spenac

Wow for a minute I thought the title said " Get Your Emtcity Sh!t " . I am so glad I misread that. Sorry can't afford a shirt right now.

Having worked in a system with a denial and a treat then deny transport policy I know it can work. Sadly though just one lazy idiot will eventually get this canned. Man I sure miss my old job it sucs working at a you call we haul service.

First and foremost go straight to your education. There is no reason to delay starting the Paramedic Degree. Second go out and personally visit EMS stations even if they are not advertising job openings. Also if you see an ambulance crew out in town on break stop and visit quickly maybe buy them a drink, you would be surprised how some of the guys on the ambulance carry weight in deciding who gets hired. Never rely on mail or phones looking for jobs. No reason to spend time in the volly ranks. In fact some places will not hire if you were a volly.

LOL. Theres my young trouble maker . Thanks for being a good friend to Kaisu.

Your welcome and thanks for being an asset to the site.

I appreciate it. At times it gets old hearing we suc and they rule. We know we need to advance and are disorganized.

Its funny how many ads from the community college I see for RN's to make extra money teaching part time. Seems nursing has some of the same issues as EMS and Tom, Dick, or Harry can teach.

In my area most services require ambulance be left running while on scene and none of them have the anti theft devices that allow it to run but not drive. Also none have boxes that lock automatically and odds are no keys are there. So all I can do is follow policy and if stolen report it and request another ambulance.

In my current position flight often refuses patients because they require more care than they can give. Leaving little ol me to transport the truly sick and injured. I just don't see why everyone thinks flight is so much better than ground. Of course I come from the world where you practice medicine rather than practice diesel boluses.

As one of the intelligent ones fire mentioned my first advise is to avoid itku2er. Welcome.

I agree she should not be in any Health Care Profession. Also she does not deserve back pay. I just disagree that her actions caused the death.

Patient actually died 2 days later, hard to believe a 3 minute extra transport time 2 days earlier led to his death. Perhaps the improper exam by the Paramedic led to doctors doing improper exams but the extra 3 minutes in the ambulance, just don't see it. Below is complete report. Fired D.C. paramedic in Rosenbaum case ordered back on the job By: Bill Myers Examiner Staff Writer January 8, 2010 Remembrance cards are handed out at a memorial service for New York Times journalist David Rosenbaum at the Dirksen Senate Office Building on Jan. 13, 2006. (Getty Images) The paramedic whose handling of a critically wounded former journalist led to a massive overhaul of the city's beleaguered rescue department has been ordered put back on the job. Selena Walker was fired in July 2006, months after retired New York Times journalist David Rosenbaum was mugged near his upper Northwest home. Authorities accused Walker of driving Rosenbaum to a hospital across the city so that she could pick up cash for dinner. The extra minutes, authorities claimed, cost Rosenbaum his life. The sacking was too little, too late, a three-judge panel of the D.C. Court of Appeals ruled Thursday: City law requires employee discipline to be meted out within 90 days of the offense. "Between the Rosenbaum incident and [the fire department's] initiation of adverse action against Walker, more than half a year passed," Senior Judge William C. Pryor wrote for his fellows. Walker might not have been "forthcoming" -- first claiming there was no reason why she took Rosenbaum to Howard University Hospital instead of the closer Sibley Hospital, then claiming she couldn't remember why she had done so, then acknowledging that she "probably" ran errands after her Howard trip, Pryor wrote in the 13-page decision. But the fire department still wasted critical months "before proposing to remove Walker," Pryor wrote. The decision is a blow to the Fenty administration, which took credit for a historic settlement with Rosenbaum's family that required the city's rescue service to be overhauled and which fought fiercely to keep Walker off the city's payroll. "I think it's a great disappointment," Attorney General Peter Nickles said. "It's a mechanical application of the rules." Walker's lawyer, Fred Schwartz, issued a two-page statement Thursday saying that his client had been unfairly blamed for Rosenbaum's death. Nickles, Schwartz said, "compounded the fire department's error by again appealing a termination which could not be legally justified." At-large Councilman Phil Mendelson, who helped lead the rescue agency's reforms, said Thursday's decision was a disaster. "No one benefits from this, except Ms. Walker -- who gets four years' back pay for not working -- and her lawyers," Mendelson said. Rosenbaum had recently retired to take care of his ailing wife when he went out for a stroll to take advantage of an unusually warm January evening. He was struck with a metal pipe and robbed, but police, firefighters and paramedics simply assumed he was drunk. He died on a hospital operating table two days later. bmyers@washingtonexaminer.com Read more at the Washington Examiner: http://www.washingtonexaminer.com/local/Fired-D_C_-paramedic-in-Rosenbaum-case-ordered-back-on-the-job-8733562-80939522.html#ixzz0c4502MHW Read more at the Washington Examiner: http://www.washingtonexaminer.com/local/Fired-D_C_-paramedic-in-Rosenbaum-case-ordered-back-on-the-job-8733562-80939522.html#ixzz0c4502MHW

