Flexibility in location may help in getting a job. Volunteer, internship, co-op experience may be helpful. Part-time work may be helpful to gain experience. Prior to practicing as a paramedic, candidates must certify at the state level. Certification usually requires successful completion of written and practical exams and allows paramedics to practice in a single state.
National registration allows paramedics to practice in multiple states.
National registration is not required to work as an EMT, but it increases prospects for promotion. National registration also requires passing written and practical exams. Some states require passing the National Registry Exam and some require passing an individual state exam. Usually the National Registry Exam can be substituted for a state exam. North Carolina requires the state exam.