paramedic nursing - page 5

Hi, I'm a 2nd year nursing student and have an interest in paramedic nursing. Is there anybody involved in this area of nursing and would like to share some related information? For example what... Read More

  1. by   Medic09
    David, in the Maritimes in Canada (don't recall where) a 'paramedic practitioner' like you describe has successfully been in place for a while. They practice on islands where transport to hospital for routine calls can be delayed and expensive.
  2. by   CraigB-RN
    There are many models to choose from in developing programs like that. Just about every military organization in the world has a program to teach their medics how to handle those kind of situations. The hard part is deciding were it's appropirate. One of the white papers from a few years back, talked about doing that in inner cities, to help with ER over crowding. Like David pointed out, we have to change our reimbursment structure. I fear that making that kind of change would just move the problem from one jursitiction to another.

    There has been a lot in the news about the need for health care reform, I hope that the powers that be, (The Obama administration) remember to include out of hosptial/unscheduled care in the discusion andthe reform.
  3. by   KellRrn2b
    I have nothing to add to this blog because I am actually just starting nursing school, however, I must say that I greatly enjoyed reading this. It has taught me about the differences between a medic and a nurse and the need for reform in this field. My goal is to becaome a critical care nurse but I am also interested in becoming a medic as well. Thanks guys
  4. by   Gavin'sDad
    Hi,

    I'm just curious, does anybody know what it takes to be a paramedic in IIlinois? I'm also an RN, just want to know what will I need to be one. Thanks
  5. by   APNgonnabe
    Gavins Dad,
    If you want to be a Paramedic in Illinois then I believe you must take a Paramedic class and testing. In Illinois there is what is call a Prehospital RN (PHRN) and they typically function at the level of a paramedic on ambulances. Here is what the state says about them http://www.ilga.gov/commission/jcar/...50E07300R.html
    If you would like to PM me and give me your location I may have some contacts for you.

    J
  6. by   R.N 07
    I have been a nurse for almost 3 years and I just started working as an EMT last year but I am having a hard time trying to land a job in the E.R I just dont understand it
  7. by   KirbyEMT
    We'd probably all agree that the AVERAGE RN is not qualified to work as an EMS professional. But most of us who are looking into this are NOT average. We've grown up in ALS services as EMT's, become RN's and spent a lot of time in critical care / ER while still continuing to work and volunteer as EMT's. Now, we're wanting to extend our experience and skill to being ALS providers. In my regional EMS system, they will let me practice above the level of a Paramedic as a PHRN. The main difference being the ability to take critical care drugs on transfers that are above paramedic level. So, my medical director obviously does not have a problem with experienced RN's providing ALS care and above, so neither should you.

    Now for the purposes of "having the certification" I would like to get my NREMT, since it looks good on a resume. I already can perform every paramedic skill. I would simply like the letters behind my name to make that more marketable. So, from the previous posts, I see that California, North Carolina, Florida, and Pennsylvania all have some sort of way for an RN to challenge the state EMT-P license exam? I've also looked into the Creighton program.

    Did I miss any states?
  8. by   mmutk
    Quote from EMTPTORN
    here in florida an rn can challenge the state paramedic exam......i believe they have to have their emt basic. a paramedic (at my nursing school) can opt to clep one semester of the rn program.....of which i chose not to even try.

    as far as skills go, paramedics are only limited to what medical control allows. where i work, the sky is the limit as to what you want to do, you just need the courage to try or ask. we have it much more liberal than rn's in the hospital or er's, at least in my area.

    i have worked in 2 other states, and they each were different with some rules, but neither allowed any clep for the rn to paramedic..., but they both did vice versa.

    after working as a paramedic 13 years i cannot imagine why a nurse would want to do my job.....maybe some can't figure out why i want to be a nurse either.
    I think I read somewhere that in the above case the paramedic is not nationally registered after doing this. Can you clairify this?
    Last edit by mmutk on Oct 6, '10
  9. by   TraumaSurfer
    Quote from mmutk
    I think I read somewhere that in the above case the paramedic is not nationally registered after doing this. Can you clairify this?
    Florida does not use the NR for Paramedic certification. Instead it has its own state exam. An RN can challenge the state Paramedic exam after they are certified EMT-Bs (NREMT). After that they can receive their Florida Paramedic license.

