Becoming an EMT in Nevada
Nevada has a slightly more complicated EMT training system than most other states. This is because Nevada offers certification, license, and endorsement options for EMS personnel and it is separated into multiple regions. This means that all of Clark County Nevada has it’s own training requirements, protocols, and scope of practice. For this reason there is separate information here for Nevada EMT training in Clark County and the rest of the State of Nevada.
EMT Training Las Vegas
Clark County EMS includes cities like Las Vegas, Henderson and Boulder City. This means if you want to be an EMT in Las Vegas, it’s a good idea to sign up for a Las Vegas EMT training program, or at least one in Clark County.
There are slightly different requirements for Nevada and Las Vegas EMT applicants, which is why attending a training program in Clark County is ideal. However, for EMT applicants who can’t attend a Las Vegas EMT school it’s possible to apply for reciprocity later and work as an EMT in Las Vegas.
EMT training in Clark County and the State of Nevada begins with going through an EMT program. If possible, it’s better to know ahead of time whether you will be working in Clark County or somewhere else in Nevada.
First candidates must choose a school and successfully pass their Nevada EMT training program. After that candidates will need to pass two National Registry of EMT (NREMT) exams to get Nationally certified.
After passing both the cognitive and psychomotor NREMT exams candidates can apply for a Nevada EMT state license.
Nevada EMT candidates can apply in person or online at their local EMS office. The website and EMS office you apply at will depend on where you are located in Nevada and where you want to work in the field as an EMT.
The State of Nevada EMS Office oversees four Regions of EMS agencies and the Southern Nevada Health District EMS Office oversees Clark County.
EMS Program Manager
4150 Technology Way, Ste 100
Carson City, NV 89706
Phone: (775) 687-7590
Southern Nevada Health District
280 S. Decatur Blvd.
Las Vegas, NV 89107
Phone: (702) 759-1050
If a candidate is licensed outside of Clark County with an EMT, AEMT, or Paramedic certification, they will not automatically be able to work inside of Clark County, Nevada. An EMT or AEMT will need to apply for reciprocity or submit proof of residency, enrollment in EMS training or EMS employment within Clark County.
A Paramedic will need to submit proof of residency or EMS employment within Clark County in order to work in the area.
Scroll down for more detailed information about each step in the Nevada EMT training process.
EMS Levels Recognized in Nevada
EMT Certifications Nevada
Emergency Medical Responder (EMR)
Emergency Medical Technician (EMT)
Advanced Emergency Medical Technician (AEMT)
Licenses Ambulance Attendants in Nevada
Endorsements Available in Nevada
Critical Care Paramedic
Licenses and Endorsements
Qualified emergency medical service (EMS) candidates in Nevada can apply for Certifications, Licenses, and Endorsements. This page focuses mostly on the Certifications, which include Emergency Medical Responder (EMR), Emergency Medical Technician (EMT), Advanced Emergency Medical Technician (AEMT), and Paramedic (EMT-P).
In Nevada, EMS can also apply for an Ambulance Attendant license as a Driver Only, Ground Attendant, or Air attendant.
A Driver Only license provides authorization to work for a Fire Agency or with EMS providing patient care and driving an emergency vehicle.
Ground Attendants can be certified as an EMT, AEMT, or Paramedic and can provide care to the sick and injured while working for EMS or a Fire Fighting Agency.
An Air Attendant is a Paramedic and should have at least three years experience in the field working at the Paramedic level to get certification.
EMS can also apply for Endorsements in Nevada. These are the four endorsements available: Critical Care Paramedic, Community Paramedicine, Immunization, and EMS Instructor.
Here is a little information about the level of experience for each type of endorsement.
Critical Care Paramedics (CCP) have at least three years field experience working in ground or air service. CCPs also have more classroom and skills training than a paramedic.
Community Paramedicine endorsements are usually for EMS personnel who previously worked for at least three years as an attendant in ground or air service.
EMS Instructor endorsements allow the instructor to provide EMS skill training and evaluate field performance. EMS instructors will usually be licensed at least at an AEMT or Paramedic level with 2 years experience in EMS.
To qualify for Immunization endorsement, candidates need to be certified as an AEMT or Paramedic. They also need to complete additional Public Health Emergency and immunization administration training.
