My volunteer career began before my nursing career - I was a candy-striper when I was 14 til about 16 years of age. This was back in the day where we wore white/red striped dresses. Don't know if this even exists today - lolI volunteered for military service but not sure that counts as I got paid for it. Had a great time too.Then, came kids and we've all probably spent countless hours as the room mother, scout leader, Sunday School teacher - between my husband and myself I can't even figure out the number of hours spent helping out with our sons' activities. However, this was all a labor of love.We moved to our rural community 20 years ago. In our area, we have an all volunteer fire/EMS dept. We cover a wide area consisting of three small (pre-hospital RN which in IL is a license issued by the IL Dept of Professional and Financial Regulation. I did both fire and EMS for 10 years and then changed to EMS only as I was having difficulty with the time commitment for fire training. I drive an ambulance and can drive the firetruck too. A little secret: I love the lights and siren!Our dept runs about 500 calls per year. We actually don't transport patients as the "big city" ambulance service comes to the location of the call and we transfer care to them. However, as we are first on the scene, we have providers for both basic life support (BLS) as well as advanced life support (ALS) care. Many times we make the difference between survivability and death to our pts. Its especially important during inclement weather as the distance from the "big city" to our little area might mean a 20-30 minute transit time.It's a huge responsibility. Totally a different ballgame from being in a hospital where resources are unending. Starting IVs while a pt is getting extricated, assessing a newborn in a house that has no electricity because it's been turned off due to lack of payment are all challenges. Giving bad news is a challenge too without the support staff. In the pre-hospital environment, we don't transport dead people. If they are dead when we get there, they stay there. This is out in the open, family/friends are all around. Performing CPR, intubating a critically ill patient, extricating patients from mangled vehicles all require a calm and confident provider. There is no social worker, chaplain or another provider to explain what is happening. We are IT!We currently have approx 50 EMS personnel: most are BLS providers; we have 4 ALS providers. I'm currently the only PHRN on our dept.Much of my time too is spent teaching - not in a classroom, but rather out on calls. We have many young, sometimes idealistic young people who volunteer. However, they might not have much life experience. One of the pitfalls of a rural fire dept is that you often know your patients. Thats hard - you talk with Mr. Smith on Sunday at church, then on Tuesday, you are called to his house due to chest pain. Its a tiny bit easier for me; being a healthcare provider because I am able to put on my "game face" and carry on doing what needs to be done.Some days are just hard though.However, volunteering provides me with a sense of self-worth. I do love my jobs but lets face it - we usually go to work for the paycheck.Volunteering fills a void that a paid job can't...So...tell us - what do you to give back? Mission trips, free clinic, fire dept or something completely different.... 1 Down Vote Up Vote × About traumaRUs, MSN, APRN Trauma Columnist 88 Articles 21,268 Posts Share this post Share on other sites