NysEms2117
ex-Parole officer/EMT
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By me CCRN's or RN's are only used on few ground transports. Was wondering how it is in different parts of the country. If you could also include certificate requirements that'd be nice .
It's interesting you bring this up, as it has been an area historically poorly managed and with much confusion on behalf of the personnel involved.
I know there are some states like PA that use PHRNs (Prehospital RNs) in a paramedic-like role. Most other places they are only on ambulances for neo/OB/CCT runs.
I think this is generally true. Doesn't CA have a bunch of different permutations of RNs on ambulances? (Paging @VentMonkey)
I think this is generally true. Doesn't CA have a bunch of different permutations of RNs on ambulances? (Paging @VentMonkey)
Pretty much what @TransportJockey is saying in regards to California. While our particular service does in fact have ground critical care nurses that do respond with their paramedic and EMT to 911 calls when not assigned transfers, they aren't responding solely by themselves to 911 calls. This is a complete separate thing from PHRN's. Now, they do work along with the medics and are utilioas a second set of ALS hands as needed on these calls, which is under heard of in California. I could have sworn REMSA had PHRN's, but I could be wrong.Most other places they are only on ambulances for neo/OB/CCT runs.
@EpiEMS Albany med has 1 ambulance staffed dual RN + driver, Think they are CCRN's and do super high profile transports.Naturally, this is one of those things that will differ by region and system. That being said, in NYS, I don't know of many places that use ground RNs - I believe Mercy Flight up in Buffalo has for their ground division?
These certs aren't typically designed for fresh out of nursing school RN's. The CCRN TMK is nothing to fool around with. Nursing is a completely different concept than EMS in and of itself, and most RN's that cross pollinate--if you will--do so with a sufficient amount of time under their belt, and with good reason.is it a different certification for PHRN as compared to CCRN?
ahhh. i think what i was getting stuck on is assuming the "CC" part of RN, included what EMS folks do. Now that i'm seeing CC equivocates more to ICU then EMS. I was presuming that CCRN's on ambulances go to the trauma calls as well. Are all CCRN classes broken down into 3 sections? (i know this is a bit down the road, but maybe i can take some pre-reqs and get them to dual count or something along those lines). I know thats more nursing, but in my personal opinion allnurses forum is nothing above useless.These certs aren't typically designed for fresh out of nursing school RN's. The CCRN TMK is nothing to fool around with. Nursing is a completely different concept than EMS in and of itself, and most RN's that cross pollinate--if you will--do so with a sufficient amount of time under their belt, and with good reason.
I keep referring back to my CCP course as it was filled with many different providers at different points in their careers, one of which was in fact a PHRN. She seemed to struggle the least, and was not a new grad.
https://www.hacc.edu/PublicSafetyCenter/EMS/PHRN.cfm
https://www.aacn.org/certification/get-certified
Albany med has 1 ambulance staffed dual RN + driver, Think they are CCRN's and do super high profile transports.
As far as certificates needed, it's the standard run of the mill alphabet soup (ACLS, PALS, PHTLS/ TCCC, MICN) along with any specialty certificates required in accordance with our CAMTS accreditation. These include CFRN, CCRN, and CEN, though I am told the CEN may not be accepted in the future in lieu of another cert.
Also, @NysEms2117 keep in mind, if a PHRN type role is something that may interest you later on once you're finished with nursing school, they'd probably want some experience. If flight, and/ or critical care are possible long term goals, any CAMTS accredited program will require a minimum of 3-5 years; they're upheld to this by the accrediting body itself, which is something some applicants fail to take into account.
from what i can gather they aren't EMS, "my" rig is the CCT EMS rig. They do super complex hospital transfers if i gathered my information right, and didn't completely muck it up. example: patient is critical in schoharie county(middle of nowhere, next to albany county), that local level 3 or w/e rank hospital calls them, since it's a bordering county, and they go take them? I also think they can be registered legally, because they have an EMT on board(?) i'd have to check the wording exactly, i'd presume they just call for orders at that point. I know they ride in something with pretty red and blue lights though because i've seen it before. However, idk if i'd like just putzing around all day waiting for somebody to callInteresting, didn't realize that. I would guess the driver is an EMT?
When I looked at Part 800 (NYS EMS code), it doesn't have any mention of RNs as ambulance staff. Article 30 of the Public Health Law, Section 3031 seems to address RNs (in ref.: "
Advanced life support system must....(2) be staffed by qualified medical and health personnel", where qualified personnel refers collectively to "physicians, registered professional nurses and advanced emergency medical technicians" (AEMT in the NYS sense means AEMT-I, AEMT-CC, and AEMT-P).
i was just looking at that, was debating looking seriously because they "Recommend a lot", but nothings mandatory other then passing the NCLEX.I hope that CAMTS removes CEN as an accepted "Critical Care" certification as it does not compare to CCRN or CFRN.
I am told this is what is to replace the CEN endorsement:I hope that CAMTS removes CEN as an accepted "Critical Care" certification as it does not compare to CCRN or CFRN
@NysEms2117 because you're my pal I think I can say this with fairly unabashed restraint. Going through a 2-4 year nursing program, and then directly back into the field/ EMS kind of defeats the whole purpose of nursing school in the first place.i was just looking at that, was debating looking seriously because they "Recommend a lot", but nothings mandatory other then passing the NCLEX.
I am told this is what is to replace the CEN endorsement:
http://www.bcencertifications.org/Get-Certified/CTRN.aspx
Are they are critical care topics in the CEN exam that you're aware of, Chase (e.g., hemodynamic monitoring, ABG's, vent management, etc.)?
i was just looking at that, was debating looking seriously because they "Recommend a lot", but nothings mandatory other then passing the NCLEX.