National EMS Scope of Practice Model
The National EMS Scope of Practice Model is a continuation of the commitment of the
National Highway Traffic Safety Administration and the Health Resources and Services
Administration to the implementation of the EMS Agenda for the Future. It is part of an
integrated, interdependent system, first proposed in the EMS Education Agenda for the
Future: A Systems Approach which endeavors to maximize efficiency, consistency of
instructional quality, and student competence.
The National EMS Scope of Practice Model supports a system of EMS personnel
licensure that is common in other allied health professions and is a guide for States in
developing their Scope of Practice legislation, rules, and regulation. States following
the National EMS Scope of Practice Model as closely as possible will increase the
consistency of the nomenclature and competencies of EMS personnel nationwide,
facilitate reciprocity, improve professional mobility and enhance the name recognition
and public understanding of EMS.
The National EMS Scope of Practice Model defines and describes four levels of EMS
licensure: Emergency Medical Responder (EMR), Emergency Medical Technician
(EMT), Advanced EMT (AEMT), and Paramedic. Each level represents a unique role,
set of skills, and knowledge base. National EMS Education Standards will be developed
for each level. When used in conjunction with the National EMS Core Content, National
EMS Certification, and National EMS Education Program Accreditation, the National
EMS Scope of Practice Model and the National EMS Education Standards create a strong and interdependent system that will provide the foundation to assure the competency of out-of-hospital emergency medical personnel throughout the United States.