✓ CAPCE Accepted4-Year Cycle

⚠ Axene covers most requirements — see gaps below

North Carolina EMS Recertification Requirements

Complete 2026 guide to CE requirements in North Carolina for EMR, EMT, AEMT, and Paramedic certification levels. Regulated by the North Carolina Office of EMS (NCOEMS).

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CE Requirements

Continuing Education Hours by Level

Level	CE Hours	Cycle
EMR	32	4 years
EMT	80	4 years
AEMT	100	4 years
Paramedic	120	4 years

Topic Distribution Requirements

NCCR/LCCR categories: Airway/Respiration/Ventilation, Cardiovascular, Trauma (incl. peds), Medical (incl. peds), Operations; no state-specific topics like jurisprudence, human trafficking, etc. found

Accepted CE Providers

NCOEMS-approved EMS educational institutions or CAPCE equivalent

Important Notes

For lapsed credentials: refresher course + skills eval; must use approved institutions/instructors; affiliated via local EMS system process or individual submission; no clinical/field internship for refreshers

Special State Requirements

Axene Coverage Report

CE coverage analysis for North Carolina

Renewal Hour Requirements & Axene Coverage

Level	Required	Axene Hrs	Scope	Status
EMR	32 hrs	76.5 hrs	BLS	✓ SURPLUS
EMT	80 hrs	76.5 hrs	BLS	⚠ GAP
AEMT	100 hrs	167.5 hrs	ALL	✓ SURPLUS
Paramedic	120 hrs	167.5 hrs	ALL	✓ SURPLUS

EMR

32 hrs required · BLS

76.5 hrs

✓ SURPLUS

EMT

80 hrs required · BLS

76.5 hrs

⚠ GAP

AEMT

100 hrs required · ALL

167.5 hrs

✓ SURPLUS

Paramedic

120 hrs required · ALL

167.5 hrs

✓ SURPLUS

BLS scope: 80 courses / 76.5 hrs. ALL scope: 173 courses / 167.5 hrs.

Axene Course Library

Medical

~58 hrs

Trauma

~39 hrs

Operations

~35 hrs

Cardiology

~19 hrs

Airway

~18 hrs

Universal Mandates (All States)

10% Pediatric Content (NCCP)

Varies by level

7001 Pediatric Respiratory A&P 7002 Pediatric Respiratory Emergencies 7003 Pediatric Cardiac Arrest

Covered

Requirements last verified: April 7, 2026

Cover All Your North Carolina CE Requirements

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Hours

Plan

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Showing requirements for North Carolina

State EMS Office

North Carolina Office of EMS (NCOEMS)

Website: Visit Official Site

Official Resources

FAQs

Frequently Asked Questions

North Carolina EMS providers renew every 4 years. Required CE hours: EMR: 32 hours EMT: 80 hours AEMT: 100 hours Paramedic: 120 hours

Yes. North Carolina accepts CAPCE-accredited courses. Axene CE courses are CAPCE-accredited and count toward your renewal.

Varies by certification level. Check with your state EMS office.

Airway/Respiration/Ventilation, Cardiovascular, Trauma (incl. peds), Medical Emergencies (incl. peds), Operations

Axene Continuing Education, LLC offers CEUs for EMS providers in most states. Continuing education requirements vary by state and may change. Users are responsible for verifying requirements with their agency and/or state EMS office, including whether specific courses are required for the local/state NREMT component. Where specific education is not mandated, required hours are considered flexible but must be directly related to EMS patient care. We do our best to keep information current — please check with your state EMS representative for the most up-to-date recertification information.

Axene CE is Accepted in North Carolina

All our courses are CAPCE-accredited and meet North Carolina's CE requirements. Get unlimited access with an annual subscription.

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