RN to Paramedic Bridge Course - page 6
I'm wondering if any of you might know of a RN to Paramedic bridge course. I'd like to get my certification as a Paramedic, but don't want to have to through a whole year of school to do it! Let me... Read More
Aug 17, '07Joined: Aug '07; Posts: 3Quote from DuceRNWhere could I find this class?Our flight program requires all transport nurses to get EMT-P cert. In Ohio there is a bridge course from RN to Medic, the class was approx 2 months long.
Nov 22, '07Joined: Nov '07; Posts: 1I am also seeking an RN to medic bridge program. I am a pre hospital RN in pa, but I do want my medic (worked on air ambulance, ground for last couple years). PA has no such animal, and PHRN does not mean anything in other states. interested in methods to bridge in Ohio and MD.
Nov 22, '07Joined: Jul '07; Posts: 2,251; Likes: 8,238Central Ohio EMS school in Lucas, Ohio has a bridge course but when I looked into it I discovered it wasn't going to be quick. You can only test out of some of the classes and you still have to do all of the clinical time in the ER which for me was stupid since I worked in an ED for 7 years. Otherwise it is a great school and the program looks thorough. I just don't have that kind of time. You can also check out Grant Hospital's Life Link program in Columbus.
Dec 20, '07Occupation: RN Specialty: 17 year(s) of experience in ICU;CCU;ER;flight nurse ; Joined: Dec '07; Posts: 25; Likes: 108Quote from QwiigleyOK...yes, "parametics" AKA paraMEDICS do get paid less than RN's. But guess what?? They have it ALL OVER nurses when it comes to field medicine. It's apples and oranges,pal. If you want to be a good flight nurse,ER nurse,etc. you'd do well to get your paramedic license.Why would you give up being a nurse to become a low paid parametic? In Los Angeles, there is no reason to do such a thing. Besides, here, most parametics are firemen.....
Dec 20, '07Occupation: to pay bills Specialty: icu/er ; Joined: Oct '07; Posts: 704; Likes: 792had a chance to take a 3month paramedic fast course at walter reed army med cntr few yrs ago "for free" while i was active duty. course was just about 3 months long went to class 5 days a week from 0800-1700 and upon course completion you got to sit for the registry, which at that time the pass ratio was like 95% for the last few classes. my roomate took the course, "i gave him myspot" and he loved it, learned alot. he's an rn now in his home state west va. but he still has his emt-p and rides ems on days off. well i'm a big fancy icu rn, but everyday i kick myself for not going to that course. i think both diciplines can improve your overall practice, i know it would mine.
Jan 5, '08Occupation: New LVN!!! Specialty: My first yr. as a LVN! ; Joined: Apr '07; Posts: 305; Likes: 114Interesting, I thought an RN was far above a Paramedic, but wouldnt an RN who has ER and ICU experience be well qualified enough? Never thought about going that route, but I have recently thought I should have done EMT then to Paramedic then to Nurse because then I would have had that ER exp. under my belt as well as know some people @ the hospitals .. but now since I didnt take that route I have no idea where I will end up... interesting thread though ... just thought Id pipe in!
Jan 9, '08Joined: Nov '07; Posts: 6; Likes: 20One thing that seems to be lacking mention is the operational aspect. Anyone who wants to get into EMS should, especially those with previous medical training such as RNs and PAs. I work with a couple of RNs on the truck, they are great and we learn from eachother. However I would caution anyone to take steps in this profession. Be an EMT-Basic for a little bit, if nothing more than to get use to operating an emergency vehicle and some of the scene management stuff. As a medic you will often not be driving, however you are still expected to be able to safely operate an emergency vehicle. Also there are decisions that you will learn to make in the field that you would never have to make as an RN, like is the longer transport to a higher level hospital/specialty center worth it, or do you need to stop in any ED now. Those decisions are some of the most important that an EMT at any level can make. Learning how to talk patients into going to the right hospital, or actually just to go to the hospital. Also experience will teach you a bit about scene safety. How to look for exits when entering a house, how to avoid conflicts, and getting a bit of a gut sense of when you just need to get out of dodge. Just think its worth mentioning the non medical side as well, since that is really what is going to decide if you make it home at the end of your shift.
