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Paramedic Program

The REMSA Paramedic Program has an impressive track record of producing highly competent, entry-level paramedics that function effectively in a wide variety of pre-hospital settings. We are equally proud of our low student attrition rate and the successes of our past students as well as our 89 percent first pass rate and 99 percent overall pass rate on the National Registry exam.

The REMSA 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 Professions (CoAEMSP).

National Exam Pass Rate:

  • First Attempt 93 percent / National Average 73 percent
  • Within Three Attempts 99 percent / National Average 86 percent
  • Within Six Attempts 100 percent / National Average 88 percent

We’re proud to sport a 90% percent student retention rate & a 94 percent Positive Placement in Paramedic Career

The Paramedic Program prepares candidates for a career in EMS through its curriculum and excellence in education. At the completion of the course, the student shall have the cognitive and psychomotor skills to competently perform all skills of the EMT, Advanced EMT, plus advanced airway management, surgical cricothyrotomy, needle thoracostomy, electrocardiogram interpretation, cardiac defibrillation/cardioversion/external pacing, intravenous access, intraosseous infusion, and administration of a wide range of medications. The REMSA Paramedic Program is broken into three Phases; Didactic, Clinical, and Field Internship. ACLS, PALS, ITLS, and EMPACT certificate courses are incorporated throughout the program.

Application and Admission

Students attempting to enter the REMSA Paramedic program must complete the application and admission process successfully and will be scored and ranked based on the following criteria.

Entrance Exam

We currently use an online platform that will evaluate each candidate on EMT-P math including basic math and algebra, an EMT exam that includes current EMT related curriculum, current reading level, learning style, student motivation, and test anxiety. Candidates will be ranked based on each individuals score. Learn about upcoming entrance exam dates.


Candidate must complete an application that includes educational background, work experience, emergency medical services experience, and two letters of recommendation. The application and letters of recommendation are scored by the program coordinator.

Panel Interview

Candidates completing the entrance exams and the application and are scheduled for a panel interview. Interview panel includes members of local EMS and Fire agencies as well as REMSA staff. Candidates are scored on their responses and relevant EMS experience.


Scores from the application, letters of recommendation, entrance exam results, and the panel interview are tabulated and factored into an overall percentage for each candidate. Students are ranked based on these scores. At any time, you are welcome to begin studying the pharmacology list.

Class Schedule

Each year REMSA provides one Paramedic Program. Or program begins in January. Up to 30 students begin an intensive 14-month course of study leading to a certificate of completion and eligibility to take the NRP written and practical exams. The application and admission process is extremely competitive. REMSA offers the highest quality applicants the opportunity to attend.

During the Class


Students are evaluated using a variety of methods throughout the program including written quizzes and exams, psychomotor evaluations, and affective evaluations.

During the didactic phase, students are tested weekly using traditional written quizzes with extensive module exams at the end of each of the six modules. Students must maintain an 80% overall average in each module to be eligible to take the module exam. Failure to maintain 80 percent in the program results in termination from the program. In addition, students are evaluated utilizing lab scenarios throughout the didactic phase. Lab evaluations are conducted as students are introduced and trained to complete skills such as IV’s, advanced airway procedures, and patient assessments. Students are evaluated by faculty and supplemental instructors and must successfully complete all state and program required skills to pass the didactic portion of the program.

During the clinical phase, students are evaluated daily by clinical preceptors in the psychomotor and affective domains utilizing a daily clinical evaluation tool. Preceptors evaluate the student on their ability to translate didactic knowledge into practice along with their professional behavior. During this phase, students are also required to prepare three case presentations. They are evaluated on their ability to write the case review as well as their presentation of the case to their fellow classmates and program faculty.

In the field internship phase, students are evaluated daily on their ability to practice the knowledge and skills they have learned during the previous two phases of the program. Preceptors utilize a daily evaluation tool that rates students on the affective and psychomotor knowledge as well as their ability to assimilate cognitive learning into practice in the pre-hospital setting.

Clinical (216 hrs.)

During the clinical portion of the paramedic program, the student will be assigned to various clinical settings for a total of 302 hours. The Clinical locations provide the student with a controlled environment to practice psychomotor skills, apply didactic knowledge, and receive valuable clinical instruction. REMSA’s Paramedic Program utilizes established clinical sites and makes all the necessary arrangements for the students. The Student will also be responsible for presenting 1 written and 1 oral case studies during the Clinical phase. The Clinical Phase is a 36 hour a week commitment.

Field Internship (480 hrs.)

The field internship combines practical application of didactic knowledge, psychomotor skills, and clinical instruction. The field internship represents both an instructional and evaluative phase of the program. During the field internship, the student will be under direct supervision by a paramedic preceptor. The field internship phase is a 48 hour a week commitment.

The Field Internship is a step process to slowly adjust the Paramedic Student into a dynamic EMS environment.

The Field Internship hours will be spent entirely in the REMSA system.

Didactic (602 hrs.)

The curriculum is sequenced in a way that allows knowledge and concepts to build upon each other as the program progresses. For example, cellular and tissue anatomy and physiology are presented in the beginning and then specific A & P associated with each body system is presented during the appropriate time in the program (i.e. cardiac A&P is taught at the beginning of the cardiology module).


Our program has a partnership with the University of Nevada, Reno College of Extended Studies and University of Nevada School of Medicine to provide you with much more than a paramedic program. We are now offering a Paramedic Management Certificate Program. The goal is to give our paramedic students key education and skills that allow your career as a paramedic to expand.


Instructors in the Paramedic program are certified paramedics in the State of Nevada and have completed a state-approved, 40-hour EMS instructor course meeting the requirements and standards set forth by the Department of Transportation. The program also utilizes Registered Nurses, Nurse Practitioners, Physician Assistants, Physicians, and Lawyers to provide education throughout the schedule.


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