
A pre-hospital registered nurse, also known as a Pre-Hospital RN or PHRN, is a professional nurse who has completed supplemental education and is licensed under the Nurse Practice Act. They are qualified to provide advanced life support care and emergency medical services outside of a traditional hospital setting, such as in ambulances or during medical transports. Pre-hospital registered nurses often work under the supervision of an EMS medical director and collaborate with paramedics to stabilize and improve patients' conditions before they arrive at a hospital. To become a pre-hospital registered nurse, individuals must complete specialized education programs and certifications, such as the PHRN program, which prepare them for the unique challenges of providing medical care in out-of-hospital environments.
| Characteristics | Values |
|---|---|
| Definition | A registered professional nurse licensed under the Nurse Practice Act who has completed supplemental education and is approved by an EMS Medical Director to practice within an EMS System. |
| Synonyms | PHRN, Pre-Hospital RN |
| Location | Illinois, Pennsylvania |
| Training | Courses are offered by OSF Northern Region EMS, George E. Moerkirk Emergency Medicine Institute, and LifeTeam EMS Education and Training Division. |
| Course Content | Classroom learning, online reinforcement, clinical field experiences, EMT certification, paramedic programs, trauma education. |
| Requirements | Current RN license, CPR certification, completion of practical and written tests. |
| Scope of Practice | Stabilizing and improving patients' conditions before ambulance arrival, assisting ambulance crew, special operations EMS, first aid, similar roles. |
| Recertification | Biennial registration required, with specific exceptions for military service. |
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What You'll Learn

Pre-hospital RNs are licensed under the Nurse Practice Act
Pre-hospital RNs, or Pre-Hospital Registered Nurses, are licensed under the Nurse Practice Act (NPA). The NPA is a body of law that governs the practice of nursing and outlines the scope of practice and responsibilities for RNs. It is important to note that each state and territory in the US has its own NPA, which is interpreted and regulated by the respective state or territorial nursing board. These boards, often referred to as Boards of Nursing (BON), have the authority to enforce the laws and regulations within their jurisdiction.
In the context of pre-hospital RNs, the NPA plays a crucial role in ensuring these healthcare professionals are qualified and competent to provide emergency medical services. Pre-hospital RNs are required to complete supplemental education in addition to their registered nurse licensure. This supplemental education is outlined by the relevant department, such as the Department of Health, and ensures that pre-hospital RNs possess the knowledge and skills necessary for providing pre-hospital and inter-hospital emergency care, as well as non-emergency medical transports.
The specific requirements for pre-hospital RN licensure under the NPA can vary from state to state. For example, in Illinois, pre-hospital RNs must be approved by an EMS Medical Director to practice within the Illinois EMS System. This approval process ensures that the pre-hospital RNs meet the standards and qualifications necessary to provide emergency medical services within the state. Other states may have similar approval processes or additional requirements to ensure the competency of pre-hospital RNs.
The NPA also provides a framework for public protection and safety. The BON, as the regulatory body, has the responsibility to protect citizens' health, safety, and welfare against substandard nursing care. This includes the power to discipline nurses who violate nursing laws and regulations, ensuring that only competent and safe practitioners are providing care to the public. The BON's disciplinary actions and licensure information are typically maintained in a public database, promoting transparency and accountability in the nursing profession.
Overall, the licensing of pre-hospital RNs under the NPA ensures that these healthcare professionals are adequately prepared, skilled, and qualified to provide pre-hospital emergency care. The NPA, through its regulatory and disciplinary functions, helps maintain high standards of nursing practice and protects the public by addressing instances of substandard care or unsafe practitioners. Pre-hospital RNs, by meeting the requirements set forth in the NPA, play a vital role in delivering emergency medical services and contributing to positive patient outcomes in time-sensitive and critical situations.
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They are approved to practice within an EMS system
Pre-hospital registered nurses (PHRN) are licensed under the Nurse Practice Act and have completed supplemental education in accordance with rules adopted by the Department. They are approved by an EMS Medical Director to practice within an EMS System as emergency medical services personnel for pre-hospital and inter-hospital care and non-emergency medical transports.
To be approved to practice within an EMS system, a pre-hospital registered nurse must complete an application for PHRN certification. They must also have a current license as a registered nurse with their State Board of Nursing and a current certificate showing they have completed a CPR course approved by the Department. In addition, they must pass both a practical and written test of PHRN skills.
The PHRN program provides the knowledge and skills required to allow a registered nurse to become an advanced-level EMS provider, functioning in a role similar to a paramedic. The program serves as an introduction to EMS and the pre-hospital care of the sick and injured. It prepares registered nurses for employment in the pre-hospital emergency medical environment, shifting their mindset from controlled hospital healthcare to the autonomous out-of-hospital setting.
The Prehospital Registered Nurse Course teaches registered nurses to function as advanced life support care providers in the pre-hospital environment and provides an introduction to critical care transport. The course focuses on developing the knowledge and skills required to function effectively in a pre-hospital environment.
