How to Become an Emergency Room Nurse?

This is the route that I am taking to eventually get into the ER or on a MICU. I am attending a community college right now to get my RN. I am also in paramedic school because I was supposed to have a year off between my clinicals and GECs. I was bumped up in the list repeatedly so they overlapped. I worked as an EMT full-time for 1 semester while doing paramedic and nursing school. I have over a year's worth of experience on a fire department as a firefighter/EMT. I recently started as an ER patient care tech, another fancy name as a nursing assistant. The nursing students and CNAs were eliminated from the hiring process leaving the LPNs, EMTs, medical assistants, and paramedics. Out of 60 she viewed as qualified, she cut it down to 11. Out of the 11, she sent 5 for the 2nd round of interviews and she hired 4 people. My boss was impressed with the certs, the fact that I am doing both paramedic and nursing, and how I could relate almost every question back to my EMS experience. Want an example of stress? Car accidents, codes, fire, etc. I had a huge list of certs that I've completed, ITLS, ACLS, PALS, PEPP (one group prefers PEPP), BLS instructor and currently affiliated with a training center. I also plan on getting my GEMS. A lot of nurses who work in the ER in my area are previous or current paramedics. A lot of them also currently volunteer or work at a fire department. Usually the hospitals prefer you to have either previous road, ER, flight, or ICU experience. I strongly recommend finding some way to get into the ER department soon after you graduate high school. I would look at the hospitals around where you plan on going to school once you decide and see what basic requirements they require. Right now I would also start working in some sort of customer service job to build "customer service skills." Unit clerks usually require med terminology, nursing assistants usually require a CNA, patient care techs can be usually other personnel like EMTs, medics, LPNs, etc.