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It explains why standardization matters for evaluating psychomotor skills, describes the revision and pilot review history, and states that local officials cannot alter test format or skill sheets. The guide then details the EMR attempt process, including outcomes across first and second attempts, retesting pathways, and required remediation steps.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/practical-manual-2019-emt-emr-attempt-process-for-emr-practical-skills-examination/364427/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/practical-manual-2019-emt-emr-attempt-process-for-emr-practical-skills-examination/364427.png","ImageObject",300,407,{"name":92,"@type":93},"Fans","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-26","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the Practical Manual 2019-EMT-EMR?","Question",{"text":112,"@type":113},"It provides a structured, organized approach for conducting the Indiana State EMT Practical Examination under National Registry-aligned criteria. It also explains that the manual is the standard guide for the examination format and skill sheets.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Are local medical direction or training officials allowed to change the examination format?",{"text":117,"@type":113},"No. The manual states that local officials may not alter the format or design of the examination or the performance skill sheets to meet local protocols.",{"name":119,"@type":110,"acceptedAnswer":120},"How do candidates proceed after the first attempt (1A) if they fail?",{"text":121,"@type":113},"Candidates may be routed to 1R1 testing depending on how many stations they pass, or to REMEDIATION when failing the first attempt more significantly. REMEDIATION requires review of all skills and completion of the remediation form before beginning the second attempt.",{"name":123,"@type":110,"acceptedAnswer":124},"What happens if a candidate fails the second attempt (2A)?",{"text":125,"@type":113},"If the candidate does not reach the passing outcomes on 2A, the manual routes them to second-attempt retesting (2R1/2R2 as applicable) or indicates failure of the practical exam. When remediation documentation is returned, the student may begin the 2A second-attempt testing.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},364427,1790195166,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":143,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":149},5909892330395,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","FOREWORD  \nThis manual was adopted from the National Registry of Emergency Medical Technicians by the Emergency Medical Services Commission as a result of their continued awareness, and the need for standardized and uniform criteria for practical examinations. The evolution of practical examinations has been guided by many changes within emergency medical services in the United States. When EMT-B training began in the early 1970's, there were relatively few people with an in-depth knowledge of the spectrum of emergency medical care, limited types of equipment and one training standard. Since then, situations have changed and thus standardization is becoming more difficult to attain. Emergency medical care has evolved into a recognized body of knowledge and skill, multiple approaches for accomplishing a task have been advocated in peer journals and a variety of methods for the use of standard equipment have been suggested by equipment manufacturers. Because of this situation, there are currently multiple ways to perform a skill, conduct a practical examination, and define competency. Therefore, standardization has become more difficult in the assessment of psychomotor skills.  \nIn the spring of 1993, the National Registry convened a meeting of its EMT-Basic Practical Examination Committee to review and revise the current practical examination skill instruments used to assess skill competency at the EMT-Basic level. In conjunction with the development of the 1994 EMT-Basic National Standard Curriculum, the National Registry began peer review and pilot testing of the proposed skill sheets. Following the review and revision process, the staff of the National Registry was directed to develop a revised EMT-Basic Practical Examination User's Guide which would reflect the scope of practice identified in the 1994 EMTBasic National Standard Curriculum and the National EMS Education and Practice Blueprint and would include up-to date skill evaluation instruments as well as criteria for conducting a practical skills examination. The Indiana State Emergency Medical Services Commission adopted the same testing criteria to meet or exceed the current National Registry Standards.  \nThis manual presents a structured, organized approach to conducting a practical examination. It is important to note that this manual is the standard guide to conducting the Indiana State EMT Practical Examination. At NO time may local medical direction or training officials choose to alter the format or design of the examination or the performance skill sheets in order to meet local protocols or constraints.  \nIf the examination is being given for the purpose of fulfilling National Registry entry requirements, candidates must be deemed competent in all skill stations. The National Registry will continue to accept state-approved practical examinations provided they meet or exceed the criteria presented by the National Registry. The format of the Indiana State EMT Practical Examination meets all National Registry requirements.  \nWe would like to acknowledge the many hours of expert work accomplished by the National Registry EMT Practical Examination Committee, the Standards and Examination Committee, the Indiana State Emergency Medical Services Commission, the EMS Education Committee, the Indiana Fire Chief’s Association, and the many outside reviewers of this program.  \nThe Indiana State Emergency Medical Services Commission and the National Registry are dedicated to the goal of establishing a standardized, valid practical examination that can be  \nutilized from state to state, across the nation. As we work toward this goal, we welcome your comments concerning this examination and its format. Please address all comments to the Indiana EMS Commission, Indiana Government Center-South room E-239, 302 W. Washington St., Indianapolis, Indiana 46204.  \n=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+=+  \nThe \"Attempt\" process relative to th","cbCaiiZmnfRQpXB3","https://ap.wps.com/l/cbCaiiZmnfRQpXB3","pdf",500933,49,"English","# Foreword\n## Standardization and governing guidance\n## Attempt process for the EMR Practical Skills Examination\n### First attempt (1A) and outcomes\n### Retesting (1R1, 1R2) and outcomes\n### Remediation and remediation documentation\n### Second attempt (2A) and outcomes\n### Retesting (2R1, 2R2)","[{\"question\":\"What is the purpose of the Practical Manual 2019-EMT-EMR?\",\"answer\":\"It provides a structured, organized approach for conducting the Indiana State EMT Practical Examination under National Registry-aligned criteria. It also explains that the manual is the standard guide for the examination format and skill sheets.\"},{\"question\":\"Are local medical direction or training officials allowed to change the examination format?\",\"answer\":\"No. The manual states that local officials may not alter the format or design of the examination or the performance skill sheets to meet local protocols.\"},{\"question\":\"How do candidates proceed after the first attempt (1A) if they fail?\",\"answer\":\"Candidates may be routed to 1R1 testing depending on how many stations they pass, or to REMEDIATION when failing the first attempt more significantly. REMEDIATION requires review of all skills and completion of the remediation form before beginning the second attempt.\"},{\"question\":\"What happens if a candidate fails the second attempt (2A)?\",\"answer\":\"If the candidate does not reach the passing outcomes on 2A, the manual routes them to second-attempt retesting (2R1/2R2 as applicable) or indicates failure of the practical exam. When remediation documentation is returned, the student may begin the 2A second-attempt testing.\"}]","Practical Manual 2019 - EMT-EMR - Attempt Process for EMR Practical Skills Examination | PDF",1790157516,123]