RN's cant work in EMS unless you have an EMS cert. That is nation wide. They are probably dual certed or licensed. Also OP. Just so you know. EMS doesnt pay very good. And burn out rates are VERY high. You usually work 24 hour shifts or if you are lucky 12 hour shifts...lift lots of heavy patients...waaaaay more than you would ever do in nursing. EMT basic. You are gonna make (depending on where you work and states) $9-$11 bucks an hour. Yea that low. Unless you get land a sweet job with a company that pays great which there aint hardly any of em out there anymore....Paramedics make about $20 an hour. Depending on experience but you can almost go anywhere and get a job as a paramedic. You NEVER work under the direction of an RN. Whoever said that is wrong. You have a medical director that you practice under. But you are kinda your own doctor as a medic. No asking for orders etc. But like someone else said....ambulance services are cutting back too. We are seeing it everywhere. Thanks to obamacare :/ so I suggest you do some ride-a-longs first to see if its something you wanna do. Cuz most people who do EMS are not in it for the money! Obviously this is all just general info and this is all PRE-HOSPITAL info. I think you should follow through with nursing school and finish. You will get a job somewhere. Just keep your head up. Even if you dont like nursing then you can turn to EMS....it is a very fun job.