Promoting and protecting the health and safety of all Idahoans

Student Resources

To obtain an EMS license in the state of Idaho, an individual must successfully complete an EMS course from an Idaho approved EMS Education Program, hold a current EMS license in another state, or hold a current National Registry Emergency Medical Technicians certification.

Successful completion of the National Registry of EMT’s (NREMT) computer based written examination and the psychomotor examination is required to apply for an Idaho EMS license. The psychomotor and written exams must be successfully completed within twelve (12) months of each other and within two years of initial EMS course completion.  For information on upcoming exams, please contact the Bureau of EMS and Preparedness.

 Written Exam  EMS Skills Sheets Testing Vouchers
Student Instructions for NREMT Registration All Basic Life Support (BLS) and Advanced Life Support (ALS) psychomotor exam sheets can be found at the NREMT link here. Instructions: Log onto your IGEMS account and click on the 'Applications' tab on the left side of the page. That will open up the "Available Applications" page. At the bottom you will find "NREMT Cognitive Exam Voucher." The last step is to click the "Apply Now" button to start your application.
What to expect at the written exam center

Landing Zone, Extrication Awareness, and POST-Physician Orders for Scope of Treatment

Go to TRAIN (use Internet Explorer 11 or higher or Google Chrome). If you you are a new user you will need to create a new account in TRAIN.


Hazmat Training

Safe Haven

Idaho Safe Haven Act

Incident Command

Introduction to Incident Command System (ICS 100)

NIMS-An Introduction (IS-700)

NOTE: The links below may require creation of a user profile.
*Airway for BLS and ALS require Instructor Assessment post webinar*

Pediatric Training Opportunities

Education Program

EMS Education Programs in Idaho must be approved by the Bureau of EMS and Preparedness for successful graduates of EMS courses to be eligible for a standardized certification exam. Qualifying EMS Agencies, Hospitals, State Governmental Entities, and Schools are eligible for approval as an EMS Education Program and must be approved before requesting an EMS course. Please contact the Bureau of EMS and Preparedness to start a new education program.

New Instructor Application in IGEMS

Vehicle Extrication Awareness Instructor Guidelines

Instructor Orientation (Education Program Orientation Course)

Go to TRAIN (use Internet Explorer 7 or higher or Google Chrome). If you had an account at use your email address and password from your account to access TRAIN Idaho. New users will need to setup a new account in TRAIN.

Ambulance Based Clinician (ABC) Curriculum currently unavailable. Contact the EMS Bureau at 208-334-4000 with questions about becoming an ABC.

The mobile written examination is a National Registry of EMT (NREMT) comprehensive cognitive examination delivered to Emergency Medical Responders (EMRs), Emergency Medical Technicians (EMTs), Advanced Emergency Medical Technicians (AEMTs) and Paramedics outside of Pearson VUE established sites. It is administered in conjunction with NREMT and coordinated through Pearson VUE (a vendor contracted by NREMT).

The mobile written examination is conducted as Computer Adaptive Testing (CAT) and adheres to the guidelines of NREMT which allows the Idaho Emergency Medical Services (EMS) Bureau to deliver exams in an onsite (mobile) capacity. Time limits for each level range from 145 minutes (EMR), 2 hours (EMT), and 2 hours 15 minutes (AEMT), and 2 hours 30 minutes (Paramedic). Examination results are uploaded immediately following the administration of the exam (when within an area with internet connectivity) to Pearson VE which in turn uploads to the NREMT for exam results within eight (8) to twenty-four (24) hours.

To Apply, you must log onto your IGEMS account and select your agency.  Then under the “Training” tab, you will find “Manage Courses”  There you are able to Apply for Course Approval, which will take you to this application. 

Here you are able to fill in the request to have the Mobile Written unit delivered to your Education Program.  Requests are reviewed and are approved on a case by case basis.



The Bureau of EMS & Preparedness maintains three (3) full sets of BLS training equipment that can be loaned out to an EMS Agency in need of equipment. The borrowing agency takes full responsibility of the equipment and must ensure that all equipment is accounted for and kept in same condition upon return to the Bureau.

Items that are lost or damaged beyond normal wear and tear must be replaced at the agency’s expense.

