Loading...
Loading...
EMT / Paramedic
Some details on this page are not yet confirmed against an official source. See sources below or contact the licensing board to verify.
Yes
NREMT Required?
120-150
EMT Training Hours
4 levels
Certification Levels
Varies
EMT Initial Cost
4 years
Renewal Period
40 hrs
EMT CE Hours
Training Hours
60 hours
Scope of Practice
Basic emergency care including CPR, AED, bleeding control, splinting, and oxygen administration
NREMT Required
Yes
Training Hours
120-150 hours
Scope of Practice
BLS care including patient assessment, airway management, oxygen therapy, splinting, spinal immobilization, assisted medication administration, and basic trauma care
NREMT Required
Yes
Additional Requirements
Training Hours
350 hours
Scope of Practice
EMT scope plus IV access, IO access, basic cardiac monitoring, and limited medication administration
NREMT Required
Yes
Training Hours
1,200 hours
Scope of Practice
Full ALS scope including advanced airway management, cardiac monitoring and 12-lead ECG interpretation, cardioversion, defibrillation, external pacing, extensive medication administration, IV/IO access, and needle decompression
NREMT Required
Yes
Additional Requirements
Training Program Requirements
Verified120-150
EMT Training Hours
1,200
Paramedic Hours
Notes
Standard 4-level system: EMR, EMT, AEMT, Paramedic. Programs must be DPH-approved. SC recently transitioned EMS oversight from DHEC to DPH. Psychomotor exam is DPH-approved (not the NREMT psychomotor exam). Approximately 4-week processing time after exams.
Browse EMT study materials on Amazon →(affiliate link)
Exam Requirements
VerifiedRequired
NREMT Certification
Required
Cognitive Exam
Required
Psychomotor Exam
No
State-Specific Exam
NREMT Details
NREMT required for initial certification AND recertification at all levels. NREMT cognitive exam required. Psychomotor exam is DPH-approved (NOT the NREMT psychomotor). NREMT must be maintained continuously on a 2-year cycle even though state certification is 4 years. Cognitive exam: CAT format, 70-120 questions for EMT, 2-hour limit, $104/attempt. Passing score 950/1500. 6 attempts, 15-day wait, 24-hr remedial after 3rd failure.
State Exam Details
NREMT cognitive exam required. Psychomotor exam is DPH-approved (NOT the NREMT psychomotor). Approximately 4-week processing time after completing exams.
Passing Score
NREMT scaled score 950/1500 for cognitive; DPH-set passing criteria for psychomotor
Retake Policy
NREMT cognitive: 6 attempts allowed, 15-day wait between attempts, 24-hour remedial training after 3rd failure.
Didn't pass on the first try? Learn what to do if you fail the NREMT.
Overall licensing difficulty: 1/100
Study recommendation: 1–2 weeks of focused review is usually sufficient
Practice with realistic exam questions
NREMT (EMT Certification Exam)
Browse study guides
EMT Exam Prep Books
Affiliate link — we may earn a commission at no extra cost to you.
Difficulty rating based on education, exam, and experience requirements. Individual experience may vary.
Prepare with realistic NREMT (EMT Certification Exam) practice tests from Exam Edge →(affiliate link)See our discount
NREMT Cognitive Exam
Questions
120 questions
Time Limit
2 hours
Passing Score
NREMT scaled score 950/1500 for cognitive; DPH-set passing criteria for psychomotor
Format
Computer adaptive testing (CAT)
Cost of failing
Retake fee: $80Invest in preparation to pass the first time.
How long should you study? Most candidates study 2–4 weeks before taking the NREMT Cognitive Exam.
Study Materials & Exam Prep — NREMT Certification Exam
Prepare for your NREMT Certification Exam with Mometrix study guides, flashcards, and practice tests.
Affiliate link — we may earn a commission at no extra cost to you.
Study guides and practice tests for the NREMT certification exam.
Browse Study Guides on Amazon →As an Amazon Associate, we earn from qualifying purchases.
Shop essential tools and supplies to get started in your career.
As an Amazon Associate, we earn from qualifying purchases.
What Each Level Can Do
VerifiedOnline Medical Direction (Real-Time)
Required; EMS providers must operate under medical direction from a licensed physician
Offline Medical Direction (Standing Orders)
Standing orders and protocols provided by agency medical director
Protocol Requirements
Must follow agency medical director protocols; hurricane and coastal emergency protocols in place
Minimum Age
Education
Background Check
Drug Screening
CPR/BLS Certification
Immunizations Required
Driver's License Required
Not sure if you need a emt license? Check whether your state requires one.
| Fee | Amount |
|---|---|
NREMT Exam Fee NREMT EMT cognitive exam fee (increased from $70 in 2025) | $80 |
State Application Fee Not publicly listed. Contact emscertifications@dph.sc.gov for fee information. | $20 |
Renewal Fee Not publicly listed. Continuous NREMT maintenance on 2-year cycle required (NREMT recertification fee applies). | $20 |
Total Initial EMT Cost State fees not publicly listed. NREMT exam $104 plus undisclosed state fees. Contact emscertifications@dph.sc.gov. | Varies |
Total Initial Paramedic Cost State fees not publicly listed. NREMT exam $104 plus undisclosed state fees. Contact emscertifications@dph.sc.gov. | Varies |
Use our licensing cost calculator to estimate your total investment including education and exam fees.
