pm if you need any specific advice... but here is the big picture so to speak.
I was a CNA first. dont do that.
EMT-B a couple of years after that. dont do this either.
ER Tech for the last 7 years, in 5 different hospitals in 3 states. 1 community, 1 rural, 1 level 2 (only game in town gig), 2 teaching level 1s in the hood.
here is the thing I have learned. a LOT of the EDs across the country are moving towards the model where you are not hired as anything certified/licensed but rather as a titled "tech", that way they are not shackled to the state's protocol for whatever license/certificate it is you have (IE dont dare adjust o2 from 2L to 3L if you are a CNA). If you are hired as a tech, then they can let you do whatever they want you to do, within certain boundaries. my current job allows me to splint/cast, perform phlebo, start IVs, hang saline, sterile field setup (in the ED this generally means stuff for I&Ds, lac trays, etc, but can also mean I act as a gopher with central lines also), sterile dressing changes, initiate foleys and straight caths, interpret and measure out ECGs, and probably some more that I forgot. As you can imagine, with all that being written into my job description, and a good performance history and rapport with the docs that hang around the ED (residents, surgeons, EPs, etc etc) I end up doing a whole hell of a lot more than that.
I guess my point is, theoretically somebody with ZERO experience could get hired in my current job (and consistently do), and after a year or so be doing the same stuff I did earlier today. My suggestion? Call ANY hospital with an ER in your area, ask to be transferred to the E(R) manager (the hospital operator may not understand the department thing), and give them this line: "I am so-and-so and I am a ________ looking for LONG TERM experience in the ER. I am extremely reliable and am interested in a casual/per diem position."
Either they say there are certain requirements, and maybe you dont meet them, or if there is no set in stone requirements, you can be the next warm body to fill an empty space in the managers schedule book. Emphasize that you love to work and are very reliable. EDs tend to turn over pretty quickly and are consistently understaffed.
hope I didnt ramble. I just found a 12 pack of sessions at my local farmers market, a beer I have not had since I lived in Oregon a few years ago. Lets just say they are going down easy in this warm weather 😍