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RNs complete supplemental education to work in pre-hospital care
Pre-hospital registered nurses (PHRNs) are licensed under the Nurse Practice Act and have completed supplemental education to work in pre-hospital care. This involves taking courses that provide an introduction to emergency medical services (EMS) and the pre-hospital care of the sick and injured. These courses are designed to help registered nurses (RNs) develop the knowledge and skills required to function effectively in a pre-hospital environment.
RNs who complete this supplemental education can practice within an EMS system, providing pre-hospital and inter-hospital emergency care and non-emergency medical transports. They may also act under the direct supervision of an EMS medical director, following treatment protocols set by the relevant state's Department of Health.
The curriculum for these courses is delivered through classroom lectures, discussions, practical application in integrated lab sessions, and competency testing. Students are also required to participate in clinical hours at EMS field sites outside of the classroom. Some programs also include didactic, clinical, and field experiences provided by local hospital networks and ambulance corps.
Upon completion of the program, RNs will be eligible to take their state's certification exam to become a PHRN. This may include both a practical and written test of PHRN skills. PHRNs may then perform skills within a paramedic's scope of practice, as well as other skills authorized by The Professional Nursing Law, when authorized by a medical command physician or EMS protocol.
Overall, by completing supplemental education, RNs can gain the necessary skills and qualifications to provide advanced life support and critical care in a pre-hospital setting.
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Pre-hospital RN programs are designed for experienced RNs
The curriculum for pre-hospital RN programs covers a range of topics relevant to emergency medical services. It includes classroom lectures, discussions, practical applications in integrated lab sessions, and competency testing. Students are also required to complete clinical hours at EMS field sites to gain hands-on experience.
One example of a pre-hospital RN program is the Prehospital Registered Nurse Course offered by the George E. Moerkirk Emergency Medicine Institute in Pennsylvania. This course prepares registered nurses to function as advanced life support care providers in pre-hospital settings and introduces them to critical care transport. It covers various topics, including ACLS, PALS, and PHTLS, through lectures and workshops.
Another example is the Pre-Hospital Registered Nurse Program offered by OSF Northern Region EMS in Illinois. This program provides supplemental education to licensed RNs, enabling them to practice within an EMS system for pre-hospital and inter-hospital emergency care and non-emergency transports. It is designed for experienced RNs who will be working as pre-hospital providers, helping them develop the skills needed for this unique environment.
The PHRN program by LifeTeam EMS Education and Training Division is an intensive ten-week certification program. It prepares experienced RNs for employment in pre-hospital emergency medical settings. The program shifts the mindset of candidates from controlled hospital healthcare to autonomous out-of-hospital settings through classroom learning, online reinforcement, and clinical field experiences.
These programs ensure that experienced RNs are well-equipped to handle the challenges of providing emergency medical services and patient care outside of traditional hospitals, allowing them to become advanced-level EMS providers.
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PHRNs act under the supervision of an EMS medical director
Pre-Hospital Registered Nurses (PHRNs) are licensed professionals who have completed supplemental education to practice within an EMS system. They provide pre-hospital and inter-hospital emergency care and non-emergency medical transports. PHRNs act under the supervision of an EMS medical director and follow treatment protocols set forth by the relevant state's Department of Health.
PHRNs are required to have a current registered nurse license and complete CPR certification. They must also pass practical and written tests for PHRN certification, approved by the Department of Health. This certification must be registered biennially, with the relevant form or electronic process completed at least 30 days before the expiration of the current registration. Failure to do so may result in the PHRN certification not being renewed.
The role of a PHRN is similar to that of a paramedic, and they may perform skills within a paramedic's scope of practice when authorized by a medical command physician or EMS protocol. PHRNs may also work as members of a special operations EMS service or as first aid or safety officers.
The PHRN program provides the knowledge and skills necessary for a Registered Nurse to become an advanced-level EMS provider. The curriculum includes classroom lectures, discussions, practical application in integrated lab sessions, and competency testing. Additionally, students are required to participate in clinical hours at EMS field sites outside of the classroom.
The goal of the PHRN program is to prepare candidates for immediate employment in the prehospital emergency medical environment. It shifts the mindset of nurses from controlled hospital settings to autonomous out-of-hospital settings. This is achieved through a specialized education model that combines in-person classroom learning, online reinforcement, and clinical field experiences.
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Frequently asked questions
A pre-hospital registered nurse (PHRN) is a professional nurse who has completed supplemental education to practice within an EMS system. They provide pre-hospital and inter-hospital emergency care and non-emergency medical transports.
To become a pre-hospital registered nurse, you must be a registered nurse with a current license to practice. You will also need to complete a PHRN certification course, which includes didactic, clinical, and field training.
A pre-hospital registered nurse's responsibilities include stabilizing and improving patients' conditions in out-of-hospital emergency situations until an ambulance arrives. They may also assist the ambulance crew and function in a similar capacity to paramedics.
Pre-hospital registered nurses can work in various settings, including hospitals, ambulance services, and special operations EMS services. They can also work as first aid or safety officers.
Becoming a pre-hospital registered nurse can provide you with advanced skills and knowledge to handle emergency situations and improve patient care. It also offers a unique opportunity to work autonomously and make a direct impact on patients' lives in an out-of-hospital setting.











































