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Paramedic

Overview Degrees/Certificates Courses

Paramedicine is an allied health specialty whose practitioners respond to emergencies before a patient reaches a hospital, rendering basic and advanced medical treatment before and during transport to a medical facility. Classroom, clinical, and field internship training prepares paramedics to assess and treat a variety of medical emergencies. The knowledge, skills, and experience gained through the 11- to 12-month paramedic program allow students to meet the responsibilities outlined in the Department of Transportation's Emergency Medical Services Education Standards.

Minimum Expectation Goal

The minimum expectation goal of the ARC program is to prepare paramedics who are competent in the cognitive (knowledge), psychomotor (skills), and affective (behavior) learning domains to enter the profession of paramedicine.

Program Student Results/Outcomes and Positive Placement Data

The most current CoAEMSP Annual Report was for the calendar year 2023. The most recent success rate for the National Registry of EMT Paramedic/State Cognitive exam was 85.7% with only an N=7. The most recent positive placement rate for graduates was 100%. Positive placement is defined by the CoAEMSP as "employed full or part-time in a related field and/or continuing his/her education and/or serving in the military." Positive placement is measured at the completion of the program. The 2023 retention rate was 66.7% again, with an N=9. The cohort size for 2024 was N=39 with a 92.3% retention.

The American River College Paramedic Program is accredited by the Commission on Accreditation of Allied Health Education Programs upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Profession (CoEMSP)

Degrees and Certificates Offered

A.S. in Paramedic
Paramedic Certificate
Emergency Medical Technician (EMT) Certificate

Dean Narinedat Madramootoo
Department Chair Grant Goold
Phone (916) 484-8902
Email askhb-healthed@arc.losrios.edu

Associate Degree

A.S. in Paramedic

Paramedicine is an allied health specialty whose practitioners respond to emergencies before a patient reaches a hospital, rendering basic and advanced medical treatment before and during transport to a medical facility. Classroom, clinical and field internship training prepares paramedics to assess and treat a wide variety of medical emergencies. The knowledge, skills and experience gained through the paramedic program allows students to meet the responsibilities outlined in the Department of Transportation's Emergency Medical Services Education Standards.

Catalog Date: August 1, 2025

Degree Requirements

Course Code	Course Title	Units
PMED 114	Preparatory	11
PMED 115	Clinical Behavior, Patient Assessment, and Airway Management	5
PMED 121	Prehospital Medicine and Clinical Internship	12.5
PMED 131	Trauma, Shock, EMS Operations, and Field Internship	17.5
Total Units:		46

The Paramedic Associate in Science (A.S.) degree may be obtained by completion of the required program, and either (a) the Local General Education Pattern or (b) the California General Education Transfer Curriculum (Cal-GETC), plus sufficient electives for a total of at least 60 units. See ARC graduation requirements.

Enrollment Eligibility

To be eligible for enrollment in the program, the student must meet the following criteria:

Graduation from an accredited high school in the United States, or successful completion of General Education Development (GED) or the California High School Proficiency Exam (CHSPE).
Students with a high school diploma from a school outside the United States must have transcripts evaluated by an approved independent agency. Such cases will be evaluated on an individual basis.
Current curriculum planning summary sheet within the semester in which the pre-enrollment packet is being submitted.
Completion of the program application (pre-enrollment packet) and submittal prior to the deadline.
Current certification as an Emergency Medical Technician-Basic and approximately one year verified EMS experience or a minimum of 280 verifiable EMS patient encounters acting as a team lead. See program website for examples of commonly acceptable experience and a patient encounter tracking form.

Enrollment Process

Eligible students are selected for the program according to the following steps:

Pre-enrollment applications to the program may be obtained from the Health and Education Division office or at http://arc.losrios.edu/edhealth/paramed.html. Applications for Spring admission will be available in September and must be submitted to the division office no later than the first Friday in December by 4:00 p.m. Please refer to the Paramedic Information Sheet for the most current information.
Only students who meet the educational requirements and follow the pre-enrollment procedures will be considered for the program. Meeting all of these requirements does not guarantee enrollment in the program.
Class size is limited. If the pre-enrollment pool is greater than the program can accept, students are chosen based on a computerized random selection process from among the qualified candidates.
Students accepted into the Paramedic program are required to have a physical examination, approved immunizations, drug screen, background check, program uniform, required learning materials, and malpractice insurance prior to deadlines set by the program.