If your agency is interested in utilizing one of the Education Equipment Kits, please send request to

Optional Modules

Optional modules (OMs) are skills identified by the EMS Physician Commission that exceed the floor level Scope of Practice for EMS personnel and may be adopted by the agency medical director. Requirements, training, and exam information for adopting OMs are listed below and in the following two Optional Module tabs.

When an EMS Medical Director desires to incorporate an Optional Module (OM), they must:

  1. Ensure their EMS agency reports patient care response data to the Idaho Prehospital Electronic Record Collection System (PERCS) directly or by way of an Idaho validated export. If an agency has not been able to obtain PERCS validation, they must be in the process of validating an export into PERCS. Agencies will report their utilization of OM interventions either though PERCS or during their agency's license renewal site visit.

    For information on becoming PERCS compliant email or call (208)334-4000.

  2. Submit an addendum to their medical supervision plan to the EMS Bureau that indicates which OM(s) they want to adopt. Below you will find a link for a sample addendum. After the addendum is submitted your agency's OMs will then be placed in the Bureau database as "Pending".

    Addendum to Medical Supervision Plan for Optional Modules Template

  3. Submit verification of credentialing to the EMS Bureau prior to utilization of OM skills or interventions. Below you will find a link for sample OM credentialing grids. Once verification of credentialing has been received, the Bureau will update the database to reflect "Approved".

    OM Credentialing Grid Template

  4. Conduct formal psychomotor testing for certain OM skills and interventions that are tested for certification as a floor skill. OM skills that require a formal psychomotor examination are:

    EMR Level
    Supine Spinal Immobilization
    Seated Spinal Immobilization
    Joint or Long Bone Injury

    EMT Level
    IV Therapy
    Supraglottic Airway (e.g. Kings or Combi-tube)
    Intraosseous (IO) Infusion

    For specific instructions on OM testing, see the Optional Modules Testing Tab.



The are no instructor requirements for a provider to be an instructor for Optional Module (OM) skills. OM instructors must be approved by the Medical Director.


Agencies conducting OM training must maintain student and program records consistent with section IV.D. of the Education Standards Manual Version 2014.

Skills Identified as "OM" in the EMSPC Scope of Practice Grid:

The EMS Medical Director must ensure that licensed EMS personnel receive appropriate initial and continuing training and take an active role in verifying competency in these skills and interventions as state EMS licensing does not address OMs.

Skills Identified as "2,OM" in the EMSPC Scope of Practice Grid:

Training must be conducted according to the approved standards and curriculum for the level where the 2,OM interventions exists as a floor skill.

  1. The training must provide for all didactic, psychomotor, lab, and clinical learning over the knowledge and skills as described in the National Education EMS Standards and Idaho EMS Curriculum.
  2. The student must be trained and evaluated to the depth and breadth of competency for the level of training where the skill exists as a floor skill.
  3. Formal skill testing is required for OM skills that are tested for certification as a floor skill (see the Optional Module Introduction tab). Skill exam criteria are published in the BLS Psychomotor Exam User's Guide. In order for the candidate to be eligible to apply for an OM skills test, the EMS medical director must verify the student has completed the training requirements.

Optional Module (OM) skills that require a formal psychomotor test are:

EMR Level
Supine Spinal Immobilization
Seated Spinal Immobilization
Joint or Long Bone Injury

EMT Level
IV Therapy
Supraglottic Airway (e.g. Kings or Combi-tube)
Intraosseous (IO) Infusion

The BLS Psychomotor Exam User's Guide will provide testing requirements that must be adhered to in order to facilitate an OM test.

The process to host an OM psychomotor examination mirrors the request for an initial licensure psychomotor examination:

  1. Complete and submit a Host Site Practical Application. The Bureau will evaluate each test request and resources available on a case by case basis.
  2. Have each candidate submit a completed Candidate Exam Registration Form. This form requires the signature of the medical director and a hard copy will need to be presented by the candidate at the testing site.

    The following Skill Sheets will be used in the administration of the OM testing:

Supine Spinal Immobilization (EMR)
Seated Spinal Immobilization (EMR)
Long Bone Injury (EMR)
Joint Injury (EMR)
IV Therapy (EMT)
Supraglottic Airway Device (EMT)
Intraosseous Infusion (EMT)

We have compiled a Frequently Asked Questions for Optional Module Testing for your assistance.