Just dont short change yourselves into thinking its all medical, its mostly medical and being an advanced provider in the back with an unstable patient in a radio dead zone really will teach you to be confident in your decisions. We need more good EMTs and paramedics, but if you do it, make sure you learn how to be safe out on the streets.
Apr 23, '08Occupation: Staff RN and scientist Joined: Feb '06; Posts: 55; Likes: 15Hello All -
I always hate seeing the argument over whose credential is 'better,' whatever that means... it's a bit tiring to me. Why not try to appreciate the important job that nurses do, and the same for EMTs?
My brother, an anesthiologist, recommended nursing over paramedic, and cited greater mobility and number of jobs one could do, less reliance on standardized checklists/standing orders, and more in-depth education about pathophysiology, pharmacology, and related. And in many locales the pay for RNs is better. RNs rotate through practice areas that EMT-Ps do not - i.e. commuinity health, psych, etc. That was his rationale.
Paramedics are it seems to me all about being very proficient in field medical care, much like a corpsman or army medic would be. It's a different role than a nurse fulfills. Having said that, I worked one med-surg floor where I rarely saw docs, and handled all sorts of nasty cases virtually alone, with a tech or two and my whits. That's it.
Most paramedics I speak with agree that they are roughly equivalent to an ICU nurse in experience and training. Our life flight chopper uses one EMT-P and one ED/ICU nurse, with a doctor added for especialy complex cases.
I find it significant that both are included - a sign that both have something equally valuable to contribute.
For my part, I am just interested in pre-hospital healthcare, and to that, I want the EMT-P certification. Plain as that. The only other thing I am considering is PA - physician assistant. That has the virtue of getting me into the military, which I'd like to do.
My final point to anyone tempted to judge another healthcare professional:
Walk a mile in his/her shoes first. Paramedics do some unbelieveable things under very tough circumstances (one pal of mine told me about doing an IV line on a guy hanging upside down in a truck cab), but there are nursing jobs from hell, too. There's a reason there is a giant nursing shortage; its a damned tough job. I know a former navy corpsman who did time in Nam with the grunts in the bush, and he said he'd never been as scared as his first night on the floor as an RN. I laughed at that, but he sais it was true.
All the best to all -
Pete - aka GaBoy61
Apr 23, '08Occupation: MICU/CCU, fire department paramedic Specialty: 18 year(s) of experience in ER/ICU/Flight ; From: US ; Joined: Dec '07; Posts: 448; Likes: 783Quote from flychick08yeah, but just going to a bridge course and getting a paramedic certificate doesn't make you a paramedic. i'd say that you need to spend several years running 911 calls to become really good in the field. my old flight program encouraged the nurses to get their medic cards. but they were what I'd call "paper medics". sure they had a license, but they'd also straddle a charged line on the scene of an accident and other things that a paramedic would just know not to do.OK...yes, "parametics" AKA paraMEDICS do get paid less than RN's. But guess what?? They have it ALL OVER nurses when it comes to field medicine. It's apples and oranges,pal. If you want to be a good flight nurse,ER nurse,etc. you'd do well to get your paramedic license.
I've intubated people across the hood of a car, wedged into the corner of a bathroom, worked a countless cardiac arrests with very little help, been in housing projects filled with crackheads and drunks who decide they want to fight us. not saying this to pat my own back by any means, but these are some of the things that you have to do as a medic, it's just part of the job and rarely ever do you get any thanks or shown much appreciation...at least not nearly as much as I get thanked everyday as an ICU nurse.
let me ask...if you wrecked your car on the interstate or had been injured by a GSW (very common 911 calls) would you want an RN who had taken a several week bridge course or a medic (RN or not) who had been doing this for years and seen it hundreds of times?
As both a nurse and a paramedic for quite a while, I'm definitely not trying to continue the age-old argument about which is better/more worthwhile/etc and i'm not slamming flychick08 at all either, but her comment made me want to reply: the license is of little value without the experience behind it...same is true with nursing. Most paramedics might equivilate themselves with critical care nursing, but they probably don't understand what's involved in the ICU. It's not that they CAN'T understand it, they just haven't had the opportunity. I was guilty of the same thing myself and even though I feel that I adapted quickly...I also realize the difference between understanding a concept and putting it into practice.
