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Any other EMS professionals turned nurses having issues!

Posted

Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

Hi all,

I am an RN also a paramedic, I was a paramedic first. I always dreamed of being a paramedic, since kindergarten to be exact... I will be honest, I went to nursing school really so I could make a better living, and not really because I had a desire to be a nurse. I know I am going to take a beating on here for that statement!!

Just wondering if any other EMS professionals are having problems making a tansition from emt/paramedic to RN... and if so how much time did you give it? (been a nurse for three years now, tried a new area, still love my office on wheels much better).

Any oppinions would be appreciated!

Happy

nursynurseRN

Specializes in TELEMETRY. Has 12 years experience.

Well I have afew friends that were EMT's and wanted to Paramedics but ended doing nursing for the same reasons. Better money and better hours, Unfortunately, they are unhappy with their choice too. It seems like being in emergency situation in the field is much better suited to thier personalities. They are looking for a better fit by trying all kinds of nursing. It sucks that you had to change your real goals for more money but maybe you'll find ur niche if you keep lookin at other areas of nursing.

AnnieOaklyRN, BSN, RN, EMT-P

Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

Its just the total lack of autonomy! I started in the level 2b special care nursery, took NRP the other day... and everything is the Dr. will do... hell I can't even put in an umbilical line at this hospital as a nurse! give me a break!! I was told oh your job is to just hold the clamps up, oh thats so challenging, NOT!

Already worked in the ER for three years, hated it!

I just can't stand the Dr. may I...

Edited by AnnieOaklyRN

lovingtheunloved, ASN, RN

Specializes in LTC, home health, critical care. Has 12 years experience.

I deal with EMS on a regular basis, and several times there has been an RN with the EMTs. I know two of them, and they do shifts in a local ER as well. Maybe something like that is up your alley.

And as far as going into nursing for the money, that may not be the most noble of intentions, but if you're compassionate and know your stuff, I don't see why anyone would think poorly of you. Hope you find what you're looking for!

PAERRN20

Specializes in ER. Has 3 years experience.

I'm not sure if you work ER or not....but that is where I would go. I work ER with many nurses who are/were EMT and medics.

HiHoCherry-O

Specializes in CVICU, ED. Has 4 years experience.

Have you thought about critical care transport? This is also available as a neonate team if newborns are more your thing. If you can handle flying, flight nursing is very much like EMS.

Jarnaes

Specializes in US Army. Has 14 years experience.

I have no problem with anyone being in the profession for the money. Trust me, if I wasn't making decent money I would be gone! Screw the "calling", it's a bunch of baloney the establishment wants us to believe. I'm all about the pay. And yes, I'm a just as much of a professional as the next guy.

AnnieOaklyRN, BSN, RN, EMT-P

Specializes in ED, Pedi Vasc access, Paramedic serving 6 towns.

Have you thought about critical care transport? This is also available as a neonate team if newborns are more your thing. If you can handle flying, flight nursing is very much like EMS.

I have thought about that..... and will hopefully do transport, although there are not to many jobs around here for that unfortunatly. The competition is fierce around here for any job!

Happy

MSADN

Specializes in med-surg. Has 2 years experience.

Jarnaes,

"Screw the calling" all you want, but it is exactly why I became a nurse. I gladly took a $30,000 per year pay cut for the "calling." We all come to our professions and passions in very different ways. I believe (warning: opinion, which of course is worth what I paid for it) that most who go into nursing only for money and job security might easily become disappointed with that decision. But by no means, does that translate into all who decide on nursing for those reasons. The "calling" is another way of legitimately entering this honored profession.

To the OP, RN/EMT-P are used in my local ambulance services. Might be a better fit. Practitioner or PA programs may also be worth a look. If you're younger than I, medical school (MD or DO) might still be possible. Paramedics have a lot of autonomy in the feld. Many times you are the only person who could save a life. Ain't no MDs and very few RNs where you guys go. I'm a former REMT-B.

Hospitals may be RN staffed, but they are MD-centric. We are considered a necessary evil that "costs" the hospitals money, while the MDs generate funds. Administrators do not usually get that without nursing to actually treat the patients, MDs could not bill all those hours requiring procedures, rooms and such which pays everybody's salaries.

SiCubaby

Specializes in SICU, MRICU, CICU, NeICU. Has 5 years experience.

Well well well....

I started my ultimate dream of going into healthcare as an EMT-B, and have also dreamt of going into healthcare as far back as kindergarten. Now I went into nursing for many many reason. Not only is it for the money and better life etc which is minimal if I may in the grand scheme of things that is for those of us who went into nursing for other reasons. But it is for an extension and advancement upon one's clinical knowledge set. It is an advancement over simply prehospital. There is a much larger picture than prehospital and ED in that patient. If the other part of the picture isn't for you than stick to ED or prehospital for Petey sake like ***** As for me...

Well I am having NO issues. I will get much banter as yes I am stepping in and saying it but I know far much more clinically now than ever, sure I was no EMT-P but....

I work in a large metro SICU, and as for some of my friends did I would die and go to heaven to go to flight or TSICU or CVICU but my ultimate dream is CRNA which I have already been accepted to yay oh yeah, oh yes!! And no it is not for the money at all as many seem to think it is about, those on that mode, go find another career path, really. So how many EMTs having trouble transitioning into nursing where I in any day..

