Skill 1
Patient Assessment — Trauma
A hands-on, head-to-toe assessment and voiced treatment for a trauma scenario: scene size-up, primary survey, history, and secondary assessment.
National Registry
Certification through the NREMT.
National Registry Paramedic (NRP) certification is earned by passing two exams — a cognitive (knowledge) test and a psychomotor (skills) test. Here is what to expect, and how our program prepares you for both.
85%
Our first-time pass rate
120
Hours of NREMT prep in-program
2
Exams: cognitive & psychomotor
Eligibility
Who can apply for NRP certification.
Candidates applying for National Paramedic Certification (NRP) must meet the following requirements.
- 18 years of age or older.
- Current National EMT certification (National Registry) or a state license at the EMT level or higher.
- Successful completion of a CAAHEP-accredited Paramedic program (or a program issued a CoAEMSP "Letter of Review") within the past two years.
- A psychomotor competency portfolio, for candidates who began paramedic education after August 1, 2016.
- A current CPR-BLS for "Healthcare Provider" or equivalent credential.
- Successful completion of the National Registry cognitive (knowledge) and psychomotor (skills) exams.
The cognitive exam
A computer-adaptive knowledge test.
The NRP cognitive exam is a computer-adaptive test of 80–150 items with a maximum of 2 hours and 30 minutes. It spans the full spectrum of EMS care; the test plan below shows how the exam is weighted.
| Content area | Percent of exam | Adult / pediatric mix |
|---|---|---|
| Airway, Respiration & Ventilation | 18–22% | 85% adult / 15% pediatric |
| Cardiology & Resuscitation | 22–26% | 85% adult / 15% pediatric |
| Trauma | 13–17% | 85% adult / 15% pediatric |
| Medical; Obstetrics & Gynecology | 25–29% | 85% adult / 15% pediatric |
| EMS Operations | 10–14% | N/A |
The psychomotor exam
Six skills, tested hands-on.
Paramedic candidates are evaluated on six skill stations that mirror real out-of-hospital care.
Skill 2
Dynamic Cardiology
Manage a cardiac-arrest scenario — including delivery of electrical therapy — while voicing interpretations and treatments, similar to a "megacode."
Skill 3
Static Cardiology
Interpret four prepared ECG tracings with patient information and voice the associated treatments.
Skill 4
Oral Station — Case A
Verbally manage all aspects of an out-of-hospital call: scene management, assessment, patient management, interpersonal relations, and integration.
Skill 5
Oral Station — Case B
A second, separate out-of-hospital case evaluated on the same categories.
Skill 6
Integrated Out-of-Hospital Scenario
Lead a team with a professional paramedic partner and manage a pediatric, geriatric, or adult call from start to finish.
Official resources
Go straight to the source.
Certification is administered by the National Registry of Emergency Medical Technicians. These official references cover policies, standards, and current guidelines.
We prepare you to pass.
From dedicated National Registry prep to scheduled tutoring, the program is built to get you certified on the first attempt.