National Registry question

[Guest guest]

I am a currently certified Texas Paramedic...who's initial course has

been well over 2 years ago. I am looking to obtain NREMT-P

certification however, the NREMTP site is clear as mud and talking to

them is even mudier.

I know that I will need to have a formal refresher of 48 hrs in the

appropriate categories...but what if I just took a CCEMTP course. Can

I use the hours from that course as my " refresher " ?

Any suggestions about what is the most painless (ha,ha) way of going

about getting NREMT-P certification for a paramedic who has been

certified for a while?

Thanks,

Leach EMT-P, CCEMTP

[Guest guest]

Someone will probably have the answer to your question but I ask why?? Unless

you are moving across state lines the only reason you would need it is to pay

more for your state license.

Andy Foote

National Registry question

I am a currently certified Texas Paramedic...who's initial course has

been well over 2 years ago. I am looking to obtain NREMT-P

certification however, the NREMTP site is clear as mud and talking to

them is even mudier.

I know that I will need to have a formal refresher of 48 hrs in the

appropriate categories...but what if I just took a CCEMTP course. Can

I use the hours from that course as my " refresher " ?

Any suggestions about what is the most painless (ha,ha) way of going

about getting NREMT-P certification for a paramedic who has been

certified for a while?

Thanks,

Leach EMT-P, CCEMTP

[Guest guest]

Well I have 2 reasons...one to work for the US military as a DOD

civilian you must be NREMTP and my husband is from Oklahoma and we

are considering moving there.

Otherwise, I'd not worry about getting it.

>

> Someone will probably have the answer to your question but I ask

why?? Unless you are moving across state lines the only reason you

would need it is to pay more for your state license.

>

>

> Andy Foote

>

>

> National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

I'm not sure if the CCEMTP course will replace a refresher course, but the

hours will take care of the rest of the CE's you need. As for NREMTP once you

complete the application process on line and get an approval number, you

will need to take the computer exam. At least this is what medics in our area

have been told.

Hope it helps

Joanna Burgan

You only start learning after you think you know it all!

************************************** Get a sneak peek of the all-new AOL at

http://discover.aol.com/memed/aolcom30tour

[Guest guest]

I believe that you must have a refresher course that the NREMT will acknowledge

and then find a site that will administer the skills exam and take the test.

I would call NREMT myself and ask. The number is . Ask for

certification.

Hope this helps.

By the way, it is another certification that you can show as proof that you

are attempting to be the best (or at least better than most) in your field.

txladymedic wrote:

Well I have 2 reasons...one to work for the US military as a DOD

civilian you must be NREMTP and my husband is from Oklahoma and we

are considering moving there.

Otherwise, I'd not worry about getting it.

>

> Someone will probably have the answer to your question but I ask

why?? Unless you are moving across state lines the only reason you

would need it is to pay more for your state license.

>

>

> Andy Foote

>

>

> National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

Danny:

Just curious how NREMT shows you're better than most in EMS??? It would seem to

me that passing a standardized test isn't necessarily the sine qua non of

professional excellence in any field.? I can see board certification for

physicians as indicative of a special level of competence, but seeing as the

NREMT exam is used by many states as the entry-level examination for EMS

certification, I don't think that passing a test purporting to measure

entry-level competence is the same as being better than many in?EMS.

:

Why Oklahoma?? Is it time for me to break out the OU jokes?? <GRIN>

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

Wes;

I had a feeling that my statement would be questioned.

I would have to say that since I was Texas Certified before I became

Nationally Registered

that I would suspect we still have many here in Texas who are still only State

Certified.

Seeing the response to the initial post I would suspect that some still do not

comprehend what the National Registry is.

Although you see the NR as a standard test this is far from what it has been.

I believe the NR test has only been administered for the last 3 years or 4

years? I was one of the first in the state to train an EMT-Basic class to pass

the NR test administration.

I believe that the State Bar is also a standard test. Has this always been

true? I believe there is a standard test that not all Attorney's in Texas take

it may not be the State Bar.

By completing the NR test at the Basic,Intermediate or Paramedic level does

show a level of competency that most still do not possess.

Having taken prior tests by the State for my Basic,Intermediate and Paramedic

the NR test was the premier test to show competency in your field. The fact

that it is now a standard test does nothing to lessen the fact that you must

have knowledge you may or may not use in your future EMS career.

I undertstand that there is now Licensure in Texas does that necessarily mean

you understand anymore about your field? Is it not fact that across the state

NR and Licensure appear to have no distinct difference in who is hired and who

is not (there are those rare instances I am sure, I am speaking in general

terms).

The NR exam is designed to assure that those who possess the knowledge and

skills are able to practice in the field as care givers. Are there any higher

level tests that show this?

If it were just a standard test why do we not have more EMS personnel?

