My thought on this is simple. Go for the Paramedic degree if you don't want to deal with the nonsense of the hospital, BUT go with the RN degree if you can deal with that and want the money. I worked for 2 1/2 years in an ER, and a year with an interventional cardiologist office, to see if I wanted to go back to school for my RN, or MD/DO. The final result is that I am and ALWAYS will be a Paramedic. Being inside of these two situations made me appreciate my job so much more. I hope this helps.