How To Become a Nurse Paramedic

If you are fascinated in working in a fast-paced, high-pressure scientific setting, reflect onconsideration on turning into a nurse paramedic. This position combines the life-saving affected person care capabilities of nursing with the non permanent duty of being a paramedic. Knowing what this position entails and how to end up one can assist you decide if this is the proper affected person care function for you. In this article, we discover what a nurse paramedic does, the skills they want to impervious employment and the steps wished to emerge as one.

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What is a nurse paramedic?

A nurse paramedic is an emergency clinical provider expert who treats sufferers in transport to hospitals or different clinical facilities. As a registered nurse skilled as a paramedic, they administer medication, display vitals, have a tendency to wounds and stabilize sufferers after accidents or fitness incidents like coronary heart assaults or whilst being transported to every other facility for cure or surgery. Nurse paramedics can also grant affected person care in ambulances or in clinical planes or helicopters as flight nurses.
Related: What Does a Registered Nurse Do?

What does a nurse paramedic do?

Though unique obligations may also rely on their employment type, nurse paramedics regularly have the following responsibilities:

  • Carrying sufferers to ambulatory automobiles on stretchers
  • Administering oxygen and medicines as needed
  • Performing CPR or defibrillation
  • Monitoring vitals with ECGs and connecting IVs
  • Caring for sufferers with acute reactions, like allergic reactions, to continual conditions, like diabetes
  • Documenting pre-hospitalization affected person conditions, together with tactics and medicinal drugs supplied at some stage in transport
  • Tracking stock of scientific supplies, which includes non-public shielding gear and medications, handy in the ambulatory vehicle

Related: Learn About Being a Paramedic

Nurse paramedic salary

Indeed does not have profits records for nurse paramedics, however right here are some earnings figures for associated roles to provide you an thinking of what a nurse paramedic can earn:
Paramedic: $41,421 per year
Registered nurse: $78,459 per year
Emergency room RN: $108,330 per year
Earning achievable can also rely on geographical location, employment type, years of applicable experience, degree of education, applicable education and certification.
Related: What Is a Flight Nurse’s Salary? Top 10 Salaries by means of State and Career Guide

Nurse paramedic skills

Here are some capabilities you can strengthen to turn out to be an positive nurse paramedic:


These gurus ought to be capable to communicate truely and exercise lively listening to make certain they provide and apprehend instructions that ought to retailer their patients’ lives. They have to additionally evenly give an explanation for techniques to sufferers and reassure them throughout transport.

Time management

Being in a position to multitask and whole duties rapidly is indispensable to being an superb nurse paramedic. They may additionally want to entire a few life-saving techniques at one time whilst monitoring vitals and speaking with the patient. 


The work of a nurse paramedic can differ broadly in phrases of what stipulations and wounds they treat, the place they pick out up sufferers and how sufferers react to treatment. Also, a patient’s circumstance can trade in an instant, so being in a position to react shortly to these adjustments can make certain they stabilize the patient.


This position is fast-paced and high-pressure, so these authorities need to be in a position to analyze a situation, decide the consequence of alternatives and select an tremendous alternative quickly. With ride and training, nurse paramedics can advance the self belief and know-how they want to make speedy selections that advantage their sufferers the most.


Nurse paramedics have to be capable to discover signs and reasons of damage or acute reactions and use the satisfactory measures to tackle the problem. This might also contain inspecting patients, checking vitals and attempting exclusive options.
Related: FAQ: Paramedic or Nurse

Work surroundings for a nurse paramedic

Nurse paramedics can supply emergency affected person care in ambulances, clinical airplanes and helicopters. They might also work for an agency that owns and coordinates these emergency provider vehicles, or they may additionally work for a healthcare enterprise that has their very own emergency provider vehicles. They can work a range of shifts, together with overnights and weekends.
These experts spend an awful lot of their time touring to and from scientific amenities and emergency name locations, which includes roadsides and homes. They additionally collaborate with fellow paramedics as properly as EMTs, firefighters and police officers at some emergency name locations. When they arrive at the scientific facility, they can also have interaction with medical doctors and nurses earlier than heading to any other call.
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How to end up a nurse paramedic

1. Earn a nursing degree

Nurse paramedics usually begin their careers as a registered nurse, which requires you to earn an accomplice or bachelor’s diploma in nursing. Both of these applications grant study room education in affected person care excellent practices, pharmacology, anatomy and diagnostics. You additionally whole scientific hours in clinic settings to take a look at training physicians and nurses, deal with sufferers beneath supervision and get extra education in specialised clinical disciplines. The understanding and competencies you earn throughout your diploma software put together you to sit down for licensure checks in your state.

2. Gain licensure as a registered nurse

Take the NCLEX-RN examination to reap board certification and licensure from your state’s regulatory board for nursing. This examination checks your know-how of fine affected person care practices, healthcare insurance policies and ethics. Upon passing the examination and incomes your license, you are required to renew your license each few years, relying on your state, via taking persevering with training courses.

3. Acquire journey as an emergency room nurse

Depending on the paramedic education software you observe to, you may additionally want to have a sure variety of years in nursing experience. Some packages can also require ride in emergency room nursing. After incomes your license, think about working for a few years as an ER nurse to advance your capabilities in rapid decision-making, adaptability and time management. This trip can additionally put together you for the fast-paced, high-pressure nature of being a paramedic. You can additionally get trip with a large range of affected person injuries, prerequisites and ailments in an ER setting.

4. Complete EMT coaching and certification

Attend a licensed EMT education software at a neighborhood or technical university to examine the capabilities and approaches of a paramedic. You take guides in airway management, ambulance operations, emergency lifestyles assist strategies and environment friendly diagnostics. After finishing the program, you can take a seat for and ignore the National Registry of Emergency Medical Technicians’ (NREMT) EMT-Basic certification exam. In addition, reflect onconsideration on additionally getting board licensed for emergency nursing via acquiring a Certified Emergency Nurse certification. RN-to-Paramedic bridge packages might also require each certifications for admission.

5. Obtain different certifications

There are many different EMT- and nursing-related certifications you can earn to refine your capabilities and display your dedication to service. Some certifications you would possibly reflect onconsideration on incomes encompass Advanced Cardiovascular Life Support (ACLS) and Pediatric Advanced Life Support (PALS) from the American Heart Association. These certifications display your specialised education and information of emergency care measures for these populations or conditions, which can amplify your incomes potential, lead to development possibilities and make bigger your employability.

6. Pursue an RN-to-Paramedic bridge program

An RN-to-Paramedic bridge software is a short coaching software that interprets your nursing training to emergency offerings practice. In these programs, you take classes, whole scientific hours and do internships in paramedic affected person care practices, together with pre-hospital evaluation and management, trauma care and different subjects discovered all through your licensed EMT education program.

7. Earn your paramedic license

Depending on your state’s requirements, you may additionally earn your paramedic license after passing the NREMT examination or after passing your state’s paramedic licensing exam. After passing the required exam, you should keep your license through finishing CE credits, working a sure wide variety of hours in an emergency response clinical placing or taking an permitted exam.

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