Heated debate between Civilian ED RN and FMF Hospital Corpsman.

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:madface: before i begin this thread, i'd like to take a moment for those that may not be familiar with what a fmf hospital corpsman is exactly, so that there is a better understanding of my frustration:

for seven boot camp-like, rifle-toting, blister-breaking weeks down south at camp lejeune, n.c., the navy and marine corps team up at field medical service school (fmss) east to mold standard navy-issue corpsmen into sailors good enough for the fleet marine force (fmf). the good ones will earn the marines' respect. the great ones earn the title, "doc." there are corpsmen and then there are 'docs.' a doc is someone you can count on. he's someone in your platoon that when something happens to one of our fellow marines, you can call on him and not have to worry. he's your buddy, a comrade in arms, a person who you count on to cover your back, to lay down fire, dig fighting holes or do whatever marines are doing. that's who a doc is. one of the first things a good fmf corpsman learns is that the very last thing he's worried about is himself. in combat it goes through your mind, 'ok, there's a guy that got shot, i can stay here and i'll be safe and if i do, that marine's probably going to die. having the self-confidence needed by a successful battlefield corpsman can grow and many of the scenarios the medical and marine corps advisors put their students through are centered on precisely that--building confidence in the sailors' knowledge and their abilities. the fmf corpsman are taught what the marine corps will demand of them from the very first day with boot camp-style inspections, relentless physical fitness training and unyielding tolerances for marine corps discipline, all the while being tested academically both in the classroom and in the field. being book- or street-smart alone isn't enough to make it as an fmf corpsman. you have to be both because being with marines means always thinking outside the box, way outside the box. navy corpsmen are one of the most combat decorated rating in the navy, and most of those medals were earned by corpsmen serving with their marines. it's a glory only a select few dare to chase. to become an fmf corpsman stems from a reputation the marine corps has for expecting a lot more responsibility from its junior personnel, especially their corpsmen and it's a character trait fmss instructors look for on the very first day of school. going greenside, fmf corpsman will have a lot more people depending on them to know what they have to do, and they will have the opportunity to do it. by serving with the marine corps they will learn more about what a corpsman ought to be sooner rather than later. as an fmf corpsman you have an immense amount of responsibility sometimes more than you really want. you have a group of marines whose medical care is assigned to you--just you. you are in charge of everything that happeneds to them and their medical records are your responsibility. fmf corpsman are in charge of making sure their marine's immunizations are up to date as well. if they get hurt you have to fix them, and if i get hurt they have to fix me. you're never going to be a leader of a group of individuals in a hospital as an e-2, but in the marine corps, when it comes to medical care for the marines, you are. and that's the most rewarding thing there is, to take a group of people like that into combat and bring them back alive. so in conclusion, the duties of a fmf hospital corpsman consist of and are not limited to:

assisting in prevention and treatment of disease and injuries;

caring for sick and injured;

administering immunization programs;

rendering emergency medical treatment;

instructing sailors and marines in first aid, self aid and personal hygiene procedures;

transporting the sick and injured;

conducting preliminary [color=#366388]physical examinations;

performing medical administrative, supply and accounting procedures;

maintaining treatment records and reports;

supervising shipboard and field environmental sanitation and [color=#366388]preventive medicine programs;

supervising air, water, food and habitability standards;

performing clinical laboratory tests and operating sophisticated laboratory equipment;

taking and processing x-rays and operating x-ray equipment;

filling prescriptions, maintaining pharmacy stock;

serving as operating room technicians for general and specialized surgery;

performing [color=#366388]preventive maintenance and repairs on biomedical equipment.

so, with all of that being said, i would like to share a situation that i encountered. today, i was informed by a 1 year civilian rn that as a fmf corpsman, i was inferior to her due to the fact that she was a rn and i was merely a military medic. further more she voiced her opinion (which i found quite undeducated) that due to her "formal" class room education, she was superior to me because i am not licensed and she is, stating that my level of education and skill is only that of a basic cna.

i found this to not only show her ignorance, but her extreme disrespect for our military service members who work in the medical field and put their lives on the line every day, and seeing how i am a fmf hospital corpsman and i am referred to as "doc" by my fellow marines, i took this quite personal. no i did not sit through your everyday civilian rn training and nor do i put myself above the ones that have, but by no means do i feel like my level of skill is in anyway inferior to a difference in training.

so, this is what i am asking the current and/or prior corpsman out there and the current and/or prior ed rn's out there: is this the attitude that is to be expected once i enter into the civilian world? is there really no respect for the men and women who serve our country performing the same level of critical care that you do, only we put our lives on the line in a time of combat to get the job done and take care of the ones that have put their lives on the line for your freedom?

i will close with a statement i heard once from a fellow service member: "to all of the civilians out there they may not respect or understand your countries military and what we are fighting for, late at night when you lay your head on your pillow and you wrap up in that warm blanket and go to sleep in peace, just remember, that blanket is called freedom which is provided for you by the same people you insult"

We actually need more of an allied health and physician presence. I have actually followed a couple of the physician assistants and one of the physicians who would post here regularly to other sites. I have gained a better appreciation of the physician perspective and it actually mirrors many of our concerns as nurses. Particularly when it comes to the whole midlevel debate, the concerns are nearly the same as our concerns over UAP's encroaching into traditional nursing roles.

