We all like our chief exec. he is a top bloke who still does work on the road occasionally - he's also the government advisor on all the ambulance servies across the country. There are only two levels of training (soon to be expanded) - Technicians and Paramedics - the joke is that Paramedics can do more to dead people given the restrictions on intubation and the increased number of cardiac arrest drugs available to them. Traditionally prior learning has meant nothing - to become a Paramedic you need to do a year at 80% pay, then a year 'post Millers', then you can apply for the course. Places are limited, and there is a lot of disappointment over this. However...We've just (this month) started RPL for people - this includes RGN's and in this months 'house journal' they are publicising it. Basically a charge nurse has gone straight onto a modified paramedic course after getting his 'Millers exam'. I've always been a bit quiet about my nursing experience - people know but I don't make a big song or dance about it, but given this last job where an IV may well have helped - it might just give me that push to go for it. The only thing, is that I feel like I'm 'living' my work at the moment, and do I really want to go on a residential course? I'll have to do it at some time, so perhaps it'll be good to get it out the way... Cheers for the comments - they _are_ appreciated