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To qualify for EMS licensure, an individual must successfully complete a state-approved course and achieve full competency in cognitive, affective and psychomotor domains. In addition, the individual must achieve a passing score on the National Registry of Emergency Medical Technicians (NREMT) licensure examination.

EMS personnel must be at least 18 years of age. The knowledge, skill and responsibility required of paramedics demand a minimum of a high school education or equivalent.

EMS personnel must possess the ability to:

• Communicate verbally, in person and via telephone/radio in proficient English.
• Lift, carry and balance up to 125 pounds (250 pounds with assistance).
• Interpret written, oral and diagnostic instructions in real time and in English.
• Use good judgment, set priorities and anticipate issues in high–stress situations.
• Work effectively in an environment with loud noises, chaos and flashing lights.
• Function efficiently throughout a 24-hour shift, including when awoken from sleep.
• Act calmly under time constraints, managing time effectively.
• Read and understand English language manuals.
• Interview patients, family members and bystanders.
• Document all relevant information.
• Communicate effectively with coworkers and hospital staff.
• Follow and apply oral and written directions.
• Stay organized and meet deadlines.
• Demonstrate a desire to care for all people and be culturally competent.
• Demonstrate ability to focus and provide attention to detail.
• Recognize an emergency.
• Apply knowledge in an emergency.
• Make sound critical-thinking decisions under duress.
• Maintain self-discipline and emotional stability.
• Understand the principle of 鈥渇irst do no harm.鈥�
• Relate to and communicate with diverse clientele of all ages.
• Remain flexible in ever-changing situations.
• Uphold ethical standards, morals and professionalism under pressure.
• Draw valid conclusions and defend them as necessary.
• Apply best practices in an unstructured environment.
• Remain safe and take measures to avoid errors.
• Be assertive, assume a leadership role and direct a crew.
• Understand personal/professional strengths, weaknesses and limitations.
• Work efficiently and accurately in time-sensitive situations.
• Accept accountability for self and crew.
• Advocate for patients and loved ones.
• Maintain sound mental, emotional and physical health.

EMS personnel must possess manual dexterity and prove the ability to perform all tasks related to quality patient care. The ability to bend, stoop and crawl on uneven terrain and the ability to withstand varied environmental conditions such as extreme heat, cold and moisture is vital. The ability to work in low light, confined spaces and other dangerous environments is required. Paramedics must be able to function in chaotic, noisy environments.