Student Learning Outcomes

Upon completion of this program, the student will be able to:

synthesize pre-arrival information and initial assessment findings to classify patient acuity.
utilize support personnel and equipment to maximize scene and patient management.
diagnose patient conditions using auditory, tactile and visual senses.
correlate signs and symptoms of common diseases to emergency patients and their primary complaint.
formulate competent treatment plans for medical or trauma patients.
report assessment findings, diagnosis, and treatment plans to appropriate health professionals.
develop and implement strategies to strengthen personal empathy and sympathy for prehospital patients.
apply ethical practices during all phases of an emergency medical response.
demonstrate advanced life support skills competency as set by the National Registry of Emergency Medical Technicians.
assess scene and personal safety before, during, and after each emergency response.
compose accurate, timely and specific patient care reports in accordance with local, regional, and state documentation standards.

Career Information

The ARC Paramedic program is designed to prepare the student for licensure as a paramedic, working for a fire department, rescue squad, private provider, industry, clinic or hospital.

Certificate of Achievement

Paramedic Certificate

Paramedicine is an allied health specialty whose practitioners respond to emergencies before a patient reaches a hospital, rendering basic and advanced medical treatment before and during transport to a medical facility. Classroom, clinical and field internship training prepares paramedics to assess and treat a wide variety of medical emergencies. The knowledge, skills and experience gained through the paramedic program allows students to meet the responsibilities outlined in the Department of Transportation's Emergency Medical Services Education Standards.

Catalog Date: August 1, 2025

Certificate Requirements

Course Code	Course Title	Units
PMED 114	Preparatory	11
PMED 115	Clinical Behavior, Patient Assessment, and Airway Management	5
PMED 121	Prehospital Medicine and Clinical Internship	12.5
PMED 131	Trauma, Shock, EMS Operations, and Field Internship	17.5
Total Units:		46

Enrollment Eligibility

To be eligible for enrollment in the program, the student must meet the following criteria:

Graduation from an accredited high school in the United States, or successful completion of the General Education Development (GED or the California High School Proficiency Exam (CHSPE).
Students with a high school diploma from a school outside the United States must have transcripts evaluated by an approved independent agency. Such cases will be evaluated on an individual basis.
Current curriculum planning summary sheet within the semester in which the pre-enrollment packet is being submitted.
Completion of the program application (pre-enrollment packet) and submittal prior to the deadline.
Current certification as an Emergency Medical Technician-Basic and approximately one year verified EMS experience or a minimum of 280 verifiable EMS patient encounters acting as a team lead. See program website for examples of commonly acceptable experience and a patient encounter tracking form.

Enrollment Process

Eligible students are selected for the program according to the following steps:

Pre-enrollment applications to the program may be obtained from the Health and Education Division office or at http://arc.losrios.edu/edhealth/paramed.html. Applications for Spring admission will be available in September and must be submitted to the division office no later than the first Friday in December by 4:00 p.m. Please refer to the Paramedic Information Sheet for the most current information.
Only students who meet the educational requirements and follow the pre-enrollment procedures will be considered for the program. Meeting all of these requirements does not guarantee enrollment in the program.
Class size is limited. If the pre-enrollment pool is greater than the program can accept, students are chosen based on a computerized random selection process from among the qualified candidates.
Students accepted into the Paramedic program are required to have a physical examination, approved immunizations, drug screen, background check, program uniform, required learning materials, and malpractice insurance prior to deadlines set by the program.

Student Learning Outcomes

Upon completion of this program, the student will be able to:

synthesize pre-arrival information and initial assessment findings to classify patient acuity.
utilize support personnel and equipment to maximize scene and patient management.
diagnose patient conditions using auditory, tactile and visual senses.
correlate signs and symptoms of common diseases to emergency patients and their primary complaint.
formulate competent treatment plans for medical or trauma patients.
report assessment findings, diagnosis, and treatment plans to appropriate health professionals.
develop and implement strategies to strengthen personal empathy and sympathy for prehospital patients.
apply ethical practices during all phases of an emergency medical response.
demonstrate advanced life support skills competency as set by the National Registry of Emergency Medical Technicians.
assess scene and personal safety before, during, and after each emergency response.
compose accurate, timely and specific patient care reports in accordance with local, regional, and state documentation standards.

