How to Become a Certified Paramedic in Texas

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Becoming a certified paramedic in Texas is a rewarding career path that requires dedication, education, and practical training. This guide will walk you through the essential steps, from meeting prerequisites to obtaining your certification, ensuring you’re well-prepared for this vital role in emergency medical services (EMS), paramedic training, and emergency care.
Step 1: Meet the Basic Requirements

Before diving into paramedic training, ensure you meet Texas’s basic requirements. These include:
- Being at least 18 years old.
- Holding a high school diploma or GED.
- Possessing a valid Texas driver’s license.
- Completing a background check and drug screening.
📌 Note: Some programs may require additional prerequisites, such as CPR certification or EMT experience.
Step 2: Complete EMT Training

Most paramedic programs require candidates to first become certified Emergency Medical Technicians (EMTs). This involves:
- Enrolling in an EMT course approved by the Texas Department of State Health Services (DSHS).
- Completing 120-150 hours of training, including classroom instruction and hands-on practice.
- Passing the National Registry of Emergency Medical Technicians (NREMT) exam.
EMT training lays the foundation for advanced paramedic skills, focusing on patient assessment, basic life support, and emergency response.
Step 3: Enroll in a Paramedic Program

Once you’re a certified EMT, the next step is to enroll in a paramedic program accredited by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Key aspects include:
- Completing 1,200-1,800 hours of combined classroom and clinical training.
- Learning advanced skills such as IV therapy, medication administration, and cardiac care.
- Participating in hospital rotations and field internships for real-world experience.
📌 Note: Programs typically last 1-2 years, depending on full-time or part-time enrollment.
Step 4: Pass the NREMT Paramedic Exam

After completing your paramedic program, you must pass the NREMT Paramedic Exam. This two-part exam includes:
- A cognitive (written) exam testing your knowledge of paramedic skills and protocols.
- A psychomotor (practical) exam assessing your ability to perform critical skills under pressure.
Passing this exam is a prerequisite for state certification, ensuring you meet national standards for paramedic practice.
Step 5: Obtain Texas State Certification

With your NREMT certification, apply for Texas state paramedic licensure through the DSHS. The process involves:
- Submitting proof of NREMT certification.
- Providing documentation of your paramedic program completion.
- Paying the required licensure fees.
Once approved, you’ll receive your Texas paramedic license, allowing you to practice legally in the state.
Checklist for Becoming a Certified Paramedic in Texas
- Meet basic requirements (age, education, driver’s license).
- Complete EMT training and pass the NREMT EMT exam.
- Enroll in and graduate from a CAAHEP-accredited paramedic program.
- Pass the NREMT Paramedic Exam.
- Apply for and obtain Texas state paramedic licensure.
Embarking on a career as a paramedic in Texas is a challenging yet fulfilling journey. By following these steps, you’ll be well on your way to making a significant impact in emergency medical services, paramedic training, and emergency care.
How long does it take to become a paramedic in Texas?
+The process typically takes 2-4 years, including EMT training and a paramedic program.
What is the average salary for paramedics in Texas?
+The average salary for paramedics in Texas ranges from 40,000 to 60,000 annually, depending on experience and location.
Can I become a paramedic without EMT experience?
+No, most paramedic programs require EMT certification as a prerequisite.