How to Become an EMT in Oregon
Emergency medical technician training in Oregon is set up like many other states. Oregon EMT training starts with going through an EMT program at a college or other Institution. Next applicants must pass the National Registry of Emergency Medical Technicians (NREMT) exams in order to get National EMT certification.
Lastly, the candidate must qualify for an Oregon state EMT license which allows them to work in the state of Oregon. Each step in the Oregon EMT training process has it’s own set of requirements which are discussed below.
Levels of Certification in Oregon
Oregon EMS levels in Oregon State
• Emergency Medical Responder (EMR)
• Emergency Medical Technician (EMT)
• Advanced EMT (AEMT)
• EMT Intermediate (EMT-I)
• Paramedic (EMT-P)
Candidates can apply for an EMT license in Oregon by going to the Oregon Health Authority site at oregon.gov. Applicants must create an account in order to apply for their initial license in Oregon.
All documents that need to be sent in should be mailed to the Oregon Health Authority at:
OHA EMS & Trauma System Office
800 NE Oregon Street
Portland, OR 97232
EMT Training in Oregon
EMT training in Oregon is available at many schools and Universities throughout the state. Many Oregon EMT schools offer EMT, AEMT, EMT-I, and/or Paramedic training programs.
When signing up for a Paramedic program in Oregon it’s important to make sure that the program is accredited.
You can find a list of Oregon EMT schools for all levels of EMT training at the bottom of this page. This list also includes accredited paramedic programs.
Education and testing for EMTs in Oregon is overseen by the Oregon EMS and Trauma Systems Office. Oregon EMT schools will prepare students to provide emergency care to the critically ill or acutely injured patient.
Graduates learn rapid and accurate patient assessments along with the ability to transport patients safely to medical facilities as needed.
After graduation, students are able to respond to emergency situations, assess patient signs and symptoms, and perform life saving skills. Emergency situations EMT’s are likely to encounter can include respiratory distress, drownings, cardiac arrest, and car accidents.
Some life saving skills needed by EMTs include bleeding management, oxygen administration, and CPR.
Oregon EMT School Curriculum
Oregon uses the National EMS Education Standards to determine the schooling requirements for each level of emergency medical technician. The following are the basic schooling requirements needed for each level of emergency medical technician available in Oregon.
Emergency Medical Technician
· Must complete at least 8 hours in a hospital emergency department.
• Must complete 8 hours of prehospital experience with supervision by a licensed EMT.
• Must complete mid-course and final examinations along with final practical examinations.
Advanced Emergency Medical Technician
· Applicant must have an EMT license before they are eligible to enroll in an AEMT course in Oregon. The AEMT course will teach the didactic, psychomotor skills, and clinical education needed to perform the duties of an entry level AEMT.
· The AEMT course will include a field internship with the following requirements.
· Must complete a field internship in a medical clinic or hospital emergency department. It will be at least 8 hours long and must include 20 patient contacts.
· Must complete 8 hours of prehospital experience with supervision by an AEMT or higher level EMS personnel.
Emergency Medical Technician Intermediate
· Applicants must already have an AEMT license before they are eligible to enroll in the Oregon EMT-I course.
· Must complete clinical experience in a hospital emergency department or a medical clinic. At least 8 hours and 20 patient contacts must be completed.
· Must complete at least 8 hours of prehospital experience while being supervised by an EMT-I or higher level EMS personnel.
· Applicants must already have an EMT, AEMT, or EMT-I license before they are eligible to enroll in an Oregon Paramedic Training course.
· A field internship is a required part of a Paramedic training course in Oregon.
· During the field internship the student must provide patient care in at least 40 EMS calls and at least 30 of the calls must be advanced life support (ALS) ambulance calls.
Of the 40 calls there must be 8 of each of the following areas: cardiac, respiratory, trauma emergencies, and general medical.
· To become a paramedic in Oregon, candidates must complete an accredited program with an associate’s degree. Candidates must also have experience working for an EMS agency or the United States military. If those requirements aren’t met, a provisional license may be granted to help candidates get the needed experience and education.
