Paramedic NREMT Psychomotor Testing Day Only (All Skills)

The Paramedic psychomotor examination consists of ten skills presented in a scenario-type format. All skills have been developed in accordance with the U.S. Department of Transportation National EMS Education Standards (EMT and/or AEMT), the American Heart Association Guidelines for CPR and ECC, and the U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Trauma Triage Protocol.

The psychomotor examination process is formal verification of the candidate's "hands-on" abilities and knowledge. Apart from Pass or Fail, candidates are not provided with specific feedback regarding their exam performance.

Paramedic candidates are tested on six skills:

1. Patient Assessment Trauma
2. Dynamic Cardiology
3. Static Cardiology
4. Oral Station A
5. Oral Station B
6. Integrated Out-of-Hospital Scenario

The skill sheets that will be used as grading rubrics during testing can be found at the Paramedic Psychomotor testing information page of the NREMT.

Important Reminders

1. You are required to bring a copy of your PATT with you to the examination site.
2. Payment is due at the time of Registration. We will NOT be able to accept payment at the test site.
3. You are required to bring a government-issued form of identification with you to the examination site.
4. Lunch will NOT be provided. It is recommended that you bring snacks, drinks, etc... with you to the testing site.
5. You may leave for a ONE-HOUR lunch break on the Practice Day.
6. You will NOT be allowed to leave the facility for any reason once the testing process begins on the testing day.
7. Reservation cancellations are accepted up to 14 days prior to the exam date. Cancellation requests received 48 hours or more after the candidate's reservation date are NOT eligible for a refund. Refunds will only be issued to candidates who cancel his/her reservation and request a refund in writing (email: thill@alvincollege.edu) less than 48 hours after making a reservation. If you cannot make the examination, you will be unable to reschedule for another examination until the original examination has been processed. You can only register for one examination at a time. Failure to attend an examination does not count as an attempt.

Testing site rules will be discussed on the testing Practice Day and will be clearly posted and discussed on the day of Testing.

Paramedic Psychomotor Exam Retest

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

Same-day retesting is at the discretion of the NREMT representative present on the day of testing and the site's NREMT exam coordinator. Same-day retesting is NOT guaranteed!

Candidates are eligible to retest three or fewer skills when taking a full attempt at the psychomotor examination. Candidates are eligible for two retest attempts of the three or fewer skills failed. If offered, only one retest attempt may be completed on the same day. Failure of any skill on the second retest attempt constitutes complete failure of the entire psychomotor examination. Candidates who fail four or more skills have failed the entire psychomotor examination.

Candidates who fail a full attempt or any portion of a second retest attempt must submit official documentation of remedial training overall skills before starting the next full attempt of the psychomotor examination and re-examining over all six skills, provided all other requirements for National Certification are fulfilled. This official documentation must be signed by a Paramedic Training Officer, Program Director, or Medical Director that verifies remedial training overall skills have 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.

Passed portions of the psychomotor examination remain valid for 24 months. This policy is effective for candidates with a course completion date on or after November 1, 2018. For candidates with a course completion date prior to November 1, 2018, passed portions of each examination are valid for 12 months.


The exam is limited to 15 candidates.
To register for the exam, please email sgraham@alvincollege.edu and request a registration form.