Standard testing would indicate that all should be able to pass with the

minimum learning input. Is that the case? Not if you were originally only Texas

state certified. Not even if you are trained at a facility for emergency

services; you must still pass the NR test to be able to work in the field.

Does this answer you question?

ExLngHrn@... wrote:

Danny:

Just curious how NREMT shows you're better than most in EMS??? It would seem to

me that passing a standardized test isn't necessarily the sine qua non of

professional excellence in any field.? I can see board certification for

physicians as indicative of a special level of competence, but seeing as the

NREMT exam is used by many states as the entry-level examination for EMS

certification, I don't think that passing a test purporting to measure

entry-level competence is the same as being better than many in?EMS.

:

Why Oklahoma?? Is it time for me to break out the OU jokes?? <GRIN>

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

Yeap, I kinda felt a dig there with Danny's last sentence.? I am not, nor shall

I ever be.

Andy Foote

National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

Andy;

There was no dig intended. We all want more knowledge and all want to be able

to show it.

I find that the NR test was more strenuous than the Texas certification

test. Different things the NR wanted a person to know than what I was taught.

I speak of " You'll never use this outside of class' " We don't do that here " "

I have never seen this done/used in my time "

rachfoote@... wrote:

Yeap, I kinda felt a dig there with Danny's last sentence.? I am not,

nor shall I ever be.

Andy Foote

National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

Yes, I agree.? Every class you take and every class that comes along is subject

to new skills and education.? But I do not believe it has anything to do with

NR.? Its about learning whats changing in the business.? The last NR class I saw

was teaching out of the Bledsoe book, the size of a volkswagon.? The same book

that is taught at Lamar Orange.? So how does NR make it better??

Andy Foote

National Registry question

>

>

>

> I am a currently certified Texas Paramedic...who's initial course

has

> been well over 2 years ago. I am looking to obtain NREMT-P

> certification however, the NREMTP site is clear as mud and talking

to

> them is even mudier.

> I know that I will need to have a formal refresher of 48 hrs in the

> appropriate categories...but what if I just took a CCEMTP course.

Can

> I use the hours from that course as my " refresher " ?

> Any suggestions about what is the most painless (ha,ha) way of

going

> about getting NREMT-P certification for a paramedic who has been

> certified for a while?

>

> Thanks,

>

> Leach EMT-P, CCEMTP

>

>

>

>

>

[Guest guest]

Wow! I didn't realize a simple question about NREMTP would cause

this much discussion. LOL

Why Oklahoma? Well my husband is from Oklahoma and since he still

has many contacts there in Oklahoma within the fire service he is

keeping that option open for when he returns from working overseas.

Just incase he can't find something that tickles his fancy here in

Texas. LOL feel free to dig out the OU jokes... I personally prefer

the State of Texas in general. I still tease him from time to time

about being from Oklahoma.

> >

> > Someone will probably have the answer to your question but I ask

> why?? Unless you are moving across state lines the only reason you

> would need it is to pay more for your state license.

> >

> >

> > Andy Foote

> >

> >

> > National Registry question

> >

> >

> >

> > I am a currently certified Texas Paramedic...who's initial course

> has

> > been well over 2 years ago. I am looking to obtain NREMT-P

> > certification however, the NREMTP site is clear as mud and

talking

> to

> > them is even mudier.

> > I know that I will need to have a formal refresher of 48 hrs in

the

> > appropriate categories...but what if I just took a CCEMTP course.

> Can

> > I use the hours from that course as my " refresher " ?

> > Any suggestions about what is the most painless (ha,ha) way of

> going

> > about getting NREMT-P certification for a paramedic who has been

> > certified for a while?

> >

> > Thanks,

> >

> > Leach EMT-P, CCEMTP

> >

> >

> >

> >

> >

[Guest guest]

My line of thinking is that any certification/test that I can take is

another way of showing the book knowledge that I have attained and to

a certain extent the skill level I have acheived. Yes, in some ways

I am collecting alphabet cards but it helps to have them when looking

for jobs. I have discovered that a collection of alphabet cards and

a wide range of experience in a variety of environments will open

alot of doors. However, all the certification cards in the world

does not make one a good paramedic. Your professionalism and ability

to put all your knowledge together with some common sense makes you a

great healthcare professional...in my opinion.

Leach

> >

> > Someone will probably have the answer to your question but I ask

> why?? Unless you are moving across state lines the only reason you

> would need it is to pay more for your state license.

> >

> >

> > Andy Foote

> >

> >

> > National Registry question

> >

> >

> >

> > I am a currently certified Texas Paramedic...who's initial course

> has

> > been well over 2 years ago. I am looking to obtain NREMT-P

> > certification however, the NREMTP site is clear as mud and

talking

> to

> > them is even mudier.

> > I know that I will need to have a formal refresher of 48 hrs in

the

> > appropriate categories...but what if I just took a CCEMTP course.

