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- Aug 2, '12 by cynthiacaulkinsGo to the medical office of a nearby Trauma Hospital and state your plans with the ER Medical Director. Ask to "shadow" a Doctor and learn the ropes of Emergency Room. You may find a job opening for you when the ER MD sees your talents. Good Luck!!
- Aug 2, '12 by cynthiacaulkinsIn FL, there is a Nursing Education Group called: Medical Training, Nursing Courses, ACLS, Clinical Solutions. Check them out for the towns where TNCC and other courses are held. There expenses are a lot less than other places. Also, if you need to change your dates, it's NO problem!!!! I highly advise them.
- Aug 19, '12 by Murse901
My advice would be to get into the ER or ICU as soon as possible. If one hospital is telling you no, then go to another. If they're saying you don't have enough experience, you will never get there with home health or correctional experience. Get into a good tele or stepdown unit and go from there. Your #1 goal right now should be to get into ICU or ER if you're interested in this career path.
- Nov 23, '12 by GreenEyedRN@Murse901...what kind of prep did you have to do for the Creighton EMT-B for RN's course? I'm looking at taking it in March, and want to know what I'm getting myself into. Were you able to get all of your calls in during the time, or did you have to do more after the class?
- Nov 23, '12 by LG1137Good question, I'd like to know about the clinical calls too...
- Nov 23, '12 by Murse901For EMT-B, there is no required minimum number of calls, so it was not a problem. I didn't really do any prep. There is an Emergency Care manual for the class, but everything was covered during the course. As a nurse, you already know more than you need to know for an EMT-B course -- you just need to learn how to apply it prehospital, which is what they teach you. There are some skills that are taught in the class that you may not have learned in nursing school, but they aren't difficult to master.
Paramedic is a different story, because you do have to have I believe 50 patient contacts as a team leader, which you probably won't be able to get in 2 weeks. From what I understand, Creighton will assist in placing you with local EMS agencies after your class to get your 50 contacts.
- Nov 23, '12 by akulahawkWhile I can't speak for Creighton specifically, I can speak to EMT and Paramedic training in general. EMT is basically glorified First Aid, with some extra stuff thrown in. It's relatively easy to learn and master that psychomotor stuff. You'll probably have a harder time remembering NOT to do certain things than to do them.
Paramedic is a very different way of thinking, compared to Nursing. Patients that are having trouble breathing aren't evaluated for "ineffective breathing patterns" or "ineffective gas exchange," rather you have to pin it down to asthma, COPD, pulmonary edema. It's more like the medical model. You also generally have to meet a certain number of "ALS" patient contacts, and that's usually defined as contacts where you do something beyond simple ECG monitoring or starting an IV line. Many times, that number is 40 or 50 or so, and you'd have to complete an internship with a Paramedic Preceptor, and that's usually 480 hours or so, minimum. Some states will allow Nurses, PA's, Physicians, etc to challenge the written and skills exams, and when you pass those and go on to complete the internship, will license you as a Paramedic.
Lastly, you have to be able to think on your feet and do it quickly. You have to come up with a viable treatment plan within the protocols you have. You don't have the luxury of calling the Rapid Response Team, Code Team, RT, or even 911... because you are IT.
I'm not saying that a Paramedic is better than a Nurse. While medicine is medicine, and the two share quite a few skills, they really are two different fields and it's probably best to NOT compare them directly.
I wish you all the best and I truly hope you're able to realize your dreams!
- Nov 26, '12 by GreenEyedRNThanks for the info on Creighton. I'm hoping to take their March 2013 EMT-B course. I'm thinking about going through the Paramedic program eventually, but need to see what my state laws are. I've read you have to have a degree, so I'm not sure if a nursing degree with a Paramedic certification will count for the Oregon requirements.
As far as the differences between being an RN vs. Paramedic, I work in a small, critical access ER where as nurses we work from a medical/diagnostic model. I understand they are different fields, but we also have to rescue and stabilize people, and make quick decisions in the ER. Some of our sickest people come in POV, not by ambulance. We don't have a code/rapid response/trauma team. We are it. The supervisor will help, but as ER nurses, we are more skilled and experienced than most of the supervisors. We don't have RT or other ancillary services in-house after midnight, and often times start a code with 2 ER nurses and the doctor, with a lab tech helping until ancillary people arrive (RT, XR, CT).
I have BLS, ACLS, PALS, NRP, ENPC, TNCC, and PHTLS, as well as my CEN and CPEN. I think I'd do okay in the paramedic program. I don't compare nursing and paramedicine directly and think there needs to be less rivalry between the two fields.
- Nov 26, '12 by Murse901Quote from GreenEyedRNWhat you will likely have to do is get a Paramedic license from Nebraska and reciprocate into Oregon. That's what I had to do with my EMT-B license and that's what I believe I will have to do with EMT-P in Tennessee. The good news is, there is almost no cost for your Nebraska license. I had to pay a $25 application fee, but my renewals have been free.Thanks for the info on Creighton. I'm hoping to take their March 2013 EMT-B course. I'm thinking about going through the Paramedic program eventually, but need to see what my state laws are. I've read you have to have a degree, so I'm not sure if a nursing degree with a Paramedic certification will count for the Oregon requirements.
Here is the information on reciprocity in Oregon: http://public.health.oregon.gov/PROVIDERPARTNERRESOURCES/EMSTRAUMASYSTEMS/EMSTRAININGCERTIFICATION/Pages/recip.aspx
From the wording, it looks like they will accept any degree, so long as you have at least an Associate's degree. It doesn't specify Paramedicine or Nursing or Basket Weaving.
The administrator of the program, Mike Miller, is very familiar with reciprocity agreements with other states, and should have no problem assisting you with your Oregon licensure.