RE: Turf battles

[Mauseth Patrice <Patrice.Mauseth@HCAHealthcare.com>]

I agree that a paramedic could retain NICU theory.  I know we use EMT's and
Paramedics in our ER.  I don't have a clue what their duties are.  You're
probably right about the turf battles.  I would be surprised if they persist
through this nursing shortage.  
In reference to NICU transports, we couldn't use a paramedic instead of an
RN due to state law.  We wouldn't send a paramedic with a nurse, as we use
an RT. 

Good points

> -----Original Message-----
> From:	PrimaNoctes209@cableone.net [SMTP:primanoctes209@cableone.net]
> Sent:	Tuesday, April 02, 2002 11:40 AM
> To:	flightmed@flightweb.com
> Subject:	Turf battles
> 
> >>In addition, I have never seen a paramedic or EMT
> take an NICU assignment in a hospital.<<
>  
> Well, you will probably never see an EMT-B taking a NICU assignment, I am
> fairly certain.
>  
> Although the debate has changed somewhat, allow me to stir the hornet's
> nest a little more.
>  
> In my opinion, there is a fair amount of turf protection/defense by
> nurses, particularly at hospitals.  For example, in my city there are
> several hospitals that have fought tooth and nail to keep EMT-Paramedics
> out of their Emergency Department as employees.  If they are employed they
> are delegated to orderly duties and if they are lucky will be allowed to
> do 12 lead ECGs for the nursing staff, but they are not allowed to act up
> to their scope of practice.   When I lived in Portland, Oregon, however,
> paramedics were utilized in the ED triage or in the ED itself acting as a
> skills position on the trauma team , doing everything, if not more than an
> RN.  In my facility I can insert chest tubes, intubate, push all the meds
> etc.  Can all of the non-flight nurses do the same?  No.
>  
> No, I am not raising the who's-better debate again.  My point is, the
> reason you may not see a paramedic in the NICU or any other unit in a
> hospital may be in part to turf protection.  I am fairly certain a
> motivated paramedic could retain NICU theory as well as another provider.
> 
>  
> But, I could be wrong.
>  
> Eric E. Kincaid, CCEMT-P
> Boise, ID USA
>  
> PS-I have the utmost respect for NICU staff and nurses in general, so
> please save your attacks...

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