[hen-ui-dynamic-experience placement=”aboveTheFold” /][hen-ui-text variant=”b4″]Registered nurses and paramedics interact when transferring patients into an emergency department. Both roles are critical parts of acute patient care.[/hen-ui-text][hen-ui-text variant=”b4″]The roles overlap in responsibilities but differ in education, salary, and work setting. Find out which career is the best fit for you.[/hen-ui-text][hen-ui-heading variant=”h2″]Registered Nurse and Paramedic Key Similarities and Differences[/hen-ui-heading][hen-ui-text variant=”b4″]Registered nurses and paramedics both provide life-saving care to patients in the acute care setting. Both careers require a BLS-CPR certification and a license from your state to practice, and the time it takes to attain a paramedic and nursing degree can be similar. However, they have some key differences.[/hen-ui-text][hen-ui-text variant=”b4″]Paramedics spend about two years in training compared to the 2-4 years that registered nurses spend earning their degrees. (Paramedics can also earn a four-year bachelor’s degree in topics including paramedicine or emergency management.) However, registered nurses have more options for work settings, higher average annual salaries, and more responsibilities.[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”] Comparison of Registered Nurses and Paramedics [hen-ui-table-header][hen-ui-table-row][hen-ui-table-head scope=”col”][/hen-ui-table-head][hen-ui-table-head scope=”col”]Registered Nurse[/hen-ui-table-head][hen-ui-table-head scope=”col”]Paramedic[/hen-ui-table-head][/hen-ui-table-row][/hen-ui-table-header][hen-ui-table-body][hen-ui-table-row][hen-ui-table-head scope=”col”]Degree Required[/hen-ui-table-head][hen-ui-table-cell]Associate degree in nursing (ADN) | Bachelor’s degree in nursing (BSN) (preferred)[/hen-ui-table-cell][hen-ui-table-cell data-title=”Registered Nurse”]An associate degree or bachelor’s degree may be required[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Certification Options[/hen-ui-table-head][hen-ui-table-cell]State- or [hen-ui-link href=”/resources/nursing-compact-states/#nlc-overview”]nurse licensure compact [/hen-ui-link](NLC)- issued RN license | CPR-BLS certification[/hen-ui-table-cell][hen-ui-table-cell data-title=”Registered Nurse”]State-issued paramedic license | Paramedic certification from the National Registry of Emergency Medical Technicians (NREMT) | CPR-BLS certificationACLS Certification[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Recertification Options[/hen-ui-table-head][hen-ui-table-cell]Complete the working hours and continuing education [hen-ui-link href=”/registered-nursing/rn-licensing-requirements-by-state/#:~:text=To%20apply%20for%20renewal%2C%20each,30%20hours%20of%20continuing%20education.”]your state requires[/hen-ui-link] AND Apply for license renewal through their state[/hen-ui-table-cell][hen-ui-table-cell data-title=”Registered Nurse”]Pass the exam for recertification for paramedics OR Complete 60 hours of continuing education[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Work Settings[/hen-ui-table-head][hen-ui-table-cell]Hospitals and outpatient care centers[/hen-ui-table-cell][hen-ui-table-cell data-title=”Registered Nurse”]Ambulance services, emergency departments, and local government[/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Duties and Responsibilities[/hen-ui-table-head][hen-ui-table-cell][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Examines and treat patients[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Teaches patients and their families how to to care for themselves[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Works with other healthcare professions to create and carry out care plans[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Observes patients and reports their observations[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Records patients’ medical histories[/hen-ui-text][/hen-ui-list-item][/hen-ui-list][/hen-ui-table-cell][hen-ui-table-cell data-title=”Registered Nurse”][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Decides where to take the patient for the best care[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Leads the EMS team in the field[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Gives life support and first-aid[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Documents and reports treats they give[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Responds to 911 calls[/hen-ui-text][/hen-ui-list-item][/hen-ui-list][/hen-ui-table-cell][/hen-ui-table-row][hen-ui-table-row][hen-ui-table-head scope=”col”]Average Annual Salary[/hen-ui-table-head][hen-ui-table-cell]$93,600[/hen-ui-table-cell][hen-ui-table-cell data-title=”Registered Nurse”]$58,410[/hen-ui-table-cell][/hen-ui-table-row][/hen-ui-table-body][/hen-ui-table][hen-ui-heading variant=”h2″]Duties and Responsibilities[/hen-ui-heading][hen-ui-text variant=”b4″]Paramedics and registered nurses share some of the same responsibilities such as giving medication, taking patient histories, examining and treating patients, and reporting their observations.