You are selling your future career as an RN very short. There are many specialty teams besides Flight and CCT that you could be part of. Because some have never been around them or they don't see the specialty ambulances flying at 80 mph with light and sirens, you don't think of these teams as being worthwhile.
Stabilizing a critical neonate or pedicatric patient could take hours. You could also be hours away from your hospital and will travel by many different modes to transportation. Going to other countries to pick up babies and kids can be much more challenging than some of the situations that many of the situations you'll see working an EMS truck with may have just a 10 minute ride. In these situations you will be expected to utilize all of your critical care experience and knowledge to intiate definitive treatment just as you would in the ICU. For adults there are ECMO and cardiac teams or CCTs that are based from a specialty hospital that transport the patients who are a little more complex than just a cardiac monitor. Obstetrics and high risk maternal transport is another specialty that does some very challenging calls.
Organ procurement RN is also a great area and although you are dealing with basically a dead patient, you will be doing a full critical care resuscitative process while evaluating and treating a ton of labs for the goal of saving several other patients or improving their quality of life. In many states Organ Procurement RNs have an extended scope that might even go past some NPs when it comes to procedures like bronchoscopies. But, that job is a heavy responsibility with alot to be done in a very short time. Of course you may also be at a different hospital every 2 - 3 days and you won't have an ambulance to ride around in unless you are in NYC. There are some transplant physicians who may take their own OR RN to accompany them when they retrieve the organs which might give you the opportunity to ride in an ambulance. But again, just like any of the specialty teams, it may take much more education, training and years of experience to achieve the level to offer more than a fast ambulance ride to a patient with just a few interventions that are done now in prehospital or even CCT.
RNs that have these goals are not so stupid to think they'll get their dream job right away nor do they think they can just take over any profession unless they expand their own education and experience. Getting the experience is a big part of their education. Paramedics now are having a difficult time finding clinicals or places for regular skills practice to get them or keep them proficient in the basic skills and knowledge needed for their prehospital specialty. However, RNs on specialty or Flight teams rarely have that problem even when it comes to getting practice with central lines or intubation.
There are are some disadvantages to working Flight or CCT as an RN if the service is separate from the hospital such as a private ambulance. The RN will have to also work in a progressive ICU to stay current. There are too many advancements in critical care medicine that constantly change along with hospital protocols that the RNs should be aware of when assuming care. To stagnate by not staying current can make them very inefficient and even dangerous when it comes to transporting some of these patients.
