I am still a new medic. I got my license in January 2009, and was cleared to run by myself sometime in the April region. I then moved multiple times, and have not been practicing since September. I have been an EMT for almost 6 years now
However, many in EMS keep mistaking me for "experienced". I know I have some nursing experience under my belt, including my years as an ER/Trauma nurse in a large level 1 trauma center/inner city ER.
But here's my problem with this: I am NOT an experienced Medic. Things that make me a good ER nurse do not make me a good Medic. I have always been of the opinion that in-hospital and out-of-hospital care are two separate things. Similar, yes; even over-lapping in their fields: but 2 different worlds. It takes a different mind-set, different set of skills for me to operate in the field. This mindset helped me do well in Medic school, by setting aside my experience as a nurse and focusing only on what I had done as an EMT/and what I was learning.
So, here's my problem: people in EMS keep calling me "experienced", giving me preference on calls, even sending me out by myself into difficult situations "cause you can handle it".
I have nursing experience, I'm not the most experienced, but I do have some experience and feel fairly confident in my skill set. But I'm not an experienced medic. I haven't yet done a field tube (wasn't required in my program, I've done tubes in the OR, but not in the field). I haven't even run a wreck requiring extrication (once again, been in EMS for 6 years, and all my patients have self-extricated! Weird I know). I have also never run a code in the field (again, been in EMS for 6 years and my white cloud has prevented me being there for one!). I have run many, many codes in the hospital. I have also run ALS mega-codes until I could do them in my dreams (literally). But I have never run the actual chaos of a code in the field.
I would love to have the experience of watching an experienced medic run a code in the field. I would love the opportunity to drop a tube with an experienced medic peering over my shoulder to help me. But I'm not being given these opportunities. I'm sent out by myself, expected to function at a high level.
I'm getting ready to start at a new squad, and I'm already facing this conundrum. Already they're talking about a shortened preceptorship "since you know what you're doing". I don't want it shortened, I want help. I guess I want the pressure off, I want to be able to be "the new guy on the block". I want the freedom to mess up, to be told that I'll do better as time goes on. I want the freedom to have someone show up to back me up (volunteer system) since I'm still new.
Any thoughts? Hints? My nursing experience does help me a little (cyanosis is still cyanosis, in-hospital or out-of-hospital), but not much. I'm still a new medic and want to be considered that way.
1 week ago