Career Information

The ARC Paramedic program is designed to prepare students for licensure as a paramedic, working for a fire department, rescue squad, private provider, industry, clinic, or hospital.

Certificate

Emergency Medical Technician (EMT) Certificate

This program prepares students to function as certified Emergency Medical Technicians. Training topics include the skills necessary to provide emergency medical care at a basic life support level with a fire, ambulance, or other specialized service. This program is conducted in compliance with Title 22, Division 9, Chapter 2 of the California Code of Regulations and Emergency Medical Technician (EMT). A "C" or better is required to obtain a course completion certificate.

Catalog Date: August 1, 2025

Certificate Requirements

Course Code	Course Title	Units
EMT 110	Emergency Medical Technician (EMT) Didactic	6
EMT 111	Emergency Medical Technician (EMT) Practicum	1
Total Units:		7

Enrollment Eligibility

To be eligible for enrollment in the program, the student must meet the following criteria:

Documentation of current American Heart Association CPR Basic Life Support certification. No other form of CPR certification is accepted. Students must be present and provide a copy of the AHA CPR certification on the first day of the course. Not open to students with current NREMT or California State certification or licensure as an EMT, EMT-Basic, Advanced EMT or paramedic.

Enrollment Process

Eligible students are selected for the program according to the following steps:

Verification of current American Heart Association Basic Life Support CPR certification. No other form of CPR certification is accepted. Students must be present and provide a copy of the AHA CPR certification on the first day of the course. Not open to students with current NREMT or California State certification or licensure as an EMT, EMT-Basic, Advanced EMT or paramedic.

Student Learning Outcomes

Upon completion of this program, the student will be able to:

evaluate the nature and seriousness of the patient's condition or extent of injuries.
apply emergency medical care based on assessments and findings.
demonstrate proper procedures in lifting, moving, and positioning a patient to minimize discomfort and prevent further injury.
utilize communicating, transporting, and record keeping skills.

Career Information

Emergency Medical Technicians operate in a variety of settings from public emergency services, private industry and health care facilities. EMT employment varies from community to community and is considered a growing occupation within the Allied Health professions.

Paramedic (PMED) Courses

PMED 105 Prehospital Pharmacology

Units:1
Hours:18 hours LEC
Prerequisite:None.
Advisory:Successful completion of Prealgebra; AND eligibility for ENGL C1000/C1000H (formerly ENGWR 300/480) or ESLW 340
Catalog Date:August 1, 2025

This course provides basic instruction in prehospital pharmacology and calculating medication dosages.

PMED 106 Emergency Medical Technician Pre-hospital Practices and Internship

Units:6.5
Hours:36 hours LEC; 243 hours LAB
Prerequisite:Current California State Emergency Medical Technician certification.
Corequisite:NURSE 320 or PMED 105
Enrollment Limitation:A background check, drug screening, proof of current immunizations and malpractice insurance are required. Current California State Emergency Medical Technician (EMT) Certification and Professional BLS CPR certification from the American Heart Association. Only AHA BLS CPR certification will be accepted.
Advisory:AH 311, BIOL 304, ENGRD 116, and MATH 32
Catalog Date:August 1, 2025

This course provides expanded education in Emergency Medical Services (EMS) related topics, including assisting with Advanced Life Support (ALS) procedures as well as patient assessment and management training through patient simulation, clinical observation, and field experience. It can also serve as partial preparation for application to the American River College Paramedic Program.

PMED 108 Emergency Medical Response

Units:3
Hours:45 hours LEC; 27 hours LAB
Prerequisite:None.
Catalog Date:August 1, 2025

This course is an introduction to the principles and practices of the Emergency Medical Services (EMS). It provides the knowledge and skills needed to integrate the care provided through the EMS system. A certificate of completion is available upon successful completion of this course.

PMED 110 Introduction to Advanced Prehospital Care

Units:12
Hours:144 hours LEC; 216 hours LAB
Prerequisite:BIOL 304 and PMED 105 with grades of "C" or better
Enrollment Limitation:Acceptance into the Paramedic Program
Advisory:AH 311 and HCD 114; AND successful completion of Prealgebra; AND eligibility for ENGL C1000/C1000H (formerly ENGWR 300/480) or ESLW 340
Catalog Date:August 1, 2025

This course covers the didactic material and the related skills necessary to establish a foundation for subsequent prehospital patient assessment and management. Topics include preparatory, human body and human systems, pharmacology, patient assessment, airway management, trauma management, and respiratory and cardiac emergencies.

