How To Become an EMT/Paramedic?

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Raihan Mirza

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Greetings, I am currently a High School Senior. I want to become an EMT/Paramedic before the summer. I heard that inorder to become an EMT-B one needs to take a course in a local community college for about 10 weeks which includes lectures and labs. After that one needs to take an EMT exam before they can get their license. Is this true? I saw the course in about $900. A friend of mine told me that you get your money back after you become an EMT. Is this true? One more thing what does an EMT-B do? How much does an EMT-B make? How long does an EMT-B work in an average day?

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Greetings, I am currently a High School Senior. I want to become an EMT/Paramedic before the summer. I heard that inorder to become an EMT-B one needs to take a course in a local community college for about 10 weeks which includes lectures and labs. After that one needs to take an EMT exam before they can get their license. Is this true? I saw the course in about $900. A friend of mine told me that you get your money back after you become an EMT. Is this true? One more thing what does an EMT-B do? How much does an EMT-B make? How long does an EMT-B work in an average day?

FYI, there's a forum for pre-hospital care where this might be better answered. You can find the link to it on the SDN home page.

In short, EMT certification varies from state to state. When I was an EMT in North Carolina, it was a semester-long course meeting twice a week and on Saturdays. I don't know how much it cost b/c where I was, the local EMS squad would pay for the course if you worked for them after certification. You have to take a state exam (written and practical) after the course. I was a volunteer, as many units are, so the pay is going to vary greatly from squad to squad. We worked either 12 or 24-hour shifts in a large county with both urban and rural areas. Your best bet would be to contact your local Emergency Management Center, and find out when/where classes will be held and if they are hiring.
 
Check out http://www.fieldmedics.com/forum/index.php

Most places you have to be an EMT-B for a year (at least) before they will let you into a paramedic class, which can run anywhere from 9 months to 2 years, as many places have switched to an associate's degree based program. So you won't be able to become a medic before the summer.

To answer you questions though:
-Yes there is an exam (actually two, a written and a skills exam)
-How much does an EMT-B make? Depends on where you are, but most places less than you would make waiting tables, tending bar or working fast food.
-How long does an EMT-B work in an average day? 12 or 24 hrs shifts are the most common arrangement that I have heard of.
 
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Greetings, I am currently a High School Senior. I want to become an EMT/Paramedic before the summer. I heard that inorder to become an EMT-B one needs to take a course in a local community college for about 10 weeks which includes lectures and labs. After that one needs to take an EMT exam before they can get their license. Is this true? I saw the course in about $900. A friend of mine told me that you get your money back after you become an EMT. Is this true? One more thing what does an EMT-B do? How much does an EMT-B make? How long does an EMT-B work in an average day?


There are different ways of getting your EMT-B. Your state will require a certain amount of hours of class time. You'll have clinicals where you do a shift or a few shifts in an emergency department and then on an ambulance. In Texas, you take the national registry test which also gives you your state certification. In my class is where I did the practical, where your skills are tested. Most classes will require you to get a physical and some immunizations.
The only way you can get your money back is if you are with a volunteer service and most of them require you to be there for a year. If you get your EMT-B before starting with the volunteer service, I doubt you'll get money back on it. Just plan on not getting your money back.

As for the working day and how much an EMT-B gets? It varies greatly. But I will venture to say the wage will be jack squat. Starbucks employees make more than an EMT-B would. Welcome to healthcare. :laugh: Huge responsibility, no $$ compensation for it. You don't go into pre-hospital for the money.
Where I live, EMT-B's run transport instead of 911. And it's so competitive that the only way I could use my EMT is for a volunteer fire department which runs the 911 service for the itsy-bitsy town.

Paramedic requires much more training and clinical hours. That said, many paramedics have advised to get experience as an EMT-B first, then get your paramedic-that it makes you a better paramedic going that route.
 
Some volunteer squads have Explorer posts for high school students which provide training and allow you to ride on the ambulance. Check out your local fire/EMS stations to find out more info.

In terms of being a paid EMT, the pay is usually not great. You usually need to be 18 in order to be hired, in some areas you must be 21. This is due to driving restrictions placed by ithe vehicle insurance.

Good luck to you!
 
Just because nobody has posted actual numbers yet, as a starting EMT you should expect to make (in my area, at least: CT) around $11-13 an hour. You will likely start off lower than that for a probationary period of anywhere from 6 months to 1 year depending if you are full or part time. Maximum pay for an EMT-B around my area seems to be around $16-18 an hour (after you have years of experience under your belt).

Paramedics dont get much more. It takes a LOT more training, but the pay starts around $19 an hour and goes as high as $24-$25.

