Rn to medic

akulahawkRN, ADN, RN, EMT-P · Apr 2, 2014

Why don't you comment on the OP question instead of just trolling to jump on you soapbox with an inappropriate comment about EMT in the military and civilian life. Better yet, find a former military EMT and ask them about being an 18 y/o in war.
Do you really believe an RN who does not have a military EMT background can just take a test and be ready for the streets as a Paramedic? Serious question and is the op.

To answer your question, yes. I know several RNs that have never taken an EMT course, nor were in the Military as an EMT/Medic/Corpsman that could take the NREMT exam right now, pass it, and be ready for the street as a Paramedic tomorrow.

Do I think that a new grad RN could do well as a Paramedic? Not a chance. They'll have to take a bridge course and then get their field time before they can earn the license. Same with medics going to RN. They have to take a bridge course, get their clinical time, and then they can earn their license.

Your responses since I last posted still have not changed my perception of you. You're still nothing more than a protocol monkey who lacks any sufficient depth of knowledge to really understand the why behind all the psychomotor skills that paramedics do.

akulahawkRN, ADN, RN, EMT-P · Apr 2, 2014

You clearly do not want a conversation and only want to make people annoyed.
I have NEVER seen a flight crew insert an a line for transport. Did the patient have one prior to transport? Yes. Can they be monitored on a portable monitor? Yes. I have yet to see a crew delay departure to insert an a line.
I have NEVER seen a street medic insert an a line either. Again delaying transfer.
I have NO ISSUES with medics at the bedside in the ED. However you seem to have plenty of problems with nursing. For that I apologize for whomever insulted you.
No one is doubting your expertise nor your abilities. I am confused by your vehemence against nurses

Esme12 - I have yet to see a flight crew delay a transfer because the patient needed an a-line. I've seen them place a-lines but that's never the cause of a delay. I've also NEVER seen a Paramedic place an a-line, especially a field Paramedic. I've seen them monitoring patients with a-lines already in place though. Usually, the a-line placement is done by the sending facility prior to arrival of transport personnel.

Back when I worked the field, we used our Propaq for monitoring a-lines, but that was while I was assigned to the CCT ambulance.

Esme12, ASN, BSN, RN · Apr 2, 2014

Esme12 - I have yet to see a flight crew delay a transfer because the patient needed an a-line. I've seen them place a-lines but that's never the cause of a delay. I've also NEVER seen a Paramedic place an a-line, especially a field Paramedic. I've seen them monitoring patients with a-lines already in place though. Usually, the a-line placement is done by the sending facility prior to arrival of transport personnel.
Back when I worked the field, we used our Propaq for monitoring a-lines, but that was while I was assigned to the CCT ambulance.

I know they take them... I personally haven't see any place one. I am sure they can place them when trained any one ca really..... They have asked for one and one of the ED/ICU staff place one while they pack and do their thing to get airborne again. There are so many portable monitoring deceives these days.....I am ever pleased that at least the get smaller....LOL

BR157 · Apr 2, 2014

Esme12 - I have yet to see a flight crew delay a transfer because the patient needed an a-line. I've seen them place a-lines but that's never the cause of a delay. I've also NEVER seen a Paramedic place an a-line, especially a field Paramedic. I've seen them monitoring patients with a-lines already in place though. Usually, the a-line placement is done by the sending facility prior to arrival of transport personnel.
Back when I worked the field, we used our Propaq for monitoring a-lines, but that was while I was assigned to the CCT ambulance.

I never said an aline done in the field. You inferred I stated that twice. I stated CCT which is Critical Care Transport and also flight. A field Paramedic can also so either of those and work in the field. If you are the guy from a big city in California I doubt if you have seen many Paramedics doing much in that state. Don't judge everyone by what you cannot do. You also don't know what we run in very rural regions. You sir are not the spokesperson for EMS.

Okay you have made your point that most RN should be able to challenge the Paramedic. I still believe they need the EMT and additional training for both the skills including being on at least one ambulance ride and knowledge. I don't know of anyone including Paramedics who can intubate a patient or place a central line in the field without a couple practice sessions under supervision.

But I also believe any Paramedic with an Associates degree is just as qualified to take the RN exam. There is no difference in medications, anatomy, physiology or skills.

