EMT Psychomotor Exam Skills Verification

Online Psychomotor Exam Skills Verification

Instructions for completion of EMT Skills Verification Form

  1. A completed EMT Skills Verification Form (EMSA-SCV 01/17) is required for those individuals who are either renewing or reinstating their EMT certification. This verification form must accompany the application. The form can be downloaded below.
  2. Verification of skills competency shall be accepted as valid to apply for EMT renewal or reinstatement for a maximum of two (2) years from the date of skill verification.
  3. The EMT that is being skills tested shall provide their complete name as shown on their California EMT certification, the EMT certificate number and signature in the spaces provided.
  4. Verification of Competency 

Skills competency will be demonstrated by direct observation of a simulated patient contact, i.e. skills station.  The individual verifying competency shall:

  1. Sign the EMT Skills Competency Verification Form for that skill.
  2. Print their name on the EMT Skills Competency Verification Form for that skill.
  3. Enter the date that the individual demonstrated the competency of the skill.
  4. Provide the name of the organization that has approved them to verify skills.
  5. Provide their certification or license type and number.

Please prepare in advance for your scheduled skills check off by reviewing the skills forms which can be downloaded via the red writing on this page

California Code of Regulations

Title 22, Division 9, Chapter 2
Emergency Medical Technician
Section 100080

EMSA-SCV (08/10) is herein incorporated by reference.  Skills competency shall be verified by direct observation of an actual or simulated patient contact. Skills competency shall be verified by an individual who is currently certified or licensed as an EMT, EMT-II, Paramedic, Registered Nurse, Physician’s Assistant, or Physician and who shall be designated by an EMS approved training program (EMT training program, paramedic training program or CE provider) or an EMS service provider; EMS service providers include, but are not limited to public safety agencies, private ambulance providers and other EMS providers. Verification of skills competency shall be valid for a maximum of two (2) years for the purpose of applying for recertification. The skills requiring verification of competency are:

  1. Patient examination, trauma patient
  2. Patient examination, medical patient
  3. Bag Valve Mask Ventilation
  4.  Oxygen Administration
  5. Cardiac Arrest Management with AED
  6. Hemorrhage Control and Shock Management
  7. Spinal Motion Restriction – Supine and Seated
  8. Penetrating Chest Injury
  9. Epinephrine and Naloxone Administration
  10. Childbirth and Neonatal Resuscitation
  11. Glucometer and blood sugar testing

Click here to download the skills checkoff form.

Or NREMT Forms Here.

Please don’t forget to fill out form.

ems skills recertification training
Name As it Appears on You EMT Card.
If Known!
Please choose what applies to you.

Or call to set up an Appointment at 888-485-2855 and/or you can contact

Chris A. Pietroforte at 559-308-0519 with Centralvalleycpr.org Email: chris@centralvalleycpr.org Tell him Knight’s Fire Safety Referred You! Good Luck and Stay Safe.

Emergency Medical Technician (EMT) Skills Verification and/or NREMT – California

These sessions are designed for currently certified EMT’s who have already met the CEU requirements for recertification and only need to obtain CA State and/or NREMT skills verification. Verification of skills competency shall be valid for a maximum of two (2) years for the purpose of applying for recertification. Skills competency will be demonstrated by direct observation of a simulated patient contact (skills station). If a candidate fails to perform an individual skill to an appropriate level of competency, then he or she will be given one remedial attempt. Remediation is limited to one attempt per skill. Session includes skills verification of the updated 2019 Scope of Practice Requirement for California certified EMT’s covering naloxone administration, epinephrine administration, and Blood Glucose monitoring. No refunds will be offered for partial or unsuccessful completion of skills competency verification.

2022-2023 Course Schedule

CLASSES EVERY THURSDAY From 4-9pm, Two 2.5 hour Classes

(20 min break or Early Release.) CLASS TIMES: 4:00-6:00/7:00-9:00

Novermber 2022: Thursdays

November 10th, 2022

November 17th, 2022

Closed the Rest of Month

December 2022: Thursdays

December 7th, 2022

December 14th, 2022

December 21th, 2022

Christmas Break, Appointment Only! (Closed Christmas and New Years)

Happy New Years… 2023, May this year be blessed with more in your life and love.

January 2023: Thursdays

January 5th, 2023

January 12th, 2023

January 19th, 2023

January 26th, 2023

February 2023: Thursdays

February 2nd, 2023

February 9th, 2023

February 16th, 2023

February 23th, 2023

March 2023: Thursdays

March 2nd, 2023

March 9th, 2023

March 16th, 2023

March 23th, 2023

March 30th, 2023

April 2023: Thursdays

April 6th, 2023

April 13th, 2023

April 20th, 2023

April 27th, 2023

May 2023: Thursdays

May 4th, 2023

May 11th, 2023

May 18th, 2023

May 25, 2023

June 2023: Thursdays

June 1st, 2023

June 8th, 2023

June 15th, 2023

June 22nd, 2023

June 29th, 2023

Schedule Reevaluation