[/hen-ui-text][hen-ui-text variant=”b4″]Registered nurses have more responsibilities, more variety in possible work settings, and more involvement in the care planning process.[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”]
[hen-ui-heading variant=”h3″ class=”py-4 my-0 text-center border-b md:pb-8 md:border-none”]You might be interested in[/hen-ui-heading] [hen-ui-article-row variant=”slider” ids=”34001,34002,66102″][/hen-ui-article-row]
[hen-ui-heading variant=”h3″ align=”center”]What is a Registered Nurse?[/hen-ui-heading][hen-ui-text variant=”b4″]A [hen-ui-link href=”/registered-nursing/”]registered nurse[/hen-ui-link] is someone who works with doctors and other healthcare professionals to create and carry out care plans for patients in hospitals, outpatient care centers, nursing homes, and home healthcare. They examine and treat patients, give medications, and teach patients how to care for themselves.[/hen-ui-text]
[hen-ui-heading variant=”h3″ align=”center”]What is a Paramedic?[/hen-ui-heading][hen-ui-text variant=”b4″]A [hen-ui-link href=”/healthcare/paramedic/”]paramedic[/hen-ui-link] is someone who works with a team of [hen-ui-link href=”/healthcare/emt-vs-paramedic/#emt-vs-paramedic-compared”]EMTs and paramedics[/hen-ui-link] to respond to 911 calls and provide emergency medical care. Such care includes stitching wounds, giving first aid and CPR, and providing advanced airway management. They primarily work in ambulances and the field.[/hen-ui-text]
[/hen-ui-grid][hen-ui-flex gap=”xl” align=”left” direction=”column”][hen-ui-flex gap=”xs” align=”left” direction=”column”][hen-ui-heading variant=”h2″]Popular Online Programs[/hen-ui-heading][hen-ui-text variant=”b4″ color=”subtext”]Learn about start dates, transferring credits, availability of financial aid, and more by contacting the universities below.[/hen-ui-text][/hen-ui-flex][hen-ui-dynamic-experience placement=”belowTheFold” /][/hen-ui-flex][hen-ui-table][hen-ui-heading variant=”h3″ align=”center”]What Does a Registered Nurse Do?[/hen-ui-heading][hen-ui-text variant=”b4″]Registered nurses work with doctors and other healthcare professionals to provide care, create care plans, and educate patients and family members.[/hen-ui-text][hen-ui-text variant=”b4″]Most registered nurses work in hospitals, physician’s offices, outpatient care centers, and nursing homes. Typical registered nursing shifts last 8-12 hours a day. Registered nurses’ duties include:[/hen-ui-text][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Operating medical equipment[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Assisting with diagnostic medical testing[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Observing patients and reporting and recording those observations[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Collaborating with other healthcare providers to set up or change care plans[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Taking patients’ medical histories and examining patients[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Giving medication and treating patients[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Teaching patients and their family members how to care for themselves and manage their chronic conditions[/hen-ui-text][/hen-ui-list-item][/hen-ui-list]
[hen-ui-heading variant=”h3″ align=”center”]What Does a Paramedic Do?[/hen-ui-heading][hen-ui-text variant=”b4″]Paramedics respond to 911 calls to provide emergency medical care and safely transport and transfer patients to the nearest [hen-ui-link href=”/careers/er-nurse/”]emergency room[/hen-ui-link], between hospitals, or to another healthcare setting.