EMT School Requirements Oregon
Oregon EMS programs have requirements for acceptance. Each school’s program can add it’s own requirements, but generally most schools want the following standard prerequisites met for acceptance into any Oregon EMT program.
Paramedic programs have additional requirements, for more information see our Paramedic page.
– Must be 18 years old by date of course completion.
– Must have a High School Diploma, GED or equivalent.
– Must have a valid photo ID.
– May need to achieve Math, Reading or Writing Placement test scores as needed for the college campus. (Ex: COMPASS or Accuplacer)
– Possess an American Heart Association BLS CPR for Healthcare Provider’s or a Red Cross Professional Rescuer CPR card. (Some classes include this in the training)
– Complete a State/National Criminal Background Check at own cost. (Estimate $50) There are some misdemeanor or felony convictions that may prevent you from becoming licensed or employed by an Oregon EMS Agency.
– Complete a negative 10 panel drug screen at your cost. Estimated $50.
– Provide proof of immunizations or titers prior to interactions with patients (field internship, etc). This includes:
Hepatitis B vaccine
The first 2 doses must be completed before the start of class begins. The third dose can be given after class is in session.
– Some Oregon EMS training programs require a recent flu vaccine and some programs just recommend it.
– Proof of negative TB test within the last 12 months.
EMT Certification Oregon
After completing EMT training in Oregon candidates will be eligible to pass exams and get certified. Like many other states, Oregon EMS uses the National Registry of EMTs (NREMT) to do certification testing for EMT, AEMT, and Paramedic exams.
Testing done for EMT Intermediate candidates is done differently, using an exam developed in the state of Oregon.
In order for EMT, AEMT, and Paramedic candidates to become nationally certified they will need to complete two NREMT exams. The first exam is the Psychomotor or “practical” exam and the second is the Cognitive or “written” exam.
You can find more detailed information about both these on the NREMT exam page.
Oregon EMT candidates must pass both the cognitive and psychomotor exams within 24 months of completing the training course. If candidates don’t become licensed in that time, they will have to retake the entire EMT training program.
Directions for taking the psychomotor exam will usually be discussed by class instructors towards the end of the Oregon EMT program. Instructors will help students set up a place and time for the practical test. For help with passing the practical exam, check out the 7 expert tips post.
Paramedic and AEMT exams are coordinated through the Oregon Health Authority in the EMS Section. On their website you can find the exam schedule for a list of upcoming tests for paramedics and AEMTs.
The Cognitive exam needs to be passed by EMT, AEMT, and Paramedics and can be scheduled outside of the classroom. Students will submit a packet with application paperwork and the examination fee to their EMT course director.
The Oregon EMT course director will then send the documents to the Oregon Health Authority – EMS Section to be processed. Then the student can schedule their exam.
Oregon has a great page to help Oregon EMS students schedule the NREMT exam. Follow this link to the NREMT page for Oregon EMS students.
Once a candidate passes the Psychomotor and Cognitive exams, the NREMT will send your National EMT certification in the mail along with a congratulation letter. EMT, AEMT, and Paramedic candidates who successfully complete the NREMT exam in Oregon are also awarded their Oregon State Certification.
This also applies to EMT Intermediates. An EMT-I will receive Oregon State Licensure automatically after successfully passing the Oregon State exam.
Oregon EMT License
The Oregon EMT State license is given to applicants at the same time they are given their National license through the NREMT. Except for EMT-I who are given an Oregon State EMT-I License when they complete an EMT training program and pass the Oregon state EMT-I test.
Candidates in Oregon may be asked to provide personal information while applying for an Oregon State EMT license. Applicants should be prepared to answer questions about topics like drug use, criminal history, etc. Below are examples of questions likely to be found on the Oregon EMT license application form.
• Have you ever resigned or surrendered a healthcare license or certificate?
• Have you had within the past 10 years any mental or physical condition that impaired or could impair your ability to perform the duties required of an EMS Provider? If yes explain and is condition still present?
