Advanced Emergency Medical Technician (AEMT) is a certification offered by National Registry of Emergency Medical Technicians (NREMT). The level of this certification is higher then EMT-Basic credential. The certificate holders serve for emergency service care and are a part of life support units. They are trained to perform life saving tasks in out-of-hospital settings.
The applicant must be holding a current CPR credential and a current state or national certification of at least EMT level. He/she must have completed a state approved training program of advanced emergency medical technician in past two years which must be in accordance to United States Department of Transportation National EMS education standard. If this training program was done before past two years, candidate must have been maintaining a current state license at AEMT level and taken a refresher course in past two years. The educational requirements for taking this exam can also be satisfied by re-doing AEMT training program in case, the candidate is not holding a current license or, not gone through a regular or refresher program within past two years. There is an age bar of 18 and higher for taking this exam.
AEMT certification consists of two exams- cognitive/theory exam and psychomotor/practical exam. The content of cognitive/theory exam is based on EMS care including Cardiology and Resuscitation; Airway, Respiration and Ventilation; and Medical, Obstetric/Gynecology and EMS operations. The 85 percent of this exam is emphasized on adult and geriatric patients and 15 percent on pediatric patients. The psychomotor exam is based on assessment of practical life saving skills. There are 10 skills tested in psychomotor/practical examination. These skills are arranged into following categories- Patient assessment-Trauma, Patient assessment-Medical, Ventilatory management, Cardiac arrest management/AED, IV and Medication skills, Pediatric intraosseous infusion skills, Spinal immobilization and Random EMT skills. These skills have been developed in compliance with United States Department of Transportation National EMS education standard at EMT and advanced EMT level, United States Department of Health and Human Services, National Trauma Triage protocol, American Heart Association Guidelines for CPR and ECC, and Centers for Disease Control and Prevention.
The cognitive test of AEMT is a computer based exam. There are 135 items in exam, which are to be attempted in a time of 2 hours and 15 minutes. The psychomotor exam is based on demonstration of practical skills before an instructor of AEMT training program.
In order to get this certification, passing both the cognitive and psychomotor exams is must. The answer sheet of practical/psychomotor exam is faxed to NREMT for verification of “Pass” or “Fail” determination. The result of practical exam is decided by the instructor himself. The result of cognitive exam is a “Pass” if standards of national registry are satisfied otherwise, it is “Fail”. The validity of passing cognitive as well as psychomotor exam is of one year. This certification remains valid up to March 31 next to two years if it is achieved between January 1 and June 30 of the current year, and up to March 31 next to three years if it is achieved between July 1 and December 31 of the current year.
The application process involves login into the account on NREMT website and completing an online application form. This is followed with payment of appropriate fees. The eligible candidates are informed by sending an Authorization-to-Test letter which has guidelines pertaining to scheduling of exam with Pearson Vue. Then, candidate has to make a test appointment with Pearson Vue and take this test.
The fee for AEMT exam is $100. This fee is charged for cognitive examination. The psychomotor exam is a part of AEMT training program.