RN to Paramedic Bridge Course - page 8
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
Dec 1, '08Occupation: Paramedic Specialty: 23 year(s) of experience in EMS, Peds Cardiology, ER, PICU, IV Jedi ; From: US ; Joined: Jul '05; Posts: 1,083; Likes: 466Medic09...you and I both know that there are programs that simply don't have access to inhospital training, so the possibility of a medic who only has experience with Fred the Head is indeed possible, albeit less so today than 16 years ago when we were all learning skills.
"I train on mannikins for scenarios pretty often. It doesn't compare to a real airway. It doesn't look the same and it doesn't feel the same and it doesn't barf the same."
And this is, of course...oh so very true.
Dec 2, '08Specialty: ER; CCT ; Joined: Jun '08; Posts: 619; Likes: 401Quote from HeartJulzYou're killing me. Two different models of care -one is nursing (one profession); the other medicine (another profession). Two different roles paramedics guide, provide and lead care in the prehospital setting-nurses are not trained to manage care in the often unstable setting of prehospital care. Nurses are not trained in incident management. Although this doesn't seem like a big difference, for those who work as medics its the difference between life and death (not the patients). Nurses are trained in care planning; paramedics are trained to use protocols.Interesting, I thought an RN was far above a Paramedic,
Quote from HeartJulzAgain, you are killing me. Try to perform this experiment to test this hypothesis (but not in my home town). Get a 20 year vet ER RN or ICU RN without any field exp. and make them the incident commander for all MCI's or the primary on extrication patients with an unstable airway as fire has the Hurst and spreaders going off. Let me know how qualified they are. Of course I could go on and on.but wouldnt an RN who has ER and ICU experience be well qualified enough?
Now flip the script. Try putting a 20 year vet paramedic on a med surg floor and they would be lost. Why? Paramedics aren't trained to care for a floor full of patients. They are not trained in the subtle nuances such as the necesity to get a physician's order to give a Tylenol. Paramedics are trained to recognize pathology and act on their training through online and offline protocols.
In the end, suggesting that nurses or paramedics are above or below one another is similar to suggesting that the color blue is above red. Different professions. Different models of care. Different training styles.
Dec 2, '08Occupation: Flight Nurse/Flight Paramedic Specialty: ED, Flight ; From: IL ; Joined: Jul '08; Posts: 452; Likes: 638Quote from GilaRNYes, I would be. And VERY disappointed. Some OR time and then precepted tubes on the street are essential to learning it right, as we both know. Especially the OR time, which should be repeated periodically. The few programs I've been involved with over the years all provide that. Anything less is irresponsible and I would advise students to stay away from there. But then, I think all 'medic mills' should be shut down, somehow.Hehehe...you would be surprised if new medics were hitting the streets with fewer than 10 intubations?
Dec 2, '08Occupation: Flight Nurse/Flight Paramedic Specialty: ED, Flight ; From: IL ; Joined: Jul '08; Posts: 452; Likes: 638Quote from vamedic4Well, if a program can't provide the proper, complete package, they shouldn't be operating. We used to see programs send their students pretty far distances to ensure that they got the appropriate exposure. I don't think 'we can't provide that' is an excuse. The problem is, there are no obligatory standards, and some students are desperate enough or lazy enough to support the medic mills.Medic09...you and I both know that there are programs that simply don't have access to inhospital training, so the possibility of a medic who only has experience with Fred the Head is indeed possible, albeit less so today than 16 years ago when we were all learning skills.
Dec 4, '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 hherrnLike vamedic and medic09 have said, doing advanced airway techniques over and over again is essential, both with mannikins, in the OR and in the field. The more you do it, the more practice you have under your belt when the next time occurs (and it will happen).All great points.
I have logged a bit of time as a basic EMT. I also ski patrol at a busy mountain. I have boarded and collared people out of MVC's and various wilderness conditions- including our of streams in the winters. I teach pre-hospital assesment and packaging.
The intimidating part is advanced airway management.
Keeping their sats up with a BVM is the most important and often most-overlooked skill in airway management. I used to always attempt to place an OPA, if the patient tolerated it, then chances are likely they'd tolerate a laryngoscope so I'd intubate them. I'm a little different now and usually don't intubate unless they're a) going to die without being tubed in the next few minutes or b) going to be put on a ventilator.
You can teach a monkey to intubate someone, but you can't teach a monkey to know WHEN to intubate someone. I can't recall any time wishing that I had intubated a patient, but there are a few times when I wish that I hadn't. Take that for what it's worth.
There are some great responses in this thread and I've enjoyed reading all of them. Thanks!
Dec 4, '08Occupation: Flight Nurse/Flight Paramedic Specialty: ED, Flight ; From: IL ; Joined: Jul '08; Posts: 452; Likes: 638Quote from RNREMT-P;3289574 I can't recall any time wishing that I [BIsn't THAT the truth! Thanks for that great observation.had[/B] intubated a patient, but there are a few times when I wish that I hadn't.