With that, I am still not convinced of the "better" argument. Military medics ( I am talking non independent duty, SOCOM, 18D and so on ) receive very specific training and I would agree, they excel in certain areas. However, to suggest in broad terms that a medic is > RN?

Specializes in ER.

Why do you care what a twit like that thinks? I don't have a clue about military training and I would classify her as an idiot.

Specializes in Trauma, Tele, Neuro, Med-Surg.

Interesting posts from all sides.

OP, if you're still reading this, regardless of individual staff attitueds, I think your biggest frustration may end up being that many hospitals just don't have a job category that fits your exact skills and training. And hospitals LOVE categories. I think you do deserve respect, I would just caution you to think about where you would "fit" in a civilian hospital. If you decide at some point that you do want to transition to civilian medicine, you might be forced to pursue something that will give you the legal credentials to function at a level you feel comfortable with. It *would* suck to have your experience and be used as an aide or a transport tech, no disrespect intended to those jobs. I'm just saying that fair or not, to find a civilian med job fullfilling, you might have to jump through some hoops and get different initials behind your name. Some programs might give you credit for your military training, some might not. It's not fair, but it's reality.

As you said, the Marines taught you to think and act outside the box...civilian hospitals like very clearly defined boxes, without windows, and God help the soul who steps outside of them. They have many square holes and you are a round peg.

Unless a tornado takes out the town, then they will expect you to perform way above and beyond your job description.:p

Specializes in cardiac, ICU, education.

This video sheds some light on civilian vs. military life.

http://media.causes.com/622166?p_id=62480573&s=fb_feed

I am not going to say that we do more than nurses or anything of that nature, but as an Army Medic or Doc i will say we do quite a bit. RNs in the army run a patient hold which can be from 72 hours up to 3 days depending upon the Area of Operation. I as a SSG, and MEDIC not RN found myself in charge of one for 13 month as well as walking the line with my fellow worrier. I will have to say that I agree with FMFDevilPerry as I was also a former Marine Rifle, who located and closed with the enemy while others rest at home. I will not rant because i have a great admiration and respect for the Nursing community and will be joining that community very soon. The only thing I have always wondered is this:

The nursing field has always seem to be understaffed and yet with the extremely large pool of medics and corpsman to pick from you would think the country or someone would come up with a plan to alleviate this situation instead of telling us military folk about our training and nursing theory. I respect the notion that nurses feel we need to have a full grip of what and why we do the various types of patient care, but don't you think some has told us, because a good medic corpsman follows the orders of his PA, MD, NP, etc..., and asks questions also. Did you know that we do after action or lessons learned briefings also. I believe this fmfdevilperry could tell some RN a great deal as the same goes for RN's the him. So when are those powers that be gonna start shaking the military medicine bowl for some of us good corpsman, medics and med-techs to come on over to the other side of the field and put our skills to use. "The only thing I ask of you is knowledge. "

Interesting posts from all sides.

OP, if you're still reading this, regardless of individual staff attitueds, I think your biggest frustration may end up being that many hospitals just don't have a job category that fits your exact skills and training. And hospitals LOVE categories. I think you do deserve respect, I would just caution you to think about where you would "fit" in a civilian hospital. If you decide at some point that you do want to transition to civilian medicine, you might be forced to pursue something that will give you the legal credentials to function at a level you feel comfortable with. It *would* suck to have your experience and be used as an aide or a transport tech, no disrespect intended to those jobs. I'm just saying that fair or not, to find a civilian med job fullfilling, you might have to jump through some hoops and get different initials behind your name. Some programs might give you credit for your military training, some might not. It's not fair, but it's reality.

As you said, the Marines taught you to think and act outside the box...civilian hospitals like very clearly defined boxes, without windows, and God help the soul who steps outside of them. They have many square holes and you are a round peg.

Unless a tornado takes out the town, then they will expect you to perform way above and beyond your job description.:p

That is what is meant by performing outside of the box to some

I have had this discussion with a few military medics and it all boils down to licensing. Yeah you were an army medic. great! thank you for your service. at the end of the day in the civilian world if you cannot show proof of a state license to practice as a medic or rn, then it is futile to argue about it.

who cares about who does what; we're on the same team. just do what is expected of you and work with others you are supposed to. quit being counterproductive and having d!ck measuring contests. it doesn't benefit anyone...especially the patients!!

