Being an E.D. nurse plus being married to a ParaMedic has really opened my eyes to the need for "in-house" nurses to go out and get some experience in the field. Things are a lot different out there "in the mud, and the blood, and the beer"....let alone the cold and dark. Basic courses are fun, very educational and within reasonable time periods, so you don't have to give up a life or job to attend. However, in Wyoming, an R.N. is not allowed to practive as an R.N. in the field, IF HE/SHE HAS CERTIFIED as an EMT. The R.N. has to practice at the "lower level" of education. EMS had a powerful lobby when that statute was written, and ensured that R.N.s wouldn't be coming on board to oust them out of jobs. Take the course and take the knowlege, there's a lot to learn!.