NREMT

NREMT

THE PSYCHOMOTOR EXAM (PHASE 1 SCENARIO BASED)

Beginning January 1, 2017, the NREMT will implement the new scenario-based psychomotor exam. In the new test model, Paramedic candidates will be tested on a total of six skills. Five skills from the traditional NRP Psychomotor Examination (Patient Assessment – Trauma, Dynamic Cardiology, Static Cardiology, Oral Station Case A, Oral Station Case B) will be tested, with the addition of an Integrated Out-Of-Hospital Scenario.

PATIENT ASSESSMENT-TRAUMA

Candidates are required to perform a “hands-on,” head-to-toe, physical assessment and voice treatment of a simulated patient for a given scenario, including:

  • Scene Size-Up
  • Primary Survey/Resuscitation
  • History Taking
  • Secondary Assessment

CARDIAC MANAGEMENT SKILLS

The candidate is evaluated on their ability to manage cardiac arrhythmias and interpret ECGs. This will be verified in two portions:

DYNAMIC CARDIOLOGY

You will be evaluated on your ability to manage a cardiac arrest situation, including actual delivery of electrical therapy and “voicing” all interpretations and treatments given a scenario. The presentation of the portion will be similar to a “megacode.”

STATIC CARDIOLOGY

 

Given four (4) prepared ECG tracings with associated patient information, you must verbalize the interpretation of each rhythm and voice all associated treatments.

ORAL STATION – SCENARIO A & B

You will be evaluated on your ability to verbally manage all aspects of an out-of-hospital call given two (2) separate cases: Oral A & Oral B

In each case, you will be evaluated in the following categories:

  • Scene Management
  • Patient Assessment
  • Patient Management
  • Interpersonal Relations
  • Integration (verbal report, field impression, and transport decision)
  • Oral Stations Template 
  • Oral Station Sample Scenario

INTEGRATED OUT-OF-HOSPITAL SCENARIO 

The Integrated Out-Of-Hospital Scenario (IOOH) will reflect either a pediatric, geriatric or adult patient. The candidate will be provided with a professional paramedic partner and evaluated on their ability to manage a call, lead a team, effectively communicate, and maintain professionalism throughout the simulated patient encounter.

PARAMEDIC PHASE 1 PSYCHOMOTOR EXAM RETEST

Paramedic candidates are allowed two (2) full attempts to pass the psychomotor examination (one “full attempt” is defined as completing all six (6) skills and two retesting opportunities if so entitled). 



Candidates who fail a full attempt or any portion of a second retest must submit official documentation of remedial training over all skills before starting the next full attempt of the psychomotor examination and re-examining over all six (6) skills, provided all other requirements for National Certification are fulfilled. This official documentation must be signed by the Paramedic Training Program Director or Physician Director of training/operations that verifies remedial training over all skills has occurred since the last unsuccessful attempt and the candidate has demonstrated competence in all skills. 



Should a candidate fail the second full and final attempt of the psychomotor examination, the candidate must complete a new, state-approved and CAAHEP-accredited Paramedic Education Program.

ORLANDO MEDICAL INSTITUTE

6220 S. Orange Blossom Trail, Suite 410/420
Orlando, Florida 32809

Phone: (407) 251-0007