What is an AEMT?
The primary focus of the Advanced Emergency Medical Technician (AEMT) is to provide very limited advanced emergency medical care and transportation for emergent patients who access the emergency medical system. The AEMT possesses the basic knowledge and skills necessary to provide basic patient care and transportation to non-emergent patients. AEMTs function as part of a comprehensive EMS response, under medical oversight and typically as part of an advanced EMS team response with a higher level provider. AEMTs perform interventions with the basic and advanced equipment typically found on an intermediate care ambulance. The Advanced Emergency Medical Technician is a link from the scene to the emergency health care system.
What is the Scope of Practice of an AEMT?
An Advanced Emergency Medical Technician (AEMT) may, under the direction of a Committee approved Medical Director:
- Perform all procedures that an EMT may perform;
- Initiate peripheral intravenous (IV) lines in unconscious patients;
- Maintain peripheral intravenous (IV) lines;
- Initiate saline or similar locks in unconscious patients;
- Draw peripheral blood specimens;
- Insert an uncuffed pharyngeal airway device in the practice of airway maintenance. A cuffed pharyngeal airway device is:
- A single lumen airway device designed for blind insertion into the esophagus providing airway protection where the cuffed tube prevents gastric contents from entering the pharyngeal space; or
- A multi-lumen airway device designed to function either as the single lumen device when placed in the esophagus, or by insertion into the trachea where the distal cuff creates an endotracheal seal around the ventilatory tube preventing aspiration of gastric contents.
- Perform tracheobronchial suctioning of an already intubated patient; and
- Prepare and administer the following medications under specific written protocols authorized by the Medical Director or direct orders from a licensed consultant physician:
- Physiologic isotonic crystalloid solution IV or IO
- Anaphylaxis: epinephrine IM
- Antidotes: Naloxone hydrochloride SL, IM, or IV
- Antihypoglycemics: Hypertonic glucose IV;
- Catecholamine: Epinephrine 1:1000; Epinephrine 1:10,000 IM or IV
- Parasympathetic Blocker: Atropine IV
- Nebulized bronchodilators: as determined by the Medical Director
- Non-Opioid Analgesics for acute pain as determined by their Medical Director
- Prepare and administer immunizations in the event of an outbreak or epidemic as declared by the Chief Public Health Officer or designated public health officer, as part of an emergency immunization program, under the Medical Director’s standing order;
- Prepare and administer immunizations for seasonal and pandemic influenza vaccinations according to the Chief Public Health Officer’s recommended immunization guidelines as directed by the agency’s Medical Director’s standing order;
- Distribute medications at the direction of the Medical Director as a component of a mass distribution effort;
- Maintain during transport any intravenous medication infusions or other procedures which were initiated in a medical facility, if clear and understandable written instructions for such maintenance have been provided by the physician at the sending medical facility;
- Perform electrocardiographic rhythm interpretation of ventricular fibrillation, ventricular tachycardia, pulseless electrical activity, and asystole; and
- Perform cardiac defibrillation with a manual defibrillator.
Responsibilities of Registry Certified Personnel:
Certified personnel must notify the Registry within 30 days regarding the following matters:
- Change in mailing address (the best way to update a mailing address is by editing your account profile)
- Any criminal conviction.
- Disciplinary action taken by any agency having jurisdiction (or government body) that has resulted in suspension, revocation, or expiration of registration/licensure; termination of right to practice; voluntary surrender of registration/licensure while under investigation.
The Registry considers the individual to be solely responsible for their certification and reporting, any failure to follow process or report as required is solely the failure of the certified person and may result in immediate dismissal of their certification, as well as, immediate notification to any pertinent regulatory agency of their dismissal.
Disciplinary Policy and Rights of Appeal for The Registry can be found on The Registry website.
Requirements for Initial Registration (Certification):
Individuals applying for AEMT certification must meet the following requirements:
- Candidate must be 18 years of age or older
- Successful completion of a registry accredited Advanced Emergency Medical Technician (AEMT) course that meets or exceeds the Registry Education Standards for the AEMT.
- Candidate must have completed the course within the past two years and the course Program Director must verify successful course completion on the Registry website.
- Candidate must have a current American Heart Association BLS for "Healthcare Provider" or equivalent credential.
- Candidate must successfully complete the Registry cognitive (knowledge) and approved psychomotor (skills) exams. Passed portions of each examination (cognitive and psychomotor) remain valid for 12 months.
- Create an account on the Registry website.
- Submit a Registry application and answer all questions truthfully.
- The Registry may deny certification or take other appropriate actions in regards to applicants for certification or recertification when a criminal conviction has occurred.
- Pay the application fee of $100 usd.
- The application fee is non-transferable and non-refundable.
- This fee is charged for each attempt at the cognitive examination.
- Candidates will receive an electronic Authorization to Test (ATT) once you are eligible for the exam.
- The electronic ATT contains scheduling instructions and important details concerning proper identification required at testing centers.
- You can find the ATT in the “Alerts” section of your account page.
- The ATT is your test key and you will need to carry it with you to a testing center to be provided access to your examination.
- The candidate who holds a current certification with the National Registry of Emergency Medical Technicians (NREMT), at this level or higher, may apply for reciprocity at this level, if their initial or CME training meets the scope of practice listed above.
- The candidate who holds a current license with a State in the United States, at this level or higher, may apply for reciprocity at this level, if their initial or CME training meets the scope of practice listed above.
- The candidate who holds a current registration with the Paramedicine Board of Australia (PBA), at this level or higher, may apply for reciprocity at this level, if their initial or CME training meets the scope of practice listed above.
- The candidate who holds a current certification with the Pre-Hospital Emergency Care Council (PHECC), at this level or higher, may apply for reciprocity at this level, if their documented training meets the scope of practice listed above.
- The candidate who holds a current certification with the Health & Care Professionals Council (HCPC), at this level or higher, may apply for reciprocity at this level, if their documented training meets the scope of practice listed above.