PMED 114 Preparatory

Units:11
Hours:168 hours LEC; 108 hours LAB
Prerequisite:EMT 110 and 111 with grades of "C" or better
Enrollment Limitation:Acceptance into the Paramedic Program
Catalog Date:August 1, 2025

This course covers didactic materials and related skills considered foundational to the practice of paramedicine. The course topics include: Emergency Medical System (EMS), the safety/well-being of the paramedic, medical legal/ethical, anatomical and physiology, pathophysiology of all human systems, medical terminology, oral communications, and life span development. Topics include principles of public health and epidemiology including public health emergencies, health promotion and illness and injury prevention. This course also integrates knowledge of pharmacology to formulate a treatment plan intended to mitigate emergencies and improve the overall health of the patient.

PMED 115 Clinical Behavior, Patient Assessment, and Airway Management

Units:5
Hours:80 hours LEC; 30 hours LAB
Prerequisite:PMED 114 with a grade of "C" or better
Enrollment Limitation:Acceptance into the Paramedic Program
Catalog Date:August 1, 2025

This course covers the didactic material and the related skills necessary to establish a foundation for subsequent prehospital clinical judgment, patient assessment and management. It also focuses on airway management, respiration and ventilation. Primary and secondary assessments, therapeutic communication, cultural humility, professionalism, decision making, and team dynamics will be covered.

PMED 120 Clinical Internship

Units:7
Hours:54 hours LEC; 216 hours LAB
Prerequisite:PMED 110 with a grade of "B" or better.
Enrollment Limitation:Current Emergency Medical Technician certification. Current student enrolled in the Paramedic program.
Catalog Date:August 1, 2025

This course provides an opportunity to apply the cognitive knowledge and psychomotor skills gained in PMED 110 to patient care in a hospital or other approved clinical setting. This course provides for increasing assessment techniques and advanced prehospital skills. Field trips may be required. A portion of this course may be offered in a TBA component of 216 hours which may include direct patient care in a clinical setting.

PMED 121 Prehospital Medicine and Clinical Internship

Units:12.5
Hours:175 hours LEC; 168 hours LAB
Prerequisite:PMED 115 with a grade of "C" or better
Enrollment Limitation:Acceptance into the Paramedic Program
Catalog Date:August 1, 2025

This course integrates assessment findings with principles of epidemiology and pathophysiology to formulate a clinical impression and implement a treatment/disposition plan for a patient with a medical complaint. The course also includes a clinical internship with regional hospital partners.

PMED 125 Introduction to Paramedicine

Units:5.5
Hours:45 hours LEC; 162 hours LAB
Prerequisite:BIOL 304, PMED 105, and PMED 106 with grades of "C" or better
Enrollment Limitation:Acceptance into the paramedic program. Successful completion a background, drug screen, and health physical exam as well as provide proof of current American Heart Association BLS Provider CPR certification and immunizations prior to enrollment into the course. Students must maintain current EMT licensure at all times throughout the course.
Advisory:AH 311, ENGRD 116, HCD 114, and MATH 32
Catalog Date:August 1, 2025

This course covers the didactic and psychomotor material necessary to establish a foundation for subsequent paramedic prehospital patient assessment and management. Topics include preparatory, human body and human systems, pharmacology, patient assessment, and airway management.

PMED 126 Paramedic Practices I

Units:7
Hours:54 hours LEC; 216 hours LAB
Prerequisite:PMED 125 with a grade of "C" or better
Enrollment Limitation:Acceptance into the paramedic program. Current EMT licensure must be maintained at all times throughout the course.
Catalog Date:August 1, 2025

This course covers the didactic and psychomotor material necessary to establish a foundation for emergency care for patients suffering from respiratory, cardiac, shock, and traumatic emergencies.

