It looks like the California EMSA is advancing its proposal for the Critical Care Paramedic in California. This provides for an expanded scope of practice which may surpass that of the RN even without the Associates degree.
I know the effects will be felt in both Flight and ground CCT. It will also extend into Maternal/OB and Neonatal Specialty transports. Some counties have already been watching this and are ready to make the transition from RNs to Paramedics on flight and CCT. This has already been heavily discussed in Orange county. It has both pros and cons. I am still a firm believer in education and that one should actually have worked in a critical care environment for at least a couple of years before transporting an ICU patient. But, that also may now become a reality for the Paramedic as the CCP is moving into the hospitals in Kansas, Oklahoma and Colorado. A few hospitals are using Paramedics to replace Respiratory Therapists for nightshifts and in the ERs. Some smaller hospitals in California are considering this also since the Paramedics will now have point of care devices and mechanical ventilators as part of their scope of practice. This could serve many purposes.
Oct 14, '13
Being an EMT on a CCT unit for many years in so cal, and knowing these IFT medics that will be filling these positions will be scary. I am assuming they are mostly pushing this because of the cost of a medic vs. an RN. It is weird that orange county is the first place because private ambulance medics do not even exist out there right now only fire medics can operate as medics in orange county.
Okay I re-read it and it seems medics will not be doing CCT calls, but they will be able to do ALS calls because in orange county they are unable right now. This is not goodbye CCT-RNs in cali by no means it is simply allowing RNs to be freed up from ALS calls like cardiac monitoring or basic drug therapy. Unless I am missing the part where they are training medics on mechanical ventilators and transferring patients with blood transfusions and multiple drips on a pump then I do not think this article means what you think it means.
Last edit by Deuceswild1 on Oct 14, '13