• Do you have any mental or physical condition that impairs or could impair your ability to perform the duties required of an EMS Provider? If yes, explain whether the condition is controlled by medication or other treatment.
Also explain how your condition treated or untreated can affect your ability to perform the duties of an EMS Provider.
• Have you ever been arrested, charged with, or convicted of any felony or misdemeanors?
• Do you currently use or have you used in the last ten years any chemical substances or drugs other than for legitimate medical purposes?
This includes drugs that impair or has impaired your ability to perform the duties required of an EMS Provider in Oregon?
• Within the last ten years have you been counseled about, diagnosed with, or treated for a dependency on alcohol or drugs?
Applicants should be aware that the following questions can be asked on the National Registry and/or the Oregon Application for licensure.
• Has an employer or supervising physician taken disciplinary action against you related to your duties as an EMS Provider? (Discipline includes suspension, letter of reprimand, resignation in lieu of termination, a limitation or restriction of scope of practice or dismissal for cause.)
• Have you been named in a lawsuit alleging medical malpractice or misconduct related to providing medical care?
• Have you ever been disciplined, denied or revoked by the National Registry of EMTs or any health care certifying/licensing agency?
Oregon Scope of Practice
The EMT scope of practice is a set of EMS protocols that guide Emergency Medical Responders in Oregon. The EMT scope of practice helps all levels of emergency response personnel to manage prehospital situations and provide the correct emergency medical care and treatments for patients.
In Oregon the Oregon Medical Board is responsible for governing the scope of practice for all Emergency Medical Service Providers.
Oregon EMR Scope of Practice
An Oregon Emergency Medical Responder (EMR) can perform the following:
1. Primary and Secondary patient assessments.
2. Take and record vital signs.
3. Administer oxygen.
4. Use a bag mask ventilation device with reservoir.
5. Provide hemorrhage control.
6. Assist with prehospital childbirth.
7. Complete accurate prehospital emergency care reports with all patient contacts. EMR must provide a copy of reports to senior EMS provider with the transporting ambulance.
8. Position patient’s head to open and maintain an airway.
9. Maintain an open airway using: A) Nasopharyngeal device, B) Non-cuffed oropharyngeal airway, and C) Pharyngeal suctioning device.
10. Care for musculoskeletal injuries.
11. Perform external Cardiopulmonary Resuscitation (CPR) and obstructed airway care for adults, children, and infants.
12.Provide emergency transport for at risk patients.
13. Use noninvasive diagnostic devices when appropriate.
14. Prepare and administer aspirin by mouth for suspected Myocardial Infarction (MI). Patient must have no recent GI bleed and no allergy to aspirin.
15. Provide care for patients with suspected medical emergencies.
16. Administer liquid oral glucose for hypoglycemia.
17. Prepare and administer naloxone via auto-injector or intranasal device for suspected opioid overdose.
18. Prepare and administer epinephrine via automatic injection device for anaphylaxis.
19. Perform cardiac defibrillation with a semi-automatic or automatic defibrillator if the Emergency Medical Provider has successfully completed an Authority approved course as required.
20. EMRs can perform other emergency tasks if ordered by a physician as long as they are done under direct visual supervision of that physician.
Oregon EMT Scope of Practice
An Oregon EMT can perform all the above procedures that an EMR can do along with the following:
1. Insert a supraglottic airway device.
2. Provide care for patients in shock.
3. Ventilate with a non-invasive positive pressure delivery device.
4. Perform tracheobronchial tube suctioning.
5. Provide care for patients with suspected medical emergencies.
6. Administer activated charcoal for suspected poisonings.
7. Obtain capillary blood sample for blood glucose monitoring.
8. Prepare and administer albuterol treatments for known chronic obstructive pulmonary disease (COPD) and asthma patients experiencing bronchospasm.
9. Prepare and administer epinephrine by subcutaneous injection, intramuscular injection or automatic injection device for anaphylaxis.
10. Assist patient with administration of sublingual nitroglycerine spray, tablet, or metered dose inhaler that patient is in possession of. Nitroglycerine must also be prescribed to patient by their physician.
