Paramedic requirements by state / DE

Paramedic requirements in Delaware.

What it takes to certify, renew, and transfer a Paramedic credential in Delaware — plus the official Delaware Bureau of EMS link so you can confirm every detail before you apply.

Verify first

State rules, fees, and forms change. Treat this page as orientation, then confirm with the Delaware Bureau of EMS. Pass the EMT is not a licensing authority.

Delaware Paramedic certification at a glance

NREMT required?Yes
Approximate program length1,000–1,800 hours, often as a 1–2 year college program
PrerequisitesYou'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
Recertification cycle2 years
Psychomotor (skills) examNREMT or state-approved exam
Reciprocity / transferring inNREMT + Delaware BEMS application
EMS Compact (REPLICA) memberYes

How to become a Paramedic in Delaware

  1. 1. Meet the prerequisites. You'll generally need a current EMT certification, prerequisite coursework, and acceptance into a CAAHEP/CoAEMSP-accredited paramedic program.
  2. 2. Finish an approved program. Expect roughly 1,000–1,800 hours, often as a 1–2 year college program of lecture, lab, and field/clinical time at a Delaware-approved training center.
  3. 3. Pass the cognitive exam. Sit the NREMT computer-adaptive Paramedic cognitive exam at a Pearson VUE test center.
  4. 4. Pass the skills exam. NREMT or state-approved exam.
  5. 5. Apply for state certification. Submit your application to the Delaware Bureau of EMS, then recertify every 2 years.

Paramedic scope of practice in Delaware

A Paramedic in Delaware typically works with advanced airway management including intubation, 12-lead ECG interpretation, manual defibrillation and cardioversion, needle decompression, and a full ALS drug box. Your exact scope is set by Delaware EMS rules and your agency's medical director, so protocols vary between services — always practice to your local protocol.

Paramedic medication list →

Transferring a Paramedic card into Delaware

NREMT + Delaware BEMS application.

Delaware participates in the EMS Compact (REPLICA), which grants a privilege to practice across member state lines for qualifying calls — but it does not replace state certification for a permanent move.

Delaware BEMS sets scope and reciprocity requirements independently.

Official Delaware Bureau of EMS

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NREMT® is a registered trademark of the National Registry of Emergency Medical Technicians. Pass the EMT is an independent study aid and is not affiliated with, endorsed by, or sponsored by NREMT. Data compiled from public Delaware EMS resources and subject to change.