Paramedics in the hospital setting

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Our facility, a twenty-two bed Critical Access Hospital, has hired two paramedics to work in-hospital. When asked what they can do, the DON said, "Everything, under the supervision of an RN". I am an RN.

I have not been able to find any verification of the Paramedic Scope of Practice in the hospital setting through the Kansas Board of Nursing or the Kansas EMS site. Where can I find their Scope of Practice? I am comfortable working with them. I am just wanting verification of what a Paramedic can/cannot do in the hospital setting. Our facility has two Paramedics working, but is still writing the policy.

By the way paramedics do have a scope of practice.Texas Medical Board language of 22 Texas Administrative Code, Section 197.1. Medical personnel with specific training and competencies may be able to perform skills outside the bounds of traditional practice if their medical director evaluates, provides additional training, authorizes them accordingly and develops protocols to match

What you actually cited was from a nursing BON website. You can tell that by the wording which pertains to RNs and Paramedics in their hospitals which also can be changed according to the medical directors. What you have illustrated is the BON's attempt at restricting Paramedics. That is a very clear example of my earlier statement about how RNs attempt to restrict Paramedics from certain areas.

For Texas in EMS you will find that it is a medical director driven scope for Paramedics under their watch. This was discussed nationally when the new standards came out since Texas did not want such confining regulations and mandates placed upon them and their Paramedics. If follow the links YOU posted you will find this.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.
What you actually cited was from a nursing BON website. You can tell that by the wording which pertains to RNs and Paramedics in their hospitals which also can be changed according to the medical directors. What you have illustrated is the BON's attempt at restricting Paramedics. That is a very clear example of my earlier statement about how RNs attempt to restrict Paramedics from certain areas.

For Texas in EMS you will find that it is a medical director driven scope for Paramedics under their watch. This was discussed nationally when the new standards came out since Texas did not want such confining regulations and mandates placed upon them and their Paramedics. If follow the links YOU posted you will find this.

I KNOW WHERE IT IS FROM. I posted it. You are not interested in learning and I am not interested in fighting. I followed the link but you still are limited to the scope allowed you by the physicians...you do not have an independent practice nor an unlimited scope of practice.

We are both dictated our scope of practice. Plain and simple. It a apples and oranges. While they are both fruits they are not the same.

I am curious if your tolerance to nurses is so unpleasant...why did you come to a nursing forum?

Texas Medical Board language of 22 Texas Administrative Code, Section 197.1. Medical personnel with specific training and competencies may be able to perform skills outside the bounds of traditional practice if their medical director evaluates, provides additional training, authorizes them accordingly and develops protocols to match
Actually this part of my post you quoted came from a EMS site and the medcial board site.....http://www.emtcity.com/topic/21104-texas-emts/

http://www.emtlife.com/archive/index.php/t-19318.html

http://www.experts123.com/q/i-am-trying-to-find-out-the-scope-of-practice-for-a-paramedic-what-is-allowed-for-patient-treatments-limitations-etc.html

I KNOW WHERE IT IS FROM. I posted it. You are not interested in learning and I am not interested in fighting. I followed the link but you still are limited to the scope allowed you by the physicians...you do not have an independent practice nor an unlimited scope of practice.

We are both dictated our scope of practice. Plain and simple. It a apples and oranges. While they are both fruits they are not the same.

I am curious if your tolerance to nurses is so unpleasant...why did you come to a nursing forum?Actually this part of my post you quoted came from a EMS site and the medcial board site.....Texas EMT's? - General EMS Discussion - EMT City

Oxygen in TX [Archive] - EMTLife.com - The #1 Online Forum for EMS-Related Discussion

http://www.experts123.com/q/i-am-trying-to-find-out-the-scope-of-practice-for-a-paramedic-what-is-allowed-for-patient-treatments-limitations-etc.html

EMTCITY? EMTLIFE? EXPERTS123? Is that where you get your information about EMS? Which one is the medical board? EMTCITY or EMTLIFE? LOL! Next you'll be quoting the posts from this forum as the law.

But, from the one cited link, it does back up exactly what I have been trying to tell you. Texas has a medical director driven scope for its Paramedics.

