EMS Education Resources

EMS Education Resources

If you are interested in becoming a Vermont EMS practitioner, we recommend that you contact the EMS agencies near you to find out how to become a member or employee of their organization. Agency affiliation isn’t required to take an EMS course, but agencies usually cover some or all of the cost of EMS training and can provide opportunities to practice the skills you’re learning. You must have an affiliation with an EMS agency to become a licensed EMS provider.

All of Vermont’s initial and continuing education follows the National Highway Traffic Safety Administration’s EMS Education Standards. Once you complete a Vermont EMS course and pass the exam, you will earn a National Registry of EMTs certification, which can help you gain reciprocal licensure in many states.

Instructor/Coordinator Resources

EMS Course Approval

All courses leading to National Registry of EMTs certification and state licensure must be led by a licensed Instructor/Coordinator and approved by the Vermont Department of Health.

EMS Course Approval Process:

  1. Log into your account on the Vermont EMS LIGHTS Public Portal
  2. Go to Training > Request in the left-hand navigation menu
  3. Click on the Apply for Course Approval button

AEMT Testing and Licensing Information: This document guides AEMT instructors on course completion requirements, preparing students for National AEMT testing and applying for Vermont AEMT licensure. 

EMS Student Manual: This manual provides important information to students in initial EMS courses about course logistics and prepares them for examinations and licensure.

Instructor/Coordinator Administrative Guide: This handbook describes the administrative aspects of being a Vermont EMS Instructor/Coordinator, including course and exam site approval, registering students for exams and renewing an I/C license.

Instructor/Coordinator Licensure

Vermont licensed EMS personnel may become eligible for EMS Instructor/Coordinator licensure by:

  1. Showing evidence of one of the following:
    1. Successful completion of a 40-hour Vermont Department of Health-sponsored instructor/coordinator course; orSuccessful completion of a public safety instructor/coordinator course approximately 40 hours in length; or
    2. Successful completion of Modules 1 and 2 of a National Association of EMS Educators (NAEMSE) instructor/coordinator course; or
    3. A Bachelor’s or higher degree in education; or
    4. A current Vermont state teacher’s license
  2. Completing the Vermont EMS Instructor/Coordinator 1-day bridge course sponsored by the Vermont Department of Health (not required for method 1(a) above);
  3. Participating in a peer-mentored instructional program, including lecture evaluations
    1. minimum of 4 hours of peer-mentored observation is required. Additional information will be provided during the I/C Bridge course program.
    2. Additional hours of observation, coaching and remedial education may be required to ensure competency based on the candidate’s performance evaluations.
    3. Holding a current Vermont EMS license and affiliation with a Vermont-licensed EMS agency or medical facility that requires you to hold EMS licensure.

Instructor/Coordinator License Application Process:

  1. Log into your account on the Vermont EMS LIGHTS Public Portal
  2. Go to Applications in the left-hand navigation menu and select Instructor/Coordinator Initial License application.

Peer Mentor Evaluation Form - PresentationUse this form if you are an existing Instructor/Coordinator who is mentoring/evaluating a student in an I/C Course. A separate form must be completed for each presentation the I/C candidate leads.

Peer Mentor Evaluation Form – Comprehensive: Use this form if you are an existing Instructor/Coordinator who is mentoring/evaluating a student in an I/C Course. This form is to be completed as an overall assessment of the candidate after he or she has delivered all presentations.

Instructor/Coordinator License Renewal

Vermont Instructor/Coordinators renew their license by maintaining their EMS practitioner license and completing twelve hours of Instructor continuing education.  Instructor CE can consist of any topics that relate to classroom management, education theory or instructing adult students.   

Instructor/Coordinator License Renewal Application Process (to be done AFTER submitting your EMS practitioner license renewal application):

  1. Log into your account on the Vermont EMS LIGHTS Public Portal
  2. Go to Applications in the left-hand navigation menu and select Instructor/Coordinator License Renewal application.
EMS Courses and Examinations

No prior training, certification or licensure is required to take an Emergency Medical Responder (EMR) or Emergency Medical Technician (EMT) course. To qualify for an Advanced EMT or Paramedic course, a person must have a current state EMT license or a National Registry of EMTs certification.

Find an EMS Course

EMS courses are held throughout the year across the state. To find out about courses happening near you, go to the Class Schedule. New courses are added to the schedule regularly. You may also reach out to your district’s training coordinator to find out if other courses will be offered in your area. To enroll in a course, contact the instructor directly.

Find an EMS Psychomotor Examination

Vermont EMS uses the National Registry of EMTS psychomotor and cognitive exams as the basis for EMS licensure.  All candidates must register before attending an exam site.  At the EMR and EMT levels, students fill out a paper application to sign up for a test site. The applications are typically provided by the instructor near the end of the course, but students may also download an EMR or EMT exam application from the Documents section of this website. EMR and EMT candidates who need to retest a failed skill station will receive a Retest Registration form with their official results.

