i have gotten a few private replies regarding my standardization of paramedicine. I am in no way saying that i consider our training beyond that of an RN. My only objective to seek ways to break down bureaucratic red tape that makes us jump through hoops if we want to travel and to gain recognition that we are more than "ambulance drivers". our paramedics in the flight community, whether they know it or not, have started doing that. i know that nurses think more clinically and something i teach my paramedic students is to do the same. i want them to know the pharmacokentics of the medications and not just how much and why. i hope that i didn't offend any of our nursing members and i wasn't trying to stir up a "here we go again" response. i may be wrong, but i was just implying that if more people understood what our job entailed and that it takes skill on its own right, that we might be able to break some of these barriers that we complain about...whether it be publicly or privately. The nurses we once in our shoes and we should look to them for guidance. fly safe!