Medic To RN

[usalsfyre]

That's not in nursing scope of practice.

Look hard. In most states it actually is, nurses just aren't credentialed to do so at a particular facility.

 

[EMT B]

if thats not in the nursing scope of practice than who does the intubation of there is a Code Blue?

 

[usalsfyre]

if thats not in the nursing scope of practice than who does the intubation of there is a Code Blue?

Generally the physician, followed by a RT.

 

[VFlutter]

if thats not in the nursing scope of practice than who does the intubation of there is a Code Blue?

Doctor, PA, or RT. It actually is in many facilities policies that an ACLS RN can intubate, it is usually wirtten like "in emergent situations if no other higher qualified provider is present or available". In most hospitals this is not really a problem as there are abundance of people available, especially in a teaching hospital. But it some rural ER/ICUs RNs do intubate. Just during codes not RSI.

 

[VFlutter]

You will need your RN plus ACLS and PALS then find a PHRN class. After completing it, you can practice the EMS scope of practice.

This may end up being the best option. I would rather stay in MO but I live literally 5 mins from IL. It sounds like a smoother transition and the PHRN course I found has a lab with OR intubations.

 

[NYMedic828]

NYS does not permit an RN to challenge into paramedic.

It's honestly retarded we have nurses working as EMTs where I volunteer and its just silly.

Why make people do something all over again.

Even a doctor in NY can't operate as an ALS provider unless they do so under heir own license.

We have two anesthesiologists in my volly house and one gynecologist. All three can only function as an EMT. If they start an IV, it is now under their own medical license.

 

[usalsfyre]

NYS does not permit an RN to challenge into paramedic.

Absolutely how it should be. Until I can "challenge" the NCLEX with no additional education (fat flipping chance of that), nursing shouldn't be "challenging" the NREMT

 

[VFlutter]

Absolutely how it should be. Until I can "challenge" the NCLEX with no additional education (fat flipping chance of that), nursing shouldn't be "challenging" the NREMT

If paramedic education improved maybe one day they could....

I do not support challenging the NREMT, I think there should be a short bridge process which includes clinical rotations. But to play the devils advocate in order to to challenge the NREMT most states require EMT-B, ACLS, PALS and even TNCC. So not exactly no education.

To humor me....

If I am a BSN RN with EMT-B, ACLS, PALS and TNCC what I am lacking that requires me to sit through a paramedic course?

As I have mentioned before if paramedics required a bachelors degree with similar prereqs as nursing along with a CNA class I would have no problem with them challenging the NCLEX

 

[NYMedic828]

Absolutely how it should be. Until I can "challenge" the NCLEX with no additional education (fat flipping chance of that), nursing shouldn't be "challenging" the NREMT

If you meet all the college level requirements, you basically can.

Paramedic has no requirements outside of the medic program itself.

If being a medic REQUIRED a couple semesters of A&P, patho, microbiology then I bet we could challenge it out on the basis of being evenly educated. Unfortunately medic only requires about 600 pages of A&P and you can pass without reading half of it.

 

[usalsfyre]

If I am a BSN RN with EMT-B, ACLS, PALS and TNCC what I am lacking that requires me to sit through a paramedic course?

Nothing. The point is not qualifications, it's protecting an independent profession (granted profession its a stretch, but you get the idea).

 

[VFlutter]

Nothing. The point is not qualifications, it's protecting an independent profession (granted profession its a stretch, but you get the idea).

I can't argue with that, it's a valid concern, but it is a bit of a stretch.

Luckily, RNs trying to bridge to paramedic are few and far between and are usually those whom wish to pursue EMS related nursing jobs or volunteer. So I don't see too much of a threat to the "profession"', at least no more than it is facing from within.

 

[ExpatMedic0]

I agree, you could turn it around say why should someone who is say NRP,CCEMT-P or FPC with a related undergraduate degree and the A&P series not be allowed to challenge RN? Half my medic class had a degree, we all had to take A&P as a separate course at the college and all Paramedics in Oregon are required to hold an AAS or higher(which if you compare the AAS degree's are identical in science, chemistry, biology and A&P requirements
)

 

[NYMedic828]

I agree, you could turn it around say why should someone who is say NRP,CCEMT-P or FPC with a related undergraduate degree and the A&P series not be allowed to challenge RN? Half my medic class had a degree, we all had to take A&P as a separate course at the college and all Paramedics in Oregon are required to hold an AAS or higher(which if you compare the AAS degree's are identical in science, chemistry, biology and A&P requirements
)

Because you don't have specifcly laid out nursing classes.

Paramedic has no set college level curriculum for the actual title, nursing has national standards and requirements.

If paramedic broke down into a set of classes with a final licensure exam, it would be a different ball game. But as of now, one mega class isn't gonna fit in anywhere.

 

[ExpatMedic0]

Here is the the Paramedic AAS degree from the community college in Portland
http://www.pcc.edu/about/catalog/emt.pdf
and here is the Nursing AAS degree from the community college in Portland
http://www.pcc.edu/about/catalog/nur.pdf

Edit: But then again this has been argued on here before countless times and if its time to start this discussion yet again, it probably needs a new thread of its own ;-)

 

[VFlutter]

Here is the the Paramedic AAS degree from the community college in Portland
http://www.pcc.edu/about/catalog/emt.pdf
and here is the Nursing AAS degree from the community college in Portland
http://www.pcc.edu/about/catalog/nur.pdf

Unless I am missing something the only shared requirement is A&P. I see no micro, Pharm, or patho for the medic program. Also a lot of the nursing prereqs (English and algebra) are part of the medic program. So for nursing you have more prereqs, more science, and more general education.

With prereqs included its 107 hs for medic vs 135 hrs for nursing

 

[NYMedic828]

Here is the the Paramedic AAS degree from the community college in Portland
http://www.pcc.edu/about/catalog/emt.pdf
and here is the Nursing AAS degree from the community college in Portland
http://www.pcc.edu/about/catalog/nur.pdf

Edit: But then again this has been argued on here before countless times and if its time to start this discussion yet again, it probably needs a new thread of its own ;-)

Only because you took the route of a college degree did you need those classes.

When it comes down to it, you and are sti considered a paramedic just the same.

EVERY nurse has the same standards of COLLEGE level education.

 

[VFlutter]

Only because you took the route of a college degree did you need those classes.

When it comes down to it, you and are sti considered a paramedic just the same.

EVERY nurse has the same standards of COLLEGE level education.

Well Diploma nurses ...but they are pretty much extinct.

 

[NYMedic828]

Well Diploma nurses ...but they are pretty much extinct.

Sorry I should have said every BSN nurse.

The largest hospital system here on LI, which is comprised of a ton of hospitals, is no longer hiring ADNs.

 

[usalsfyre]

EVERY nurse has the same standards of COLLEGE level education.

There are nursing diploma mills as surely as there are medic mills. Granted the institutional standards may be a BIT higher, but there's still a air bit of bad education out there.

 

[VFlutter]

Sorry I should have said every BSN nurse.

The largest hospital system here on LI, which is comprised of a ton of hospitals, is no longer hiring ADNs.

That is the way most major hospital systems around the country are going. You can still find a few stand alone hospitals that will accept ADNs.

I had a few friends go the ADN route. One got a hospital job only because she was a tech there before starting school while the other spent 4 months searching for jobs without a single interview and is now at a LTC/SNF working on her BSN.

I am 2 months away from graduating with my BSN and already have 3 job offers. I would say at least half of my class has an offer or is already hired.