• For more information about GRTS, call 660-646-3414, or stop by and visit us at 1200 Fair Street, Chillicothe, Missouri or E-Mail Us.
  • For all post-high admissions & financial aid information, click here.

Register now for EMT or Paramedic Classes... see details >>

Program Flyer | Paramedic Video

Wanting to take that next step with your EMT training? Give us a call about our Paramedic program at 660-646-3414 or contact us by email.


Nathan Zabka, Paramedic Instructor
660-646-3414 OR fax 660 646 3568

Derrick Allen, Firefighter I & II
660-646-3414 OR fax 660 646 3568

Sondra Sturguess, Business Tech/Adult Ed Coordinator
PLTW Computer Science Essentials
660-646-3414 OR fax 660 646 3568

Zach Parks, EMT Instructor

Billy Gutshall, EMT Instructor

The GRTS Paramedic Program is accredited by the Commission on Accreditation of Allied Health Education Programs upon the recommendation of the Committee on Accreditation of Educational Programs for the Emergency Medical Services Professions (CoAEMSP).

Commission on Accreditation of Allied Health Education Programs 727-210-2350

To contact CoAEMSP: 214-703-8445 www.coaemsp.org

Enter an Exciting and Rewarding Career in

Emergency Medical Services...

Lives are saved every day due to the quick reaction and competent care of emergency medical technicians (EMTs) and Paramedics - EMTs with additional advance training to perform more difficult pre-hospital medical procedures. Missouri EMS personnel respond to over 1/2 million calls annually for incidents as varied as heart attacks, auto accidents, drownings, childbirth, gunshot wounds, etc. all requiring immediate medical attention.

During the 1950s, the need for quality pre-hospital care of the critically ill and injured was recognized and, as a result, standardized levels of emergency medical education and pre-hospital health care delivery were developed through the United States Department of Transportation.

Grand River Technical School offers three levels of EMS training:

  • First Responder

  • EMT-Basic

  • EMT-Paramedic

The minimum level - First Responders - are trained to provide basic emergency medical care because they are usually the first persons to arrive on the scene of an accident. Many firefighters, police officers, and other emergency workers have this level of training.

The EMT-Basic rescue personnel are trained to care for patients on accident scenes and in transport by ambulance to the hospital under medical direction. The EMT has the emergency skills to assess a patient's condition and manager respiratory, cardiac, and trauma emergencies.

The EMT-Paramedic provides the most extensive pre-hospital care, which includes administration of intravenous fluids and use of manual defibrillators to give lifesaving shocks to a stopped heart. The paramedic will utilize advanced airway techniques and equipment to assist patients experiencing respiratory emergencies. Paramedics may also administer drugs orally and intravenously, interpret EKGs, perform endotrachael intubations, and use monitors and other complex equipment.

EMT Basic Training

First Responder | EMT-Basic | EMT-Paramedic


Module 1 Preparatory
Introducing the EMS System The Well-Being of the First Responder
Legal and Ethical Issues The Human Body Lifting and Moving Patients

Module 2 Airway
Airway Management

Module 3 Patient Assessment
Assessment of the Patient

Module 4 Circulation
Cardiopulmonary Resuscitation Two-Rescuer CPR

Module 5 Illness and Injury
Medical Emergencies Bleeding and Soft-Tissue Injuries Muscle and
Bone Injuries

Module 6 Childbirth and Children
Childbirth Infants and Children

Module 7 EMS Operations
Gaining Access and Triage

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EMT - BASIC Core Requirements

The EMT-Basic course meets one to two nights per week, plus clinical hours and is one school year in length. The EMT-Basic course consists of the following modules:

Module I - Preparatory
Scene Safety and Body Substance Isolation, Quality Improvement/Medical Direction, Lifting Techniques and Stress Management, Medical/Legal, MO State EMS Laws and Statutes

Module II - Airway
Artificial Ventilation, Suctioning, Airway Adjuncts

Module III - Patient Assessment
Four-Step Assessment, Priority Patients

Module IV - Medical/Behavioral
Medical Emergencies, Cardiac Emergencies, AED, Pharmacology, Behavioral Emergencies

Module V - Trauma
Shock, Burns, Injuries, Rapid Extrication

Module VI - OB, Infants, and Children
Childbirth, Medical Problems Specific to Infants and Children

Clinical experience in hospital or emergency services department.

Upon successful completion of the course, the student is then eligible to sit for the National Registry of Emergency Medical Technicians examination for the EMT-Basic. Once this examination is successfully completed, the student may then apply for Missouri licensure as an Emergency medical Technician-Basic.

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The EMT-Paramedic program is available to prospective students as either a certificate program or students may pursue an Associate of Applied Science Degree. The Associate Degree program includes all of the courses required for Missouri EMT-Paramedic certification as well as a general studies curriculum.

