So, as most of you can probably tell by the credentials on the side of my name, I am a paramedic. My overall goal was to become a nurse, and it still is. I am currently finishing up a couple prerequisites and hopefully, I will be accepted into a BSN program by the end of next semester. Here is the issue, though...
One day, I was browsing the web, looking for stories of people who were like me. People who became paramedics first and then went on to become nurses. What I found, however, was a crap load of articles, mainly from nurses, stereotyping the EMS field and limiting the skills of paramedics to nothing more than "ambulance driver". I was appalled. One, because I didn't even think that this was even an actual "thing", and two because I would figure that healthcare providers as a whole would grasp at some point that this whole idea of healthcare is a TEAM effort. There is no licensure more needed than another.
Then, I see more articles on newcomers wanting to explore another option other than CNA. People who were thinking about becoming EMT Basics, prior to their nurse education. A lot of biased nurses there, once again completely bashing the idea of becoming an EMT instead of a CNA. They cared to do no research whatsoever on what an EMT or paramedic does. They used both terms interchangeably, which is a mistake within itself because the scope of practice for both are different. But once again, both are being limited to only "ambulance drivers". Really?
So, just clearing up a few things here and there. EMTs and Paramedics are not just "ambulance drivers". People could easily stereotype nurses as "doctor assistants", I KNOW for a fact that it would very looked down upon. So, why do it to someone else?
EMTs typically have to take a semester long program to be EMTs. As does a CNA. However, EMTs take more classes in the semester. CNAs have one course to take.
To be a paramedic now, it takes 1- 2 years, depending on what program you go into, and that's not including prereqs. That's about the same amount of time it takes to be a LPN or an RN on the Associates level. The program I did was a year and a half and I ended up with an Associate's degree. A lot of medic programs are held in colleges now. Not just EMS companies.
Paramedics are skilled in giving medications, EKG interpretations, Cardioversion, Defibrillation, Transcutaneous Pacing, IVs, IOs, Intubations, Needle Decompressions, ect... We do have to know drip rates. EMTs can not do these things, but they are still trained to handle the basic stuff like controlling the bleeding, simple airway management, CPR, simple anaphylaxis management, etc... Until the medics come and take over.
EMTs and Medics can work in the hospital. Usually, they only work in the ED, but it makes sense since they are trained in the emergency medical model. There are a few other places where EMTs and Medics can work. Options seem to open up a little more to paramedics... But all of this being said, EMTs and Medics are not just limited to working on an ambulance. I know this from personal experience, before anyone tries to invalidate this fact.
Another annoying misconception is that EMTs and Paramedics are only limited to one patient a day... This is a very stupid misconception and it proves that people do not know the purpose of EMS. EMTs and Medics are trained for emergencies. When we get on a scene, we do not have the stable environment of the hospital. We have to make due with what we have and what we know. We have to stabilize the scene and ensure scene safety. If an incident occurs when there are multiple people injured or sick, we have to know how to tend to that. Not every case is "we load and go and that's it". It has never been just that.
The bottom line is, EMTs and Medics are around for a reason. And there is a reason why the burnout rate from Medics are higher than the burnout rate from nurses. Not saying at all that nurses do not get burned out... Medics do more than they get credit for and it's unfortunate that this even has to be a topic. All I can say now is, before you go on a biased rampage on how nurses are better than medics and how medics are useless and not skilled in anything except ambulance driving, I insist that you do your research and learn all there is to know about the EMS field, instead of contributing to the load of bs that EMTs and Medics have to deal with from people all the time.
P.S. I apologize if this is in the wrong place. Feel free to move it. I don't know how to change where this gets posted.
I am very sorry that you've experienced this.
Paramedics and EMTs are invaluable to the community and healthcare as a whole. You have made excellent points about the misconceptions surrounding paramedics and EMTs. Likewise, I'm disappointed about some of the responses here. As nurses, we do experience similar criticism from other disciplines. That is why I believe we should be mindful of the way we treat paramedics, EMTs, and others.
It sucks to be de-valued! After all, it's not like you see paramedics parading around a disaster scene demanding any kind of glorification.They are many times the first on scene, often un-thanked, and easily forgotten by those who do not understand their role. I hope that this has not changed your mind about nursing because I know many EMTs who became nurses and they are incredible.
It is true that you will experience the same attitude as a nurse, but your willingness to speak out and correct those that fail to value all team members is admirable and necessary. Best of luck on your nursing school application!