This reminds me of a person I had a talk with at an employee health office for a hospital I was working at. He was an army medic of some years, great experience, and willing to work. The problem came in that legally he could not do anything in an office other than draw blood and maybe give a TB test b/c he had no license to practice under. He was telling me that he didn't understand why he couldn't get a job in the ED b/c he was an army medic. You could be the best medic in the world, but in civilian world you have to have licenses to practice.

I have had this discussion with a few military medics and it all boils down to licensing. Yeah you were an army medic. great! thank you for your service. at the end of the day in the civilian world if you cannot show proof of a state license to practice as a medic or rn, then it is futile to argue about it.

who cares about who does what; we're on the same team. just do what is expected of you and work with others you are supposed to. quit being counterproductive and having d!ck measuring contests. it doesn't benefit anyone...especially the patients!!

First of all no one is talking about licensing I am talking about education, second of all I really don't need you to think me for my service because if it weren't for some great nurses out there I wouldn't have the experience i got as a medic!!, Third of all I think you miss read me. I know about the licensing part i just want to know if there is another way to measure training nationwide. so no I really DON"T NEED your thinks just another way to format and transfer education.

Thanks but no thanks!!

This reminds me of a person I had a talk with at an employee health office for a hospital I was working at. He was an army medic of some years, great experience, and willing to work. The problem came in that legally he could not do anything in an office other than draw blood and maybe give a TB test b/c he had no license to practice under. He was telling me that he didn't understand why he couldn't get a job in the ED b/c he was an army medic. You could be the best medic in the world, but in civilian world you have to have licenses to practice.

Once again, I get the licensing part and you are right about that, but if you may happen to another way to evaluate education toward LVN/LPN and or the 2 year ADN programs without trying to accelerate, but just being prepared for the programs around the nation; I would be grateful and then I WOULD BE THANKFUL!!

To be a nurse in each state requires a amount of minimum education. That is usually a minimum of an ADN or two year degree. You can list all the "skills" you want but the minimum requirement for a license as an RN still stands. The same for all the other professions. Respiratory Therapists now required a minimum of a two year degree when before military trained RTs could challenge the 1 year tech certificifcation for civilian employment. Education vs training vs skills all have different meanings. Monkeys can be trained at doing "skills". In the civilian world, "skills" are not covered by a blanket military budget but must be justified by education and worth. Anybody can be trained to do a few skills but do they may not have the eduation to back them up and justifiy a care plan for the long haul.

Many professions overlap in skills and education. PT has 3x more education requirements than nurses and with the same prerequisites. They also have a long list of "skills". The same for RT, OT and SLP. However at no time do they want to say they are "RNs" nor do they want to even say they are just like "RNs". They respect the individual license process that is necessary for recognition in the civilian reimbursement process. They also have a respect for the differences in the professions no matter how big or small they might be. If you have never been though a nursing degree, you can not speak for what the differences are. You are just comparing "skills" which many different professions can say "I can do that" but they also know the rest of the story and that they are NOT nurses or RTs or NPs or PAs or MDs.

If nurses make esceptions for all of those who have technical skills but lack in eduation, they are right back at 1970. LPNs had all the skills as well. Yet, they knew they had to advance their education to meet the RN requirement in some states to stay employed.

Thank you for your military service but now in the states you must conform to the regulations of each state for licensure. You will be dealing with geriatric patients who need a care plan for the long haul and not 20 year old soldiers.

Do the requirements for the RN or whatever field you decide to enter.

Once again, I get the licensing part and you are right about that, but if you may happen to another way to evaluate education toward LVN/LPN and or the 2 year ADN programs without trying to accelerate, but just being prepared for the programs around the nation; I would be grateful and then I WOULD BE THANKFUL!!

You can look at having some of your military experience (Basic, AIT and possibly PLDC & BNOC) transferred into college credit. I did and received about 15 credits; however, it did not help me complete nursing school. You will still have to take pre-requisite educational courses such as anatomy and physiology, English, psychology, microbiology and so on. The limited amount of course work you did in subjects such as A&P in the military will most likely not transfer over into civilian credits.

It is easy to assume that you know more that you really do because you are allowed to perform many skills. Unfortunately, learning about the evidence, the how and the why of said skills should be an enlightening experience. Even among medical professions that have similar pre-requisite education, much of the knowledge is specific to that profession. For example, I thought I was more than a match for the respiratory therapy programme because of my super sexy skilled nursing education. Unfortunately, I realised that it was not necessarily the case during a fluid dynamics course where I was struggling through calculating Reynolds number while attempting to differentiate laminar from turbulent gas flow.

Go through school, try to avoid shortcuts and attempt to be humble. You will come out much better off regardless of your choice of careers. Unfortunately, I have a little streak of arrogance at times and end up suffering because of this flaw.

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