Frequently Asked Questions

Why should I contract with 911 e-Learning Solutions instead of just hiring an instructor to develop and teach the course?​​​​

​​Not just any instructor has the experience in e-Learning and  e-Learning knowledge to develop and teach a QUALITY e-Learning course.  Distance Education Courses are being very highly scrutinized by the Department of Education (DOE) and accrediting bodies such as SACS.  Our courses are designed by experienced instructional designers with quality, measurable learning outcomes in mind.  The instructors are experienced e-Learning educators who have both the subject matter knowledge and e-Learning theories necessary to provide your students with the best educational experience possible.  All this allows us to provide you with a high quality turn-key service unavailable elsewhere!


​​How long does it take you to develop an e-Learning course?​

​​We use a 10 to 1 (Development Time to End Product Time) formula to determine the number of hours for development time.  For example:  a 3 hour CE course will typically take us a total of 30 hours to develop.  (3hr x 10hr=30hr)  This is a very accurate number based on our 10 years of experience.  This is however, still on the low side of average development times. (See Links Below)

​​Link 1   Link 2   Link 3   Link 4   Link 5   Link 6   Link 7


You say that ​course "X" ​​​​​​​​is 3 hrs of CE.  How do you know it will take someone 3 hours to complete the course?​

​​We use a unique formula to evaluate the course duration.  The course duration is based on average reading speeds, the length of all videos, length of all audio/podcasts, estimated time for each assignment, discussion, and number of quiz questions.  We tally all of these times together to get a total projected time of completion.  Take a look at one of our Course Blueprints.​


My NC Credential has expired. Can I take a refresher course and get the credential back or do I have to take the entire EMT class over again?​

​​If your NC credential has been expired for less than 4 years, you may complete a refresher course and then take the state test again. This is what NC Office of EMS calls "Reentry".​

My National Registry (NREMT) certification has lapsed or expired.  Can I take a refresher course to regain my credential or do I have to take the entire EMT class over again?

The National Registry of EMTs has a Refresher Entry and Re-entry program.  If your NREMT certification has lapsed (expired), and you currently hold or previously held a state or NREMT certification, you may use the refresher education towards the entry requirements, however, you would also need to follow the NCCP National Component, which does have education limits for distributive education. See for more information.


​My NC Credential is nearing expiration. What do I need to do to renew it?

You have two options:

​Option 1: is to complete and pass a Refresher course and skills assessment.  Upon completion of this course your course coordinator or course instructor will be able to renew your credential.

Option 2: is to renew through Continuing Education.  In this scenario you will need to contact the educational institution* through which you are going to recredential.  Each educational institution has their own policy on courses, hours, skills, Technical Scope of Practice, etc. for recredential.  You will need to meet the requirements of the educational institution (Typically 48-96 hours of CE and Skills evaluation) and the lead coordinator or instructor will renew your credential.

*Educational Institution:  An Educational Institution is any EMS agency, School, College etc., that has met the NCOEMS requirements and been designated as an “Educational Institution” for offering Initial and/or Continuing Education courses for NCEMS Credentials.  These institutions must meet a strict set of guidelines set forth by the NCOEMS and outlined on their website here. 911 e-Learning Solutions is proud to be a North Carolina EMS Teaching Institution!

Is 911 e-Learning Solutions a North Carolina Teaching Institution?

Yes.  As of 2018, we have been approved as a North Carolina Teaching Institution and may handle your NC credential needs.​

My National Registry (NREMT) certification is nearing expiration.  What do I need to do to renew it?

The National Registry (NREMT) currently uses the National Continued Competency Program (NCCP) for their recertification model.  You should use the NCCP 2016 model requirements, found at  You can use full refresher courses or individual topic courses that are either state-approved* or CAPCE accredited towards your recertification.  Note that there is a limit on distributive education hours.

Alternatively, you can recertify by examination after April 1st up to 1 year before your current expiration. 

*Our courses are all approved by the state of North Carolina and therefore accepted by the National Registry regardless of the state you reside in.

Are your courses considered "Distributive Education" by the NREMT?

