As an EMT yourself, how do you justify talking the patient into transport by POV over an ambulance?
What criteria does a patient have to meet before you'll 'allow' them to go to the E.R. by ambulance?
Since EMT's aren't able to diagnose in the field, how are you able to make this determination with any certainty?
In today’s litigious society, you’re not only opening yourself and your partner up for legal action, you’re also placing your department/company in a very precarious position.
If the patient has called for an ambulance, you are in NO position to try to ‘talk them out of transport’ by the ambulance they’ve called!
If you respond to a scene and an ambulance has been dispatched, you’re in NO position to try to ‘talk the patient out of transport’!
Yes, we all get the ‘bullshit calls’ where we’d rather not transport, but we do it anyway simply because it’s in the patients best interest. What I’m getting from the original post is that there’s some ‘bad blood’ between your department and the local EMS company. How close am I?
If this is how you approach patient care; might I suggest that you either go back to school and relearn the ‘basics’ or just simply turn in your EMT license?
Rather than fretting about ‘cheating the local EMS agency out of runs’, you should be praying to whatever deity you believe in that you and your department don’t end up in the courtroom facing a huge civil suit!