I have no idea what you call a protocol monkey. At least my state requires an Associates degree. Only Paragods- think they are above education and training. No one should ever intubate or do any advanced skill without education and supervision. No one. Even the military offers some supervised practice.

BR157 · Apr 2, 2014

I know they take them... I personally haven't see any place one. I am sure they can place them when trained any one ca really..... They have asked for one and one of the ED/ICU staff place one while they pack and do their thing to get airborne again. There are so many portable monitoring deceives these days.....I am ever pleased that at least the get smaller....LOL

Not every little ER in rural America has RN who can do a lines for the Paramedic on CCT or flight. Did you expect all hospitals to do everything and have the patient neatly packaged when you did flight? You would probably **** yourself on some of our call to the small hospitals and clinics.

Esme12, ASN, BSN, RN · Apr 2, 2014

Not every little ER in rural America has RN who can do a lines for the Paramedic on CCT or flight. Did you expect all hospitals to do everything and have the patient neatly packaged when you did flight? You would probably **** yourself on some of our call to the small hospitals and clinics.

Seriously? You have NO IDEA who I am, what I have done, or where I have worked. There is very little that I haven't seen or cared for....there is very little I haven't experienced. I've had an amazing career so far. I never inferred that it was always the nurses who started these lines.

You assume a lot with very few facts....and somehow continue to feel persecuted.

"Let me never fall into the vulgar mistake of dreaming that I am persecuted whenever I am contradicted" Ralph Waldo Emerson

I do know that my experience makes me a highly educated and specialized healthcare professional.

AmyRN303, BSN, RN · Apr 2, 2014

"Let me never fall into the vulgar mistake of dreaming that I am persecuted whenever I am contradicted" Ralph Waldo Emerson

Yes, ma'am.

Esme12, ASN, BSN, RN · Apr 2, 2014

I never said an aline done in the field. You inferred I stated that twice. I stated CCT which is Critical Care Transport and also flight. A field Paramedic can also so either of those and work in the field. If you are the guy from a big city in California I doubt if you have seen many Paramedics doing much in that state. Don't judge everyone by what you cannot do. You also don't know what we run in very rural regions. You sir are not the spokesperson for EMS.
Okay you have made your point that most RN should be able to challenge the Paramedic. I still believe they need the EMT and additional training for both the skills including being on at least one ambulance ride and knowledge. I don't know of anyone including Paramedics who can intubate a patient or place a central line in the field without a couple practice sessions under supervision.
But I also believe any Paramedic with an Associates degree is just as qualified to take the RN exam. There is no difference in medications, anatomy, physiology or skills.
I have no idea what you call a protocol monkey. At least my state requires an Associates degree. Only Paragods- think they are above education and training. No one should ever intubate or do any advanced skill without education and supervision. No one. Even the military offers some supervised practice.

You do realize that many of us stated that in most cases RN's should not challenge the medic exam without some formal training. If you feel you could sit for NCLEX...by all means do so.

Trauma Columnist · Apr 2, 2014

Hmmm....we as nurses know how to respectfully disagree without resorting to profanity.

Exercising professional conduct on all fronts might get you a little more credibility too.

sissiesmama, ASN, RN · Apr 4, 2014

allnurses has members from all over the world. it is one of the things I like the best. I think we can all grow and learn for our peers from all over the world.

-

You're right, Esme. I feel like I learn quite a bit from my AN friends all over -

I'm happy to learn from my paramedic friends, and SO very glad that they don't present the same attitudes that ooze from some of the postings in this thread.

Anne, RNC

sissiesmama, ASN, RN · Apr 4, 2014

Afghanistan. Trust me...
As I said earlier, I was (still am) a paramedic, then became an RN. It's apples and oranges, but all fruity. But neither can really fill the other's role well without some edjumucation. Just my opinion.

Pixie, thank u again for your service! U rock!

Anne, RNC

Editorial Team / Moderator · Apr 4, 2014

But I also believe any Paramedic with an Associates degree is just as qualified to take the RN exam. There is no difference in medications, anatomy, physiology or skills.

As a Paramedic with an Associates degree and as an RN, I simply disagree. One does not translate that seamlessly to the other that they can do either with only being educated in one, and that goes both ways.