I can agree with most of what you said, however this is incorrect. In fact at my service I work under my nurses protocols allowing for an expanded scope out of my ordinary set of protocols.
By comparison, here in Texas, we work directly under the license of the doctor who provides medical direction, so our scope is whatever that director dreams up. Brain scanning thingie-guided sedation at FirstFlight in Pecos? Field ABX and insulin? Blood-products transfusion? DSI vs RSI vs PAI? It's a lot more of a clinician-driven adventure here, and I like that.
@Destiny , I don't know your life circumstances, but if you want to be a paramedic, why don't you come on out to Texas? Houston's big, liberal, has a lot of diverse providers and cultures and is still pretty cheap by California standards, no state taxes, etc.