Nevada EMT Schools Requirements
Nevada EMT schools all have requirements which must be met in order to be accepted into the different levels of EMT training. Nevada EMT training programs can have slightly different requirements for entry.
However, most schools, including Clark County, will have the following prerequisites to get in the EMR, EMT, AEMT and Paramedic programs.
• A Nevada EMT applicant must be 18 years old.
• Nevada EMT schools require a high school diploma or High School Equivalent.
• Nevada EMT training will require applicants to complete the American Heart Association CPR-BLS for the Healthcare Provider (HCP). (Some EMT programs include this as part of the EMT course instead of as a prerequisite.)
• Nevada EMT training require a Drivers License or State ID Card.
• Nevada EMT schools require students to possess and maintain healthcare coverage during their EMT training.
• Nevada EMT training will require students to test negative on either a 5 or 10 Panel Drug screening.
• Nevada EMT schools require students to pass a Nevada State or higher Background check.
• Nevada EMT training students will need to have a current negative two-step TB Skin Test.
• Nevada EMT training requires applicants to show proof of immunizations or titers for the following:
Measles, Mumps, Rubella (MMR)
Chicken pox (Varicella)
Meningitis – (Clark County EMS programs may require.)
• Nevada EMT schools require applicants show proof they have begun the Hepatitis B series of vaccinations. (Usually 2 of the 3 shots done by the first day of class.)
• A Nevada EMT should have a flu vaccination before starting the clinical phase of schooling.
• Take Accuplacer Test for college placement. – Some Nevada EMT schools require students to complete an English, Math, or Reading class as a requirement for school enrollment. Students can take an Accuplacer and test out of the class requirements.
Nevada EMT Schools
Here is a list of Nevada EMT training programs for all levels of EMS. The Nevada Paramedic programs are accredited through the Commission on Accreditation of Allied Health Education Programs.
Banner Churchill Community Hospital EMS
801 E. Williams
Fallon, NV 89406
Classes: EMT/AEMT/ EMT Refresher/AEMT Refresher/Paramedic Refresher
Great Basin College
1500 College Parkway, Elko Nevada 89801
Humboldt General Hospital EMS
118 E. Haskell St. Winnemucca, NV 89445
Classes: EMT/AEMT/EMT Refresher/AEMT Refresher/Paramedic Refresher
Humboldt EMS Brochure (Link)
Regional Emergency Medical Services Authority
400 Edison Way, Suite B, Reno NV 89502
Classes: EMR/EMT/AEMT/Paramedic/EMR Refresher/EMT Refresher/AEMT Refresher/Paramedic Refresher
Truckee Meadows Community College
Pennington Health Science Center (Redfield Campus)
18600 Wedge Pkwy, Bldg B, Reno NV 89511
Classes: EMT/AEMT/Paramedic/EMT Refresher
EMT School Las Vegas
American Medical Response (AMR Las Vegas)
7201 W. Post Rd. Las Vegas, NV 89113
Classes: Heartsaver; BLS; ACLS refresher; PALS refresher; Critical Care Transport Academy
Courses: EMT/AEMT/Paramedic refresher courses
College of Southern Nevada
6375 W. Charleston Blvd., WCB205 Las Vegas NV 89146
Courses: First Aid; CPR; ACLS; PALS; EMT/AEMT/Paramedic courses; EMS/AEMT/Paramedic refresher courses
EMS Training Center of Southern Nevada
5175 Camino Al Norte, Ste. 100, North Las Vegas NV 89031
Courses: EMS Refresher Course
Classes: First Aid; CPR; EMT; AEMT; EMT/AEMT/Paramedic refresher courses/Open National Registry Testing/ CEU Hours
Guardian Elite Medical Services
2830 Ferne Dr., Bldg. E, Las Vegas NV 89104
Courses: First Aid; Basic Life Support; Wilderness First Aid; CPR; PALS initial/refresher; PHTLS initial/refresher; AEMT; EMT/AEMT refresher courses
JTM Training Group
7055 Speedway Blvd, #E104, Las Vegas NV 89115
Classes: EMT (online); Advanced EMT (online); In-house Hybrid and Mobile BLS, ACLS & PALS; EMT/AEMT/Paramedic Refresher Courses; Hybrid PHTLS Course; Tactical Emergency Casualty Care; Customized & Tactical Medic Courses on Request
9 W. Delhi Ave. North Las Vegas NV 89032
Classes: Heartsaver; BLS; ACLS refresher; PALS refresher
Courses: Critical Care Transport Academy; EMT/AEMT/Paramedic refresher courses
National College of Technical Instruction
8650 W. Tropicana Ave., Ste. A202, Las Vegas NV 89147
Courses: Initial EMT, Initial AEMT, Initial Paramedic.