Apr 23, '08Joined: Apr '01; Posts: 1,243; Likes: 832Some of the comparisons here have been apples to oranges. I wouldn't want the new graduate paramedic trying to intubate the patient hanging upside down in the car either. But the RN who had years of similar experience would be just as able to sink that tube as the experienced medics.
Neither is rocket science. Both are a combination of knowledge and skill. Both can be learned in different ways. Knowledge is knowledge, I don't care if you learn from a box top.
Bridge program are just fine for some people. But then again there are people who I wouldn't let touch my worst enemy after a full length traditional course. No one is saying that ll you need to do it take a 2 week class and magically your a fully functional paramedic without getting some experience. At that point it's just a wallet card and nothing else.
Some of the problems out there with all this is that services don't have the time or money to adequately train new employees, and the evaluation tools that we have available haven't caught up with the new education paradims.
Apr 23, '08Occupation: MICU/CCU, fire department paramedic Specialty: 18 year(s) of experience in ER/ICU/Flight ; From: US ; Joined: Dec '07; Posts: 448; Likes: 783I agree that more emphasis needs to be placed on training new employees and there are people i would feel uncomfortable with regardless of their length of training.
However, there are people out there who are saying "just take a bridge program" and don't recognize that it's only a wallet card at that point. I"m not trying to argue with you and, like I said, there are points you made that I agree with. but how would an RN get the experience to pass the tube you referred to without having prehospital experience as a medic (unless of course they were flight nurses with ETI in their protocols). I've got co-workers who are some of the best CCRNs around, been here for 20+ years but have never had to stabilize a severe traumatic injury in the field much less attempted to pass an ET tube.
as I said in my first posting, there's a difference between understanding a concept and putting it in practice. some people can describe how to control an arterial bleed, but you put them in front of someone with blood spurting out faster than you can imagine and they don't always perform.
Apr 24, '08Joined: Apr '08; Posts: 1; Likes: 1What I think eveyone is missing here is that ....Just as there are Degreed Nurses (ASN, BSN, MSN)....There are degreed Paramedics. I also have an associate degree in paramedicine. So Based on that, If you are a ASN nurse, the pre-requisites are quite the same....a medic has more skills, and more autonomy as it pertains to decisions ans patient care. If Nurses were a higher skill........Standing orders (autonomy) would be a major of the job. Bothe professions are great, and WELL needed. Nursing is about long term care, Paramedicine is about emergency care. The two builds upon each other.
During my paramedic program, there were weekly clinicals from OB, Psyc,Peds,Intubations, ED (E.R) ICU, CCU, Hospice, SNF and so on. I do not think a nurse that works in a diabetic clinic, or med surge would have the well rounded knowledge and capabilites of a ICU or CCU nurse given that 80 % of what a paramedic does is CARDIOLOGY. Most Paramedic know ALS better than most nurses and some Physicians. Paramedicine is more that riding in a box and pushing standard protocol meds. It is more about good judgement, and being able to function outside of a controlled environment like a hospital. Dont forget the rain, sleet, snow, heat, and inherent danger that some of the calls present to both the medic and the patient. It is the things that can't be taught in two weeks. PARAMEDIC is a major responsibility and after two week is too great of a responsibilty to give to even a nurse.
On the same token a Paramedic would take some time to think as a nurse and do long term managed care in a definitve care facility.
The two week thing from RN- to Paramedic is a total JOKE!!!!
Nov 14, '08Joined: Oct '03; Posts: 11; Likes: 1Hi
Just finished the Creighton course it was excellent. Well run and well taught with helpful staff. It was good just to see what happens pre-hospital. It was quick but it wasn't cheap and unless you use it as an adjunct (flight) you are not going to make anymore money, but if its something you're interested in its worth it. The only other caveat is you've got to maintain it which can be a lot of education hours depending what state you're in.