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Joined: Aug 8, '10; Posts: 433 (41% Liked) ; Likes: 378

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  • Aug 14 '17

    Quote from Ace587RN
    Lots of good information in this thread . Im also an ED RN looking into pre hospital medicine just to volunteer at my local FD. im from FL and i was told i could challenge the paramedic exam after getting my EMT. Anyone else from FL here? i have BCLS, ACLS, PALS, TNCC already
    Yes you can challenge the Paramedic after EMT. All the info is on the DOH website.
    EMS Home

    The exam is only the written part and what makes it different from the NR is it asks specific questions about state specific trauma, DNR and IFT protocols which can also be found on the website. Definitely read the statutes also.

    Division of Emergency Medical Operations - Home

    If you feel you need a quick review, take a cheap Paramedic refresher course at one of the community colleges or state votechs. Don't pay a huge price at the private medic mills. You can also find a refresher online.

    EMS Free Course Search

    Testing and Training Resources - Bureau of Emergency Medical Services

    If every FF in Florida can pass the test, a decent ED RN should be able to.

    The EMT will give you the basics of the ambulance. The only skill you might fall short on is intubation but many student Paramedics don't get that opportunity either. You will find there are practicing Paramedics who have never intubated or haven't since doing one in school. If you get on with a decent flight or specialty program after some ICU experience, they will get you into an OR or ED to get some intubations.

    I also recommend taking a basic and advanced burn courses through a burn center and taught by burn RNs and doctors. Of course for EMS you might have a simpler protocol for burns but if you do CCT or Flight with the RN credential, you may expected to do more.

  • Apr 30 '17

    Quote from kvromero11
    I want to do both. Jack of all trades. I think itd be best to agree to disagree, because I see an RN and EMT-P certification to be very equivelant. I dont down play anything. I know both professions are totally different. One is long term, one is short term. Like I said, in my state they are both equivelant, and a paramedic needs to be able to everything an RN can and vice versa.
    I do believe in education too. I believe in being well rounded too. My goal is to make myself the most competitive applicant. So if I can be competant as both a medic and a nurse it can only benefit me.
    I can see where your dislike for medics are on your previous post. I understand it.
    I believe your answer to my question is stick with the BSN program. CCRN over CCEMT. And I am assuming you are not a medic either so you cannot answer my second question. Thank you for chatting with me :-)
    Telling you what you don't want to hear is not a dislike for Paramedics. Like many who started in EMS and then went on, we learned the difference between a tech certificate (Paramedic, LPN) and a degreed profession (RN, RT, RRT, SLP, OT, PT etc). Your state requires about the same number of hours for the Paramedic cert in total as some RN and other allied health program require just for clinicals. The minimum education requirements are not equivalent. Looking also at the scope of practice for Paramedics in Maine, it is the same as most states which is still very limited. Do not criticize the Paramedics who have gone into nursing to actually do critical care at the bedside and on transport. You too could be seen as a "Paramedic hater" by those giving you the street smarts advice when you get your RN and see the difference.

    Maybe you should see what RNs actually do in an ICU before making your decision. I would suggest you go to a hospital which has a little better rating. Do not judge all hospitals by the standards of yours If you feel the nurses have no skills or critical thinking abilities. I seriously doubt this is totally true but more hearsay from the Paramedics around you. You seem to have a very low opinion of nurses now even though you want to be an RN and everything you have posted probably are the words of some Paramedic who feels street smarts trump education. Unless you have respect for nursing as a profession, it will be a waste of time for you and someone who could have had your seat in a nursing program.

  • Apr 30 '17

    Quote from kvromero11
    By the way the NREMT teaches you all the medications for RSI. Ketamine, ROCs, Sucs you name it. Here in Maine only CRNAs and lifeflight nurses can only intubate. I can manage an intubated patient right now. PIFT transfers also involve dealing with equipment and lines in such.
    The NREMT teaches you nothing. It is merely a certification testing agency used by the states and some states don't use it for testing.
    NREMT - National Registry of Emergency Medical Technicians

    Right now several states do not allow for RSI per state protocols by Paramedics.

    How do you manage an intubated patient? What drips do you use for sedation, pain and BP management? What ventilator? What settings for all the different disease processes?

  • Apr 30 '17

    Quote from kvromero11
    Silver Surfer,

    I think you misinterpeted. I am currently enrolled in a BSN program-, and am half done my paramedic program. I only have four more prereqs to do. I am enrolled in a UNIVERSITY. The ADN is offered through a community college. Here the flight paramedics and nurses are expected to perform the same set of skills at the same competency. They are equals. In medic school you are already taught how to intubate (I did my first one 2 days ago). I plan on getting my BSN eventually, I just was wondering if it would be smart to get my ADN in a year then bridge to my BSN. The service I am taking my medic course through offers perdiem spots 8, 12, 16 and they always have shifts available. My work schedule in not a real issue.
    There is a local university here that has a Medic to RN bridge course,
    Nope. I didn't misunderstand you.