Can independently use my clinical knowledge set to know which pressor to use, which gtt to use, what vent setting to use? Can you even read a 12 lead? Hello to versed, etomidate, succ, any curium, precedex dopamine dobutamine epi norepi vaso methylene blue argatroban CVVH THAM flomax A/C PS, IMV, PC, etc etc etc tell me you know these abbs. Tell me you can respond to any code and run it independantly no prob, get back to your patient afterwards who has a Swan and an open abdomen, 2 chest tubes, then run the whole unit as charge, then leave to place say 5 Ultrasound guided IVs on other floors just for fun even if I can place them blindly. Advanced hemodynamic monitoring, flotrac, Stroke volume variant, CVP, Cardiac output, systemic vascular resistance, etc etc, TNCC, PALS ACLS, CCRN, Will never go back....

So if you have an issue in your RN career pick the RN path that is more like your speed high adrenaline high stakes life or death the good stuff- ED, ICU, trauma, etc, plenty of paths in that for nursing, just pick it and get the hell off the floor or peds or whatever it is that isn't fitting for you or boring you. And nowadays I'm so far in it takes a lot for me to get the rush anymore.. For the money, really? Be in it for the LOVE, for the excitement, and get a clue.

billythekid

Specializes in Anesthesia, CTICU. Has 6 years experience.

Hi all,

I am an RN also a paramedic, I was a paramedic first. I always dreamed of being a paramedic, since kindergarten to be exact... I will be honest, I went to nursing school really so I could make a better living, and not really because I had a desire to be a nurse. I know I am going to take a beating on here for that statement!!

Just wondering if any other EMS professionals are having problems making a tansition from emt/paramedic to RN... and if so how much time did you give it? (been a nurse for three years now, tried a new area, still love my office on wheels much better).

Any oppinions would be appreciated!

Happy

Some states have RN-Medics designated MICN's I believe... one of my medic turned RN friends does this and seems to like it

What about becoming a flight nurse? I had a teacher who had been a flight nurse and she said she was required to get a paramedic license as well. HTH..

Medic09, BSN, RN, EMT-P

Specializes in ED, Flight. Has 10 years experience.

I've also had some minor frustration as a nurse. Autonomy and being trusted is definitely different. I've had a doc say he'd trust me to intubate if need be (not actually allowed in-house); but then a nurse manager chews me out (politely) for starting an EJ on a crashing patient. And I just found out that in the hospital only the docs are supposed to do IOs. Really?!!! Nonetheless, my frustration has been minimal. I accept that the roles really are a bit different. At heart, I am still and will always be an infantry medic. Even 25 years later. And I still work outside as a flight medic, to balance my time inside as an ER nurse. This way I have the best of all worlds, and stay fairly happy with it.

At heart, you may always be a medic.

LegzRN

Specializes in CEN, CPEN, RN-BC. Has 4 years experience.

I had the same problem, but was fortunate to work with several other NREMT-Ps turned RNs. Their main advice to me was to leave the Paramedic ego at the door. I had trouble at first, coming from working as a medic in the AF with a lot of autonomy to working as a staff RN in a community ED, but transitioned quickly. Good luck!

helicoptergal, BSN, RN

Specializes in NICU, ER.

I am a flight medic turned NICU RN. Tried ER and unbelievably was not for me. I miss the autonomy and the standing orders. But I am moving up and with experience comes expanded scope of practice.

helicoptergal, BSN, RN

Specializes in NICU, ER.

I am sorry wanted to add something. I also think sometimes us EMS people forget that nursing is completely different. So it is a hard transition... Good luck!!

hell I can't even put in an umbilical line at this hospital as a nurse! give me a break!! I was told oh your job is to just hold the clamps up, oh thats so challenging, NOT!

Already worked in the ER for three years, hated it!

How mny umbilical lines did you place in the back of an ambulance as an EMT or Paramedic?

You are still counting "skills" and missing the big picture of knowledge and experience. Flight or CCT will also not be a good fit for you unless you start getting the broader picture of nursing and putting some of that education to use.

Trying to constantly compare yourself to a doctor will not get you anywhere either. A Paramedic is not a doctor and that autonomy you talk about comes directly from protocols written by a physician for you to follow sometimes to the letter and number with med control to tell you what to do if it isn't in the protocols. You will not be a flight or CCT RN if you stay focused only on the few skills you had as a Paramedic or the limited procedures and protocols available to you in EMS. If you believe your worth is only measured by a few skills which many different professions can easily be trained to do, you're selling yourself very short. Move on or consider returning to the ambulance as an EMT or Paramedic.

ObtundedRN, BSN, RN

Specializes in Critical Care. Has 6 years experience.

I came from EMS to nursing. My old partner in EMS would always make those comments of "lack of autonomy" and cause some arguments. I'm in adult critical care now, at a large level 1 truama/teaching hospital. I have lots of autonomy. I personally get quite irritated by the "lack of autonomy" argument. If you have a lack of autonomy, that is due to your facility or your unit. In my unit, I have lots of standing orders, where I can order certain diagnostic tests and give medications. This is just like our protocols in the field. I think the difference is, I now deal with more complex patients every shift, as opposed to 10% of my field calls being "real" and the other 90% being total BS. And while I might have to call for a "Dr. May I" for a CT scan or other medication, I think about the fact that in the field I never had the access to those things. Also, when I call the doctor, I'm usually going through an intern or resident who is more then willing to listen to your suggestions of what to do. So I can usually call and tell them the situation, and then say "I'd like to do this, this, and give this." Sure I have to let them say "Okay" but like I said, these are things I wouldn't have been able to do in the field. And I now have many more medications available to help my patient with, and many more diagnositics to have done and evaluate.

Long story short, I love being a nurse now. I have so many more things I can do as a nurse to help my patients. I might not be able to eat, sleep, and watch TV at work anymore, but being able to do the things I now do is a nice trade off. So if "lack of autonomy" you mean lack of being able to eat, sleep, and watch TV when not on a call, then yeah, we have no autonomy.