Nurses Helping Nurses
allnurses Network: Central | Jobs | Books | Newsletter
allnurses: A Nursing Community for Nurses
Home General News Blogs Articles Students Region Specialty Degrees F.A.Q.
Flight Nursing and Surface Transport Nursing /

What states have a prehospital RN scope of practice??



Did You Know?
allnurses is the largest community for nurses on the web. We now have over 385,817 members! Join today to network with other nurses, laugh, share, and much more.
Page 2 of 2 < 1 2

No. 10
from CraigB-RN
Old Jun 08, 2009, 02:07 AM

Default Re: What states have a prehospital RN scope of practice??
THe two I know of are PA and IL. Both are different in how you get permision.

Despite what's been posted, when your running pre-hospital, it's the EMS act that runs your scope of practice. No matter what your allowed to do in the hospital, if the EMS act doesn't allow it then you can't do it in the field.

States like KS EMS act allows nurses to run pre-hosptial without any specialty certification. You function under the ALS protocols.

I know about KS and PA specificly, because I ran prehospial in KS and I worked for one of the regional EMS offices in PA and was responsible for certification.

I remember a thread on flightweb.com about the subject, you might wan't to look there.
Top

2 Readers Gave Kudos
 
Advertisement
Sponsored Links
 
No. 11
from mwboswell
Old Jun 09, 2009, 08:29 AM

Default Re: What states have a prehospital RN scope of practice??
Originally Posted by cardiacRN2006 View Post
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
Top
 
No. 12
from chare
Old Jun 09, 2009, 09:52 AM

Default Re: What states have a prehospital RN scope of practice??
The West Virginia Office of EMS still maintains an EMSA-RN Certification.

I hope you find this information helpful.
Top

2 Readers Gave Kudos
 
No. 13
Old Jun 09, 2009, 12:27 PM

Default Re: What states have a prehospital RN scope of practice??
Originally Posted by mwboswell View Post
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"?
No, this isn't apples and oranges, this is what we are talking about!

Why? Because some of us love EMS, and are RNs. Why go back to paramedic school is there is a way to do it as an RN?

Originally Posted by mwboswell View Post


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.
-MB
My EMT class was one semester and I learned a ton! The skills and knowledge that I learned remain my foundation for what I do today.

Many of the Paramedic classes are 9 months out here. Adding it on will be no biggie. Especially if the RN already has an EMT-B or ED experience. (THe link I provided is education in addition to already being licensed as an RN)


Sooo, there you go.
Top

1 Reader Gave Kudos
 
No. 14
Old Jun 09, 2009, 12:33 PM

Default Re: What states have a prehospital RN scope of practice??
Originally Posted by chare View Post
The West Virginia Office of EMS still maintains an EMSA-RN Certification.

I hope you find this information helpful.
Thanks for the link! From your link,it listed this as the pre-requisites for initial certification...
Initial Certification

Personnel qualify for certification as an EMSA-RN, PA, FN by meeting the following requirements:
  • Complete the Emergency Medical Services Personnel Application.
  • Attach a copy of current drivers license.
  • Attach a copy of current CPR card.
  • Be professionally licensed as an RN or PA by the State of WV—copy of license required.
  • Be affiliated with a West Virginia Licensed EMS Agency.
  • Current ACLS certification—copy of card required.
  • Current BTLS or PHTLS—copy of card required.
  • Current PALS certification—copy of card required.
  • Current CPR certification—copy of card required.
  • Current EMT-B certification—copy of card required or:
  • 8 hour EMS orientation (from DOT EMT-P Curriculum)
    • Prehospital environment (0.5 hours)—signature of squad medical director.
    • Roles and responsibilities (0.5 hours)—signature of squad medical director.
    • EMS systems (0.5 hours)—signature of squad medical director.
    • Medical legal considerations (0.5 hours)—signature of squad medical director.
    • Rescue operations (1.0 hours)—signature of squad medical director.
    • Major incident response (0.5 hours)—signature of squad medical director.
    • Stress management (0.5 hours)—signature of squad medical director.
    • Personal hazardous materials (4.0 hours)—signature of squad medical director.
  • 48-hour paramedic refresher course (ACLS, BTLS and PALS accepted in lieu of all but 16 hours) 48-hour refresher course documentation sheet must be provided.
  • Successfully pass state EMT-P recertification written and practical exam (practical is not available "on demand", must be taken as part of a scheduled recertification exam)—signature of regional program director and medical director required.
  • 10 completed ALS perceptual runs—signature of certified EMT-P required.
  • 5 completed IV cannulations in prehospital or ED environment—signature of certified EMT-P or ED nurse manager.
  • 5 completed advanced airway management education and skills sessions—signature of EMS agency medical director or appointed preceptor required.
  • Completion of regional requirements, i.e. medical command rotation, protocol exam, etc.—signature of regional program director required.
Originally Posted by mwboswell View Post
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.
-MB
As you can see, this isn't a 2-year ADN degree that specialized in Prehospital RNs. We are talking about what to do, in addition to our nursing licenses, to get back into the field.
Top

1 Reader Gave Kudos
 
No. 15
from APNgonnabe
Old Jun 14, 2009, 08:15 PM

Default Re: What states have a prehospital RN scope of practice??
To the OP: Illinois is one of the states has a prehosptial rn (PHRN). When I am using this cert I am functioning on the Illinois EMS act and not overseen by the BON (at least to my knowledge). I have full scope of a paramedic including intubation, chest decompression, surgical and needle cryc (dear God), and of course the range of medications for seizures, resp issues, cardiac events.
And yes there are some of us our here who are RN's that happen to love the prehospital side of things. I am a member of a volunteer turned paid on call and I also work for a private service. Since I utilize my PHRN working for these I have no additional scope of practice that that other medics have so there is no financial difference other that I'd like to think I bring more to the table in way of critical thinking and advanced concepts learned in the ICU which is where I am an RN. This does not mean that I think my medic counter parts are any less of a provider than I am, although like any profession, there are good and bad providers.
Top

1 Reader Gave Kudos
 
Page 2 of 2 < 1 2
Reply




Thread Tools


Who's Online
89 members
1,161 guests
1,250

8

Doctors-in-short-supply-responsibilities-for-nurses-may-expa...

7

Less regular sleep for ICU nurses may lead to errors

14

Nurse sends unused medical supplies to needy nations

23

Premature Births Are Fueling Higher Rates of Infant...

6

MRSA Strain Linked to High Death Rates

22

RI hospital fined $150,000 in 5th wrong-site surgery since...

63

Nursing: One of the 6 Thriving Jobs that are Here to Stay???

89

Dad Fights Hospital to Keep Baby on Life Support

12

A nurse can dream...about awesome nursing

16

California Nursing Situation - CINHC's plan to help New...



7

Why am I doing this, anyway?

0

Nurse Heal Thyself

7

My Papa, why I am the nurse I am today.

15

I made it through

11

An angel's gaze

13

A Sister Never Forgets

16

Ruby's Marbles

29

What Do Operating Room Nurses Do?

14

My Little Old Jedi

16

I love this job......

23

"I hear voices"

17

Preventing FRUTI (Foley Related Urinary Tract Infection) in...

23

Error and Attitude

10

It's Just a Shower

6

Searching for the Purpose





Currently Reading This Page: 1 (0 members & 1 guests)

Interested in the hottest topics of the week? Subscribe to the Nurse-zine Newsletter.
Enter email address: