spenac

Many disagree. No other health profession would even make a suggestion to stop the education process. Go straight to Paramedic. A search of this site will show many discussions showing why there is no real benefit of stopping at the basic level.

No after an exam they do not need transport they should not be transported. Just as a patient goes to the doc and says give me narcotics, if he don't need them the doc says no, so should the patient not pay because they did not get what they wanted but did not need? And as to your attempt to say interfere with some other activity as has been discussed before a proper denial protocol actually requires more effort than just transporting so no lazy medic will choose to deny. Only real pre hospital medical professionals would be willing to spend the time and effort to do what is right by denying and helping the caller locate the services they actually need. So there it is again the patient has requested us and gotten a service therefore they should pay.

We are prehospital medical care givers. Sometimes patients do not need transported. They should pay for the time, gas, exams, whether we transport or not. Even if you schedule the doctor and don't show up they make you pay. Why shouldn't we get paid?

AK search is your friend my friend. Already a discussion on the automatic news we get here.

Actually I hear pilots complaining all the time that the Paramedics and nurses should or should not have done something. It's human nature to see something and start thinking we know it all. It is only after we are educated that we can look back and see how little we actually did know.

Works good for me with the bribes and all.

Actually it would more than handle the weight of a small 6 year old. I do hope he wasn't in it and they find him hiding because he lost dads toy. If he was in it he will be found dead somewhere I fear.

No one suggested it was for the unemployed either. And again if out of work it is mejor que nada.

Crap another Floridian. Welcome anyway.

If he survives I want to fly it next. I hope he is OK. Oh and I hope Bubba and Wendy are not drunk enough to start trying to shoot it down.

Guess I should have been more clear. Why would anyone that already has a job with benefits go to work for so low pay? Nothing judgmental. If I had no job and I got offered minimum wage flipping burgers I would take it so my family would be able to at least by food. There is no shame in taking care of your family. I just could not imagine taking that pay cut and actually working more days than I do now and not even getting as good of benefits as my current service provides.

Why? If you go to the doctor and he says you don't need medicine or to stay in the hospital they still charge you. Why shouldn't we be able to charge the caller that has no need of the ambulance so we deny them transport? They called we came, examined, then based on the findings said no. So we provided a service based on the need. Therefore they should pay.

Dust you should push that idea with the government.

Who would work for that low pay?

First no billing if upon arrival patient says I did not call and do not wish your services. If the Paramedic denies transport because it is not deemed necessary for an ambulance patient is still billed because they called. EMT's should not be denying transport but a properly educated Paramedic has the ability to in limited cases to deny transport. Why should we not be paid? A doctor could tell the patient nothing is wrong and they would still charge. No not saying we are as educated as doctors just illustrating payment for similar treatment, which was no treatment. And no need to argue the deny protocol as we both know each others stance on that. There is no business that can survive w/o income. By billing you are having those that use the service pay to help limit the amount the rest of the tax payers pay. In my experience this stopped only a few callers. We had some that would call at 5am to take their BP because they did not want to bother family. They had no complaints just decided to get a morning BP. Those type stopped calling when they started having to pay. The frequent caller with angina still called weekly when they misplaced their nitro. They requested treatment and no transport and are billed. At least we recoup something.

Yes as they should. If you go to a doctor and say please check me they charge you. Almost all services in my area charge you if you call for an ambulance. Usually $100 plus mileage.

For the newbie make sure they actually pay and that checks don't bounce. Sadly some privates take advantage of new basics knowing that when they leave after not getting paid someone else will step in.

I agree would hate to have to call for permission.

Thanks guys for giving me ideas on how to deal with the situation with the nurses. So far none of the ER doctors have personally said anything. But they usually don't as our Medical director is their boss as well. I'll print those articles out and be ready to help educate.

Having been a patient in the ambulance before I have always been happy they doped me up to help with the pain. Once at the hospital I had to demand a different doctor to get pain management. Yes I know I did right by dulling the pain. My service has a good reputation of taking time to medicate when possible before even moving patients. At my old service we pushed meds freely for that long bumpy ride, but even here I don't feel it's right to let them suffer, especially considering all the movement during doctors exams and x-rays that awaits them. As to knowing I pushed the most last month it was because I had to check the narcotics log books when I filled in as shift supervisor. I also try and keep the vial and tape it to my narcotic usage forms when I get replacements. I always have someone witness any wasting. And I am still in a rural service just in a town with a hospital so even though I pushed the most for the month I bet most of you big city medics push more in a week, if not a day than my entire services 4 ambulances does for the month.

So I used more pain meds on my patients last month than any of our other Paramedics. But as primary job is within 10 minutes to the hospital the director of nurses and me had a not so polite discussion about me interfering with doctors assessments of patients because I do pain management. The nurse said unless more than 15 minutes out I should not give pain meds. I told her my patients health and comfort come first not the doctors convenience and that any doctor that knows their job can still properly assess a patient that has been given pain meds. Plus if it seems to be hindering they can reverse the affects. So was I wrong? Would you withhold pain management? Also I am fully in compliance with my medical directors pain management guidelines, so this is not me being a rogue medic.

Convince yourself that it is just a practice exam. Go in with the attitude that this is your chance to get familiar with the test process. That way you are not putting pressure on yourself. Get sleep and eat nice healthy light meal.

How offensive.

http://www.jems.com/news_and_articles/articles/jems/3208/the_high-tech_heart.html http://www.chfpatients.com/implants/lvads.htm CPR & other treatment: Due to the location of the LVAD and its proximity to the heart, there may be risks associated with performing chest compressions. CPR may damage the LVAD itself or dislodge tubing, resulting in massive hemorrhage. The use of hand pumping in place of CPR is possible and may be indicated in some situations. Decisions on whether or not to use CPR should be left to medical control.11 Further treatment considerations focus on physiologic changes related to their underlying disease process, such as dysrhythmias, electrical therapy (defibrillation/cardioversion), ACLS or trauma care. The use of electrical therapy depends on the make/brand of the LVAD. Keep in mind that the patient and family will be well versed in emergency procedures and know how to manipulate the LVAD system in case of an emergency. The patient and family will also be educated on which kind of therapy the patient can or cannot receive, so emergency care providers should always keep the patient and their caregivers together during treatment and transport.

Darn you people are old.