Texas does not have a rigid scope of practice for EMS personnel defined in rule or law as some other states do. That’s because Texas Medical Board rules allow physician-medical directors to delegate medical tasks to EMS personnel as long as they’ve trained and/or verified and documented the training, in the context of the Texas Medical Board language of 22 Texas Administrative Code, Section 197.1.

I would hope you would have a better understanding of what you posted earlier which is a one sided skewed view from a nursing only standpoint. It does not cite the specific section of the statute which probably unknowingly you did post and I highlighted above.

I came here to try to straighten out on some of the profound lack of knowledge about Paramedics. You want to believe Paramedics are stuck in the dark ages and I tried to inform you that things have changed. Get over your high and might attitude that nurses are better than everyone else and Paramedics are only to take orders from nurses. It does not work that way. This goes back to the OP's question. Paramedics work under the direction of a doctor. NOT a nurse. Nurses do not and should not try to make the scope of practice for a Paramedic. I know you will always think otherwise because you are a NURSE. I think you are the one who does not want to see Paramedics in any other light than the very restricted scope of practice you want them to have from a nurse's point of view. Get over yourself because EMS is moving on and have already started the fight with the big nursing unions to gain ground in other areas with expanded practice as seen in several states including Minnesota, Maine and Colorado. I believe there are 10 others which also won the battle and more to come.

Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

[h=3]197.1 - : Texas Administrative Code[/h]

I am finished with this conversation. I have nothing but respect for paramedics. I am perfectly aware of the scope of practice.

Have a wonderful day.

I came here to try to straighten out on some of the profound lack of knowledge about Paramedics. You want to believe Paramedics are stuck in the dark ages and I tried to inform you that things have changed. Get over your high and might attitude that nurses are better than everyone else and Paramedics are only to take orders from nurses. It does not work that way. This goes back to the OP's question. Paramedics work under the direction of a doctor. NOT a nurse. Nurses do not and should not try to make the scope of practice for a Paramedic. I know you will always think otherwise because you are a NURSE. I think you are the one who does not want to see Paramedics in any other light than the very restricted scope of practice you want them to have from a nurse's point of view. Get over yourself because EMS is moving on and have already started the fight with the big nursing unions to gain ground in other areas with expanded practice as seen in several states including Minnesota, Maine and Colorado. I believe there are 10 others which also won the battle and more to come.

Respectfully, Esme never said that nurses are better than paramedics, or that nurses should try to make the scope of practice for paramedics. She also stated that only docs give paramedics orders, as you yourself asserted. I find you engaged in a battle without an opponent, sir. Are you a nurse, or a nursing student? If not, it seems as though you've gone to a lot of trouble to intentionally ruffle feathers on a nursing website.

Specializes in ER, Addictions, Geriatrics.
EMTCITY? EMTLIFE? EXPERTS123? Is that where you get your information about EMS? Which one is the medical board? EMTCITY or EMTLIFE? LOL! Next you'll be quoting the posts from this forum as the law.

But, from the one cited link, it does back up exactly what I have been trying to tell you. Texas has a medical director driven scope for its Paramedics.

Texas does not have a rigid scope of practice for EMS personnel defined in rule or law as some other states do. That's because Texas Medical Board rules allow physician-medical directors to delegate medical tasks to EMS personnel as long as they've trained and/or verified and documented the training, in the context of the Texas Medical Board language of 22 Texas Administrative Code, Section 197.1.

I would hope you would have a better understanding of what you posted earlier which is a one sided skewed view from a nursing only standpoint. It does not cite the specific section of the statute which probably unknowingly you did post and I highlighted above.

I came here to try to straighten out on some of the profound lack of knowledge about Paramedics. You want to believe Paramedics are stuck in the dark ages and I tried to inform you that things have changed. Get over your high and might attitude that nurses are better than everyone else and Paramedics are only to take orders from nurses. It does not work that way. This goes back to the OP's question. Paramedics work under the direction of a doctor. NOT a nurse. Nurses do not and should not try to make the scope of practice for a Paramedic. I know you will always think otherwise because you are a NURSE. I think you are the one who does not want to see Paramedics in any other light than the very restricted scope of practice you want them to have from a nurse's point of view. Get over yourself because EMS is moving on and have already started the fight with the big nursing unions to gain ground in other areas with expanded practice as seen in several states including Minnesota, Maine and Colorado. I believe there are 10 others which also won the battle and more to come.

