In an interesting twist the state legislature in Texas is considering staffing ambulances with nurses.
And I’m for it.
Let me explain:
There is a place for nursing pre-hospital but we’re going to need a complete retraining for the nursing staff. Focusing on decision making without physician approval as well as adapting to adverse conditions will be needed and we in EMS are more than willing to help them prepare for this change in role and responsibility.
We need more specialized help in the field and nursing can help fill that void.
See Texas ENA, that wasn’t hard now was it?
For those of you not in the know, head over to Unwired Medic’s post for details about the Texas nursing group spreading lies to prevent medics from practicing in the hospital.
Before you grab a pitch fork to tear apart their hilarious claims, let’s turn the tables for a minute.
Could a nurse staff an ambulance?
The short answer is no. The nurse has no extrication training, no patient movement training and no idea how to react to standing orders.
But if I needed their expertise in the field I’ll be the first in line to help them get trained up. I certainly wouldn’t be the first to write a letter about how placing a nurse in the field would be unsafe and endanger patients.
That’s exactly what the Texas ENA did without thinking about, or researching, the capabilities of modern Paramedics.
We aren’t simply techs wandering the halls performing IV sticks and other random tasks. If the Texas EDs need practitioners with experience giving medications, performing intubations and other advanced procedures and reassessing complex patients, why not choose a Paramedic?
We do those things in low light with little rest and no back up as it is.
Texas ENA seems to think that giving us comfortable shoes, bright light and a room that doesn’t move will somehow endanger patients.
Texas ENA is worried a technician with an associates degree can outperform their Nursing degree when the cards are down in a time sensitive situation.
You played your hand too early Texas ENA and are drawing for the inside straight.
We’re holding the Royal Flush.
We’re all in.
Do you call or raise?
PS – You should fold.