Someone can explain my doubt?

1 Can anyone explain me what's the difference between a nurse anesthetist and an anesthesiologist? Between a rehabilitation nurse and a physiotherapist? Between a psychiatric and mental health nurse and a psychologist? Between a pre-hospital nurse and a paramedic?

I'm not a health professional but in the future i'll be, and i have this curiosity...
Thanks for the future answers!
Quote from HMartinhoCan anyone explain me what's the difference between a nurse anesthetist and an anesthesiologist? Between a rehabilitation nurse and a physiotherapist? Between a psychiatric and mental health nurse and a psychologist? Between a pre-hospital nurse and a paramedic?I'm not a health professional but in the future i'll be, and i have this curiosity...Thanks for the future answers!

Quote from HMartinhoCan anyone explain me what's the difference between a nurse anesthetist and an anesthesiologist?

Quote from roser13Nurse Anesthetist: Advance Practice Nurse with specialized training in Anesthesia Anesthesiologist: MD with Anesthesia specialty. Commonly supervises the practice of the NARehab Nurse: LPN or RN who practices in rehab facilitiesPhysiotherapist: ? uncertain what you mean....Physical Therapist? Physiatrist (MD)?Paramedic: EMT with advanced training, used primarily on ambulances for emergent situationsPre-hospital nurse: ? Again, not certain to what you're referring. A nursing student?

It comes down to scope.RN on the ambulance either air or ground has greater scope of practice than a paramedic. Pre-hospital is just that... before hospital.Not many nurses doing 911 calls in the field are usually rotary-wing flight nurses.Other nurses on ground ambulances or fixed-wing aircraft are working transport as CCT (Critical Care Transport).For the transport RN the patients have usually been seen by a doctor and reasonably stabilized before they go.I use the word stabilized loosely (sometimes not)

Quote from EmergencyNrseIt comes down to scope.RN on the ambulance either air or ground has greater scope of practice than a paramedic. Pre-hospital is just that... before hospital.Not many nurses doing 911 calls in the field are usually rotary-wing flight nurses.Other nurses on ground ambulances or fixed-wing aircraft are working transport as CCT (Critical Care Transport).For the transport RN the patients have usually been seen by a doctor and reasonably stabilized before they go.I use the word stabilized loosely (sometimes not)

Quote from HMartinhoJust one more question: a "pre-hospital" nurse and a emergency nurse can do a endotracheal intubation and a manual defibrillation?

Are you referring specifically to these terms in the U.S. or in Europe since I see you list Portugal as your country?Pre-hospital Nurses have a much broader role and scope of practice for out of hospital Emergency Medicine and are used more in Europe on ambulances for first response calls. In the U.S., most states will allow nurses to intubate when they are on Flight, Pre-hospital or Specialty teams. In the hospital they have different priorities as members of a team in the Emergency Department. There are other professionals in the U.S. who can intubate inside the hospital which you may not have in Portugal. RNs in the hospital can do defibrillation depending on where they work or if they are on a Rapid Response or Code team. Physiotherapists in Europe can also have a broader role than what Physicial Therapist have here in the U.S. In the U.S. their education is a Masters degree with a doctorate now being preferred and their focus is usually limited to rehabilitative medicine but in a variety of areas such as homecare, clinics and hospitals. I believe in some countries Physiotherapists are trained in other aspects of medicine such as what is known as Respiratory Therapy in the U.S. as well. I believe the U.K. has Physiotherapists who are utilized as such in the ICUs. For the most part, the difference is in the education and the specialized focus. A rehab nurse will have the same initial training and education as other entry level RNs but will continue their education/training usually on the job as they work on a specialized unit. Nursing education here in the U.S. is still essentially a 2 year degree for RN and 1 year for LVNs. As I mentioned, a Physical Therapist is a Masters or Doctorate of PT degree but with a very specialized focus. An Anesthesiologist is a physician who specializes anesteiology.A Physiatrist is a physician who specializes in rehabilitative medicine.A Psychologist usually holds a Masters or Doctorate degree specializing in Psychology.A Psychiatrist is a physician who specializes in mental health or psychology. In the U.S. a physician can have the degree of M.D. (Medical Doctor) or D.O (Doctor of Osteopathy).

Quote from EmergencyNrseWhen in the hospital or not in the hospital it all comes down to resources available.Doctor, Intern, R/T, ...While in the ER there have been scant few opportunities for any defib or intubations I tell you because the doctor is there. Sometimes you are actually restricted in your scope by hospital policy.In the field you have established protocols that you follow based on necessity/expediency.If the patient is going bad and need a secure airway then you do it. If you have a shockable rhythm the alternative is what? Exactly... You shock them.

