at 2) Apply for reciprocity 3) Successfully complete a Core #13 Refresher Program (24hours) 4) Sit for an obtain a 70% or greater on the NJ State EMT-Basic Certification Examination. You may reference our current certification and training regulations 8 for further clarification. North Dakota No, but nurses (RN s) may take an abbreviated course.

5 LPN s may not function as part of an EMS crew. Texas NO, but we have Equivalency, based on their experience. We allow them to go to a college program to get their EMS knowledge evaluated, correct any deficiencies then take the NR exam to gain our State certification. Ohio Answer :NO Oklahoma A:No, Oklahoma only allows reciprocity through competency testing through the National Registry of EMTs. Pennsylvania We allow RNs to test out as an Paramedic South Carolina No. They must attend a refresher course and then pass the National Registry practical and written examinations prior to us certifying them as an EMT at any level. If a nurse (RN only) took the 48 hour paramedic refresher they could sit for the NREMT practical and written exams. Once they pass both exams we'll give them reciprocity in South Carolina. The nurse can choose which level of EMT they want (Basic, I-85, or Paramedic) and then they attend the refresher for that level and take the NREMT exams.

6 We also have something called a "Special Purpose EMT". I didn't mention this in your survey because these individuals aren't really EMTs. This option is only for RNs who have specialized training and work experience in a certain area (peds, cardiac, etc.) and they can only work for a "special purpose service". This type of service must be associated with a hospital and only does interfacility transports of high-risk patients (cardiac, neonatal, etc.). In this case, they would not have to take a refresher class but rather submit to our office proof of specialized skills and work experience. It's an unusual situation and we only have around 10 special purpose services in the State . If the "Special Purpose EMT" ever wanted to work for a 'normal' ambulance service, they would have to do the refresher and get certified at the Basic, Intermediate, or Paramedic level.

7 South Dakota NO Utah Utah allows a challenge at the EMT-Basic level for a registered nurse licensed in Utah, a licensed in Utah, or a physician licensed in Utah. We do not have a challenge at any of the other levels. However, we have had many discussions about EMT-Intermediates and Paramedics and are still looking at the possibility of having some type of challenge for these levels. Vermont No. We do not allow other health professionals to test out and gain licensure as an EMT, Paramedic, etc. in VT. Virgin Islands ----------------------- no Virginia Virginia has developed a program for RN's wishing to become a Paramedic that basically allows for 100 hours of didactic education and then they are required to complete all State required clinical competencies and Field internship as an acting EMS team leader on calls. A synopsis of this program can be obtained from our web page at: and see Registered Nurse to Paramedic Bridge Program.

8 For Nurse Practitioners and Physician assistants, the program outline can be reviewed from our web page at: and review form PA & NP Paramedic Competency Summary Form (39K) (251K) . We do require that all possess EMT which requires they complete the EMT recertification requirements and pass the Virginia EMT certification examination. For more information on these programs contact Mr. Thomas Nevetral at Washington 1. No, we do have an RN-EMT bridge that greatly shortens timeframe between request and receipt of credential West Virginia 1. Yes, sort of. RNs, PAs, Physicians may be certified as EMSAs (EMS Attendants) without completing a whole course, however, there are requirements for education and examinations. Wyoming No 2. Does your State allow persons licensed in other medical fields ( nursing, PAs, dentists and/or veterinarians) to provide care on an ambulance in your State (either ALS or BLS) based on their credential in the other field with or without first getting a credential as an EMT or Paramedic?

9 Arkansas LPNs, RN, Arkansas licensed Physicians can provide care on all BLS & ALS permitted ambulances. We do not permit dentists and/or veterinarians to do so. Connecticut No we do not. Delaware No DC Yes Florida No Georgia YES, They may practice in the prehospital care to their level of license, However, the vehicle must be staffed with at least 2 EMS licensed personnel. An RN for example can be a third person, or if the individual holds both a Paramedic and an RN license, they can work under the highest level scope of practice. Kentucky Yes but the individual may not replace a member of the normally required staff on the licensed ambulance. For example, a BLS ambulance must still have two EMTs on board even if an RN is sent by the hospital to accompany a patient. An RN sent to accompany an ALS patient on a BLS ambulance may not be in the patient compartment with the patient alone.

10 An EMT must also be present. Louisiana No. Maryland No, one must be certified/ licensed as a pre-hospital provider in order to provide prehospital care. A follow-up/point of clarification to Maryland s response. Nurses (and physicians), who are functioning on a Specialty Care Transport unit, can provide nursing/medical care in the back of a unit (ambulance), but are not recognized as providing prehospital care, rather, they are continuing nursing/medical care between facilities. In order to be recognized/function as an EMS provider he/she must go through the licensed healthcare provider to EMS provider process. Please call/email with questions. Michigan No. Interfacility transfers are a little different. Minnesota RNs, PAs, and MDs may provide care on interfacility transfers from one licensed hospital to another without holding EMT or Paramedic certification.