The National Registry of Emergency Medical Technicians (NREMT) was founded in 1970 in response to a recommendation made by President Lyndon Johnson and the Committee on Highway Traffic Safety. The founding members created a national certification agency to set the standards for training and examination (NREMT Paramedic Exam) for personnel active in the delivery of emergency ambulance services, such as the First Responder, EMT-Basic, EMT-I85 and I89, and Paramedic.
NREMT has established various regulations pertaining to the EMS level of certification and re-certification. Among the EMT certification levels, it is rather difficult to obtain certification and re-certification for paramedic, since applicants are required to undergo a number of paramedic training courses and to pass the state examination. The Paramedic test is designed to be challenging due to the very nature of the work.
Currently, NREMT exams are used by 46 states and territories as the sole basis for certification at one or more levels. Each applicant must meet the NREMT paramedic requirements in order for him or her to be eligible to take the paramedic state test. However, paramedic exams may vary in some states, which may administer their own certification examination. To be on the safe side, be sure to contact your state with regard to which provider they have approved to conduct the paramedic state test.