After completing a Nevada EMT training program, the next step is to pass both the National Registry of EMT (NREMT) exams. After passing both these exams, candidates are awarded a National EMT Certification from the NREMT. There is some information below, but you can find details about both the exams at NREMT exams.
The Psychomotor exam is likely the first one candidates will take and is introduced in Nevada EMT schools. The Psychomotor exam is a hands on, practical test of the candidates abilities. It’s usually introduced in Nevada EMT schools by the instructor towards the end of EMT training.
The instructor will help students schedule their Psychomotor exam testing date and place before training ends. You can also find 7 tips to pass the Psychomotor exam here.
The Cognitive exam is the other requirement for NREMT certification. It is a written test which is administered using a Computer Adaptive Test (CAT) format. EMT candidates must choose the MOST correct answer using the CAT.
There are 10 tips for passing the Cognitive exam here. Nevada EMT training candidates can sign up for the Cognitive exam by going to the NREMT website, creating an account and registering for a test date.
After passing both the psychomotor and cognitive exams, Nevada EMT candidates will be contacted by National Registry of EMTs by mail. The NREMT will send the EMT certification along with a letter of congratulations by mail. For this reason, it’s important to have an up to date address on your NREMT online profile.
Now that you have earned an NREMT certification it’s likely you want to begin working as a Nevada EMT. First you have to apply for a Nevada State or Clark County certification at your local EMS agency office.
It’s possible to work as a Las Vegas EMT even if you don’t meet the proof of residence or proof of employment requirements in Clark County right now.
Candidates can get an EMT license in Nevada elsewhere and then apply for reciprocity in Clark County later when you do meet the requirements.
Nevada Certification Requirements
• A Nevada EMT must be at least 18 years old.
• Nevada EMT applicant must complete an EMT training program.
• A Nevada EMT must pass both the Cognitive and Psychomotor NREMT exams.
• Nevada EMT should have an active CPR-BLS for the Healthcare Provider card.
• Nevada EMT applicant must turn in a completed Application for Initial Certification/Licensure.
• A EMT in Nevada must have a Nevada Drivers License or State of Nevada ID.
• Nevada EMT applicant must complete a FBI and State of Nevada fingerprint-based criminal history background check.
• A Nevada EMT applicant must pay a certification fee.
• Clark County also requires proof of residence or proof of current EMS employment in Clark County for all EMT Applicants.
Nevada EMT applicants in Clark County will also have to answer the following questions:
– Can you speak, read, and write English?
– Have you ever been certified as an EMS provider?
– Have you ever been licensed as an Ambulance/Firefighter Attendant or Air Ambulance Attendant?
– Have you ever had an investigation of your EMS certificate or license?
– Have you ever surrendered any type of EMS certificate or license in any state or to a state agency?
– Have you ever been subject to suspension or revocation of an EMS certificate or license? This includes your right to practice in a health care occupation, if applicable.
– Have you ever been denied any type of EMS certificate or license in any state by a state agency?
– Have you ever received deferred adjudication for a felony or misdemeanor?
– Have you ever been convicted of a felony?
– Have you ever been convicted of a gross misdemeanor?
– Have you ever been convicted of a misdemeanor other than a minor traffic violation, ex: parking violation or speeding ticket?
Clark County EMT applicants will also have to provide a statement indicating compliance with child support payments.
Paramedic Certification Requirements
Paramedics should meet all the above requirements including:
• Nevada Paramedic must have an ACLS card.
• Nevada Paramedic must have a PALS card.
• Nevada Paramedic must have an International Trauma Life Support (ITLS) Provider card.
• Nevada Paramedic applicant must complete Weapons of Mass Destruction Surveillance and Health Alert Network training.
