Can anyone help me? I have 26 years ER, and 4 years ICU-I'm also very active in EMS,both teaching and "running call". The ENA put out a position paper on "The RN in the Pre-Hospital Environment" in 1989, but I can't find any state guidelines, standards, organizations, or other information. I know I'm not the only one who "crosses over", and if there isn't a group or association, I'm wondering if anyone would be intersted in starting one.....then of course, how in the heck would I do that???? Thanks!!