spenac

Thanks for backing me up. Here is the definition in case his link does not work. professional • adjective 1 relating to or belonging to a profession. 2 engaged in an activity as a paid occupation rather than as an amateur. 3 worthy of or appropriate to a professional person; competent. • noun 1 a professional person. 2 a person having impressive competence in a particular activity.

My current primary is in an area with less income than that and we are paid, yes we operate with a big deficit, but the city finds a way. I doubt any 911 only service even breaks even. Again it just takes effort on your part to force the issue. The area can support paid. Honestly if most have that little income most of your patients will have some sort of health coverage. Please do not try and justify volunteer EMS with the they can't pay speech it don't fly. I to was a volly once and I after looking closer found so much waste by that county that could have been put into EMS I could not bring myself to respond with them.

I will agree that not all paid, in fact a whole lot of paid EMS people fail to display a professional attitude. But a profession is something where there is a reasonable expectation of receiving payment for your efforts. So IMHO you can not equate a volunteer with a professional no matter how they act. I do also agree that we need more emphasis on training, but more importantly on education. I do hope after you search the multiple threads on volly vs paid you will come to see that there is no real justification for any service being volunteer.

So when should I expect your payment?

But she doesn't get it yet. -100 for not seeing that volunteer EMS is killing our Profession.

Well I disagree with you. If a community/county/etc can support a volly system with equipment and supplys it can find a way to have paid professionals. I have seen areas claiming they cannot afford to pay EMS yet throw big holiday celebrations, etc, that money could be used to support EMS. The only reason they do not go paid is they know that some people have no pride for the profession and will do it for free.

Yep until the autopsy. Then its all over the news. Hey your 15 minutes of fame or should I say shame.

Kind of like in construction sending the new guy around to see if anybody has a board stretcher.

Bill every call, transport or not. If people have no insurance offer payment plans. If you get enough people paying at least $10 a month it starts adding up after a year. Honestly if you are already equipped and supplied as a volly service only new money is the money for payroll. Any city or county claims they cannot fund a paid service is full of crap. I applaud your efforts.

I definitely understand. Glad you were able to edit it in time. I hate when services make drastic changes w/o explanation. Yes they do not have to but respect should cause them to explain.

HAHA Now that would get you the curse of admin for sure.

Might want to spell check. What was the reason given for the change? Why did they choose to replace rather than add an additional med?

oklahoma

We see all patients, but we don't transport all patients that would be just pure stupidity. That would be like you having to do surgery on all patients, even the ones that really do not have a problem.

It is fun to act like your talking to them and when they ask what act like your talking louder for them. :twisted:

Thats why I use a razor knife. Much faster. Of course the doctors are starting to wonder why my patients have nice clean straight cuts. :twisted:

Wow another post going the way of old country songs. Don't expect a response, he's got his 3 posts for chat. Your right if the volly ems don't want him, he could help in other areas.

Hey self promoting your blog. Whats up with that? Anyone in the public eye, famous like dog or not like us, are held to a higher level.

You would be surprised at how much patients tell nurses and doctors. And believe it or not the nurses and doctors actually usually know what you are allowed to do. So as one of the other posters said let us know if what happens in the cell stays in the cell especially if bubba is your cellmate.

Not in all areas. My county is in the state retirement system. It's as good if not better than any fire services in my area. Co pay for meds $2 generic, $4 name brand. Family on insurance for $60 month. Now your right not room for advancement maybe shift supervisor, assistant director, director. But you do get annual pay raises. I guess my point is there is no blanket statement can be made about any type of EMS.

yes the end

And the devils started an IV faster than had ever been seen........................................ Then Johnny started his treatment................................................ As the devil handed Johnny that stethoscope made of gold..... Johnny said I told you once you son of a b.... I'm the best medic thats ever been.

So ignoring the poll. My soon to be primary service is a county service. Entire county has no more than 15000, probably closer to 12000 residents in around 3500 square miles. It has citys of about 9000, 2000, 800, 400. There are 5 staffed ambulances. 4 are staffed at all times with at least 1 paramedic. There is 1 ambulance in each city except the 9000 city has 2. The second ambulance at minimum has at least an EMT-I. Pay is better than most of the rates(USA) people have discussed here on the site. The pros are the citys and countys have combined forces to have all paid services. All of this county was volly just 7 years ago and people had to wait until somebody responded to the tones which at times has meant calling in other ambulances, so many responses longer than 30 minutes and often at BLS level. Now ambulance is enroute within 90 seconds of 911 tone for ambulance and you will get an ALS provider. To solve the problem of so many agencys being involved it is under the direction of a board with members from each city and the county that we answer to. What is currently my primary is city run. Paid. Under staffed, under funded. There is no direction. The city sees it as a money loser and pushs it aside to the harm of the area. Only positive is that it is paid not volly. Hope that helps with some info.

Well I've been called an arrogant something or another on here before :wink: , but in real life most people like to work with me.

Are you able to edit your poll? You lumped volunteer with 3rd service. Seems most volly EMS are part of the volly fire service.