West

Hawaii

State EMS office Hawaii State Department of Health, Emergency Medical Services and Injury Prevention System Branch

Licensure levels recognized EMT-Basic, EMT-Advanced and EMT-Paramedic.

NREMT required for initial licensure Yes. National Registry certification is a requirement for state licensure. EMT (transport) certification also takes evidence of didactic training in cardiac defibrillation and IV access alongside clinical training.

Reciprocity / legal recognition Hawaii is not reciprocal with the National Registry or with any other state.

Renewal cycle To be filled from the state EMS office

Continuing education model A certificate holder may recertify on a current National Registry certificate. Without one, an EMT submits a state-approved 24-hour refresher, annual CPR certification and 48 further hours of continuing education; a paramedic submits 48 hours of paramedic refresher training including ACLS, annual CPR certification and 24 further hours.

Visit state EMS office

Always confirm requirements with the state office directly.

Preparing for the exam

Our NREMT courses cover each certification level, and FP-C and CCT preparation covers critical care transport.

EMT

AEMT

Paramedic

See all states in the EMS licensing directory →

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Certification and licensure are not the same thing

National Registry certification

Passing the NREMT cognitive and psychomotor exams earns you national certification. It is what most states use as the entry standard, but it is not a license to practice on its own.

State license

Your state EMS office issues the credential that actually lets you work. Each state sets its own application process, background requirements, fees, and scope of practice.

Reciprocity

Moving states usually means applying for legal recognition of your existing certification rather than starting over. What transfers automatically varies, and this is where candidates most often get stuck.

This directory is provided for reference only. State requirements change, and the state EMS office is always the authoritative source. Prehospital Prep is not affiliated with, endorsed, or sponsored by the NREMT, the IBSC, or any state licensing agency.

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