ED nurses working on ambulances

  1. Hi, I work in a busy rural level 4 ED. We have a hospital based ALS ambulance service. They occassionally are short staffed. When that happens one of the ED RNs is required to fill in as an EMTB or EMTP. I know that I am capable of acting as an EMTB but I am not licenced to entubate or some of the other advanced procedures EMTP do. Does any one else face these problems?
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  2. 5 Comments

  3. by   suzanne4
    Unless you have a certification as a paramedic, you should not be filling their position. You can function as an RN on the run, but unless you have been certified by your facility for intubation, or needle thoracostomies, etc. you are putting yourself in jeopardy, as well as your license.

    Check with your state board and see what they say.............you function under their rulings, not those of the ambulance company.
  4. by   Tweety
    Glad you joined. There is an Emergency Nurse bulletin board here that you might want to participate in. Good luck.
  5. by   traumaRUs
    It is very variable from one state to the next. Suzanne is correct - contact your board of nursing.
  6. by   ERNURSE4MS
    Thanks for the input. I have been a RN for 6 yrs but have worked in ED for 1 year. There are still ALOT of things I have to learn. I have considered going on to EMT school but that is still up in the air. I have sent e-mail to my state board of nursing for info on this. Having a hospital based EMS system can cause some problems but all-in-all I find it an amazing experience.
  7. by   suzanne4
    There are many rigs that also use an RN in transports when there are patients being transported that have drips that do not fall under the scope of practice of the paramedic. But to think that an RN can replace a paramedic on an emergency run is just crazy, same way that you would not replace an RN with a paramedic if they had a nurse call in for the shift to handle the same responsibilities.

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