[/hen-ui-text][hen-ui-text variant=”b4″]They do most of their work in the field, in an ambulance, or in emergency departments. Paramedics who work for a city or fire department often work 24 hours on and 48 hours off. Paramedics’ responsibilities include:[/hen-ui-text][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″]Leading the EMS team in the field[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Deciding where to take patients for the best medical care[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Replacing, cleaning, and taking inventory of supplies[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Giving first aid and CPR[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Providing advanced airway management and advanced cardiac life support[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Inserting IO and IV lines in the field[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Documenting and reporting the treatment they provide[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Transferring patients to the emergency department or other healthcare setting[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″]Driving the ambulance and transporting patients safely[/hen-ui-text][/hen-ui-list-item][/hen-ui-list]
[/hen-ui-grid][hen-ui-heading variant=”h2″]Education and Certification[/hen-ui-heading][hen-ui-text variant=”b4″]Whether you want to become an RN or a paramedic, you need a high school diploma and CPR-BLS certification. RNs and paramedics both have to take a licensing exam to get a license to practice.[/hen-ui-text][hen-ui-text variant=”b4″]Both roles have to apply for license renewal and complete continuing education to renew their license every few years.[/hen-ui-text][hen-ui-text variant=”b4″]Deciding which career path you want depends on how much time you want to spend in school.[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”] [hen-ui-heading variant=”h3″ align=”center”]How to Become a Registered Nurse[/hen-ui-heading][hen-ui-text variant=”b4″]If you choose to [hen-ui-link href=”/registered-nursing/how-to-become-a-rn/”]become an RN[/hen-ui-link], you need to earn at least an [hen-ui-link href=”/degrees/adn/”]associate degree in nursing[/hen-ui-link] (ADN), which takes two years to complete.[/hen-ui-text][hen-ui-text variant=”b4″]Many employers now require or prefer nurses to get their [hen-ui-link href=”/degrees/bsn/”]bachelor’s degree in nursing[/hen-ui-link] (BSN), which takes four years to complete. If you want to pursue management positions, further your education, or earn higher salaries you’ll need a BSN.[/hen-ui-text][hen-ui-text variant=”b4″]After you earn your degree, you’ll need to pass the [hen-ui-link href=”/resources/nclex/how-to-master-nclex-style-test-questions/”]National Council Licensure Examination[/hen-ui-link] (NCLEX) to get an RN license in your state.[/hen-ui-text][hen-ui-text variant=”b4″]Before the exam, you’ll need to submit an application for licensure to be eligible to [hen-ui-link href=”https://www.ncsbn.org/exams/application-and-registration.page” target=”_blank”]register for the NCLEX[/hen-ui-link] through the NCSBN and [hen-ui-link href=”/resources/nclex/guide/”]study for the exam[/hen-ui-link].[/hen-ui-text][hen-ui-text variant=”b4″]Once you’re a licensed registered nurse, you’ll need to complete continuing education, work a certain number of hours, and apply to renew your license every few years according to your state’s guidelines.[/hen-ui-text]
[hen-ui-heading variant=”h3″ align=”center”]How to Become a Paramedic[/hen-ui-heading][hen-ui-text variant=”b4″]If you choose to [hen-ui-link href=”/healthcare/paramedic/how-to-become/”]become a paramedic[/hen-ui-link], you need to complete an accredited paramedic program, which takes 16-18 months. To apply for these programs, you’ll need a high school diploma, an active EMT license, and a CPR-BLS certification.[/hen-ui-text][hen-ui-text variant=”b4″]After you complete your paramedic program, you’ll need to pass the licensing exam in your state.[/hen-ui-text][hen-ui-text variant=”b4″]You’ll need to show proof of your EMT license and CPR-BLS certification to apply for the exam. You will also need to complete a skills test on tasks like taking patient histories. In some states, you may have to pass a background check.[/hen-ui-text][hen-ui-text variant=”b4″]After completing those steps, you can apply to take the [hen-ui-link href=”https://www.nremt.org/Paramedic/Recertification” target=”_blank”]National Registry of Emergency Medical Technicians[/hen-ui-link] (NREMT) paramedic certification exam and become a nationally certified paramedic.[/hen-ui-text][hen-ui-text variant=”b4″]To renew your certification every two years, you can take the recertification exam or complete 60 hours of continuing education to renew your certification.[/hen-ui-text]