Good deal. Glad you have a good friend and I'm sure like myself is much nicer in person than the way we come across on the web. Sounds like you know who now might be easier to find out what you are really being accused of.

The sad part is that even with NR if you move to another NR state they may still require you to take a state exam.

Who was that young troublemaker from your service that you got to join here? Wonder if she is behind this? I hope the best as you seem to be a very competent and caring Paramedic.

And the wheels on the bus go round and round, round and round.............

And to clear things up even more with so many fly by night ( pun intended ) flight ambulances now many even will fly with an EMT-B and either RN or Paramedic crew. So flight is no longer the land of only the best and most educated. Sorry to burst the egos and bubbles.

Vent, Dust, Tom I am going to have to disagree. No offense intended and perhaps it is because of the environment that I started my EMS journey in but I feel not doing a complete examination which includes touching the patient is failure to render proper care, examination. And even if the EMT does because of cold hands trigger an occasional false alert it is better than no alert when they do get it right. As to pain you can assess rigid vs soft w/o pushing hard. I agree if you do not know what the organs feel/sound like when healthy no point in pushing, probing, percussing when sick, injured but they can still gently feel. And again my thought process is probably clouded because I was required to do more as a basic than many Paramedics do, but was required to know the hows and whys. I guess that is why I firmly believe we should require people to get at least Paramedic education before getting into EMS. Personally I still think patients would be better assessed if we started requiring all patients put on hospital gown and we actually visualize, touch, and auscultate skin. If people are afraid to touch perhaps they need to not join a health profession.

Dust this is where I have to disagree with you. Again even if it changes no care in my ambulance it allows me to notify the hospital and perhaps even an uneducated description may trigger the doctor to be ready for more than the normal. Visualizing, palpating, and auscultating should be done even when it changes nothing in the ambulance. This is not tradition this is patient care.

That bill is to cheap for a rural service. Any ambulance, even non profit must consider the cost of operations for the entire year including potential new ambulances, payroll, taxes,etc and divide that by the avg number of calls. Then you have to factor in not getting paid for most calls, and getting paid less by insurance/medicaid/medicare than billed. So if you factor all that in and it would not be unreasonable to be billing $3500 in a small town.

1. A complete examination requires looking, listening, and touching. Sorry fail for not doing this and for passing the bad habits on to your student. Perhaps you could have said as we visualize the pulsing just as a precaution do not probe but gently place your hand to feel the pulsations. 2. If a student doesn't get in there and do a proper assessment to their level and just try and sit there they fail, might as well not show up as I will not give them credit. 3. The argument it will not change care in the ambulance if done does not fly. Your assessment, description may trigger a higher educated person (i.e. Doctor ) to get busy quicker. It is a lazy lame excuse to not perform proper assessment just because it does not change what you will do in the ambulance. 4. As to the education hijack. Get your education. Do not stop at the basic level. Anything you learn in basic class can be practiced once you are a Paramedic.

Wimps. Never give up your ambulance. Actually sounds like they never were in control of the situation.

I see more EMS closings. More and more communitys will decide they can live w/o this high paid taxi service. Especially when they study the studies that show no real difference in outcome from ambulance vs POV transport.

Online courses just like regular courses some are good some are bad. Also much if not most depends on student effort in online and regular courses. Dr Bledsoe was involved with online EMS education before with Gene Gandy and Jane Hill Dinsmore if I recall correctly. So not completely new for him except at a new location.

Many services no longer do this because asystole is considered workable per current ACLS guidelines. So unless they have other definitive obvious signs of death they must be worked. But if they had obvious signs of death there would be no reason to need an EKG. So by placing an EKG it could be argued you had doubts so there must not have been obvious signs of death. Really just a vicious cycle caused by lawyers. So whats the answer? Make sure you make determination based on your services protocols. So I commend you for being aware of your services protocol, it is sad how many in EMS I meet that have no clue what is required by their service to determine death.