Calculate your licensing ROI →
See how quickly your license investment pays for itself.
Renewal & CE Requirements
Verified4 years
Renewal Period
40 hrs
EMT CE Hours
60 hrs
Paramedic CE Hours
Required
Skills Verification
NREMT Recertification Accepted for State Renewal
CE Topics
Renewal Fee
$20
Not publicly listed. Contact emscertifications@dph.sc.gov.
Regulatory Board
EMS certifications must be renewed on schedule. Most states require continuing education covering patient assessment, trauma care, cardiac emergencies, and applicable protocol updates.
For a deeper dive into CE requirements and deadlines, see our emt license renewal guide.
Out-of-State Reciprocity
VerifiedAccepts Out-of-State Credentials
NREMT-Based Reciprocity Available
Reciprocity Type
NREMT-based; EMS Compact member state
Transfer Details
South Carolina joined the EMS Compact in May 2018. Compact members may practice under their home state license. Non-compact applicants must hold current NREMT certification and complete both FBI and state criminal background checks. DPH-approved psychomotor exam may be required. Approximately 4-week processing time.
Additional Requirements for Transfer
EMT/Paramedic reciprocity is often facilitated through NREMT certification. States that require NREMT typically allow easier transfer for certified providers. Always verify current reciprocity policies with your state EMS office.
See all EMS Compact (REPLICA) member states & eligibility details →
Moving to another state? Use our Transfer Tool to see what you need →
Compare South Carolina with other states →
See how requirements, costs, and timelines differ across all 50 states.
Dual FBI + state background check for every cert and recert; 4-year state cert (unusual) but continuous NREMT required on 2-year cycle; DPH-approved psychomotor exam (not NREMT psychomotor); recently transitioned from DHEC to DPH; ~4 week processing after exams; online-only CPR explicitly rejected; hurricane/coastal emergency protocols
Dual FBI and state criminal background check required for every initial certification AND recertification
4-year state certification cycle (unusual among states) but continuous NREMT maintenance required on 2-year cycle
Psychomotor exam is DPH-approved (NOT the NREMT psychomotor exam)
Recently transitioned EMS oversight from DHEC to DPH
Approximately 4-week processing time after completing exams
Online-only CPR/ACLS explicitly rejected; must include in-person skills component
BLS for EMT; ACLS required for Paramedic (ARC/MTN/AHA/ASHI accepted)
Hurricane and coastal emergency protocols in place
EMS Portal: https://www.scemsportal.org/ and https://southcarolina.imagetrendlicense.com/
State fees not publicly listed; contact emscertifications@dph.sc.gov
NREMT required for both initial certification and recertification at all levels
South Carolina is an EMS Compact (REPLICA) member state, allowing cross-state EMS practice.
EMT requirements in nearby states
| State | Total Cost | |
|---|---|---|
| South Carolina (you) | — | |
| Georgia | $75 (application) + $104 (NREMT exam) + fingerprint/background check fee | → |
| North Carolina | $68 (state exam) + $38 (background check) + course tuition | → |
Other professional licenses in South Carolina
See how South Carolina compares: EMT License Fees by State — Cheapest to Most Expensive →
✓ REPLICA Compact State — South Carolina is a member of the EMS Compact (REPLICA). Licensed emts from other member states may be eligible for expedited practice privileges.
Related Guides
Explore requirements for other professional licenses in South Carolina.
Not sure this is the right career? Take a 2-minute quiz →
Answer 6 quick questions and we'll match you with the best-fit licensed profession.
Official Sources
EMT requirements in South Carolina verified against South Carolina Department of Public Health, Bureau of EMS, March 2026.
Moving to South Carolina? Use our free Transfer Tool to see what you need →
Already licensed elsewhere? See how to transfer your EMT license to South Carolina →
Transfer your EMT license from South Carolina to: Georgia → | North Carolina →
South Carolina requires NREMT certification for EMS providers. EMT training requires 120-150 hours. All certification is managed through the South Carolina Department of Public Health, Bureau of EMS.
Requirements vary by state and local jurisdiction. Always verify current requirements with your state EMS office.
EMT Schools in South Carolina
Compare approved training programs, costs, and requirements.