Yes, being nice seems to be quite a challenge for you there, FloridaMedic. Unfortunately your constant negativity is a reflection of all of us involved in EMS. Find another career endeavor. Thats why I myself finally got smart and am working on my BSN (and hopefully eventually anesthesia) as a second career. Do I love the fire dept? Absolutely. I will stay there until they pretty much kick me out. DoI still love running on the "10 percenters" that make this job exciting and fun? You bet. Do I still love being a paramedic? Yes. But I like many others are WAY burned out after 15 years of hearing "I'm sick and I don't have a ride to the hospital".
Systems across the country are what they are. EMS is what it is. You can try to re-invent the wheel all you want, but we all are glorified ambulance drivers with some special knowledge and skills. Piss and moan about other programs all you want. Politics is politics, life goes on. Don't let it consume you.
Here we go...you people see a window to bash fire dept. based paramedics, and you jump through it. All this fire dept bashing is bullshit. You cite examples about sub standard fire dept. based EMS care, and I will shoot 10 more private EMS examples right back at you. Moot point.
In my opinion, the ultimate critical transport team is an RN and a paramedic, ground or air.
Another thread starting about YOU and YOUR problems...
You have once again taken the opportunity to start something about the FDs for an area you know nothing about and to talk about yourself.
Let me summarize the whole thread since you have chosen to read only what was needed to start your own agenda.
In Orange County, CA, the FD has the exclusive rights to Paramedic services.
RNs/MICNs do CCT.
Paramedics from the FD provide EMS as a 911 service.
Not too FDs many want to take an ALS EMS truck out of service to do long hospital IFTs.
Private companies would also like to utilize more Paramedics appropriately if possible.
That means the rules must be changed to allow this to happen.
Private ambulances would then be allowed to use Paramedics or advanced EMTs for some CCTs instead of the RNs.
It is agreed that RN/EMT-P is a great combination but RNs don't always work for the Fire Department and that could present a problem for having an RN/EMT-P team in these counties. If the RN was with the FD, you would still be taking a Fire owned ambulance which may be providing 911 EMS out of service to do a long IFT.
As you said, politics is politics.
Get over your insecurities that everyone is out to get you and the FDs. Stating a few facts about areas that are Fire-based is not "bashing". It is just a fact that FDs are usually there for 911 EMS calls and not IFTs. You of all people should be proud that the FDs have hung on to the exclusive rights of Paramedic services for some counties. You seem to be the one who hates private ambulance services and they are the issue of this thread.
If you have gotten burned out as a Paramedic from doing 911 EMS because only 10% were exciting, imagine how quickly you would have gotten burned out doing IFTs and 911 calls.
Good luck with that nursing thing. You might find nurses aren't as likely to agree with everything you say either especially when you are afraid everyone is bashing you for some reason. And guess what? Those sick patients that didn't have a ride to the hospital will now be your patients for a whole 8 or 12 hours if you become an RN. You might want to rethink your plans since being an RN will still involve patient care.
It would be helpful if more of those who think of EMS and the Paramedics as you do would leave the profession. EMS and the Paramedic might be allowed to move forward as a profession.