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The National Registry of Emergency Medical Technicians is a non-profit organization created in 1970 to provide a competency guideline for emergency services. Prior to 1970, there were no uniform testing curricula recognized by the United States, and therefore, certification and knowledge base varied wildly from EMT to EMT. President Johnson recognized the need for regulated training and testing for persons working in the emergency services and recommended the creation of the National Registry. The National Registry is a governing body of prominent figures in the health and emergency services who are passionate about protecting the greater public.

Many people associate the National Registry with the NREMT exam. The exam itself is a standardized test that every single EMT must pass, regardless of the level of certification, in order to qualify for state licensure. Passing an EMT or Paramedic course is the prerequisite for sitting for the exam and successfully completing both enables someone to apply for state licensure. Prior to sitting for the NREMT exam, we recommend that our students subscribe to EMTprep.com so they can prepare for the EMT, AEMT, and Paramedic level exams. EMTprep prepares students for the formatting and environment of what they'll see on their NREMT test day. Without the NREMT exam, there would not be uniformity across state lines. An EMT in Nebraska might sit for a very difficult exam to get their license, while an EMT in California might only need to perform a few select tasks. The NREMT exam creates a process so every single EMT in the United States proves competency equivalent to every currently practicing EMS professional. It also allows for easy moving between states, as every person takes the same test. National experts in EMS, including emergency physicians, help develop the test banks of thousands of potential questions. According to the National Registry, “The minimum passing standard is the level of knowledge or ability that a competent EMS provider must demonstrate. The minimum passing standard is set by the National Registry Board of Directors and reviewed at least every three years.”

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