Wow OP. Chill out. Nobody has ever discussed this before. Ever.
There certainly aren't any other EMTs and Paramedics here who became RNs. Some of us still practice.
EMS is not "just ambulance drivers." That attitude stinks. Same goes for when EMS folks can't tell a RN from a CNA and rip on "those nurses at the assisted living center who only wipe poop and can't start an IV" (as if keeping a patient clean and dignified was somehow beneath EMS).
Commenting briefly on the rest of your rant, in most cases, the US Paramedic certification process is not comparable to an ADN RN pipeline. Paramedic is most commonly a 9-12 month vocational certification program with far less competitive entry and far fewer prereqs. Only a small minority of medics enter practice with even an AAS degree in the field.
This is precisely why, as you complain, "medics aren't paid." EMS education and entry standards are lower than almost any other field in healthcare, thus there are many eager and qualified applicants for any position.
There is only one solution for that: working to raise EMS standards. Pissing contests about skills aren't going to win respect from anyone outside of EMS.
EMS is very short-term oriented and very skills focused. You will find is that Nursing is far more knowledge oriented, collaborative, and big picture focused (some like feel good words like "holistic"). Thus waving a skill like intubation around doesn't impress RNs all that much.
There are many medics I respect greatly. But their list of skills aren't what earns my respect. It is their dedication to good patient care, knowledge, knowing when to not do (and to do) interventions, their commitment to evidence based practice, and their desire to progress EMS.
Congrats on using EMS as a stepping stone. Will be interesting for you to reflect on this post after you become a RN.
I was a medic in the Army, and then I went to nursing school. Obviously, the military is another animal but when I was a medic I would intubate, push meds and do stuff any paramedic would do. As far as civilian EMT, well to be fair, they do mostly drive the ambulance and assist the paramedic. Not because they arn't clever enough to do more, but because of the laws surrounding being an EMT and what they are allowed to do, however your state may be different. I have nothing but respect for EMS, in fact to be a firefighter, it now basically a prerequisite to be a paramedic now because their knowledge and skill set is vital. I would question what kind of nurses these were in the article, my guess would probably be ER nurses, only because they deal with it every day. But if I were in cardiac arrest, I'd rather have a paramedic by my side then a psych nurse (Which I am, so hold your fire) or some other kind of nurse that doesn't deal with that every day....Like a nurse case manager or what have you.
I very much doubt it was ER nurses ragging on EMTs and paramedics- we work directly with them every day, and many EDs employ medics as staff (sometimes as techs, sometimes to work within their full scope). Many ED nurses also started out as medics, and life being what it is, many are dating/married to medics.
Which is not to say there's never any conflict between ED and prehospital staff (any time you have one group handing off patients to another, there's going to be occasional disagreements) but we have a very clear picture of what medics do, and what the difference is between a patient who received good prehospital care, bad prehospital care, and no prehospital care.
Sorry you have experienced disparaging remarks/attitudes. I can firmly say that in almost 20 years in nursing, I have never met another nurse who holds the attitudes you describe towards EMTs and Paramedics. I have nothing but respect for first responders, especially since they are the ones who arrive on the scene before the body parts have been picked up and before things have been put back together again. I cannot even imagine. Knowing that you do that, period, is enough for me to hold you in high regard.
Yes, it mildly annoys me when the EMTs and Paramedics and ER staff bring up a pregnant woman like she's a grenade with the pin pulled, but that's about it. That's pretty much standard operating procedure for anyone who doesn't work L&D, though, and I'm used to it. We know when a woman comes into the ER huffing and puffing or a woman who swears she's crowning calls the ambulance (but is really long, thick and closed) that she will be brought to the unit at the speed of light. I expect nothing less, though, because you really never know. L&D nurses freak out about chest pain. *shrug* Everybody has their weak spots.
At any rate, I agree with the PP about not relying on external validation from your peers, because there's always going to be somebody who talks down to you and assumes you're an idiot no matter what degree you hold or letters are after your name. It happens. Let it roll off your back and go on your merry way.
I'm still in nursing school but I haven't seen this attitude towards EMT or medics. Not saying it doesn't exist, but the way your post sounds makes it seem as if this attitude is ubiquitous. I've actually seen the opposite--EMTs making fun of nurses for not knowing how to do certain things and trying to tell the RN what to do when they bring a patient in. IDK.