Our online courses are considered "Distributive Education" (DE) by the NREMT, the in-person sessions during skills evaluations and testing do NOT count as DE while the hours delivered online do.  The statement below is directly from the National Registry:

The National Registry and CAPCE define distributive education as a method of delivering EMS education where the education, student, and materials are not able to interact in real time.  Examples of distributive education include, but not limited to: online courses, journal article reviews, videos, recording, phone calls, emails, discussion board forums, and self-paced online education.

Note: For self-paced online or hybrid courses, online course content is considered distributive education, while your time or hours physically present in the classroom interacting with a live instructor would not be distributive education.

What is valid, or accepted continuing education for the NREMT?

The National Registry accepts any state-approved or CAPCE accredited education for the re-entry and recertification processes.  Please keep in mind that the National Registry also has additional eligibility and specific education requirements, such as distributive education limits, that must also be followed.   Please visit their General Policies page at for more information.

I know someone who is a level II EMS instructor who is willing to do my skills review and Technical Scope of Practice. Can I have him/her sign off on my skills so I don't have to drive to campus?

​​No.  All students are required to attend the mandatory skills dates for skills.  There are NO EXCEPTIONS.  We have had students fly or drive in from around the country (Boston, SC, Utah, TN, Va, Fla.) and the world (Guinea, Germany, Afghanistan) to complete skills.


​​Do I have to attend the skills sessions?

​​YES.  All students are required to attend the mandatory skills dates.  There are NO EXCEPTIONS.  We have had students fly or drive in from around the country (Boston, SC, Utah, TN, Va, Fla.) and the world (Guinea, Germany, Afghanistan) to complete skills.  We take great pride in being able to say that beyond a shadow of a doubt, we know you have completed all of the skills and testing components of our course when we sign off on your credential.



What can I expect on the skills days?​​​

​​Day One will consist of a brief introduction and orientation to the school followed by a comprehensive review of ALL skills for your level of credential.   You will work with outstanding instructors who will show you every skill and act as if you have NEVER seen the skill (in some cases, the skills may be new to you).  You will have an opportunity to practice every skill as many times as you would like and ask any questions for clarification.

Day Two will begin with a wrap up and completion of any skills that were not covered on the previous day.  Then students will take a written final exam for their course and begin the Technical Scope of Practice (TSOP) skills evaluations.  These evaluations are scenario based coverning a total of 5 different skill-sets.  You will be evaluated and expected to perform to the level of an “Entry Level” provider.



This course is a 10 hour course. How do you know that the learner spent 10 hours on the material?

​We use a detailed mapping formula based on national statistics to determine the amount of time an average reader would take to complete the online material. This is a common question that brings us to an unsolved issue, Outcome vs. Time on Task. We all know that during the 10 hours of a traditional course there are times when students are physically present, but not mentally present. They may be chatting with a neighbor, texting, surfing the internet, using the restroom, taking an unplanned break etc. Then when the final assessment is given the students have to "step up, or step out."

​So we beg the question, what is more important: Whether John Doe physically sat in a classroom for 10 hours, or whether John Doe Possesses the knowledge and skills set forth as psychomotor and cognitive objectives for the course? To this end, we have chosen to use BOTH methods to map our course to time and outcomes.


How do you know that John Doe is the person who actually completed all of the work online? ​

We can Proctor John Doe when he takes a comprehensive assessment. If he is unable to pass the comprehensive assessment, he either did not retain the information from the course, or he did not complete the course work. (Outcome Vs. Time on task.)

​What is to prevent the learner from going straight to the test and taking it without ever looking at the material?​

There are several answers to the question:

We can actually force students to view certain items before others are available. (Not foolproof)

We use assessments that are multiple answer, not multiple choice (multiple guess), which requires a deeper understanding of the topic.

​We time assessments so the learner does not have time to go back through the material or look at books etc. to answer the questions.

​If absolutely necessary, we can proctor the learner to avoid looking up answers.

​Our most critical course topics will have several (if not all) of the above measures in place.

​How can you teach xyz (hands-on) skill online?

We use a variety of methods including videos to INTRODUCE the hands on or equipment based skills.  All skills require a basic cognitive understanding and review that includes the what, where, when, why and why not.  All of this is covered in the introduction including a basic demonstration.  We then bring the learners on site where a Qualified/Certified instructor demonstrates the skill and then allows the learners to practice and learn the skills before finally testing the skill. (Sometimes this is done a few hours, sometimes it is done in days.)