The EMT-Paramedic class meets two days per week plus clinical hours and is approximately 15 months in length. The core EMT-Paramedic program consists of the following... click here for Paramedic Syllabus.

Prerequisite - Copy of current Missouri or National Registry EMT license

Corequisite - *Anatomy & Physiology for college credit may be taken prior to or concurrently with the GRTS Paramedic course, but it MUST be taken.

*A course completion will only be issued upon receipt of official transcript from the college in which the A&P was taken. The transcript must show successful completion of A&P with a minimum of a 2.0 GPA required.

Upon successful completion of the course, the student is then eligible to sit for the National Registry of Emergency Medical Technicians examination for the EMT-Paramedic. Once this exam is successfully completed, the student may then apply for Missouri licensure as and EMT-Paramedic.

Grand River Tech Paramedics Success Rates...

NREMT - 2019 results = 37.5%
Retention = 99.9%
Job Placement = 100%
No graduates during the 2020 reporting year.
Class was extended due to COVID pandemic.

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Job Outlook

Note: All Occupations includes all occupations in the U.S. Economy.
Source: U.S. Bureau of Labor Statistics, Employment Projections program

Employment of emergency medical technicians (EMTs) and paramedics is projected to grow 7% from 2018 to 2028, faster than the average for all occupations. Emergencies, such as car crashes, natural disasters, and acts of violence, will continue to require the skills of EMTs and paramedics. The need for volunteer EMTs and paramedics in rural areas and smaller metropolitan areas will also continue. Growth in the middle-aged and older population will lead to an increase in age-related health emergencies, such as heart attacks and strokes. This increase, in turn, will create greater demand for EMT and paramedic services. An increase in the number of specialized medical facilities will require more EMTs and paramedics to transfer patients with specific conditions to these facilities for treatment.

Job Prospects
Job opportunities should be good because the growing population will require more emergency services generally. There will also be a need to replace workers who leave the occupation due to the high stress nature of the job or to seek job opportunities in other healthcare occupations.

Percent change in employment, projected 2018-28

Health technologists and technicians



Emergency medical technicians and paramedics



Total, all occupations



Employment projections data for EMTs and paramedics, 2018-28

Occupational Title

SOC Code

Employment, 2018

Projected Employment, 2028

Change, 2018-28

Employment by Industry





SOURCE: U.S. Bureau of Labor Statistics, Employment Projections program


Emergency medical technicians and paramedics








Program Requirements

  • NCMC Degree: Associate of Applied Science

  • NCMC Program: Emergency Medical Technology - Paramedic (EMT-P): Management Track

  • GRTS Program: Emergency Medical Technology

  • Program Curriculum: English I, Speech or Interpersonal Communications, American History I or National Government, Math for Allied Health Science, Anatomy & Physiology, Employment Strategies, Psychology of Supervision, Principles of Management, Human Resource Management, Micro-Computer Applications I (62 total credit hours)

Paramedics, licensed in the State of Missouri, will receive advanced placement into the AAS degree in EMT-Paramedic. Thirty college hours will be awarded for completion of the paramedic program, which is applied to the associate degree program. NCMC provides two degree options: Management and Allied Health.

Specific criteria must be met before credit is awarded:

  • Application for college admission

  • Official transcripts from all previous educational programs (high school or GED, vocational schools, and colleges)

  • Evidence of EMT-P program completion from private training entity

  • Proof of current Missouri licensure as EMT-P

  • ASSES or ACT (for academic counseling/course placement)

  • Maintain 2.0 (C) cumulative GPA to graduate

  • Completion of the 32 college credit hours required for the degree

  • Complete a minimum of the last 15 credit hours at NCMC

Firefighting Program

The Firefighter Program is a separate program also offered through GRTS.


The Grand River Technical School adheres to a policy of non-discrimination on the basis of age, color, creed, handicap, marital or parental status, national origin, race, religion, or sex in admissions, educational programs, activities, financial aid, and employment.

Public Notice
Nondiscrimination Statement
Chillicothe R-II School District

The Chillicothe R-II School District complies with all federal and state laws prohibiting discrimination, including Title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1974 and the American Disabilities Act (ADA). It is the policy of the school district that no person, on the basis of race, color, national origin, sex, age, or handicap, shall be discriminated against in employment, educational programs and activities or admissions. Inquiries or complaints concerning the Chillicothe R-II School Districtís compliance with the regulations implementing Title II, Title VI, Title IX, Section 504 or the American Disabilities Act (ADA) may be directed to: Superintendent Office, Chillicothe R-II School District, P.O. Box 530, Chillicothe, Missouri, 64601. (660-646-4566).

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This page updated by BK Web Works 06/28/2022.

Our state-of-the-art facility in Chillicothe, Missouri

Grand River Technical School
1200 Fair Street
Chillicothe, MO  64601
Phone: 660-646-3414
Fax: 660-646-3568
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