EMS Educator Updates

Last reviewed and updated: June 30, 2022

Training Program Administration Manual (TPAM)

The TPAM has been updated to reflect our recent adoption of the 2021 National EMS Education Standards (NEMSES) as supported by the Training & Certification and Medical Direction Committees and as approved by the EMS Advisory Board. The effective date for most changes is July 1, 2022.

If you are curious about what policies were updated, please do a keyword search on “2022” to see those policies that were affected by these changes. The TPAM can be found on the OEMS website at:

BLS First & Last Class Paperwork

Newly updated BLS First and Last Class Paperwork for summer/fall courses can be found on the OEMS website.  Please make sure you are using the latest paperwork which now takes into account changes reflective our recent adoption of the 2021 National EMS Education Standards (NEMSES.


COVID Vaccination Guidance for EMS Courses

Education Coordinators have the autonomy to make COVID-19 vaccination a requirement to enroll in their programs in consultation with their EMS Physician.

If you allow a student to enroll in and participate in your program knowing that the current policies are they must be vaccinated to complete their patient contacts in the field, you need to have an attestation statement signed by the unvaccinated student indicating that they acknowledge that they are taking the class for educational purposes only and further understand they will NOT be eligible to gain EMT certification due to their lack of fulfilling the field patient contacts.

OEMS staff do not anticipate providing a blanket policy vaccinations as each program/jurisdiction/hospital system, etc., are all offering differing views on this process.

Each Education Coordinator, in consultation with their EMS Physician will have to determine what policies to put in place based on the clinical and field settings where they would place their students.


Clinical/field Site Requirements

The VEMSES requires that students have patient contacts in a field setting and they need to gain knowledge of how the Emergency Department works. To satisfy the ED requirement, you can have a representative from the hospital/s provide an overview via Zoom or visiting your class to let the students know what to expect when bringing a patient to their facility.

The Office of EMS is still allowing the use of attestation statements if you cannot place your students in a clinical or field site, however this needs to be an “all or none” situation per clinical or field site, not something that is directed to those who refuse to become vaccinated.

You also have the ability to place them in alternative locations such as nursing homes, doctor’s offices, etc., but will likely encounter some of the same issues that you are experiencing with the hospitals.

Continuing Education


National Registry Cognitive Examination Changes – Effective Date: April 15, 2022

The National Registry is transitioning to a new software platform for administering our examinations. This software upgrade comes with a few modifications to examination scheduling and delivery that candidates may notice. The exam scheduling system will go offline for maintenance today, April 12, 2022. The updated scheduling system will go up on April 15, 2022. As a reminder, some of the updates to highlight are:

  • Candidates will select their examination delivery method (testing center or online proctored) and schedule their examination on Pearson VUE’s website.
  • Candidates logging in to schedule examinations will notice they cannot schedule any online proctored (OnVUE) examinations beyond April 11, 2022. This temporary inconvenience is necessary as part of our software upgrade.
  • On April 15, 2022, candidates will be able to resume scheduling their online-proctored examinations via OnVUE.
  • The EMR level cognitive examination will be available as an online proctored examination starting April 15, 2022.
  • The AEMT level cognitive examination will no longer be available as an online proctored examination. AEMT will be administered at Pearson VUE testing centers only. Both EMR and EMT providers will be able to use OnVUE testing for recertification by examination beginning April 15, 2022.
  • Our EMT online proctored examination (OnVUE) will be updated to use our computer adaptive format (CAT) and reflect the same experience as at testing centers. This will change the length of the online proctored examination from a fixed set of 110 questions to a variable length between 70-120 questions.

Beginning on April 15, 2022, all Basic Life Support (BLS) examinations will have an online proctored (OnVUE) option in addition to the testing center option, and all Advanced Life Support (ALS) examinations will only be administered at testing centers.

If you have any questions about these updates, please contact support@nremt.org  and we will be happy to help. We are excited to continue our commitment to providing the best testing experiences for our candidates.   


Certification Testing Changes – State and National Registry

BLS Certification Testing

    • Cognitive Exams – Normal processes are in place for the National Registry cognitive exam.  Beginning April 15, 2022, all Basic Life Support (BLS) examinations will have an online proctored (OnVUE) in addition to the testing center options.  Pearson VUE OnVUE is available for EMT candidates who are unable to access testing at a Pearson Test Center due to lack of available seats.  Please direct your candidates to learn more about Pearson OnVUE Remote Proctored Exams by visiting: https://home.pearsonvue.com/nremt/onvue
    • Psychomotor Exams – The Office of EMS Management Team has suspended indefinitely BLS psychomotor testing pending decisions by the Training & Certification and Medical Direction Committees. Use of the TR.999 will serve as the verification of competency until further notice.

ALS Certification Testing