[/hen-ui-grid][hen-ui-heading variant=”h2″]Salary and Career Outlook[/hen-ui-heading][hen-ui-text variant=”b4″]Registered nurses make about $35,000 more annually than paramedics. Salaries for both careers can vary based on experiences, skills, and location.[/hen-ui-text][hen-ui-text variant=”b4″]The Bureau of Labor Statistics (BLS) projects job growth that is slightly higher than average for both registered nurses (5% growth) and paramedics (5% growth).[/hen-ui-text][hen-ui-grid columns-md=”2″ gap=”md”] [hen-ui-heading variant=”h3″ align=”center”]Registered Nurse Salary and Career Outlook[/hen-ui-heading]
[hen-ui-text variant=”b4″ class=”text-center”]$93,600 [hen-ui-text tag=”strong” weight=”bold”]Average Annual Registered Nurse Salary[/hen-ui-text][/hen-ui-text] [hen-ui-text variant=”b4″ class=”text-center text-sm”][hen-ui-text tag=”strong” weight=”bold”]Source[/hen-ui-text]: BLS[/hen-ui-text]
[hen-ui-text variant=”b4″]Registered nurses make an average annual salary of $93,600, according to 2024 BLS data. They make an average of $45.00 an hour. [hen-ui-link href=”/registered-nursing/rn-salary/”]Nurses’ salaries[/hen-ui-link] may vary based on experience, skills, and specialty.[/hen-ui-text] [hen-ui-text variant=”b4″]Nurses with more than five years of experience may earn more than average, according to [hen-ui-link href=”https://www.payscale.com/research/US/Job=Registered_Nurse_(RN)/Hourly_Rate” target=”_blank”]September 2025 Payscale data[/hen-ui-link].[/hen-ui-text] [hen-ui-text variant=”b4″]Nurses with skills in [hen-ui-link href=”/careers/critical-care-nurse/”]critical care[/hen-ui-link], emergency response, insurance, and medical records can expect to earn more than average. [hen-ui-link href=”/articles/best-nursing-specialities-for-the-future/”]Nurses in specialties[/hen-ui-link] such as oncology, geriatrics, and pediatrics may earn higher salaries.[/hen-ui-text]
[hen-ui-heading variant=”h3″ align=”center”]Paramedic Salary and Career Outlook[/hen-ui-heading]
[/hen-ui-grid][hen-ui-heading variant=”h2″]Registered Nurse vs. Paramedic: Which Career is Right For Me?[/hen-ui-heading][hen-ui-text variant=”b4″]Registered nurses and paramedics both provide essential care to patients in the acute care setting. They even perform many of the same duties.[/hen-ui-text][hen-ui-text variant=”b4″]Whether you want to become a registered nurse or a paramedic comes down to what you want for your annual salary, your responsibilities, your work setting, and your education timeline.[/hen-ui-text][hen-ui-text variant=”b4″]Registered nurses have more responsibilities and more options for work settings outside acute care. They also make a higher average annual salary than paramedics.[/hen-ui-text][hen-ui-text variant=”b4″]However, paramedics spend less time in school, especially when you consider that registered nurses need a four-year BSN degree to pursue management positions and earn more money.[/hen-ui-text][hen-ui-list variant=”unordered” bullet-style=”bullet”] [hen-ui-list-item][hen-ui-text variant=”b4″][hen-ui-text tag=”strong” weight=”bold”]Salary:[/hen-ui-text] Registered nurses make about $35,000 more annually than paramedics. This comes out to more than $16 /hour for nurses than paramedics.[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″][hen-ui-text tag=”strong” weight=”bold”]Education Timeline:[/hen-ui-text] Paramedics spend just under two years in school between their EMT and paramedic training. Registered nurses spend 2-4 years earning their degrees.[/hen-ui-text][/hen-ui-list-item] [hen-ui-list-item][hen-ui-text variant=”b4″][hen-ui-text tag=”strong” weight=”bold”]Work Setting:[/hen-ui-text] Registered nurses often work in hospitals and outpatient settings while paramedics most often work in the field or in an ambulance.[/hen-ui-text][/hen-ui-list-item][/hen-ui-list] [hen-ui-text variant=”b4″ class=”text-center”]$58,410 [hen-ui-text tag=”strong” weight=”bold”]Average Annual Paramedic Salary[/hen-ui-text][/hen-ui-text] [hen-ui-text variant=”b4″ class=”text-center text-sm”][hen-ui-text tag=”strong” weight=”bold”]Source[/hen-ui-text]: BLS[/hen-ui-text]
[hen-ui-text variant=”b4″]Paramedics make an average annual salary of $58,410 and an average of $28.08/ hour, according to the BLS. [hen-ui-link href=”/healthcare/paramedic/”]Paramedic salaries[/hen-ui-link] may vary based on experience, skills, and location.[/hen-ui-text] [hen-ui-text variant=”b4″]Paramedics who have more than 10 years of experience may earn higher salaries, according to [hen-ui-link href=”https://www.payscale.com/research/US/Job=Paramedic/Hourly_Rate” target=”_blank”]September 2025 Payscale data[/hen-ui-link].[/hen-ui-text] [hen-ui-text variant=”b4″]Paramedics with skills in leadership, critical care, and advanced cardiac life support can earn higher-than-average salaries, especially in states like Washington, New Jersey, Washington D.C., Connecticut, and Maryland.[/hen-ui-text]