• Nevada Paramedic applicants should complete the Emergency Medical Services Certificate Application.
EMT Scope of Practice
The Nevada emergency medical technician is trained to respond to emergency situations in the field, transport the sick and injured, and perform life saving interventions during transport. Nevada EMT training teaches candidates to remain professional and keep calm in a variety of difficult situations.
A Nevada EMT can work in many different environments including in a hospital ED, with an Ambulance Service or with a Fire Agency. Some other possibilities are working with the Police Department, with a mining operation, or in any other occupational field where it’s possible to have medical emergencies.
EMT’s are an important part of the emergency medical system and provide safe transport from the scene of an emergency to a higher level of care.
Nevada EMTs may only provide emergency medical care when on duty functioning in the role of an EMT.
A Clark County EMT can perform the following skills and administer medications per written treatment protocols.
- Use of Nasopharyngeal airway adjuncts
- Use of Oropharyngeal airway airway adjuncts
- Use Airway Suction
- Apply Cervical Stabilization
- Perform CPR
- Use of an Automated External Defibrillator (AED)
- Perform Glucose Measurement
- Oxygen Administration
- Perform Patient Assessments
- Use of Pulse Oximetry
- Placement of Restraints
- Splinting Injured Extremities
- Perform Stroke Screening
- Use of Thermometers
- Medication Administration (See Below)
EMT Scope of Practice – MEDICATIONS
- Administer Acetylsalicylic Acid
- Administer Activated Charcoal
- Use Bronchodilator Metered Dose Inhaler
- Use Epinephrine Autoinjector
- Administer Glucose – Oral
- Use of Nitroglycerin
AEMT Scope of Practice
The Nevada AEMT can perform advanced emergency medical care and work as an Ambulance Attendant, Firefighter, or Air Ambulance Attendant. An AEMT in Nevada can alongside Paramedics, function as part of a pre-hospital care team, or join a state permitted ALS agency. The AEMT has all the training of the EMT and was previously known as an EMT Intermediate (EMT-I).
An Advanced Emergency Medical Technician in Clark County can perform all of the above skills, administer all the above medications along with the following:
- Use of Capnometry (Color Change Device)
- Obtain Vascular IV Access
- Can Obtain Vascular Intraosseous Access in Adults
AEMT Scope of Practice – MEDICATIONS
- Administer Albuterol
- Administer Diphenhydramine Hydrochloride
- Use of Epinephrine
- Use of Glucagon
- Use of Glucose Sterile Injectable
- Administer Naloxone Hydrochloride
- Use Solu-Cortef
Paramedic Scope of Practice
Nevada Paramedics are trained in ACLS with a more advanced knowledge base and skill set than the AEMT and EMT. Nevada Paramedics have a vast knowledge of medications and can perform many more life saving interventions in the field and during transport.
Paramedics primarily provide care for critical and emergency patients in need of more complex interventions. Paramedics in Nevada also have many more hours of training than the EMT and AEMT which includes training in trauma life support and mass casualty situations.
A Clark County Paramedic can perform all of the above skills, administer all the above medications along with the following:
- Use and Interpret 12-Lead ECG
- Use and Interpret 3-Lead ECG
- Use Capnometry (Continuous Waveform)
- Perform Carotid Massage
- Apply CPAP
- Administer Manual Defibrillation
- Perform Nasal Endotracheal Intubation
- Perform Oral Endotracheal Intubation
- Perform Gastric Decompression
- Induced Hypothermia when appropriate
- Perform Needle Cricothyroidotomy
- Perform Needle Thoracentesis
- Perform Synchronized Cardioversion
- Replacement of Tracheostomy Tube
- Perform Transcutaneous Pacing
- Perform Vagal Maneuvers
Paramedic Scope of Practice – MEDICATIONS
- Atropine Sulfate
- Calcium Chloride
- Dopamine Hydrochloride
- Fentanyl Citrate
- Ipratropium Bromide
- Ipratropium Bromide & Albuterol Sulfate Ketamine
- Lidocaine 2% Lubricant
- Magnesium Sulfate
- Morphine Sulfate
- Ondansetron Hydrochloride
- Sodium Bicarbonate