I am also an EMT, transitioning to nursing school. I am a certified EMT-Intermediate, and I run with a volunteer agency in my hometown. I too left classes this week feeling very downtrodden, and wondering if I had made the right decision. I'm not so much concerned about helping people die, I get that part of the work, but I am concerned with the lack of challenging coursework in the program. I enjoyed being challenged in my pre-med and EMT courses. Pathophysiology, chemistry, biology, etc. In EMT school, it was SO much information in such a short time, and was structured in a "do or die" format that weeded out the less able, and forced you to really think, and learn. My nursing coursework, as it has been laid out to me, is SO basic and boring, I'm wondering how on Earth I'm going to stay engaged enough to be AWAKE in class. I don't feel I will be challenged at all this semester, and it's incredibly frustrating. I am also getting a taste of the more limited scope of practice I will have as an RN (MD's orders to give O2 via NC?!?!! REALLY!?), and I'm not liking it at all. I'm wondering if I'm ever going to be able to exercise my own clinical judgment again without directly consulting the physician. I know that as EMT's we work off protocols, and established standards, but I really feel like the autonomy I have as an EMT is going to be missing as a nurse, and is going to frustrate me to no end. I chose nursing over medical school, in large part, due to the lighter schedule, because I have 2 children I'd like to see for the next 10 years, and over Paramedic school because in my state you have to dual certify in fire, and I have no interest in it, and now I'm wondering if I shouldn't have put in the extra 2 years to go to PA school. I'm giving nursing school a chance, because I believe once I get out of school, and into the ER or ICU, I'll find some more autonomy and feel more challenged, but I must admit I came home crying today because nursing school just wasn't what I expected. The admissions process was so rigorous, I expected the coursework, and other students, to be more up to par. So far, it's like they are dumbing everything down for the 18 year olds, and I feel lost, bored, and unchallenged. Here's to hoping we BOTH find greener pastures ahead.