Flightmed archive for May-2003
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Flightmed archive for May-2003



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Re: paramedic vs nurse



Over the past couple years I have worked quite a bit in the hospital. I have earned a 'peer' status among the physicians, mid levels and nurses I work with. This comes from a different attitude then I see displayed by many medics. When I am working, I am a part of the healthcare team, not just a gopher or butt wiper. If I see something that needs to be addressed, whether logistically or patient care related, I speak up. I have many advanced skills and training, more so then most of the RNs that I work with. I do not need to tell them about it and wear it like a badge on my scrubs. It shows (apparently) in my work and concern for patients.
 
I am not a part of the decision making process in my current job, except for strange situations like the bear spray victim who 'contaminated' our ER last night. I am just a tech. That is my role, what I am paid to do, and what is expected from me. This does not prevent me from doing what I can to promote my chosen profession. I have been amazed at how people have responded to knowing that paramedics work inside the ER here. Nearly every patient or their family asks me "WHY?". What should I tell them? I am proud to wear a shirt or scrub along with my name tag that identifies me as a paramedic. The PR that has been occurring has been tremendous!
 
Should I tell them that working in the ED I can make $5+ per hour more and have awesome benefits, only work 8 hour shifts, I get a lunch break, I do not have to take call, I can take vacation without burdening my partners, etc?
 
Should I tell them that I do what the nurses do not 'want' to do?
 
Should I tell them that I someday dream of being a nurse, so that I can make more money and I can pass off the butt wiping to some other lowly tech?
 
These are real questions that people ask, techs discuss amongst themselves, and I think we all think about.
 
Because of my experience, I do not see the nursing profession as being 'touchy feely' and certainly not all 'warm and fuzzy' like the industry tries to promote. This is in response to Dereks earlier posting.
 
Now I go off to be a tech till the middle of the night, wiping some more butts, performing EKGs and cleaning dried blood off of trauma victims.
 
Regards
Nick
 
 

____________________________________________
Nick Nudell, NREMT-P, CCEMT-P
California
nudell@prehospital-perspective.com
 
"Perception is reality" - Wise Old Paramedic
 
 
 
 
----- Original Message -----
Sent: Thursday, May 01, 2003 2:27 PM
Subject: re: paramedic vs nurse


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!

Derek Hunt CCEMT-P, PNCCT
UFGatorD@aol.com

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