Someone can explain my doubt?

Nurses General Nursing

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Can anyone explain me what's the difference between a nurse anesthetist and an anesthesiologist? Between a rehabilitation nurse and a physiotherapist? Between a psychiatric and mental health nurse and a psychologist? Between a pre-hospital nurse and a paramedic?

I'm not a health professional but in the future i'll be, and i have this curiosity...

Thanks for the future answers!

Here are a few links that might be useful to you.

For EMS, training and certification varies from state to state and some states like California, it is by also by county.

http://www.emsworld.com/survey/

This explains the proposed changes for the NREMT testing although not all states use the NREMT.

http://www.nremt.org/nremt/downloads/Newsletter_2009.pdf

This goes into more detail for each level of EMS Technician.

http://www.nhtsa.gov/people/injury/ems/EMSScope.pdf

The types of service vary from city to city and even within a city.

http://www.emsworld.com/publication/downloads/8th%20Annual%20Systems%20Survey.pdf

For almost all other healthcare providers in the U.S., they may take a national certification test but then are licensed by each state that they want to work in. Each state can also control the scope of practice and each employer (or Medical Director) can dictate specifically what can and can not be done.

Some examples of Flight, Specialty and CCT teams where RNs have a significant scope of practice for out of hospital situations.

CalStar - California

http://www.calstar.org/

California also utilizes a MICN for CCT and for base hospital operations for EMS personnel.

example:

http://extension.ucsd.edu/studyarea/index.cfm?vAction=singleCourse&vCourse=FPM-70000&vsacategoryid=134&vStudyAreaID=12

California Ambulance CCT nurses

http://www.amrventura.com/CCT.html

Specialty Team

Arkansas Children's Hospital

http://www.archildrens.org/Services/Angel-One-Transport/Angel-One-Team.aspx

Including mobile ECMO

http://www.archildrens.org/Services/ECMO/Mobile-ECMO-Program.aspx

Vanderbilt LifeFlight

http://www.vanderbilthealth.com/lifeflight/15862

Stanford

http://stanfordhospital.org/clinicsmedServices/medicalServices/lifeFlight/teamRoles.html

Boston MedFlight

http://www.bostonmedflight.org/

Florida Hospital

http://floridaflightone.com/Florida_Flight_One/Welcome.html

Duke

http://lifeflight.duhs.duke.edu/modules/lfabout/index.php?id=5

Wake Forrest

http://www.wfubmc.edu/School/Neonatal-and-Perinatal-Medicine/Neonatal-Pediatric-Transport-Service.htm

The U.S. also has a few Physician/Nurse Flight teams such as:

http://em.uchicago.edu/aeromedical.html

Job board on Flightweb where you can see the various positions and requirements of Flight RNs.

http://www.flightweb.com/jobs/

A few states have a specific certification for PreHospital RN.

- Pennsylvania

http://www.pacode.com/secure/data/028/chapter1003/s1003.25b.html

This link provides a great overview of all the skills for the different EMS levels which a PHRN can also do along with their own beyond those listed.

http://www.pabulletin.com/secure/data/vol38/38-48/2162.html

- Illinois

http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1226&ChapAct=210ILCS50/&ChapterID=21&ChapterName=HEALTH+FACILITIES&ActName=Emergency+Medical+Services+%28EMS%29+Systems+Act%2E

- Nevada

http://www.nursingboard.state.nv.us/

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Here are a few links that might be useful to you.

For EMS, training and certification varies from state to state and some states like California, it is by also by county.

http://www.emsworld.com/survey/

This explains the proposed changes for the NREMT testing although not all states use the NREMT.

http://www.nremt.org/nremt/downloads/Newsletter_2009.pdf

This goes into more detail for each level of EMS Technician.

http://www.nhtsa.gov/people/injury/ems/EMSScope.pdf

The types of service vary from city to city and even within a city.

http://www.emsworld.com/publication/downloads/8th%20Annual%20Systems%20Survey.pdf

For almost all other healthcare providers in the U.S., they may take a national certification test but then are licensed by each state that they want to work in. Each state can also control the scope of practice and each employer (or Medical Director) can dictate specifically what can and can not be done.

Some examples of Flight, Specialty and CCT teams where RNs have a significant scope of practice for out of hospital situations.

CalStar - California

http://www.calstar.org/

California also utilizes a MICN for CCT and for base hospital operations for EMS personnel.

example:

http://extension.ucsd.edu/studyarea/index.cfm?vAction=singleCourse&vCourse=FPM-70000&vsacategoryid=134&vStudyAreaID=12

California Ambulance CCT nurses

http://www.amrventura.com/CCT.html

Specialty Team

Arkansas Children's Hospital

http://www.archildrens.org/Services/Angel-One-Transport/Angel-One-Team.aspx

Including mobile ECMO

http://www.archildrens.org/Services/ECMO/Mobile-ECMO-Program.aspx

Vanderbilt LifeFlight

http://www.vanderbilthealth.com/lifeflight/15862

Stanford

http://stanfordhospital.org/clinicsmedServices/medicalServices/lifeFlight/teamRoles.html

Boston MedFlight

http://www.bostonmedflight.org/

Florida Hospital

http://floridaflightone.com/Florida_Flight_One/Welcome.html

Duke

http://lifeflight.duhs.duke.edu/modules/lfabout/index.php?id=5

Wake Forrest

http://www.wfubmc.edu/School/Neonatal-and-Perinatal-Medicine/Neonatal-Pediatric-Transport-Service.htm

The U.S. also has a few Physician/Nurse Flight teams such as:

http://em.uchicago.edu/aeromedical.html

Job board on Flightweb where you can see the various positions and requirements of Flight RNs.

http://www.flightweb.com/jobs/

A few states have a specific certification for PreHospital RN.

- Pennsylvania

http://www.pacode.com/secure/data/028/chapter1003/s1003.25b.html

This link provides a great overview of all the skills for the different EMS levels which a PHRN can also do along with their own beyond those listed.

http://www.pabulletin.com/secure/data/vol38/38-48/2162.html

- Illinois

http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1226&ChapAct=210ILCS50/&ChapterID=21&ChapterName=HEALTH+FACILITIES&ActName=Emergency+Medical+Services+%28EMS%29+Systems+Act%2E

- Nevada

http://www.nursingboard.state.nv.us/

> I forgot to put here the link of the video lol. my head is even forgotten lol

Here is it!

Thanks for the links you put here :)

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Can anyone explain me what's the difference between a nurse anesthetist and an anesthesiologist? Between a rehabilitation nurse and a physiotherapist? Between a psychiatric and mental health nurse and a psychologist? Between a pre-hospital nurse and a paramedic?

I'm from Canada but here's what I know!

anesthesiologist- 12 years of school- 4 years of premed (which in Canada means any degree you like), 4 years of medical school, plus 5 years of residency/specialty training.

nurse anesthetist- not yet a big profession in Canada (minimal schools offering it and thus minimal job positions available) but in the US it is 6 years of education- a BScN degree and 2 years of specialty training.

psych nurse- there is a 4-year psych nurse degree you can get in Canada, or a 2-year diploma that an RN can get to specialize. They would do essentially what a regular RN would do but in a psychiatric or mental health setting dealing with psych patients.

psychologist- I believe for psychologists you need a psychology degree, as well as your master's, and usually a phd so 7 or 8 years of schooling and you are able to lead research or counsel people... http://www.wisegeek.com/what-does-a-psychologist-do.htm

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