Before the scrubs · Prerequisites

Build the foundation.
Then build on it.

Starting nursing or paramedic school? Make sense of the science, find the right reading, and check what your program actually requires. You do not need to know everything before you begin.

Choose your starting point

Six foundations worth understanding

These subjects recur in the program examples below. Your school decides which are needed for admission, which can be taken alongside the program, and which count toward a degree.

Course planning & reading

Microbiology

Build a picture of microorganisms, how they grow, and how the body responds. Connect the vocabulary to infection and prevention.

Check your program: Confirm the lab, science-course prerequisites, and whether microbiology is required before applying or later.

Find microbiology reading ↓
Course planning & reading

Chemistry & nutrition

Work from atoms and bonds toward solutions, energy, and nutrients. Make the chemistry underneath physiology less mysterious.

Check your program: General chemistry, organic chemistry, and a combined health-sciences chemistry course are not automatically interchangeable.

Find chemistry and nutrition reading ↓
Course planning & reading

Psychology & lifespan

Explore behavior, learning, and development across a lifetime. Practice considering a person’s stage of life and circumstances.

Check your program: Introductory psychology and lifespan development are different courses. A child-development course may not satisfy a full-lifespan requirement.

Find psychology reading ↓
Course planning & reading

Writing, math & statistics

Explain an idea clearly, keep track of units, and read numbers with care. These skills stay useful long after the prerequisite exam.

Check your program: Placement rules, composition credits, algebra, and statistics differ. One math course does not necessarily replace another.

Compare course requirements ↓
Paramedic pathway

EMT foundations & medical terminology

Build on EMT knowledge and learn how word parts describe body systems, findings, and procedures.

Check your program: Confirm EMT status, state licensing, Basic Life Support (BLS), A&P, and any required experience or entrance assessment.

Explore paramedic examples ↓

A useful starting point, not a national ranking. We have not established a national ranking of prerequisite frequency or textbook adoption. The examples here show how actual programs differ; the books are verified options to compare with your syllabus.

Across the U.S.

Eight programs. Different routes in.

BSN means Bachelor of Science in Nursing; ADN means associate degree nursing; AAS means Associate of Applied Science. These examples are a planning aid, not an exhaustive admissions checklist.

Official program sources checked November 14, 2026. On a small screen, scroll the table horizontally.
Program & locationSelected requirementsThe detail to check
University of WashingtonWashington · BSNA&P, general and organic chemistry, microbiology, nutrition, statistics, writing, and lifespan development appear in the prerequisite worksheet.Application and program-start requirements differ. Confirm chemistry equivalencies and science labs using the official worksheet.
UTHealth HoustonTexas · Pacesetter BSNA&P I–II with labs, microbiology with lab, general chemistry with lab, psychology, lifespan, statistics, nutrition, and English are among 60 prerequisite credits.The application can be considered with 48 completed credits, including 16 specified science credits. All prerequisites must be finished before classes start; state-specific general education also applies.
Metropolitan Community CollegeNebraska · ADN after practical nursingSelected prerequisites include chemistry, English composition, algebra, human growth and development, and A&P I–II.This one-year ADN route follows an approved practical nursing program. It is not a direct-entry example for someone who has not completed practical nursing education.
Bunker Hill Community CollegeMassachusetts · Associate degree nursingAdmissions prerequisites include writing, A&P I with lab, chemistry with lab, and algebra coursework or qualifying placement.A&P II, microbiology, and psychology are listed among recommended corequisites, not the same admissions prerequisites. Check the current science-recency and testing rules.
Weber State UniversityUtah · ParamedicCurrent Utah EMT certification, eight A&P credits, medical terminology, English, math, and an entrance assessment are required.Academic prerequisites must be completed before starting the paramedic program. The published page specifies a minimum C in these courses and a 2.7 GPA.
Portland Community CollegeOregon · Paramedic certificate / AASCurrent Oregon EMT status and AHA BLS are required. Preparatory courses vary: the degree route includes A&P I–III; the certificate route lists EMS-specific A&P.The certificate route requires an existing associate degree or higher. Finish the relevant prerequisites and preparatory coursework before applying to the final paramedic sequence.
Durham Technical Community CollegeNorth Carolina · Continuing-education paramedicThe program lists EMT certification, AHA CPR, an information session, approved A&P preparation, and evidence of college-level math and reading readiness.Official materials describe the A&P options and timing differently. Have the EMS program confirm your exact course combination and completion deadline before registering.
Cleveland ClinicOhio · Paramedic educationThe 2026–27 requirements include EMT status, BLS, an entrance assessment, and approved A&P preparation.A&P can be met through specified college coursework or the program’s approved modules. Check the academic-year admissions document for grade, recency, Ohio certification, and completion rules.

Each program controls admission and transfer credit. A similar course title, online format, or completed textbook does not establish equivalency. Ask the school to review the syllabus, credits, lab format, completion date, and grade before paying for a course.

Read with a purpose

Books to compare with your syllabus

Start with the exact title, edition, ISBN, and online access your instructor assigns. The publisher links below identify real options; they do not mean every school uses that book. Free reading can help you prepare, but may not replace assigned materials.

Ten subject areas, with official publisher pages and free external reading.
SubjectTextbook option · publisherFree reading or companion
Anatomy & physiologyMarieb Human Anatomy & PhysiologyMarieb, Hoehn, Haynes & Abbott · PearsonOpenStax Anatomy and Physiology 2eFree online textbook; compare coverage with your lecture and lab syllabus.
MicrobiologyMicrobiology: An IntroductionTortora and coauthors · PearsonOpenStax MicrobiologyFree online textbook.
English compositionA Writer’s ReferenceHacker & Sommers · Macmillan LearningOpenStax Writing Guide with HandbookFree writing and revision support.
Introductory psychologyPsychologyMyers, DeWall & Gruber · Macmillan LearningOpenStax Psychology 2eFree online textbook.
StatisticsElementary StatisticsTriola · PearsonOpenStax Introductory Statistics 2eConfirm the calculator or software used in your class.
ChemistryChemistry: An Introduction to General, Organic, and Biological ChemistryTimberlake · Pearson · Combined chemistry courseOpenStax Chemistry 2eGeneral chemistry. Its scope differs from a combined general/organic/biological course.
Lifespan developmentThe Developing Person Through the Life SpanBerger & Thomas · Macmillan LearningOpenStax Lifespan DevelopmentFree online textbook covering development across life.
NutritionUnderstanding NutritionWhitney, Rolfes & Maier · CengageNIH Office of Dietary Supplements fact sheetsFree companion reading on nutrients and supplements; not a full nutrition textbook.
EMT foundationsEmergency Care and Transportation of the Sick and InjuredAAOS · Jones & Bartlett Learning / Public Safety GroupNational Registry EMT Candidate HandbookFree certification-process guidance; not a substitute for EMT education or a textbook.
Medical terminologyThe Language of MedicineChabner · ElsevierMedlinePlus: Understanding Medical WordsFree introductory word-building tutorial.

These links open resources on their publishers’ or providers’ websites. FORGED does not reproduce their textbook pages, illustrations, or question banks, and is not affiliated with the listed schools or publishers.

Turn the list into a plan

A manageable next step beats a stack of books you are afraid to open.

  1. Choose a program and start term.Save its admissions checklist. Mark what must be done before applying, before starting, and during the degree.
  2. Verify before you enroll.Ask about equivalencies, labs, grades, course age, prerequisite chains, and tests. Get unclear answers in writing.
  3. Study one foundation at a time.Try the free A&P preview. Explain the idea in your own words, then use a question to find the part that still needs work.

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