Be a paramedic again by test?

Hey medics,

Past paramedic here, turned ER RN and now independent Nurse Practitioner for the past 10 years, "thinking about" trying to take the NR Paramedic exam and recredential. (Why? No idea. Maybe midlife reinventing myself?)

Recently, I completed a RN to EMT course -which wasn't really a course- and last week took the NREMT exam and passed after spending about four hours reviewing the Pocket Prep app. I'm thinking of buying a month subscription for the paramedic level just to see what those questions pertain to.

I see now one can renew by test and CE hours and postpone a skills verification until working or somehow affiliated with an EMS training officer or doctor. I originally let my paramedic cert lapse because I wasn't affiliated with a "medical director" or EMS service, plus I was in graduate school and had bigger fish to fry. Looking at my state website, they only speak to requiring National Registry credentialing before issuing a state license.

In respect of your judgment and experience, what would you say to this? What do you think?

I'm trying to think of areas I would be admittedly deficient in. We didn't have mobile 12 leads in my region although everything I order and read is 12 lead now. We didn't have IO drills or onboard ventilators when I was in a truck. As I type this, I really don't know crap about ventilators. The drug scope is fairly narrow for medics and although I'm not doing any of the invasive airway procedures anymore I think they could use some polishing. I don't think any of the patho or medical stuff is particularly troubling. Obstetrics and probably EMS Ops would be areas to review. As per passing a skills verification today, I don't think I would; not because I can't do the work, but we know the specific processes and vocalizations to pass those exams need to be trained.