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Bureau of Emergency Medical Services
EMT-Intermediate Conversion Process
Frequently Asked Questions

If I am a current EMT-I/85, do I have to become an NRAEMT?
Yes. If you are a current EMT-I/85 and you want to continue to practice at an ALS level, you will need to make the transition to the new AEMT level.
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Why is the EMT-I/85 transition process different than the other classification levels?
The process for the EMT-I/85 is a bit different because the education (cognitive) gap between the current level and the "new" level is broader and deeper than the changes at all the other levels. The National Registry of EMT's (NREMT) in agreement with the New Hampshire Bureau of EMS (NHBEMS) has determined that the increase in the depth and breadth of knowledge of the new AEMT level is significantly more than what was required in the EMT-Intermediate 1985 curriculum. The only consistent way for a provider to demonstrate that they have that underlying knowledge is to successfully complete the NRAEMT cognitive exam.
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If I am a current EMT-I/85 and I don't want to transition to the new AEMT levels, what are my options?
If you are a current EMT-I/85 and you don't want to transition to the new AEMT level, when your next NR registration cycle comes due you can reregister with the NREMT at the Emergency Medical Technician level (formerly EMT-Basic) by following the NREMT policies. Upon receipt of your National Registry card you will submit your NH EMS Provider license application to the NHBEMS and once approved you will then practice at the EMT level.
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How many times can I take the NRAEMT cognitive exam?
You can take the NRAEMT exam a total of six (6) times.
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Do I have to take an AEMT Transition Course before I take the NRAEMT cognitive exam?
No, if you are currently a NH NREMT-I/85 and you feel ready to challenge the NRAEMT cognitive exam without taking an AEMT Transition Course, you will have one (1) attempt only. If you challenge and pass the exam you will be Nationally Registered as an AEMT. If you challenge and fail the cognitive exam, you will have to take an AEMT Transition Course before you can take any additional attempts at the NRAEMT cognitive exam.
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If I am not ready to take the AEMT Transition Course and choose to delay it for my next re-registration cycle, how do I go about maintaining my EMT-I/85 designation?
You can still take a traditional 24-hour BLS RTP, the 12 ALS hours and 36 hours of continuing education as you've been doing since becoming an ALS provider. You must eventually successfully complete the AEMT transition process BEFORE either 2016 (if your re-registration falls on an even year) and 2017 (if your re-registration falls on an odd year).
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If I have taken an AEMT Transition Course but I feel that I am not ready to do the NRAEMT cognitive exam, can I still recertify as an EMT-I/85?
Yes, you can submit your NR EMT-I/85 re-registration paperwork the same way as you always have. You can use your 36 hour Transition Course as your "regular" 24 hour BLS refresher AND 12 hours of ALS hours, but you still need to do the additional 36 hours of continuing education.
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Will the 36 hour AEMT Transition Course prepare me to take the NRAEMT cognitive exam?
If you are preparing for the NRAEMT cognitive exam via a NH approved AEMT Transition Course, the NHBEMS suggests that the absolute minimum amount of time you will need to prepare is 36 hours. This 36 hour Transition Course will include all necessary practical skills verification. Supplemental textbook reading is recommended. Most of the major publishers have introduced their AEMT textbooks. NOTE: The NHBEMS and Brady Publishing have negotiated for free shipping and a 20% discount of their textbook, "Transition Series: Topics for the Advanced EMT".
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What is the deadline for completion of the AEMT Transition process?
If your recertification date is March 31, 2013 and you recertify as an EMT-I/85 at that time, you will have until March 31, 2017 to complete the transition process. If your recertification date is March 31, 2014 and you recertify as an EMT-I/85, you will have until March 31, 2016 to complete the transition process. If you miss the final deadline for completing the transition to NRAEMT, the National Registry will recertify you at the EMT level (formerly EMT-Basic), following an acceptable recertification application.
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After I become certified as an NRAEMT, what will I have to do to maintain that level of certification?
Once a provider gets certified as an NRAEMT, s/he must meet the NREMT refresher requirements for that level.
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How do I sign up for an NRAEMT exam?
Start by going to www.nremt.org and if you don't already have an account, you need to create one. By following the steps indicated on the NREMT website, you will be able to get the information you need.
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How much does it cost to take the NRAEMT cognitive exam?
The cost for the exam is $70.00 per attempt.

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Is the NHBEMS giving a voucher to cover the cost for taking an NRAEMT exam attempt?
Yes. Any currently licensed NH EMT-I/85 who is preparing to test is eligible to receive a single testing voucher from NHBEMS. Vouchers will only be issued directly to the individual providers who will need to confirm their identity before receiving the voucher code. Each candidate gets only one (1) voucher. Call your EMS Education Specialist to get assistance with obtaining a testing voucher.
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Can the testing voucher be used for only the first attempt at the NRAEMT cognitive exam?
No, the voucher can be used for any single attempt.
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If I have already paid to take the NRAEMT cognitive exam, can I get a reimbursement from NHBEMS?
No. If you decide to test before you are issued a voucher through the NHBEMS, you cannot be reimbursed for the cost of testing.
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What will happen if I fail the NRAEMT cognitive exam after 6 attempts?
If a provider is unable to successfully complete the exam in 6 attempts, s/he may apply to the NREMT as a re-registering EMT (BLS Provider), following submission of an acceptable recertification application.
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If my National Registry recertification expiration date changes from an even year to an odd year or vice-versa), will that also change my NH EMS Provider licensure expiration date?
Yes. Your NH EMS Provider license will always expire in conjunction with the expiration year of your most current NR expiration date.
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Where do I take the NRAEMT cognitive exam?
Any Pearson Vue facility. The website for Pearson Vue is: http://www.vue.com
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Will there be mobile testing for the NRAEMT cognitive exam?
The NHBEMS is still negotiating the final details of the mobile testing units. As soon as the final details are in place, the NH Bureau of EMS will make a notification.
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If I fail an attempt at the NRAEMT cognitive exam, how soon can I re-apply for another attempt?
If you fail an attempt, you can re-apply for another attempt after 15 calendar days.
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What will the NRAEMT cognitive exam be like?
The National Registry of EMTs has indicated that the NRAEMT cognitive exam will be a computer-based linear test (not a computer adaptive test) consisting of 135 questions, and will cover all the material in the AEMT Education Standards.
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