Local System Orientation Examination


Due to current events the EMS Agency will be modifying the EMS Exam testing. The EMS EXAM will now be offered once a week (see schedule below) by reservation only. 

Reservations for the exam shall be made by using the Eventbrite link below to schedule an exam date/time.  Please only schedule one exam date/time.  

Each Exam will have a limited number of openings in efforts to ensure proper social distancing. Each person testing will be assigned a specific 15 minute window of when they are to arrive for the exam. You will not be allowed to test unless you arrive to the classroom during your specific timeframe. We recommend that you arrive prior to your scheduled time and wait in your car until the appropriate time frame. If you are unable to make it during the time frame you have been assigned or decide to cancel from the exam you are required to notify the EMS Agency at least 24 hours prior to the Exam, or by cancelling through your Eventbrite ticket. 

During this time the exam will be held at the EMS Agency Office.


The Local System Orientation Examination is a requirement (Policy 214) for all providers entering the Santa Clara County EMS System. The exam is designed to assess an individual’s knowledge of Santa Clara County policies and procedures, treatment protocols, radio communications, hospital/facility destination policies, and other unique system features to ensure providers are prepared to enter into service within our EMS System. Separate versions of the exam will be provided to EMT's and paramedics. The paramedic version also includes the paramedic accreditation exam.

The exam consists of 50 questions and a score of 85% or higher is required to successfully pass the exam. Those who do not obtain a passing score will be required to return and retake the exam at one of the scheduled exam testing dates.


Prior to taking the Local System Orientation Examination, all providers are required to watch the EMS System training videos as well as read the Santa Clara County Prehospital Care Policy manual. Please review each policy to ensure an understanding of the roles and responsibilities of paramedics and EMT’s working within the Santa Clara County EMS System. 


Doors will be closed at the start time listed for each exam. Please plan accordingly, and arrive up to 15 minutes early. Those arriving late will not be allowed to test, and will be required to reschedule, and take the exam at a later date.

Date and Start Time - 2022

Registration is mandatory, and walk-ins will not be allowed.  

Please only sign-up for one exam time slot.  

May, 2022 dates will only be scheduled through the Eventbrite Link

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