Like others have said: dont get into EMS for the money. It is a great stepping stone and an excellent introduction into medicine-- but please dont consider this a career.
 
Just because nobody has posted actual numbers yet, as a starting EMT you should expect to make (in my area, at least: CT) around $11-13 an hour. You will likely start off lower than that for a probationary period of anywhere from 6 months to 1 year depending if you are full or part time. Maximum pay for an EMT-B around my area seems to be around $16-18 an hour (after you have years of experience under your belt).

Paramedics dont get much more. It takes a LOT more training, but the pay starts around $19 an hour and goes as high as $24-$25.

Like others have said: dont get into EMS for the money. It is a great stepping stone and an excellent introduction into medicine-- but please dont consider this a career.

WOW...i knew is should have moved to CT when i had the chance!!! 🙂

In upstate NY, an EMT-B can expect to start around $7-9/hr. Paramedics usually start around $13-15/hr (again this is UPSTATE NY!!!) I actually had a very hard time finding a paying EMT position, so i did what most posters have suggested....i volunteered for my local fire corp/ambulance corp. I was able to get some great experience working with a great bunch of men and women!!
 
That's not true...a lot of people are career paramedics and love it.

I'll second that. First of all, I agree you shouldn't go into EMS for money. However, if that's what you care about, it's still not a bad gig. Look at it this way, most full-time paramedics work an average of 10 days a month so it's really easy to have a 2nd career at the same time. Most medics I know will work a 2nd job that is in line with their hobbies so they can get benefits, like work at a golf course and get free golf everyday. In addition, I know a lot of firefighters/medics that started young, like 18-20, and retired young (most FD allows you to retire in 20 years), so they start earning pension at age of 40. Most of them even get another job after the EMT job. By the time they retire from the 2nd job in their 60's, they are earning 2 pensions.

Also, most fire departments/EMS have great benefits that are not reflected in the salary. Great health care benefits, great educational benefits (most continuing ed classes/recert are free or reimbursable), very flexible schedule (swapping shift is easy), best life and disability insurance ever, and great retirement plans. So don't let the low salary fool you.

Oh, and just to quote numbers, in VA, full time recruit starts in the low $30,000's and they put you through recruit school + EMT-B schools (so first 6 months you get paid just to go to school). Starting salary is higher if you already have an EMT-I or EMT-P cert. Most departments are hurting for medics so if you are not EMT-I or EMT-P, there is pay incentive for going through the paramedic class and they pay for that as well.
 
It's even better up in Canada. Advanced care paramedics are pulling in $75k/year, and up to $100k/year with overtime pay and/or being in supervisory positions. They also have great benefits.
 
It's even better up in Canada. Advanced care paramedics are pulling in $75k/year, and up to $100k/year with overtime pay and/or being in supervisory positions. They also have great benefits.

Sounds like maybe some of the docs up in Canada might be better off working in EMS! 😉
 
That's not true...a lot of people are career paramedics and love it.

Very true. In my county, you could easily make a living as a paramedic. You could buy a modest house, buy a modest car, and take vacations. You could not buy a mansion, a bentley, and send your kids to private schools w/out batting an eye, but you could make a good living as a medic. Plus, it's a fun job with good people. Can't beat that.
 
Great health care benefits, great educational benefits (most continuing ed classes/recert are free or reimbursable), very flexible schedule (swapping shift is easy), best life and disability insurance ever, and great retirement plans.

Jeez! You dont see ANY of that stuff up here, I'll tell you that! Medical insurance for full time employees is the absolute MINIMUM at best. It really is terrible. Schedules are flexible only for part time employees. Full time employees are obligated to a 36hr/48hr rotating schedule (alternating an extra Wednesday), and just about every medic I know has to work overtime to make ends meet. Life and disability insurance is extremely limited- a VERY far cry from "best ever." To top it off, retirement is limited to a 401k matched up to a measley 3%. No pension whatsoever.

Dont get me wrong, being a paramedic is fun and all. I love EMS and will continue to be active with it no matter where life takes me. Its true that with overtime a hardworking medic can bring in around 60k a year... but thats working 60+ hour weeks on average, and you're still left with crappy insurance and NO pension. On top of that this can be a very physical job, leaving older workers with some very real back/knee problems. There is really no oppertunity for advancement and the burnout rate is high. This is why I say its not a career. At least not around here, not with this company.