Good judgement about airway management is the hardest skill to develop and maintain. It requires good training and occasional retraining and plain old experiences.
Dec 9, '08Occupation: ED, EMS Specialty: 3 year(s) of experience in ED, EMS ; Joined: Dec '08; Posts: 27; Likes: 6I just graduated with my RN waiting to take boards. I was a former LPN and EMT. Anyone know of a RN-Paramedic program in Ohio? I feel I am qualified for advanced placement with my experience. Thanks in advance. Good luck all.
Dec 9, '08Joined: May '07; Posts: 2,092; Likes: 3,347What do you mean by advanced placement? Trust me, give your self some time to transition into the role of RN before taking on a big task like paramedic school. Your LPN experience will help; however, you should still expect at least several months of adjusting.
Dec 9, '08Joined: Oct '07; Posts: 198; Likes: 170Quote from Medic09Our program did rotation through the OR and clinical with Respiratory Therapy as well. I have heard of programs doing a rotation through NICU but I have yet to run into someone who has intubated a neonate in rotation."Should you get a chance" ???
Please don't tell me there are ANY programs graduating medics without at least a week and ten or fifteen tubes in the OR. That's just to start getting a feel for it! Instruction under the watchful tutelage of an anesthesiologist in controlled conditions is essential to start, and needs to be repeated every year to stay sharp! Where we do yearly rotations, the docs also make sure that we're simply proficient with basic management. Good bagging technique isn't always so simple to accomplish, yet it is the most important of all our skills.
I train on mannikins for scenarios pretty often. It doesn't compare to a real airway. It doesn't look the same and it doesn't feel the same and it doesn't barf the same.
You can take short-cuts on almost any other clinicals (OB is kind of hard to get an idea without 'being there'), but a program that doesn't put students through the OR is irresponsible.
That's my .
Dec 9, '08Joined: Oct '07; Posts: 198; Likes: 170Quote from ARKYLEI am unaware of any programs that offer advanced placement.I just graduated with my RN waiting to take boards. I was a former LPN and EMT. Anyone know of a RN-Paramedic program in Ohio? I feel I am qualified for advanced placement with my experience. Thanks in advance. Good luck all.
I believe Florida will allow an RN with a a current EMT and ACLS to seek licensure -- From the DOH --> "A Florida licensed physician, dentist, or registered nurse may apply for certification as a paramedic and subsequently challenge the paramedic exam, provided he/she holds a Florida EMT certificate which is current and in good standing."
You are required to submit a copy of your current Florida license or registration. Once a Florida Paramedic you can take the National Exam. There is a practical for the National so anyone seeking certification will have to prove practical...you will have to prove you can practice at an advanced level.
Paramedic is a different discipline...as different as LPN is to RN. I have encountered RNs that for some reason feel that RN = Paramedic. Certification as a Paramedic is not about levels of education. One is either trained or untrained. RN does not qualify as a Paramedic...neither does EMT or LPN...The same holds true for Paramedic does not = RN... JD does not equal MD. This is not just my opinon, it is a matter of fact. Research rules and regs under DOT - DOH Paramedic certifcation and you will find the same answer in each state...except for Florida...that is...if you want to be a Paramedic then you must train to be a Paramedic.
Dec 17, '08Occupation: ED, EMS Specialty: 3 year(s) of experience in ED, EMS ; Joined: Dec '08; Posts: 27; Likes: 6Now at a local community college I contacted in my state of Ohio they do offer advance placement for RN's. The director of the program informed me not only do you have to be a current RN but that having your EMT-B is a prerequisite to the program (Columbus State Community College).
I understand the role differences are huge and in no way expected to just be able to sit for the National Registry without any formal training. Paramedics and RNs are night and day when it comes to scope of practices prehospitally and in a formal hospital setting. By obtaining a medic license I think it would just make an RN more marketable for ground or air transport career down the road.
Jan 7, '09Joined: Jan '09; Posts: 2; Likes: 2In regards to the first post, the initial reason this post began...I am an RN with 4 years experience in the ED. Roughly two years ago I did take the Creighton RN to EMT-P bridge course. I loved it!! They require ACLS, PALS, TNCC and EMT-B prior to acceptance. It last 2 weeks and was very intense. We did class during the day and ride alongs during the evening with Omaha. In the end I belive I ended up paying $5,000 for tuition, books, airfare, room and board at a local hotel. Let me know if you have any questions....
Jan 7, '09Specialty: ER; CCT ; Joined: Jun '08; Posts: 619; Likes: 401Wow. 2 weeks of training from RN to paramedic. I wonder if that includes working lunches. Sure glad they require that TNCC course which has nothing to do with field prehospital medicine. But then again, neither does nursing. I wonder if there is a 2 week program paramedics can take to become an RN if they have a CNA ticket since its all the same anyway. Anything to make a buck I guess.