11. Complete a clear and accurate prehospital emergency care report with every patient contact.
12. Transport stable patients with in-dwelling vascular devices, saline locks, heparin locks, and foley catheters.
13. Perform cardiac defibrillation with a semi-automatic or automatic defibrillator.
14. Assist AEMT, EMT-I, or Paramedics on scene by: A) Assembling and priming IV fluid administration sets B) Assembling and uncapping preloaded medication syringes and vials.
15. In a declared Mass Casualty Incident (MCI) can monitor patients with isotonic intravenous fluids flowing.
16. An Oregon EMT who has completed Authority training can participate in the event of a release of organophosphate agents. The EMT can prepare and administer atropine sulfate and pralidoxime chloride by autoinjector.
Oregon Advanced EMT Scope of Practice
An Oregon AEMT can perform all the above procedure that an EMT can perform along with the following:
1. Initiate saline locks.
2. Initiate and maintain peripheral intravenous lines.
3. Obtain peripheral venous blood specimens.
4. Initiate and maintain an intraosseous infusion in pediatric patients.
5. Prepare and administer the following medications under direct orders from a physician:
D) Hypertonic Glucose
F) Nebulized Bronchodilators
G) Ipratropium Bromide
H) Physiologic Isotonic Crystalloid Solution
I) Epinephrine for anaphylaxis
J) Nitrous Oxide as an analgesic for acute pain
K) Lidocaine as an anesthetic intraosseous infusion
L) Nitroglycerine as a vasodilator.
Oregon EMT Intermediate Scope of Practice
An Oregon EMT-I can perform all procedures above that and Advanced EMT can perform along with the following:
1. Insert an Orogastric tube.
2. Perform electrocardiographic rhythm interpretation.
3. Perform cardiac defibrillation with a manual defibrillator.
4. Prepare and administer the following medications under direct orders from a physician:
A) Anti-emetic: a)Ondansetron
B) Vasoconstrictors: a)Epinephrine b)Vasopressin
C) Diuretic: a)Furosemide
D) Antiarrhythmics: a)Atropine Sulfate b)Lidocaine c)Amiodarone
E) Antihistamine: a)Diphenhydramine
F) Analgesics for acute pain: a)Morphine b)Nalbuphine Hydrochloride b)Ketorolac Tromethamine d)Fentanyl
5. In the event of a mass distribution effort, an Oregon EMT-Intermediate can distribute medications at the direction of the Oregon State Public Health Officer.
6. In the event of an epidemic or outbreak, an Oregon EMT-I can prepare and administer immunizations as part of an emergency immunization program.
7. Prepare and administer immunization for pandemic and seasonal influenza vaccinations.
8. Prepare and administer emergency or routine immunizations and tuberculosis skin (TB) testing.
9. Maintain intravenous medication infusions and other procedures during transport if they were initiated in a medical facility with written and verbal orders.
Oregon Paramedic Scope of Practice
An Oregon Paramedic can perform all the above EMT-Intermediate procedures along with the following:
1. Perform electrocardiographic interpretation.
2. Initiate a nasogastric tube.
3. Initiate and maintain urinary catheters.
4. Access central intravenous ports and indwelling catheters for fluid and medication administration.
5. Obtain peripheral arterial blood specimens.
6. Initiate a needle thoracotomy for tension pneumothorax in the prehospital setting.
7. If formally trained on the equipment, an Oregon paramedic can initiate and maintain mechanical ventilation during transport.
8. Initiate the following airway management techniques:
A) Endotracheal Intubation
C) If no other mechanism is available to establish an airway Transtracheal Jet Insufflation can be used.
9. Provide advanced life support (ALS) for resuscitation of patients in cardiac arrest.
10. Perform emergency cardioversion.
11. Attempt external transcutaneous pacing in a bradycardia patient with hemodynamic compromise.
12. Prepare and administer any blood products or medications within written protocols when authorized under direct orders of a physician.
