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Showing content with the highest reputation on 09/28/2009 in all areas
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FAIL! Seconds do not count. And you open the doors, THEN get in, THEN go. Takes no more time.3 points
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Having read Richard's post several times, I don't see where he said that he made the patient wait. I believe he said he COULD have, but would have gotten in trouble for it. Read #3 again, as you can CLEARLY see, he stated that it took him 4 years to actually get to see that particular episode in it's entirety. Since you insist on 'stirring the pot', I suggest you follow your own admonishment, and hang your head in shame! Amazingly, in a matter of 12 posts, you've severly damaged your credibility and established a 'reputation' as a trouble maker. Congratulations! I dont think I've ever seen anyone accomplish that in so few posts! Now go to your room, you're grounded! Maybe next time you'll read ALL of the post, put your brain in gear BEFORE opening your mouth!1 point
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1. The question would be why are you transporting a patient who can walk, that is insurance fraud. It is stupid to use your back to move an ambulatory patient, or to ask someone that is elderly to slide side to side when they can stand and pivot. 2. You are transporting the patient from the hospital, there is no emergency, you can read the chart on the way to the residence and get all the info you need. 3. You drove through a red-light, and the camera went off ---duuuuhhhhhhhh Sounds like she is just responding to your incompetence. No one can make you look stupid, only you can do that; dont blame her for noticing.-1 points
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Tober pulls advanced life support certification of 18 more firefighters Posted September 3, 2009 at 1:49 p.m. NAPLES — Eighteen more firefighters are having their advanced life support certifications pulled by Collier County Emergency Medical Services. The move comes at a time when some fire districts may soon propose to county officials that they have their own EMS licenses. Five more North Naples firefighters and 13 firefighters from the East Naples district are no longer permitted to do advanced life support because they failed to do ride-alongs on ambulances as required, said Dan Bowman, deputy chief of EMS. Last week, 25 North Naples firefighters were decertified. The failure to do the ride-alongs means about half of each of the two district’s firefighters are not supposed to perform advanced medical care in the field, Bowman said. Firefighter/paramedics are required to ride in an ambulance one shift every three months to get exposure to administering advanced life support medications and doing procedures which they haven’t been doing while riding on fire trucks, evidenced by data from patient care reports kept by the fire districts, Bowman said. For the most recent quarterly data available from April through June, the fire department firefighters almost never administered medications in the field, he said. The report shows each firefighter administered medications an average of .06 times during the three-month period. In contrast, each EMS paramedic who swaps out and periodically rides fire engines administered an average of 12.2 medications during the same three months, the report shows. “It is the fire departments where we get the patient care reports,” Bowman said. “They have never refuted it because it is based on their data.” EMS paramedics who are strictly paramedics and never ride in fire engines each administered an average of 14.9 medications during the three months, the data shows. “It’s been shown and proven they (the firefighters) have very little opportunity to treat patients,” Bowman said. “A lot of the times it is done in the back of the ambulance.” North Naples Fire Chief Orly Stolts questioned the reports from EMS and said countywide fire district data about the advanced life support medications can be misleading. For instance, paramedics with the City of Naples weren’t administering advanced life support mediations for a while and since 2007, the North Naples fire district’s protocols for medications have been changed numerous times. “We may not have even had access to those drugs,” Stolts said. “You can skew data any way you want to.” In recent months, Tober has been removing unused advanced life support drugs from the fire trucks because he is concerned the firefighters’ skills to administer them are rusty. East Naples Fire Chief Doug Dyer said his district only had 12 firefighters who were certified as advanced life support paramedics and so EMS has been casting a wide net when it decertified a 13th who wasn’t certified in the first place. Dyer said East Naples now has just three firefighters left who are certified. “Their goal is to decertify all of us,” Dyer said. The EMS medical director, Dr. Robert Tober, who has battled with the North Naples and East Naples fire departments over potential consolidation and complained this past summer that firefighters’ cheated on medications’ tests, instituted the ride-along rule in February. Tober said the fire districts jointly agreed to the ride along requirement and have been refusing to comply and he’s been left with no choice but to decertify firefighters. He has told the fire districts they should only do with patients what they do often because that is what they do best, and he says the same policy applies his own paramedics. “Even with our own guys who are falling down in terms of frequency of procedures and drugs, we move them to a busy place to keep their experience and skills set up,” Tober said. The fire departments have been trying to keep as many of the advanced life support medications on their fire engines as possible because they want to acquire their own EMS licenses, Tober said. “Their motivation behind this is to declare their own EMS (status),” Tober said. Tober said North Naples has vehemently denied this but it is now moving forward with submitting documents to the Collier County Commission to seek its own EMS certification. Stolts said his fire board voted five months ago to seek its own certificate of need, which would allow the district to operate its own advanced life support service and have its own medical director. The documents will be submitted soon, he said. The intent is to have an EMS certification but not to do ambulance transports. “Ours is almost ready to submit in one or two weeks at the most,” Stolts said. Dyer, of East Naples, said his district would seek the certificate if a cooperative relationship with the county’s EMS cannot be restored. East Naples’ first move, however, will be to make a presentation to the county commission showing that the district was cleared of any wrongdoing in an investigation into Tober’s cheating allegation . Naples attorney Donald Day conducted the investigation. Dyer petitioned to make a presentation Sept. 15. “We want it to go on the public record and recorded that we did not cheat,” Dyer said.-1 points
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http://www.naplesnews.com/news/2009/sep/03/tober-pulls-advanced-life-support-certification-18/-1 points
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You know, I've grown really tired of this insurance fraud crap. They didn't even teach me about this at my school, I found out once I got in that an ambulance can also be a "Cabulance" in the privates. I really hate that. Greedy companies man, friggin greed. I agree about your theory on my co-worker. It's a very strange relationship you know, because first shes telling me I'm one of her favorite partners and that she loves working with me. Great. Next min, the stuff I already told u about happens. It makes me wonder how she truly feels about me. As far as deeper issues are concerned, well I have mentioned in my initial post that I've gone through a very rough time over the past few years especially the past 12 months - My best friend killed himself a few months after his mother died, then my mom dies a few months later, then my dad who didnt give a crap was already seeing a younger woman who moved in the old house I grew up in and has taken over everything and even turned my dad against me so now I have no parents basically, I was married to an evil witch for 3 years who tricked me into marrying her to get her green card cleared now I'm divorced but it messed me up in high school (couple that with my mom in the process of dying of 6 years). I've gone through a very bad mental holocaust so-to-speak from the early 2000s up until now and you can't even imagine how hard it has broken my spirit (and yes that includes my self confidence). Thats why whenever crap like this happens to me at work, I feel like the last person in the world whom anyone wants to mess with and I wanna show that to people so bad because after going through all that I went through, I'm really not in the mood for name calling, belittling, and bulls*** of that nature, but at the same time I don't wanna lose my job by saying the wrong words so that creates a very very gray area that is hard to interpret when it comes down to telling your co-workers off. The recent deaths of my mom and my best friend are always in the back of my mind, whether or not I am directly thinking about them, I feel like I am in hell. Like you said and I said before, I do have deeper issues.-1 points
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Your lack of proffessionalism and compassion is to your ever lasting shame. In the name of god, is a human beings life of less importance to you than learing over Hot Lips (or maybe even Hawkeye ? whatever floats your boat Sailor !) Hang your vapid head in disgrace.-3 points