So I graduated in May 2012 and would love to get into Trauma ICU. I have my ACLS, PALS, and plan to take my TNCC in October of this year. There are two trauma centers in my city (Omaha, NE) but they require at least a year of critical care/ED experience. The regular ICU's and ED's also require this one year of experience. Where can I get this experience? I currently work as an RN for a home health company with a child on a ventilator. Should I bridge to get my EMT-B (EMT-Paramedic bridge course requires 2 years of critical care to take) and work on a squad for a year to get the experience or am I better off doing what I am now? The bridge class is a week long and will let me sit for the EMT exam. It costs about $1000 but if it will help me to get where I want to be I have no problem paying for it, I just do not want to waste that money. I have no problem working my way up but it seems that in emergency medicine you need emergency medicine experience to land a job and I do not know how to break into that field if I can't get a job without experience.