This paramedic plans on moving onward and upward. 😀
 
Jeez! You dont see ANY of that stuff up here, I'll tell you that! Medical insurance for full time employees is the absolute MINIMUM at best. It really is terrible. Schedules are flexible only for part time employees. Full time employees are obligated to a 36hr/48hr rotating schedule (alternating an extra Wednesday), and just about every medic I know has to work overtime to make ends meet. Life and disability insurance is extremely limited- a VERY far cry from "best ever." To top it off, retirement is limited to a 401k matched up to a measley 3%. No pension whatsoever.

Dont get me wrong, being a paramedic is fun and all. I love EMS and will continue to be active with it no matter where life takes me. Its true that with overtime a hardworking medic can bring in around 60k a year... but thats working 60+ hour weeks on average, and you're still left with crappy insurance and NO pension. On top of that this can be a very physical job, leaving older workers with some very real back/knee problems. There is really no oppertunity for advancement and the burnout rate is high. This is why I say its not a career. At least not around here, not with this company.

This paramedic plans on moving onward and upward. 😀

I guess it all depends on where you are located and what the local squad offers. I'm specifically referring to the fire department/EMS in the central Virginia area. I know northern VA (Fairfax county and Arlington county) also has similar benefits I'm talking about. e.g. at least 80% healthcare premiums paid including dental and eye care, and the plan is better than my health care plan from med school or the ones from my previous jobs. Life/disability insurance - my friends joked that they'll make their SO/children really rich if they get disabled or died while in line of duty (not that they want that). It's true it's a physical job but I haven't really met anyone disabled from it. You will strain your back lifting >300 lb patients (which is why you should call for engine backup when you realize pt. is too heavy for you and your partner). Fiznat, what you're describing sounds like a private EMS firm rather than a county-based job. I'm speaking of the latter. I know in general that the private industry don't treat the EMTs as well. I'm sorry it didn't quite work out for you but it sounded like you have a plan to move on. 🙂

Raihan, as you can see, different places treat EMTs very differently. I'm referring to county-based programs (i.e. you become a county employee). You should also realize that there is a difference for fire/EMS combined vs separate programs (PM me if you want more details). My best rec is for you to walk into local firehouses/EMS quarters and find out what is specific to your area.
 
It got my EMTB at a local community college for $300 or so. Took two quarters of two 4hr classes per week, plus ER rotations and ride-alongs. Classes vary, though. UCLA has a 3 weeks full-time course.

The basic explanation is EMTBs treat patients mechanically (CPR, splinting, transporting, giving 02, glucose) and EMTPs/Paramedics can give IVs/drugs, advanced airway management/intubation...they get the sharp tools). Paramedics have to know a lot more of the physiology/pathology behind things, looking at the why's and how's of what's going on, whereas EMTs do more algorthmic treatments...if A happens, do B. If A&C happen, do D. It's oversimplyfying, but that's how I explain it to friends.
 
That's true.


That's not true...a lot of people are career paramedics and love it.
A lot of people also don't have the opportunity to advance, or are of questionable motivations.....you know that Levi! 😉
 
A lot of people also don't have the opportunity to advance, or are of questionable motivations.....you know that Levi! 😉

I wouldn't say medics who have the potential to advance but remain as paramedics are in the majority (at least in the US), but I'm sure there are certainly lots of them.
 
In Ohio, the EMT-Basic course is 120 hours, of which 110 is classroom and 10 are clinical. The class room portion covers CPR, airway management: BVM, adjuncts, intubation, suctioning, patient assessment, medical emergencies, and trauma. The 10 hours clinical are typically spent at an ER to get patient assessment experience and exposure to where you will be delivering your patients.

Ohio requires a minimum of 600 hours education for a paramedic. In most programs that breaks down to 250-300 hours classroom focusing heavily on cardiology, pharmacology, medical emergencies, ACLS, PALS or PEPP, etc and the remaining hours are clinical. The clinical hours are about 1/3 hospital with rotations in ER's, ICU, OR's (for intubation experience), and OB. The remainder are precepted run time in the field.

Both courses are typically taught through colleges and vocational school. EMT-Basic typically costs about $600 for tuition & books, medic between $5-6000.

Pay varies tremendously with employers. The best paying are the fire departments, which provide all most all the 911 emergency response. Almost all require personnel to be certified firefighters as well. Pay varies from $7-11/hour for part-time EMT-Basics to $9-16/hour for part-time medics. Full time ranges from $25-70K/year. The larger departments pay better and are VERY competitive.

The next largest employers are the private ambulance services who do primarily interfacility transports. Pay is typically somewhat less than the fire service. Full time jobs tend to cap out in the low $30's for medics, less for EMT-Basics.

The key is that there is LOTS of part-time work available, at all hours, so it is a very good part-time job as a 2nd job, or to schedule around school, etc.
 
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