Kristin,
Extra time on a pencil-and-paper test (or even an online test done on a keyboard!) is almost always justifiable. But when the assessment is of a practical skill, whether it be applying a tourniquet, responding appropriately to a chemical spill, or giving someone a permanent, the element of time may, indeed, be a legitimate part of the assessment. That isn't always true. Sometimes there are time limits set on practical assessments out of convenience or tradition (like the demand for minimum typing speed in an office administration curriculum -- no one is going to die if you type 40… >>>