expanded scope under physician??

[BossyCow]

Doesn't Washington also have something called HCA or Health Care Assistant?

https://fortress.wa.gov/doh/hpqa1/hps7/Health_Care/default.htm

There are RNs that do specialty transport on ambulances in Washington as well as scene response on flight teams.

Yes there are and they need specific certs relating to that work beyond their R.N. The flight Nurse cert is one, and there another for field nursing which is available as well. I'm not completely informed on the topic, but remember it being addressed when local medics wanted to get the ER nurses to do ride alongs.

 

[daedalus]

Your concerns are acknowledged Rid.

The OP did not post his job title. However, I do know that the hospitals in California are smart enough to know that the California counties regulate the EMTs' (and Paramedics) scopes and really wish not to get into that mess.

The hospital would actually be very foolish to use "EMT" for the job title since that could be very restrictive.

The hospital also reserves the right to train the "EMT" to perform additional skills to meet the job description. If relying only on the EMT training, they may be very limited and even useless in some EDs that rely on their technician help. The hospital could also furnish them with CNA or PCT training to which is another certification for them to work under which does allow expansion in job duties. There are various other certifications that one can obtain through the hospital that would not limit them.

I surfed Santa Clara Valley, Sutter and Kaiser hospitals in that area and their web job descriptions are:



Source: Kaiser's Job page

In california, or LA and Ventura counties at least, ER Techs are usually trained by the hospital to preform EKGs, take vital signs, assist the nursing staff, discharge patients, etc. At Kaiser, 12 leads are a very large portion of the job.

Rid, I have noticed that many Job titles do not in fact contain "EMT". They mention EMT training in their description, however. To the best of my understanding this does away with any EMS Agency authority, and places your "practice" under the supervision on the medical staff at the respective hospital.

 

[VentMedic]

In California's EMSA statutes the word "prehospital" is used in almost every definition and legal language for scope of practice. One could argue that once inside the hospital, different medical direction, different title and different job description rule.

 

[daedalus]

Assuming the training and knowledge was there, why not?

 

[medic417]

Thats what I love about Texas. Medical director can allow you to do anything they want to. At one job I could probably get away with open heart surgery at the other one I can barely come near the patient. Basically if the doctor feels confident that they have educated you and are willing to accept the liability they can allow you to do it. In hospital environment not sure.