Paramedic Certificate

Paramedic Certificate

Learning advanced life-saving skills, students in the COM Paramedic Program discover how to read ECGs and administer more medications. Through labs, hands-on classes and clinicals, students prepare for the National Registry Paramedic Certificate exam and for a successful career in a rapidly growing field.

You must be state-certified as an EMT-Intermediate within the first six weeks of the beginning of class. The EMT-Paramedic Certificate takes two additional semesters to finish. 

The daytime, full-time program begins each January and continues through the spring and summer semesters. All deadlines (registration, financial aid, etc) are identical to those found in the COM Academic Calendar.

Mandatory Orientation 2015 Cohort: Jan 16, 9 a.m. to noon , Public Service Careers Bldg, Room 118.



 2015 Start Date 



Spring and


  16 weeks 

  10 weeks 

Jan. 21


8 a.m.–5 p.m.


  1. Completed, cleared background check. Download this document for instructions. If you have done one for the program within the last 12 months, you are not required to submit a new one. (There is no need to buy the card the service offers.)

    These take 2-3 business days to process. Once the check is complete, we will contact you via email that your registration form is signed and ready. You will have to register in person at the Enrollment Center/Administration Building.

  2. Apply to the college if you are a new student.
  3. Be sure to request all transcripts from previous colleges you have attended. If official transcripts are not on file in the Office of Admissions and Records, this can obstruct you from registering from classes. When you order, go ahead and request two copies - one to be sent to you and one to COM.
  4. Gather your items to qualify for clinicals--see page 3 of the Program Info PacketSave your documents --we will direct you what to do with them the first week of class. The packet provides complete information regarding physical exam, drug screen, and immunization requirements.
  5. You must either be Texas DSHS EMT-Intermediate certified or acquire your certification within the first six weeks of class to be eligible to continue the program.
  6. American Heart Association Healthcare Provider CPR (AHA-HCP CPR) certification is required prior to attending clinicals; it is also required prior to certification testing by NREMT. The class is offered through COMsee the Continuing Education Catalog. It is also possible to find local fire departments, hospitals and companies that offer the class. Just ensure that the class is AHA CPR (not Red Cross CPR).
  7. All other College requirements (placement testing, meningitis vaccine, etc.)
  8. Attend Mandatory Orientation, usually held the week before class starts.
  9. Study--you are expected to pass an Airway Competency Exam on the first day of class or be excused from the program. The exam covers anatomy, physiology, indications, methodology of BLS and ALS airway management at the EMT-Intermediate level. You may find this Study Guide helpful in preparation.


EMT-Intermediate classes are approved by the Texas Department of State Health Services. The program exceeds NHTSA National EMS Scope of Practice and Education Standards and includes classroom lectures and activities; hands-on, life-saving skills training; and scenario-based practice. Additionally, students attend on-site clinical training at hospitals and with area ambulance services. The curriculum is incorporated into the following courses:

Spring 2015 Courses (15 hours)

  • EMSP 2306—Pharmacology
  • EMSP 2444—Cardiology
  • EMSP 2434—Medical Emergencies
  • EMSP 2461—Clinical - Emergency Medical Technology/Technician (EMT Paramedic)

Summer 2015 Courses (six hours)

  • EMSP 2330—Special Populations
  • EMSP 2143—Assessment-Based Management
  • EMSP 2135—Advanced Cardiac Life Support
  • EMSP 2169—Practicum (or Field Experience) - Emergency Medical Technology/Technician (EMT Paramedic)

Note: Courses must be completed sequentially. Any student in the EMS Program who fails to gain Course Completion within 60 days of completion of the classroom portion of the class will, at minimum, be required to take competency exams to demonstrate retention of the material. 

Course Completion

Upon successful completion of required elements, students are authorized to test via the National Registry online system. Also, an initial application must be made to the Texas DSHS. Students must also demonstrate skills proficiency at a National Registry-sanctioned event (in person). COM makes every effort to sponsor such events in a timely manner. Students also have the option to take NR skills testing anywhere it is available.

Approximate Costs







Tuition and Fees, In District



Tuition and Fees, Out of District



Laboratory Fee

$175 $0

Clinical Liability Insurance



Uniforms and supplies

$150 $0

Purchased Books (approximate)   



Online Services

$30 $0
  • Students who did not complete prior training in our program will need to purchase uniforms, which cost approximately $150.
  • The book for EMT-I is also used in the paramedic curriculum.


You may purchase the textbooks anywhere you choose.

  • Nancy Caroline’s Emergency Care in the Streets, 7th Edition (Jones and Bartlett) ISBN: 978-1-4496-4586-1 (This is a two-volume book).
  • Nancy Caroline’s Emergency Care in the Streets, 7th Edition (Student Workbook) ISBN: 978-0763744120
  • 2010 Handbook of Emergency Cardiovascular Care for Healthcare Providers  Publisher: American Heart Association; 1 spiral edition (Dec. 1, 2010) ISBN-10: 1616690003,  ISBN-13: 978-1616690007

  • Pharmacology for the Prehospital Professional (Mosby/Jems Elsevier) 978-1-284-03806-4 (Published Nov. 2011, Revised Edition)

  • ECG Workout, Huff, (Lippincott, 2012) ISBN: 978-1-4511-1553-6

  • Optional: Taber's Medical Dictionary
  • Required: Any drug handbook or smart-phone application


Previous students of the program will already have the required uniform components which includes:

  • COM polo shirt
  • Black EMT Pants
  • Stethoscope
  • Black belt
  • Black work shoes or boots

Additional info will be provided during the first week of class.

Financial Aid/Scholarships/Other Funding Sources

In order to receive financial aid, students must complete the FAFSA (Free Application for Federal Student Aid) and the COM Financial Aid Application, regardless of the type of financial aid sought. Veterans should contact the Financial Aid Office directly for additional guidance in Veterans Affairs.

Another possible source of funding is the COM Foundation. It is a nonprofit organization that distributes a wide variety of need and non-need-based scholarships. Look under the category "Public Service Careers" for those scholarships designated specifically for EMS candidates. The deadline to apply is generally in late July.

Students may also qualify for receive grants from Texas Public Education Grant. (Note: The FAFSA application determines eligibility for these grants.) The College for All Texans website may give you additional suggestions such as Veteran’s and Texas Workforce (see subtitle B here) benefits.  As always, contact the experts in the Financial Aid Office at 409-933-8274 for additional information.

Application and Registration Procedures

Prospective EMS students must first

  • Apply to College of the Mainland. Applications generally take three to five business days to process. You may check the status of your application by calling the Office of Admissions and Records (409-933-8264).
  • A checklist of additional requirements (preenrollment testing, verification of vaccines, etc) can be found here.
  • All new students must see an academic advisor prior to registration. The Allied Health Advisor is Theo Moody.
  • Finally, register for classes!  Because the paramedic curriculum includes excessive semester-hours, you will need to pick up a registration form from the Public Service Careers Building and take it to the Enrollment Center to register in person.

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