I'm very sorry for the obviously terrible experience that you've had with one or more nurses. You clearly have an issue that needs to be resolved.

I do not believe anyone in this posts has said anything resembling the attitude towards paramedics that you are accusing all nurses of having.

I suspect you're only just trying to pick a fight and argue with whomever replies.... But for good measure, I really am sorry if nurses have given you that impression. I have nothing but respect for all of the many faces of the healthcare team.

I'm very sorry for the obviously terrible experience that you've had with one or more nurses. You clearly have an issue that needs to be resolved.

I do not believe anyone in this posts has said anything resembling the attitude towards paramedics that you are accusing all nurses of having.

I suspect you're only just trying to pick a fight and argue with whomever replies.... But for good measure, I really am sorry if nurses have given you that impression. I have nothing but respect for all of the many faces of the healthcare team.

What are you talking about?

I take it you did not read the OP's question. How would you like it if a physical therapist, respiratory tech or medical assistant was to be your "supervisor" but had no clue what you did? The same question goes out to AmyRN303. For GOD'S SAKE read the question so you can answer intelligently rather just assuming it is just another Paramedic trying to pick a fight.

On another discussion here which so many seem to be just fine with is about an RN just challenging the Paramedic exam and being a Paramedic without any additional training. When and only when Paramedics are allowed to challenge the RN without any additional training would I be okay with that.

First, don't insult my intelligence. Second, I wasn't responding to the OP's question, as I don't live in his/her state. I was addressing your tone, which has been repeated on every paramedic thread on which you've posted. Frankly, you're rude. I don't believe a nurse should be supervising paramedics at all, nor have I seen that in this state. I also have many paramedic friends and never have heard the vitriol you've spewed here directed at nurses.

First, don't insult my intelligence. Second, I wasn't responding to the OP's question, as I don't live in his/her state. I was addressing your tone, which has been repeated on every paramedic thread on which you've posted. Frankly, you're rude. I don't believe a nurse should be supervising paramedics at all, nor have I seen that in this state. I also have many paramedic friends and never have heard the vitriol you've spewed here directed at nurses.

Maybe if you read what the OP asked and the discussion which followed you might be able to grasp my opinions. God forbid a Paramedic might have an opinion about who supervises them or who is allowed to just take a test and call themselves a Paramedic without any additional education. I bet some nurses' panties would be twisted if the situation was reversed.

I grasp your questions well. I read OP's post. I simply did not respond to OP. Again, your tone is rude. I'm out. I have no desire to be in a toe to toe whizzing match.

I grasp your questions well. I read OP's post. I simply did not respond to OP. Again, your tone is rude. I'm out. I have no desire to be in a toe to toe whizzing match.

Yeah I get it. You could care less what the topic is about but still believe it is okay to criticize me for my opinion on a topic which affects Paramedics. If you don't like the OP question, don't comment. Would it be too much to ask to stick to the topic instead of promoting your own agenda for smiley points from nurses for calling someone rude who is defending their profession? Nursing in not the only profession in this country. This might be a nurse only website but that still does not mean Paramedics should not have a voice in what affects them directly.

Specializes in Emergency.
Yeah I get it. You could care less what the topic is about but still believe it is okay to criticize me for my opinion on a topic which affects Paramedics. If you don't like the OP question don't comment. Would it be too much to ask to stick to the topic instead of promoting your own agenda for smiley points from nurses for calling someone rude who is defending their profession? Nursing in not the only profession in this country. This might be a nurse only website but that still does not mean Paramedics should not have a voice in what affects them directly.[/quote']

What effect does the opinions of a bunch of anonymous strangers in a profession you obviously don't respect have on you?

Think hard about that, and maybe consider the fact that you have projected the above opinions onto us from your own insecurities.

Honestly you are spitting into the wind, with a predictable result, if you don't like it, there is an easy answer.

Ok, now I'm done for real, no more kibbles from this nurse.

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