I'm sorry you've experienced this and I am sure there are some douchebaggy nurses who have certainly said things like these because that's just kinda how it is in this field. Like the others said..trying to one up the other or show superiority. I see it a lot too with MDs and PAs at my hospitals. PAs making orders and the MDs rounding with the PAs at the bedside, then the MD making the PA feel foolish for one thing or another in front of the patient. PAs are petitioning to be called physician associates instead of assistants and physicians are pushing back against that. Kinda everywhere.
I understand the frustration tho. You want people to know exactly what you can do and not treat you like trash. I just hope you don't get defensive with every nurse before you've given them a chance. I admire medics and EMTs like crazy. :)
Like other posters have said - you need a thick skin to work in nursing, scratch that - healthcare in general. ER nurses tend to be viewed as the "odd relation" of the hospital (Not by everyone!). Same goes for ER docs. Surgeons gripe about medics and vice versa.
Don't be concerned about how others view you. It's irrelevant and takes up valuable brain space.
Be concerned about doing your job well because that's what matters to the most important person (your patient).
Ive worked with brilliant nurses and awful nurses (we're human too and have all the accompanying human frailties) just as I know some inspiring paramedics and not to mention some truly awful ones.
Id never call anyone an ambulance driver. I would however call them up on their patient care if I felt it was substandard (same as I would with any nurse).
Best of luck with your studies.
Anyone who criticizes an EMT or Paramedic has obviously never been the first one at the very nasty scene of bad car wreak. I have been a trauma nurse for many years, and I could never be a first responder. No matter how dirty or bloody my trauma patient is, I don't have to see the skin and muscles sliding off of their skull as I'm useless because we can't get into the car, or the oblivious drunk who is complaining about his broken foot, while the son sits in shock because both his parents died instantly on Easter Sunday. Any First responder is a true Hero, who should be honored as close to angels. The get a pass on any technical BS that some anal retentive nurse can think of, because she can't start an IV in the back of a Rig going 70 miles an hour and you know she has never needled a chest. Your patients never said your just an ambulance driver. Skip Nursing and become a perfusionist they make 150,000 a year with no Nursing Board.
Like other posters have said - you need a thick skin to work in nursing, scratch that - healthcare in general. ER nurses tend to be viewed as the "odd relation" of the hospital (Not by everyone!). Same goes for ER docs. Surgeons gripe about medics and vice versa.Don't be concerned about how others view you. It's irrelevant and takes up valuable brain space.
Be concerned about doing your job well because that's what matters to the most important person (your patient).
Ive worked with brilliant nurses and awful nurses (we're human too and have all the accompanying human frailties) just as I know some inspiring paramedics and not to mention some truly awful ones.
Id never call anyone an ambulance driver. I would however call them up on their patient care if I felt it was substandard (same as I would with any nurse).
Best of luck with your studies.
You are very right and I agree 100% with this. Maybe I shouldn't care as much... I just feel like people stereotype each other over dumb things all the time... I wish more people in healthcare, despite their licensure level, could work as a team instead of having the attitude of who's better than who.
But you are right about me needing thick skin. I'm working on that. :)
I respect the heck out of EMT/Paramedics. All first responders, actually, including police officers and firemen. I have never been one ( a first responder), so I can't speak to how it is to work as one. But just know this is one nurse who respects you. I have had to make many 911 calls from my unit to have a patient transported to the hospital with chest pain/cardiac symptoms and am always relieved when they come in the door. I could not do my job without you.
Msmedic68w, MSN, RN
103 Posts
I was a medic in the Army, and then I went to nursing school. Obviously, the military is another animal but when I was a medic I would intubate, push meds and do stuff any paramedic would do. As far as civilian EMT, well to be fair, they do mostly drive the ambulance and assist the paramedic. Not because they arn't clever enough to do more, but because of the laws surrounding being an EMT and what they are allowed to do, however your state may be different. I have nothing but respect for EMS, in fact to be a firefighter, it now basically a prerequisite to be a paramedic now because their knowledge and skill set is vital. I would question what kind of nurses these were in the article, my guess would probably be ER nurses, only because they deal with it every day. But if I were in cardiac arrest, I'd rather have a paramedic by my side then a psych nurse (Which I am, so hold your fire) or some other kind of nurse that doesn't deal with that every day....Like a nurse case manager or what have you.