    If you are a NR Paramedic entering FL, you will also have to take the Florida State exam. I expect more states will be going back to their own Paramedic exams if schools do not want to become accredited in the next couple of years.

    http://www.doh.state.fl.us/mqa/emt-p...s.html#Initial
    Health Professional Licensure - Florida licensed physician, dentist, or nurse may apply for certification as a paramedic and subsequently challenge the paramedic exam, provided he/she holds a Florida EMT certificate which is current and in good standing.
    Here is a link from 2008 about what states allow RNs or other healthcare professionals to challenge or do an abbreviated bridge to Paramedic.

    http://www.nasemso.org/NewsAndPublic...rvey051208.pdf

    In Florida, an RN who does HEMS for scene response will usually take the 2 week EMT class and then challenge the Paramedic. However, the RN will continue to work under the RN license since the Paramedic cert is very limiting especially for critical care IFT. If the helicopter or ambulance does not do scene response, no Paramedic cert is required. This is just an old rule on the books and hopefully it will be updated or replaced by a prehospital nursing credential.

    where i work, the sky is the limit as to what you want to do, you just need the courage to try or ask. we have it much more liberal than rn's in the hospital or er's, at least in my area.
    This I find that very hard to believe since most Paramedics in Florida do not come into contact with most meds or equipment that RNs do inside of a hospital. A Paramedic is not an independent practitioner so they still must function within their protocols or contact med control. Even in counties that are thought to be fairly progressive, like Lee, and call their protocols "guidelines", they are guidelines in that you don't have to follow the protocol to the letter if you feel something is not necessary. However, even these quidelines also want med control contacted if you deviate.
    Last edit by TraumaSurfer on Oct 6, '10
  10. by   mmutk
    I have no option in Tennessee to get my Paramedic quickly. I am an RN and EMT-I. I was going to go to florida to get it until i learned it would not be NR and transfer to Tennessee.
  11. by   TraumaSurfer
    You should consider taking that next step for Paramedic soon or you could be back at EMT or AEMT if TN follows along with the NREMT changes per the [FONT=TradeGothic][FONT=TradeGothic]National EMS Scope of Practice Model. EMT-I will be eliminated. It shouldn't take that many more hours of training to go from EMT-I to P.

    http://www.nremt.org/nremt/downloads...etter_2009.pdf
    [FONT=TradeGothic][FONT=TradeGothic]
    [FONT=TradeGothic][FONT=TradeGothic]
    .
  12. by   mmutk
    Yeah TN is eleminating EMT-I, i'm going to take the class to AdvEMT but I really want paramedic. The EMT to AdvEMT is just like a refresher course. Unfortunately paramedic is 2 years.
  13. by   TraumaSurfer
    Quote from mmutk
    Unfortunately paramedic is 2 years.
    2 YEARS?!!

    Who told you that? Look up just about any college in TN and you will find this:

    The paramedic course is divided into 425 hours of didactic and laboratory training and 600 hours of clinical training. The course is 3 semesters in length spread over 11 months.
    11 months is the longest program I found. A two year degree is NOT required in your state nor any other state except Oregon and I don't believe that degree even has to be related to medicine or science.

    A couple of FDs are doing those 1000 hours in a lot less than 11 months.

    Here's a list of your schools. I pulled up about 6 programs and got the same results each time.

    http://health.state.tn.us/ems/traini...lities.htm#col

    Generally the EMT-I will cover at least one semester of that Paramedic training.

    Of course it is too bad that an RN has to sit through the pathetically over simplified A&P and pharmacology. It is much nicer in the states that have the RN to Paramedic transition that can train the RN at a college level rather than at 10th grade. If the provider already has college A&P you don't need to dumb it down and can actually explain why you are doing something rather than just teach how to read protocols.

    I do admire other countries that take a college degreed (4 year) Paramedic or RN and make them Emergency Care Practitioners with post grad work. The Dutch, Spain and U.K. EMS systems are by far more advanced because they use the RN who can have hospital experience and advanced education knowledge to compliment field treatment. This will never happen in the U.S. because EMS is largely Fire Based and still has numerous volunteer agencies.

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