I am a 10 year (ALS 911 Service) ​Paramedic that recently started working in a level 1 ED. We serve a huge region as the only Level 1 facility in a 200 mile radius and also offer some of the most advanced technology in the country as the Regional stroke center for the Southeast. The facility I work at has over 800 acute care beds. The ED has 41 rooms that see between 150-250 Patients per day and it is not unusual to have several critical ICU holds waiting to go upstairs for several hours. Even though I am new to the hospital setting I really enjoy my new career! Paramedics act just as RNs with the same responsibilities. The only skill an RN can do that i cannot is hang/Initiate a blood transfusion. After the blood is hung the medic can monitor and asses the pt until transfusion is complete. We can also push any medication or perform any intervention that an RN can. We are assigned to our own section as if we are no different and can actually perform some skills that an RN (with no additional training) cannot do, such as EJs and Intubation as needed. RNs are better in some situations and Medics are better in others. We all work as a team and get along great. I have not noticed any animosity or "I can do more than you" attitude. We see each other as equals and it seems to be working great!