PMED 127 Paramedic Practices II

Units:7
Hours:54 hours LEC; 216 hours LAB
Prerequisite:PMED 126 with a grade of "C" or better
Enrollment Limitation:Acceptance into the paramedic program. Current EMT licensure must be maintained at all times throughout the course.
Catalog Date:August 1, 2025

This course covers the didactic and psychomotor material necessary to establish a foundation for emergency care for patients suffering from medical, obstetric, pediatric and neonatal emergencies.

PMED 130 Prehospital Field Internship

Units:14
Hours:54 hours LEC; 600 hours LAB
Prerequisite:PMED 120 with a grade of "B" or better.
Enrollment Limitation:Current EMT certification. Current student enrolled in the Paramedic program.
Catalog Date:August 1, 2025

This course provides paramedic students with hands-on prehospital experiences and is the final course in the series preparing for a California paramedic license. Under the direct supervision and evaluation of a licensed paramedic or a mobile intensive care nurse, interns complete a prehospital field experience.

PMED 131 Trauma, Shock, EMS Operations, and Field Internship

Units:17.5
Hours:114 hours LEC; 603 hours LAB
Prerequisite:PMED 121 with a grade of "C" or better
Enrollment Limitation:Acceptance into the Paramedic Program
Catalog Date:August 1, 2025

This course integrates assessment findings with principles of epidemiology and pathophysiology to formulate a field impression and implement a treatment/disposition plan for a patient with a traumatic complaint. The course also provides awareness of EMS operational practices, and includes a field internship with regional Emergency Medical Services (EMS) partners.

PMED 140 Pediatric Advanced Life Support Certification

Units:0.5
Hours:6 hours LEC; 12 hours LAB
Prerequisite:None.
Enrollment Limitation:Current Provider C Basic Cardiac Life Support card or county-approved equivalent certificate. Current licensure as a paramedic, nurse, physician, or allied health professional, or current enrollment in the last semester of an allied health program.
Catalog Date:August 1, 2025

This course provides education modules specific to pediatric emergencies for health care professionals. Certification in Pediatric Advanced Life Support (PALS) is granted to students who successfully complete the course.

PMED 142 Advanced Cardiac Life Support Certification

Units:0.5
Hours:6 hours LEC; 12 hours LAB
Prerequisite:None.
Enrollment Limitation:Current Provider C Basic Cardiac Life Support Card, equivalent licensure as a paramedic, nurse, physician, or allied health professional, or current enrollment in an allied health program.
Catalog Date:August 1, 2025

This course provides education modules specific to adult cardiac emergencies for health care professionals. Certification in Advanced Cardiac Life Support (ACLS) is granted to students who successfully complete the course.

PMED 146 Prehospital Trauma Life Support

Units:0.5
Hours:5.5 hours LEC; 10.5 hours LAB
Prerequisite:None.
Enrollment Limitation:Current licensure as an emergency medical technician (EMT), paramedic, nurse, physician, or allied health professional, or current enrollment in the last semester of an allied health program.
Catalog Date:August 1, 2025

This course is designed to improve the quality of trauma care and decrease mortality by stressing the treatment of the multisystem trauma patient. It utilizes the internationally recognized National Association of EMTs (NAEMT) Prehospital Trauma Life Support (PHTLS) curriculum. PHTLS is appropriate for EMTs, paramedics, nurses, physician assistants, physicians, and other prehospital providers.

PMED 160 Introductory Wilderness Medicine

Units:2
Hours:27 hours LEC; 27 hours LAB
Prerequisite:None.
Catalog Date:August 1, 2025

This course provides the didactic material and related skills necessary to establish a foundation of medical care in the wilderness setting. Topics include anatomy and physiology, care of traumatic injuries, patient assessment, environmental injuries, medical emergencies, common simple wilderness medical problems, basic wilderness survival for the initial responder, improvised bleeding control in the field setting, and selecting and caring for wilderness medical equipment and supplies. This course emphasizes improvised care options and long-term care in field settings.

PMED 161 Advanced Wilderness Medicine

Units:2
Hours:27 hours LEC; 27 hours LAB
Prerequisite:None.
Advisory:PMED 160
Catalog Date:August 1, 2025

This course provides the didactic material and related skills necessary to establish an advanced level of medical care in the wilderness setting. Topics include anatomy and physiology, improvised airway control, principles of musculoskeletal care, synthesis of wilderness medicine and urban care, and common simple wilderness medical problems. Additionally, basic wilderness survival for the wilderness responder, and selecting and caring for wilderness medical equipment and supplies are covered. This course emphasizes improvised care options and long-term care in remote field settings.