    Why would you dump the BSN program for an ADN when you are already halfway finished.

    Having the same "skillset" such as intubation is not the same as having the critical care knowledge and background. There the RNs and Paramedics are NOT equals. Learning to stick a tube down someone throat is just a small part of the equation. EMT-Basics can also intubate in some states. Maintaining that tube with multiple drips and devices are another. If you want to just compare skills, the RN wins without a question and with ICU education and experience. If an RN works on a Specialty team like pedi or neonatal, they may be the primary intubators for their unit. They may need 20 intubations a year for each age group to maintain competency. Plus, they already have the knowledge of the medications required for intubation and know what to do with the patient once they are intubated to keep that tube. Patients don't just lay there quietly without any meds or life support until extubation. There are also all the other acute care issues which must be addressed and this is for the entire shift along with at least 1 - 2 other patients to care for at the same time who might be critical in the ICU. Once they are on transport, they are able to do their jobs just like they were in the ICU.

  • Apr 30 '17

    You are messing up your goal of being a flight nurse.

    1. You have a job at a Trauma Center. Chances are that hospital will hire you when you complete your BSN. Thus, you won't spend 2 years as an unemployed new grad RN especially if you have an ADN.

    2. Most of the NE is going with BSN and have a goal for their states to be "BSN in 10". Many flight programs want BSN degreed RNs. People might tell you it doesn't matter whether you have a BSN or ADN and maybe it didn't 20 years ago. But, it will be at least 5 - 6 years before you become an RN with an ADN by the route you are taking. A lot can change and it probably won't be to lessen the requirements to be an RN.

    3. You will need at least 3 to 5 years of ICU experience as an RN. Many hospitals are now Magnet and want BSN degreed RNs for their ICUs.

    4. You need to prepare for the future and not just a quick cert right now. Your long range plans to be a Flight RN requires several years of preparation as a NURSE. Those who have said "the ADN has always been good enough" are finding themselves left out when there are hundreds of applicants who have gone the distance.

    5. Where are you going to work as a Paramedic? Very few EMS jobs are going to be flexible enough for you to go to nursing school or at least not for the first year or two.

    6. If your goal is to be a flight NURSE, skimping or taking shortcuts for nursing school is not going to benefit you. The bridge programs also just cut you some slack on a couple of classes but sometimes the material missed in those classes can be vital in bringing the whole process together.

    Also, is it a university or a community college which is offering the bridge program? Universities usually offer Bachelors and higher...not ADNs.

    7. It is a lot easier to go from RN to Paramedic than it is Paramedic to RN. There are programs which allow RNs to take 2 weeks of additional training and take the Paramedic exam. Some states allow the RN to just challenge the test if they have ACLS and couple other weekend certs. There are RNs who teach the Paramedic classes at some colleges and universities.

    8. Trying to compare CCRN and the CCEMT is a total joke. To take the CCRN you need over a year of actual work experience in an ICU as an RN. There are also separate CCRN exams for the different ages groups which you will need over a year of work experience in each unit to take the exam. The CCEMT is a 2 week merit badge teaching very watered down introductory level critical care overviews. If you are lucky the might take one day to give you a walk through of an ICU. Some Paramedic schools even tack this course on (at a very high cost) as a selling point for their new grads who have ZERO experience as a Paramedic since there are no prerequisites for the CCEMT.

    9. To be a Flight RN, it does not matter if you have 30 years of experience as a Paramedic. To be a flight RN you will still need to meet all the requirements which may include BSN and still have 3 - 5 years of work experience as an RN in critical care. They do not just automatically move you to the next seat. A Flight RN brings critical care knowledge and skills to the team which are highly specialized and not something which can be learned in a weekend cert class.

    10. Following through with #9, it is easier to teach a few skills like intubation and central line placement to someone who has advanced education and who has already worked in the lCUs with these procedures and devices than it is to take someone who has very little exposure to these lines and tubes and the only critical care knowledge is from the CCEMT which again does not really teach anything about critical care nor give the necessary experience.

    11. As an RN (with a BSN) you may have the opportunity to work in many ICUs such as Neuro, Cardiac, CV, Pedi and neonatal. All of which would be great for making you a better Flight RN. As a Paramedic you can not work in any of these ICUs except as a tech to assist the RNs.

    12. While you are going off to be a Paramedic and trying to gain work experience as one, remember the prerequisites you took to get into nursing school have a time limit. You may need to retake most of the math and science classes.

    If you are looking for shortcuts, just scrap the goal of being an RN. Go to Paramedic school. Earn as many weekend merit badges as you can. Work a couple years on an ambulance if you can find one which does emergency response. Then you can apply as a Flight Paramedic and work with an RN who has lots of critical care experience.