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Preparing for the National Registry of EMTs Computer Based Test (CBT) The NREMT-EMT Certification Process Why is National Registry of EMTs (NREMT) certification and/or AzDHS (state) certification required for EMT employment? The NREMT-EMT Certification Process NREMT-EMT certification is one step in the application and approval process for you to become an Arizona-certified EMT The NREMT-EMT Certification Process After completing the practical skills examination at the end of the EMT program, the next step is to schedule and take the NREMT-EMT cognitive examination The NREMT-EMT Certification Process The NREMT-EMT cognitive examination is known as the computer based test (CBT) The NREMT-EMT Certification Process The CBT is a fair, accurate, and validated way to establish the EMT candidate’s cognitive competency The NREMT-EMT Certification Process The CBT is scheduled and taken at a Pearson VUE test center The CBT The NREMT utilizes computer adaptive testing (CAT) to ensure that every cognitive examination is specifically tailored to the individual EMT candidate The CBT The testing method is considered state-of-the-art using item response theory (IRT), a statistical way to measure the EMT candidate's ability to correctly answer each question The CBT Combining CAT with IRT ensures the NREMT cognitive examination is precise, fair, and accurate The CBT For more information, access this file Understanding the CAT and CBT from the PVCC EMT/Paramedic website The CBT Each question in the CBT bank is written by using cutting-edge educational design and is validated by a scientific beta-testing process The CBT The CBT bank has approximately 6,000 questions that cover the EMT curriculum in the USDOT 2009 National EMS Education Standards The CBT Areas of the EMT curriculum that are covered in the CBT: Airway, Respiration & Ventilation Cardiology & Resuscitation Trauma & Medical Medical, OB/GYN & Pediatrics EMS Operations The CBT EMT textbooks are created by subject matter experts and publisher teams that utilize 2 primary sources for content The CBT EMT questions and answers are annotated to the 2009 National EMS Education Guidelines The CBT Basic Life Support questions and answers are annotated to the 2015 American Heart Association Basic Life Support Standards The CBT Any EMT textbook published after 2009 is the source for CBT content, questions, and answers The Cold Statistics The pass rate for CBT first-attempts by all EMT candidates in the United States in 2014 & 2015 was… The Cold Statistics 62% The Cold Statistics The pass rate for CBT first-attempts by all Arizona EMT candidates in 2014 & 2015 was… The Cold Statistics 62% The Cold Statistics The pass rate for CBT first-attempts by all PVCC EMT students in 2014 & 2015 was… The Cold Statistics 68% The Cold Statistics Why are national, state, and PVCC first-attempt pass rates so seemingly low? The Justin Upton Syndrome The Risk Factors 10 factors that put you at risk for failing the CBT Risk Factor #1 Did you read your EMT textbook? Be honest. Risk Factor #2 Did your instructor(s) cover everything in the EMT textbook? Risk Factor #3 “This is what you should know to become a field-ready EMT…” Risk Factor #4 What are your time management skills like? Risk Factor #5 How did the quizzes and examinations in your EMT course prepare you for the CBT? Risk Factor #6 What advise did you receive for when and how to take the CBT? Risk Factor #7 Did you receive promises from online sites that offer “CBT practice examinations and guaranteed pass results?” Risk Factor #8 What’s happened to your learning curve since leaving the EMT course? Risk Factor #9 Could you pass the CBT today? Be honest. Risk Factor #10 Do you feel motivated to take the CBT? What’s on the CBT? Don’t expect CBT questions to be written only from your textbook chapter’s introductory and summarizing paragraphs What’s on the CBT? Basic Life Support CPR Foreign body airway obstruction (FBOA) What’s on the CBT? What’s on the CBT? Body surface area (BSA) burn percentages may differ slightly from one source to another What’s on the CBT? Human Anatomy & Physiology Anaerobic metabolism V/Q match Lymphoid organs Fluid balance Cellular respiration What’s on the CBT? Pathophysiology Diseases or patient conditions What causes it? (pathophysiology) Risk factors Signs & symptoms Treatment What’s on the CBT? Pathophysiology Tuberculosis Acute coronary syndrome DKA Pulmonary embolism Peritonitis What’s on the CBT? Pathophysiology Cystic fibrosis SIDS Hypersensitivity ICP Supine Hypotensive Syndrome CBT Preparatory Process Where do I begin? Do I reread the EMT textbook? What do I study first? Whose advise do I take? How do I study for the CBT? CBT Preparatory Process Begin here Digest the cold statistics Understand your risks for failure Follow this CBT preparatory process CBT Preparatory Process Step #1 Access this file 869 Questions for EMT CBT Self-Assessment, May, 2016 from the PVCC EMT/Paramedic website and engage this activity CBT Preparatory Process Step #2 Use the Glossary in your EMT textbook to identify acronyms, diseases, and terminology such as OPQRST hepatitis dyspnea dehydration CBT Preparatory Process Step #3 Access this file EMT CBT Self-Assessment Examination One 150 Questions with Key from the PVCC EMT/Paramedic website CBT Preparatory Process Step #4 Access this file EMT CBT Self-Assessment Examination Two 150 Questions with Key from the PVCC EMT/Paramedic website CBT Preparatory Process Step #5 Like the 869-question self-assessment activity, highlight the questions you miss on the 2 self-assessment examinations; this identifies unfamiliar material you would most likely miss on the CBT CBT Preparatory Process OPTIONAL Step #6 Access amazon.com - search “EMT examination” to locate reputable CBT prep materials such as Dr. Chris Coughlin’s EMT Flashcards and textbook, EMT Crash Course Construction of a CBT Question There are only multiple-choicestyle questions on the CBT Construction of a Cognitive CBT Question The stem may ask a direct question and is followed by a “?” Where would you find distention? a. Abdomen b. Shoulder c. Neck d. Knee Construction of a Cognitive CBT Question The stem