Quote from GreyGullAre you referring specifically to these terms in the U.S. or in Europe since I see you list Portugal as your country?Pre-hospital Nurses have a much broader role and scope of practice for out of hospital Emergency Medicine and are used more in Europe on ambulances for first response calls. In the U.S., most states will allow nurses to intubate when they are on Flight, Pre-hospital or Specialty teams. In the hospital they have different priorities as members of a team in the Emergency Department. There are other professionals in the U.S. who can intubate inside the hospital which you may not have in Portugal. RNs in the hospital can do defibrillation depending on where they work or if they are on a Rapid Response or Code team. Physiotherapists in Europe can also have a broader role than what Physicial Therapist have here in the U.S. In the U.S. their education is a Masters degree with a doctorate now being preferred and their focus is usually limited to rehabilitative medicine but in a variety of areas such as homecare, clinics and hospitals. I believe in some countries Physiotherapists are trained in other aspects of medicine such as what is known as Respiratory Therapy in the U.S. as well. I believe the U.K. has Physiotherapists who are utilized as such in the ICUs. For the most part, the difference is in the education and the specialized focus. A rehab nurse will have the same initial training and education as other entry level RNs but will continue their education/training usually on the job as they work on a specialized unit. Nursing education here in the U.S. is still essentially a 2 year degree for RN and 1 year for LVNs. As I mentioned, a Physical Therapist is a Masters or Doctorate of PT degree but with a very specialized focus. An Anesthesiologist is a physician who specializes anesteiology.A Physiatrist is a physician who specializes in rehabilitative medicine.A Psychologist usually holds a Masters or Doctorate degree specializing in Psychology.A Psychiatrist is a physician who specializes in mental health or psychology. In the U.S. a physician can have the degree of M.D. (Medical Doctor) or D.O (Doctor of Osteopathy).

Interesting.Is this an accurate article on EMS in Portugal?http://www.emsvillage.com/articles/article.cfm?id=232

Quote from GreyGullInteresting.Is this an accurate article on EMS in Portugal?http://www.emsvillage.com/articles/article.cfm?id=232

Here are a few links that might be useful to you.For EMS, training and certification varies from state to state and some states like California, it is by also by county.http://www.emsworld.com/survey/This explains the proposed changes for the NREMT testing although not all states use the NREMT.http://www.nremt.org/nremt/downloads...etter_2009.pdfThis goes into more detail for each level of EMS Technician.http://www.nhtsa.gov/people/injury/ems/EMSScope.pdfThe types of service vary from city to city and even within a city.http://www.emsworld.com/publication/...s%20Survey.pdfFor almost all other healthcare providers in the U.S., they may take a national certification test but then are licensed by each state that they want to work in. Each state can also control the scope of practice and each employer (or Medical Director) can dictate specifically what can and can not be done. Some examples of Flight, Specialty and CCT teams where RNs have a significant scope of practice for out of hospital situations.CalStar - Californiahttp://www.calstar.org/California also utilizes a MICN for CCT and for base hospital operations for EMS personnel.example:http://extension.ucsd.edu/studyarea/...StudyAreaID=12California Ambulance CCT nurseshttp://www.amrventura.com/CCT.htmlSpecialty TeamArkansas Children's Hospital http://www.archildrens.org/Services/...-One-Team.aspxIncluding mobile ECMOhttp://www.archildrens.org/Services/...O-Program.aspxVanderbilt LifeFlighthttp://www.vanderbilthealth.com/lifeflight/15862Stanfordhttp://stanfordhospital.org/clinicsm...teamRoles.htmlBoston MedFlighthttp://www.bostonmedflight.org/Florida Hospitalhttp://floridaflightone.com/Florida_...e/Welcome.htmlDukehttp://lifeflight.duhs.duke.edu/modu...index.php?id=5Wake Forresthttp://www.wfubmc.edu/School/Neonata...rt-Service.htmThe U.S. also has a few Physician/Nurse Flight teams such as:http://em.uchicago.edu/aeromedical.htmlJob board on Flightweb where you can see the various positions and requirements of Flight RNs.http://www.flightweb.com/jobs/A few states have a specific certification for PreHospital RN.- Pennsylvaniahttp://www.pacode.com/secure/data/02...s1003.25b.htmlThis link provides a great overview of all the skills for the different EMS levels which a PHRN can also do along with their own beyond those listed.http://www.pabulletin.com/secure/dat...8-48/2162.html- Illinoishttp://www.ilga.gov/legislation/ilcs...Systems+Act%2E- Nevadahttp://www.nursingboard.state.nv.us/