EC/RN/Paramedics and my Rant - page 2

i did not want to highjack any of the other threads with my concerns/rants, but i just have to get this off my chest. i have been reading a lot about ec and how specifically how ca bon has rejected... Read More

    I feel your pain. But if you ever become an RN, you'll see there are plenty of Med/Surge RN's that can handle more than their share of muti-tasking and pt care.
    Last edit by BULLYDAWGRN on Mar 10, '07
  2. by   GoldenFire5
    There are a few Paramedic-to-RN bridge programs out there. Unfortunately I don't have the links at my fingertips, but I know they exist.
  3. by   Boston-RN

    Actually my post states that if you finish the EC program I FEEL you would have every right to work as an RN (see first and last paragraph). But that is not for me to decide.

    What I did comment on in my post is that "skills" were not the focus of nursing school as you would have implied in your original post.
    Last edit by Boston-RN on Mar 10, '07
  4. by   NurseEllis
    MAnurseHopeful. I understand that skills are not focused on in most RN and LPN schools, and as stated before most come out not even having started a IV or place a foley, which is learned on the job. 95% of the hospitals I have been too and have talked to management in NY, state that most GN come out very deficent in real life nursing skills and most hospitals require GN's to have a "externship" and be oriented to what a nurse job requirments are in each of the departments.

    With that said, why are BON's attempting to block non-traditional students. Obviously they have not even attempted to address the issue of GN passing the NCLEX with little or no "real" life experience, but you will attempt to "cull" the herd (so to speak) of bad GN's coming out EC???
  5. by   Boston-RN
    Well you would think with the nursing shortage that states would be willing to be more open to non-traditional students. Don't know if they believe their schools are losing money to places like EC. I don't understand the logic either.

    I see that EC is changing their format soon, we'll see if that makes any difference with states accepting EC grads.

    I worked with an EC grad at a rehab hospital and she was one of the best nurses we had...and I currently work with some 4 yr BSN nurses that have no common sense (ie. giving coumadin with an INR of 4.5 without checking w/MD)
    Last edit by Boston-RN on Mar 12, '07
  6. by   NurseEllis
    Ya I think it has to do alot with politics and money, the two thing that make our world go round it seems. Just very disappointing seeing the near-sighted viewpoint that some of the BoN's are taking. Well Im glad NYS is were EC was developed and were the school is. I plan on taking my CPNE at albaney and sitting here in NYS for the NCLEX.
  7. by   Boston-RN
    Well there are 50 states and only a handful that have issues so that leaves a wide range of places to go. And if you NEED to work in any of the other states, if you work for the VA you can work in any state you want to. The states rules don't apply to the VA hospitals.
  8. by   peaparamedic
    Interesting post. No doubt that many BON's are missing the big picture. For the record I am an 18 year paramedic ( never flew but have CCT and 911 experience) with a BS in Business, most of a BA in chemistry and new EC ASN. I am an RN in orientation in a local ER.

    While I agree with 97 % of the anti-CA rant I must state that I feel like a new RN. I have a tremendous amount to learn. I do feel that I am everybit as safe as any new grad. Nursing and paramedicine are related but different. The academics in most paramedic programs are focused and intense but many of the paramedics that I know would be unable to compete in broad college level work.

    I would like to see each state's RN disciplinary rates for the different catagories of education. I would be hard pressed to believe that EC rates are any higher.
  9. by   CSLee3
    Chris, move your butt ot TEXAS!!! We have tons of EC grads (medics to RNs) and our BON doesn't unfailrly jack with EC. In Austin and Williamson County (both named EMS systems of the year) there are several RN/Medics working on trucks and several ER nurses (like myself) that are former medics. Currently I know of at least 10 medics doing EC. I understand the skill level and expertise....BUT....hospitals pay nurses big bucks and EMS will never catch up. I busted my knuckles, hurt my back wrestled drunks, as you well know for a whole lot less than the ER I made the transition. BUT that being said, We respect our medics and in return ask they respect the nurses. So, my opinion we work great in my area as a team. One mistake, please don't ever underesitmate the power and knowledge of a good LVN / LPN. Man, there are some good ones and can make your next hospital stay great or hellish!
    Rock on and never give up. "RN, EMTP" looks great on a name tag!!
  10. by   aDDctd2sBUX
    In the pre-hospital environment if you need to give perform endotrachael intubation, needle crichothyroidotomy, or other invasive procedures, things are bad and the patient is probably CTD. The benefit to risk ratio is worth it. To have a paramedic doing that inhospital as opposed to a CRNA or MD wouldn't make much sense. Medics serve their purpose in the pre-hospital environment, but are the middle man in getting the patient to definitive care. Most MD's as well as nurses agree that nursing theory is a load of crap. Since common sense isn't so common, however, it needs to be taught.
  11. by   NurseEllis
    Ahhh, and we come to the "it is a load of crap but u have to learn it argument"

    I guess it is my realism or mabe my road experience as a medic but I have never agreed with that. If it is non-essential in the daily operations of your job or has no barring, then why should it be taught. It is a waste of the teacher/student relationship to teach unesscary information becuase were are in a mindset of trying to "justify" our positions or careers. Nursing has tried so hard to seperate itself from the "medical model" that they are now teach unuseful and irrelevant information (ie "nursing theroy and Dx"). This does nothing for patient care and or the devlopment of the profession.

    Lastly, yes I guess I agree with the statement that EMS are in general middle men. But with that said it implys a sense of being less experienced or less skilled at the doing the said intervention (ie, endotrachael intubation, needle crichothyroidotomy). On the contray we must be as skilled as a Anesthologist or CRNA at the procedure to perform it to a standered of care and this done with half the schooling/practium that is taught to MDs and CRNAs. This pressure forces the best ("cream of the crop" so to speak) to the top, not allowing people to just "get by".

    They say even if you getting a 60.1% in medical school, you still have MD after your name. Same is true in EMS/Paramedicine, but the outside pressure from everday patient care tends to differentate those who CAN from those who CANT very quickly and swiftly.

  12. by   FocusRN
    Quote from peaparamedic
    I would like to see each state's RN disciplinary rates for the different catagories of education. I would be hard pressed to believe that EC rates are any higher.

    My state actually causally mentions it. In Louisiana we have over 700 EC grads and 21 them have been disciplined.
    Last edit by FocusRN on May 10, '07
  13. by   NurseEllis

    does your state mention the displinary rate for non-excelsior grads?