The psychomotor section of the examination process consists of twelve (12) separate skills presented in a scenario-type format to approximate the abilities of the EMT-Paramedic / Paramedic to function out-of-hospital setting. All skills have been developed in accordance with the National Standard EMT-Basic Curriculum, the behavioral and skill objectives of the 1999 EMT-Paramedic National Standard Training Curriculum, and current A.H.A guidelines. The process is a formal verification of the candidate's "hands-on" abilities and knowledge. As a result, you will not be provided with any specific feedback on your performance.
- You are encouraged to review all the Practical Exam information and worksheets, click here, before attempting the examination.
- EMT-Paramedic / Paramedic candidates may take the psychomotor evaluation (practical exam) following completion of the didactic and laboratory portions of an approved program if permitted by the program director and the State EMS Licensing Agency.
- Candidates are permitted to bring their own equipment for the examination, provided it is approved for testing by the National Registry Representative in attendance at the examination.
- All candidates must complete the psychomotor examination in a standardized format. All candidates must demonstrate an acceptable level of competency in each of the following skills:
Patient Assessment - Trauma
You will be 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
- Initial Assessment/Resuscitation
- Focused History and Physical Examination - Rapid Trauma Assessment
- Detailed Physical Examination
You will be evaluated over the following two (2) ventilatory management scenarios:
- Dual Lumen Airway Device
Given a scenario of having just found an apneic patient with a palpable carotid pulse, you must demonstrate immediate management of the patient using simple airway maneuvers and adjuncts, bag-valve-mask device, and supplmental oxygen. You will then complete the adult presentation by placing an endotracheal tube (ET). Additionally, you will be given a scenario of having just found an apneic patient with a palpable carotid pulse and must demonstrate immediate management of the patient using simple airway maneuvers and adjuncts, bag-valve-mask device, and supplemental oxygen. You will then place Combitube® or PTL® in the adult patient.
Cardiac Management Skills
Your ability to manage cardiac arrhythmias and interpret ECGs 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.
IV and Medication Skills
- Intravenous Therapy
You will be required to establish a patent IV in a mannequin arm in accordance with a given scenario.
- Intravenous Bolus Medications
After establishing a patient IV line, you will be required to administer an IV bolus of medication in accordance with a given scenario.
You will be evaluated on your ability to verbally manage all aspects of an out-of-hospital call given two (2) separate cases:
- Case A
- Case 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)
You will be evaluated over the following two (2) pediatric skills:
- Pediatric Ventilatory Management
Given a scenario of having just found an apneic infant with a palpable brachial pulse, you must demonstrate immediate management of the patient using simple airway maneuvers and adjuncts, bag-valve-mask device, and supplemental oxygen. You will then be required to place an endotracheal tube (ET).
- Pediatric Intraosseous Infusion
You will be required to establish an intraosseous line in a pediatric IO mannequin.
Random Basic Skills
You will be evaluated over one (1) of the following EMT-Basic skills tested at random. All instruments for these skills will adhere to the National Registry EMT-Basic Practical Examination material:
- Spinal Immobilization (Supine Patient)
- Bleeding Control/Shock Management