Different types of nurses?

[Jim37F]

Depending on the jurisdiction there is VAST, VAST difference...

Ok because I've noticed that in the LA County protocols they tend to refer to being for either EMTs, Paramedics or MICNs, but most of the nurses I've worked with are CCTRNs

 

[Akulahawk]

Ok because I've noticed that in the LA County protocols they tend to refer to being for either EMTs, Paramedics or MICNs, but most of the nurses I've worked with are CCTRNs

MICN is a nurse that's been working in the ED for about 2 years and has decided to pursue the certification. Here in California, MICNs are usually the people that the Paramedics talk to at a Base Hospital to get Base Hospital Orders from. That's different from getting an order directly from a Base Hospital Physician. While they can go into the field, they may NOT give medical direction to a Paramedic. They aren't ICU nurses that go into the field. Despite the "Mobile" part of the title, MICNs normally only do a day or two of field observation every couple years, and typically stay in the ED otherwise, so they really aren't all that mobile.

A CCT-RN is (usually) an ICU nurse that's worked in the ICU for at least 2 years and is able to provide care to a patient during transport between medical facilities. Sometimes the CCT-RN is an ED Nurse that is knowledgeable enough to provide care during interfacility transport. The CCT-RN does not deal with giving care orders to a Paramedic in the same way that a MICN does, and may not actually know what a Paramedic can do.

At least in California, there really is a vast difference between the two.

Also, Nurses (even MICNs) normally don't count as EMT providers on an ambulance, at least as far as EMSA staffing is concerned. A CCT-RN ambulance must have 2 EMTs on board. If the RN is also certified as an EMT, that counts as the 2nd EMT. Go figure... :wacko:

 

[Jambi]

For some reason I keep thinking of this while reading through all this. No, I'm not comparing nurses to hippies, it's just the terms, names, and arguments of definition going on

http://www.southparkstudios.com/clips/103809/hippie-infestation

 

[Jim37F]

.

Also, Nurses (even MICNs) normally don't count as EMT providers on an ambulance, at least as far as EMSA staffing is concerned. A CCT-RN ambulance must have 2 EMTs on board. If the RN is also certified as an EMT, that counts as the 2nd EMT. Go figure... :wacko:

Yeah all our CCT units have two EMTs plus the nurse, but my shift is a new one so we don't even have a permanent nurse assigned yet (go figure)