may appear as an incomplete sentence you must complete Distention is found in the a. abdomen. b. joints. c. lower airways. d. oropharynx. Construction of a CBT Question A B C D choices only One answer is correct and the other 3 choices are incorrect true “There are 2 correct answers with one being more correct than the other” not true Construction of a CBT Question D. All of the above not used D. None of the above not used A. & B. above (multiples) not used Words such as “always,” “all,” and “never” not used Construction of a CBT Question You cannot change an answer once you select it You cannot skip a question You cannot return to a previous question or move past the current question Old-Style Construction of a CBT Question Each of the following is a sign of CHF except a. b. c. d. diaphoresis. difficulty in breathing. vomiting blood. tachycardia. New-Style Construction of a CBT Question Which of the following is least likely considered a sign of CHF? a. b. c. d. Diaphoresis Dyspnea Hematemesis Tachycardia New-Style Construction of a CBT Question Which of the following is most likely considered a sign of CHF? a. b. c. d. Crackles in the lungs Severe headache Vomiting blood Apnea Construction of a Scenario CBT Question The scenario CBT question requires you to interpret the given facts integrate EMT knowledge provide generic treatment Construction of a Scenario CBT Question The CBT scenario question contains only pertinent information that includes the patient’s age & gender chief complaint or condition Construction of a Scenario CBT Question The CBT scenario question contains only pertinent information that includes the history of present illness (HPI) or mechanism of injury (MOI) past medical history (PMH) and medications Construction of a Scenario CBT Question The CBT scenario question contains only pertinent information that includes physical findings vital signs: BP, P, R, pupils, skin condition, blood glucose, pulse oximetry (SaO2) Construction of a Scenario CBT Question The last sentence in the stem may appear like this: You should suspect… This asks for your field impression or diagnosis Construction of a Scenario CBT Question The last sentence in the stem may appear like this: You should first… This asks you to provide the first step in treating the patient Construction of a Scenario CBT Question The last sentence in the stem can look like this: You should next… This sentence asks you to provide the next step in the sequence of treating the patient Construction of a Scenario CBT Question The last sentence in the stem may ask a direct question Good Rules of Thumb for Answering CBT Questions Read the whole question several times and formulate the answer before looking at the answer choices Reread the answer choices When in doubt, lean towards the answer choice with the most aggressive treatment Good Rules of Thumb for Answering CBT Questions Don’t assume something which isn’t stated in the question Don’t over-think the answer choice Up to 4 “beta” questions are inserted into the CBT for validation purposes and don’t count toward your score even if you answer them correctly The Legal Cheat Sheet A whiteboard and marking pen is provided for your use while you take the CBT Not So Good Rules of Thumb for Answering CBT Questions Select the choice with the most number of words “B” or “C” are the most common correct answers Select the most scientific-sounding choice Combating Test Anxiety Anxiety can impair your CBT results A little anxiety is a good thing – it can actually motivate you Don’t be distracted by negativity Manage your time and stress to be productive and become confident The NREMT-EMT Certification Process For information regarding the NREMT-EMT certification process, access this file EMS Students Follow These Steps to Take the NREMT Exam from the PVCC EMT/Paramedic website ADA Accommodations The NREMT complies with the Americans with Disabilities Act (ADA) and offers reasonable accommodations for individuals with disabilities ADA Accommodations Information concerning the NREMT Accommodations Disability Policy can be found at www.nremt.org Pearson VUE Test Sites For Pearson VUE test site locations, access this file Arizona Computer Based Testing Sites from the PVCC EMT/Paramedic website Pearson VUE Test Security For information concerning Pearson VUE test site security, access this file Pearson VUE Test Security from the PVCC EMT/Paramedic website More About the CAT The CAT calculates your EMT cognitive competency level and determines if you are above or below the standard for passing More About the CAT The CBT does not calculate your final result (pass/fail) from a minimum number of correct questions or a minimum “passing” percentage More About the CAT Minimum number of questions: 70 Maximum number of questions: 120 Time limit: 2 hours More About the CAT How you answered a question (correctly or incorrectly) determines the level of difficulty of your next question More About the CAT The CAT algorithm, which integrates IRT, decides when you have demonstrated competency to pass the cognitive examination More About the CAT The computer turns off when: the CAT determines you demonstrated competency or the CAT determines you failed to demonstrate competency by missing too many questions or you received the maximum number of questions or time expired CBT RESULTS You will not receive CBT pass/fail results at the Pearson VUE test sit CBT RESULTS You can retrieve CBT pass/fail results by accessing your NREMT account the next business day CBT RESULTS The NREMT will mail a hardcopy of your EMT credentialing materials when you pass the CBT and complete the national certification process RETESTING If you fail the CBT, you may apply to retest 15 days after the attempt – this waiting period is designed for you to better prepare for the next attempt The Arizona EMT Certification Process For information regarding the Arizona EMT certification process, access this file Instructions to Apply for Arizona EMT Certification from the PVCC EMT/Paramedic website The Arizona EMT Certification Process Do not bring your AzDHS (state) EMT application to the DHS Office in Phoenix; you can submit the application by mail, fax, or electronically Good Luck!