> Can

> > I use the hours from that course as my " refresher " ?

> > Any suggestions about what is the most painless (ha,ha) way of

> going

> > about getting NREMT-P certification for a paramedic who has been

> > certified for a while?

> >

> > Thanks,

> >

> > Leach EMT-P, CCEMTP

> >

> >

> >

> >

> >

[Guest guest]

Danny,

I have to respectfully disagree with you on a some of your points.

The fact that some people see the NR exam as being more difficult than the

last Texas exams were, is not the reason that the NR is in Texas. The reason

is that the state stopped giving adequate funding to what was then the TDH to

develop, evaluate and administer the exams. In fact, back in the '90s Texas

had a GREAT paramedic exam that separated the colts from the dolts. I took

it, and it was not easy. It was far more difficult than the NR currently is.

In a subsequent post I'll pose one of the questions that was on that exam and

see just how many medics can solve it quickly (and it can easily be done in

your head).

Second, the NR has nothing to do with course content as taught in Texas.

Texas adheres to the DOT National Standard Curriculum for each level, and that's

where both the Texas exam questions and the National Registry exam questions

are based. Every question must be based upon a DOT learning objective. So

if a course is teaching the curriculum, the graduate should be well qualified

for the NR.

Third, many Texas programs, including the last two I was affiliated with,

taught far in excess of the minimum requirements, and there is nothing in NR

that was not taught in those courses.

Fourth, there is no data whatsoever, anywhere, in any form or fashion that

correlates how one does on the National Registry examination with competency

to perform as a medic, nor does it predict in any way the performance of any

person.

The NR is a gate keeper, nothing more. You have to pay the toll to pass

through the gate, but there's no guarantee that it makes anyone a better medic.

I have never taken the NR even though I have written questions for it. I

believe that it is completely irrelevant to medical practice other than as a

device to control entry into the system.

It is not the NR that should be driving EMS education. What should be

driving EMS education is professionalism and a desire to include in the

curriculum

more than the minimum stuff in the NSC.

Several states have now recognized that NR is not the thing for them and they

are moving away from it into other testing organizations. Illinois is the

latest state that I know of that has done that.

Don't get me wrong. I believe in comprehensive medical education for each

level and have always provided much higher levels than many other programs. I

challenge anyone to take one of my Paramedic final exams, and compare it to

the NR exam. I think they would find that the medical knowledge required was

much higher and much more in depth than that required on the NR.

However, I would be the first to say that passing that exam would tell me

nothing about how a medic would practice in the field.

When I took the bar exams in Colorado and Texas, they consisted entirely of

essay questions, comprehensive and mind-boggling scenarios that required the

highest level of knowledge, mental functioning and critical thinking. They

were right up at the top of Bloom's scale.

Sadly, the myth of multiple choice testing has caused that to change, for the

worse, I think.

I believe that every candidate for paramedic certification or licensure in

Texas should face an exam board composed of at least 6 EMS educators,

paramedics, nurses, and physicians and they should have to demonstrate knowledge

of

history taking, assessment, critical thinking, identification of differential

diagnoses, and a treatment plan, including drug administration and doses, and

this

should be a half-day process for each candidate at minimum.

That will never happen, but it should.

And if it did, there would be Paramedic Death Squads after me! LOL.

Gene Gandy, JD, LP

>

> Andy;

> There was no dig intended. We all want more knowledge and all want to be

> able to show it.

>

> I find that the NR test was more strenuous than the Texas certification

> test. Different things the NR wanted a person to know than what I was taught.

>

> I speak of " You'll never use this outside of class' " We don't do that here "

> " I have never seen this done/used in my time "

>

> rachfoote@... wrote:

> Yeap, I kinda felt a dig there with Danny's last sentence.? I am not, nor

> shall I ever be.

>

> Andy Foote

>

> National Registry question

> >

> >

> >

> > I am a currently certified Texas Paramedic... I am a currently cer

> has

> > been well over 2 years ago. I am looking to obtain NREMT-P

> > certification however, the NREMTP site is clear as mud and talking

> to

> > them is even mudier.

> > I know that I will need to have a formal refresher of 48 hrs in the

> > appropriate categories.. appropriate categories..<wbr>.but what if

> Can

> > I use the hours from that course as my " refresher " ?

> > Any suggestions about what is the most painless (ha,ha) way of

> going

> > about getting NREMT-P certification for a paramedic who has been

> > certified for a while?

> >

> > Thanks,

> >

> > Leach EMT-P, CCEMTP

> >

> >

> >

> >

> >

[Guest guest]

My husband is also from Oklahoma. I tell him now and then that Oklahoma is a

great place to be from - far from!

Maxine Pate

---- Original message ----

>Date: Thu, 23 Aug 2007 00:19:43 -0000

>

> I still tease him from time to time about being from Oklahoma.

>

>

>

>