At the AEMT and Paramedic levels, instructors register their students for the practical exam. Students can sign up to retest failed AEMT or Paramedic skill stations by contacting the EMS Office.  Registration for an AEMT or Paramedic exam site requires a Practical Authorization to Test (PATT) number, which is assigned after completing an online application on the National Registry of EMTs website.

Supplemental and Continuing Education

Continuing Education Requirements

Vermont EMS practitioner license renewal requirements mirror those of the National Registry of EMTs. Most of Vermont’s EMS practitioners hold a National Registry of EMTs certification and meet Vermont’s continuing education requirements by renewing that certification. Current practitioners who never held NREMT certification must also meet the NREMT renewal requirements and document their training on their Vermont license renewal application.  

NREMT - National Continued Competency Program

Vermont has used the NREMT’s National Continued Competency Program (NCCP) as its model for continuing education since July 2015. The foundation of this program is continuous quality improvement, lifelong learning and individual self-assessment.

The NCCP started in 2010 when a multi-disciplinary task force consisting of representatives from major regulatory, medical oversight and operational components of EMS met to consider revisions to the NREMT recertification process. The result is a program that evolves over time and allows states, the local EMS community and individual EMS practitioners to choose topics that are most relevant to their educational needs.

There are three components of the National Continued Competency Program. Half of the hours are determined by the NREMT, a quarter are chosen at the State and Local levels and the remaining quarter are chosen by each EMS practitioner based on their interests and self-assessment of educational needs.

The National Registry of EMTs has produced educational guides for each level:

National Requirements of the National Continued Competency Program

The national requirement topics of the National Continued Competency Program are selected by the National Registry of EMTs based on input from EMS researchers, physicians and practitioner stakeholders and are updated every five years. Topics are chosen from evidence-based medicine and scientific position papers aimed at improving patient care, particularly tasks with low frequency but high criticality.

State/Local Requirements of the National Continued Competency Program

A portion of Vermont’s state and local requirement topics are determined by the EMS office based on state-specific training needs. The remaining hours are determined at the district and/or agency level.

Individual Requirements of the National Continued Competency Program

The remaining portion of each EMS practitioner’s continuing education is determined by the practitioner based on their own areas of interest or possible weakness. Any training that relates to the clinical or operational functions of an EMS practitioner at their license level qualifies for continuing education in this section.

EMS Protocol Education

The Statewide EMS Protocols represent the work of all 13 District Medical Advisors, numerous stakeholder groups and a multitude of EMS practitioners, agencies and districts across the state. Wherever possible, protocol updates have been guided by the most recent and best evidence-based EMS literature.

2020 Vermont Statewide EMS Protocols

Ready, Check, Inject

The Ready, Check, Inject program provides a simple, safe and cost-effective alternative to epinephrine auto-injectors and allows trained Emergency Medical Technicians (EMTs) to withdraw epinephrine from a vial and inject the medication intramuscularly.  Ready, Check, Inject is not intended to take the place of autoinjectors; epinephrine auto-injectors are still considered the preferred method of medication administration in anaphylaxis.   

Equipment Requirements

To administer intramuscular epinephrine at the EMT level, an agency must stock:

  • 1 mL vials of 1 mg/1 mL (1:1000) concentration epinephrine
    • Larger volume vials and syringes are not allowed at the EMT level 
  • 1 mL syringes with an accompanying 1-inch intramuscular safety needle
  • Ready Check Inject Safety Card

NOTE: Consider separating this specific equipment from other ALS supplies to prevent confusion.  Please see the equipment checklist for the complete list of required items.

Training and Credentialing

EMS agencies must credential their EMT level providers to use the new protocol using a two-step process Providers will watch a narrated Power Point on CentreLearn (individually or as a class) and then complete an agency-led practical training session overseen by the agency’s or district’s training coordinator. Competency must be confirmed by a licensed practitioner at the AEMT or Paramedic level using the skill sheet included in the training program. Documentation of training and competency verification should be kept on file by the agency. 

Rapid Sequence Intubation

Rapid Sequence Intubation (RSI) is an advanced airway skill only available to Paramedics with additional training, medical direction oversight and participation in an educational and Continuous Quality Improvement (CQI) program approved by the Department of Health.

For more information about RSI, contact EMS Medical Director Dr. Dan Wolfson.

Resuscitation Academy Resources / VTACH-R

Schedule a resuscitation Academy

To arrange an Adult Resuscitation Academy at your agency, contact Chris McCarthy: chris@netsvt.com

To arrange a Pediatric Resuscitation Academy at your agency, contact Merrill Pine: Merrill.Pine@Vermont.gov

vermont cardiac arrest report 2020

On June 24, 2021, State Medical Director Dr. Dan Wolfson presented a report reviewing the results from the National and Vermont Cardiac Arrest Registry to Enhance Survival (CARES). He also covered Hot Topics in Cardiac Resuscitation (including the impact of COVID-19 on cardiac arrest), and take home points to help you improve your care of the out-of-hospital cardiac arrest patient. View the presentation.

2020 Vermont and National CARES Report Summary (PowerPoint)