RN intubation in ED?

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Hi All-

I am currently working through my ADN and would like to be an ED nurse.

I am currently a Fire/Medic and enjoy that.

My question may be silly but do any of you ED nurse have the ability to intubate in your respective ED's? I know of a rural ED near my home where they have been known to have the local EMS dispatched to perform intubations when Doc is having trouble. I always wondered why they wouldn't train the RN's to do that.

I was just curious:p

Thanks

Specializes in MICU, SICU, CICU.
Hi All-

I am currently working through my ADN and would like to be an ED nurse.

I am currently a Fire/Medic and enjoy that.

My question may be silly but do any of you ED nurse have the ability to intubate in your respective ED's? I know of a rural ED near my home where they have been known to have the local EMS dispatched to perform intubations when Doc is having trouble. I always wondered why they wouldn't train the RN's to do that.

I was just curious:p

Thanks

Where are they RTs in your facility, are they not allowed to intubate to assist the doc's?

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Specializes in Emergency Dept, ICU.

RT intubates and assists when needed in our ER.

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In my ED all RN's must have ACLS, PALS, ENPC, CATN11, and BTLS within the first year of being hired. The RN's are not allowed to perform intubation unless they have gone to the OR and perfomed 30 of them. They then must perform at least 30 per year in order to be able to intubate. None of the staff RN's intubate, only the flight RN's. Once intubation is performed and placement is confirmed the RN bags until RT gets the vent set up. The staff RN's do often pull and advance the tube if necessary.

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In NC intubation is an advanced nursing skill. I have been trained to intubate as well as intubated patients. The setting I used this skill was during critical care transports. I was trained in th ER under the supervision of either our medical director or ER doc. All transport nurses can intubate in our facility.

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Many ED nurses are trained however, ACLS standards now require you to use other airway adjuncts unless you perform intubations frequently enough to be good at it. Many rural ED use respiratory therapy, anesthesia also.

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We as Rn's in the ER and the RT's as well are not even allowed to do daily checks on the intubation equipment, cus here it is out of our scope. Only the Medics and MD intubate in the hospital (house-wide). Well, except for OR. :idea:

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Intubation is not within the scope of RN practice. You will find that out when a brain dead patients family sues you.

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