Folks folks folks folks…
WE ALL got our place and our purposes….. we could debate this forever……….
I have been privy to attending classes that had mainly nurses and medics in attendance. Working in the environment that I do work in I am subjected to both RN’s for EMS work as well as paramedics. The nurses that I know that are medics also will jump to make sure you know they where medics first. They are proud of that and they keep that medic licensure up just as they do their RN. I have a very good friend that is a flight nurse, she was a nurse first and is now going for her medic’s licensure….. a little reversed yes however she feels the knowledge base is a plus and it will make her much more marketable. Now that being said I have posted before on my experience of taking a class with RN’s and Medics. The initial fact was scary. Many ( I am smarter than to assume all or most) nurses have NO prior field experience and so paramedics bring a lot to the table for that fact. Many states that fly RN and Medics on the helicopters require the nurses to be EMT-B certified before they can take a flight in that state, HHHMMMM why EMTB when they are RN already?? Seem odd?
NO it doesn’t. EMTB’s have their own ability that they bring to the table making the team a well rounded whole. Knock us all you want, dispute me all you want I stand firm in my belief we have our place. As a partaker in PHTLS class with the medics and nurses I learned a very valuable lesson and I now understood why many of our long standing EMT’s in the community has never gone to medic school- now I understand why they have repeatedly told me a good EMT will always save a medics @ss. Not my words, just sharing what I have been told. My experience in class would also explain why my flight nurses and medics always tell me there is no such thing as JUST AN EMT…… they are very correct in this statement. EMT is trained to focus on other aspects, medics focus on a more in depth approach, while the nurses and medics in my class was concerned with ripping a patient out of the vehicle and strapping her down with this iv, that med, advanced air-way……I was the only one to address the following simple steps,
A: I was the only one who stated scene safety BSI
B: I was the only one to initiate exposing my patient for assessment
C: I was the only one to appropriately address the bleeding control and splinting of the fractured femur.
My statement to the aggressive evasive approach was all the IV’s in the world won’t do a bit of good if the patient is bleeding PINK!!
The nurses and medics that day learned a lesson as well as I did. We all do have our place in the field and else where. They learned that all the advanced skills in the world won’t do any patient a bit of good unless the basic approach is used first. Even a medic or nurse has to think on a basic level at times, the hardest problem to solve may have the most simplest of answers………
I do not think that complete BLS crews have a place in rural settings. This I will say adamantly. Maybe in an urban area a BLS crew can run the BLS call’s, but in a rural setting too many factors get in the way. Even the most simple of all BLS runs could turn bad with an extended transport time to the hospital….. Where is the ALS support then when you need it? Just as far away as the ER. This is why our helicopters fly so much in many areas…….but that is another topic for a new day.
Leave the EMTB alone. We all make the big happy world of EMS go round……..