PMED 165 EMS Search and Technical Rescue

Units:2
Hours:27 hours LEC; 27 hours LAB
Prerequisite:None.
Catalog Date:August 1, 2025

This course provides a foundation in several technical rescue disciplines. Practical applications of water rescue, low angle and high angle rescue, and urban search and rescue are covered. Additionally, basic survival skills in rescue environments for the Emergency Medical Technician-Paramedic (EMT-P), and selecting and caring for rescue equipment and supplies are covered. This course emphasizes scenario-based learning in safely assessing, managing, and pre-planning for the technical rescue environment.

PMED 295 Independent Studies in Paramedic

Units:1 - 3
Prerequisite:None.
Catalog Date:August 1, 2025

Course description:
PMED 295 is an opportunity for the student to extend classroom experience in this subject area, while working independently of a formal classroom situation. PMED 295 is an extension of work offered in a specific class in the college catalog. To be eligible for PMED 295, students must have completed the basic regular catalog course at American River College. They must also discuss the study project with a professor in this subject area and secure prior approval. Only one independent study for each catalog course will be allowed.

PMED 298 Work Experience in Paramedic

Units:0.5 - 4
Hours:27 - 216 hours LAB
Prerequisite:None.
Enrollment Limitation:Students must be in a paid or unpaid internship, volunteer position, or job related to the paramedic field with a cooperating site supervisor. Students are advised to consult with the Paramedic faculty to review specific certificate and degree work experience requirements.
Advisory:Eligibility for ENGL C1000/C1000H (formerly ENGWR 300/480) or ESLW 340
General Education:Local GE L7B (effective Fall 2025)
Catalog Date:August 1, 2025

This course provides students with opportunities to develop marketable skills in preparation for employment or advancement within the paramedic field. It is designed for students interested in work experience and/or internships in associate degree level or certificate occupational programs. Course content includes understanding the application of education to the workforce, completion of Title 5 required forms which document the student's progress and hours spent at an approved work site, and developing workplace skills and competencies.

During the semester, the student is required to complete 27 hours of related work experience for 0.5 unit. An additional 27 hours of related work experience is required for each additional 0.5 units. All students are required to attend the first course meeting, a mid-semester meeting, and a final meeting. Additionally, students who have not already successfully completed a Work Experience course will be required to attend weekly orientations while returning participants may meet individually with the instructor as needed. Students may take up to 16 units total across all Work Experience course offerings. This course may be taken up to four times when there are new or expanded learning objectives. Only one Work Experience course may be taken per semester.

PMED 299 Experimental Offering in Paramedic

Units:0.5 - 4
Prerequisite:None.
Catalog Date:August 1, 2025

This is the experimental courses description.

PMED 1000 Emergency Medical Technician: Refresher

Units:1.5
Hours:20 hours LEC; 21 hours LAB
Prerequisite:None.
Enrollment Limitation:Current or recent certification as an Emergency Medical Technician.
Catalog Date:August 1, 2025

This course provides continuing education and skills verification modules for current Emergency Medical Technicians (EMTs) certified at the Basic Life Support (BLS) level. It satisfies most of the refresher requirements of local, state, and national Emergency Medical Services (EMS) certifying organizations. EMS-related topics include airway management and ventilation, cardiac care and resuscitation, patient assessment, injury management, legal and ethical issues, vital signs monitoring, and assisting with medication administration. This course does not provide preparation for the National Registry of Emergency Medical Technicians (NREMT) entry or recertification exam. Completion of this course provides currently certified EMTs, wanting to recertify with the NREMT, with the 24 hours of required course content as well as the verification of required skills competency.

PMED 1006 Post Licensure/Certification Out-of-Hospital Skills: Medical

Units:0.5
Hours:6 hours LEC; 9 hours LAB
Prerequisite:None.
Enrollment Limitation:Current certification as an EMT-Basic (1) or licensure as an Paramedic
Catalog Date:August 1, 2025

This course provides education modules related to medical emergencies for prehospital health care professionals. Each module will specifically address issues related to prehospital emergencies and local treatment protocol. This course provides continuing education credit necessary for maintenance of EMT-Basic certification or a Paramedic license. Pass/No Pass only.