Re: What states have a prehospital RN scope of practice?? Originally Posted by cardiacRN2006
Ummm, it's already happening. That's what this thread is about! We just want to know which states it's happening in.
You're wrong. TraumasRUs, one of our mods, is a Prehospital RN in Illinoids doing exactly what I've described. I didn't just make it up...
http://osfniems.org/program_descriptions.html#phrn
I think we're talking apples and oranges here...
If you define the purpose of a "Prehospital RN" to be that of a RN who is employed by a free standing (non-hospital-based) State licensed EMS provider; who's
primary job responsiblity is to sit in a squad room, waiting for 911 calls, to hop in an ambulance, go to the scene and assess, treat and transport a patient... then the question is "why"?
What unique, "RN-only" job skills are being brought to the table here?
How does this improve patient outcomes?
NOW, if we're talking about a hospital-owned critical care transport service that ALSO has the capability of "scene calls" ('ala HEMS), then we're talking a horse of a different color. In many hospital-owned EMS/Transport systems, the "bread and butter" is insured patient transports, and of that we can include specialty transports (cardiac, vascular, neonatal, ICU/MICU etc)...but "scene" calls are not the primary focus of that niche'.
So I think the bigger question is what I said above which is "why?"....
...and from a consumer/tax payer standpoint; if I knew that it was going to cose more to staff pre-hospital 911 services w/RN's - I would say how do we justify the expense (which also includes at least a 2 year degree)....
Oh, and during that 2 year degree, they probably aren't going to learn very much about Emergency/Pre-hospital as ASN/ADN programs have barely enough time for basic competency/entry to practice. This means that any of those RN"s will have to have some "additional" training for the Pre-hospital role - thereby again, increasing costs; and increasing operating expenses and subsequently overall health care costs.
-MB
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