Oregon EMT Schools
Blue Mt. Community College
Address: P.O. Box 100, 2411 NW Carden Ave, Pendleton OR 97801
EMS Coordinator: Stephen Brost (email@example.com)
Phone: 541) 278-5173
EMT and AEMT Programs
Central Oregon Community College
Address: 2600 NW College Way, Bend OR 97701
Program Director: Brian Bubak (firstname.lastname@example.org)
Phone: 541) 383-7287
EMT, AEMT, EMT-I & Paramedic Programs
Chemeketa Community College
Address: 4000 Lancaster Dr. NE, Salem OR 97303
Administrator: John Mack (email@example.com)
Phone: 503) 399-5163
EMT, AEMT, Paramedic and Paramedic/Firefighter Programs
Clackamas Community College
Address: 7738 SE Harmony Rd, Milwaukie OR 97222
Program Director: Zig Sawzak (firstname.lastname@example.org)
Phone: 503) 594-0696
EMT and EMT-I Programs
Clatsop Community College
Address: Fire Science Faculty 6550 Liberty Lane, Astoria OR 97103
Fire Science Faculty: Kurt Donaldson (email@example.com)
Phone: 503) 338-7696
EMT and AEMT Programs
NCTI – College of Emergency Services
Address: 9800 SE McBrod Suite 200 Milwaukie OR 97222
Bill Thrasher (firstname.lastname@example.org)
Phone: 971) 236-9231
EMT and Paramedic Programs
Columbia Gorge Community College
Address: Indian Creek Campus, 1730 College Way, Hood River OR 97031
Lead EMS Faculty: Tessie Adams (email@example.com)
Phone: 541) 308-8211
EMT and AEMT Programs
Klamath Community College
Address: 7390 South 6th Street, Klamath Falls OR 97603
Kasey Times (firstname.lastname@example.org)
Phone: 541) 880-2268
EMT, AEMT and EMT-I Programs
Lane Community College
Address: Health Professions 4000 E 30th, Eugene OR 97405
Program Coordinator: Corey Miner (email@example.com)
Phone: 541) 463-5633
EMT, AEMT, EMT-I and Paramedic Programs
Mt. Hood Community College
Address: Allied Health Department 26000 SE Stark St., Gresham OR 97030
Michelle Claassen (firstname.lastname@example.org)
Phone: 503) 975-2026
Address: 27500 SW Parkway, Wilsonville OR 97070
Program Director: Jamie Kennel (email@example.com)
Phone: 503) 821-1146
EMT, Paramedic and EMS Management Programs
Oregon Coast Community College
Address: 400 SE College Way, Newport OR 97365
Administrator: Jane Hodgkins (firstname.lastname@example.org)
Phone: 541) 867-5124
EMT and AEMT Programs
Portland Community College – Cascade Campus
Address: 909 N. Killingsworth, Portland OR 97217
Course Director: Mark Hornshuh (email@example.com)
Phone: 971) 722-5570
EMT, AEMT and Paramedic Programs
Rogue Community College
Address: 7800 Pacific Ave, White City OR 97503
Course Director: Gary Heigel (firstname.lastname@example.org)
Phone: 541) 245-7967
EMT, EMT-I and Paramedic Programs
Southwestern Oregon Community College
Address: 1988 Newmark, Coos Bay OR 97420
Program Director: Julie Ryan (email@example.com)
Phone: 541) 888-1554
EMT, AEMT, EMT-I and Paramedic Programs
Tillamook Bay Community College
Address: 2510 First St., Tillamook OR 97141
Lori Gates, Ph.D (firstname.lastname@example.org)
Phone: 503) 842-8222 ext. 1133
EMT and EMT-I Programs
Treasure Valley Community College
Address: 650 College Blvd, Ontario OR 97914
Program Coordinator: Sheryl Romans (email@example.com)
Phone: 541) 881-5511
EMT and EMT-I Programs
Umpqua Community College
Address: PO Box 967, Roseburg OR 97470
Course Director: Roger Kennedy (firstname.lastname@example.org)
Phone: 541) 440-7680
EMT, AEMT, EMT-I and Paramedic Programs