spenac

We're talking 911 w/o pain meds not transfer jockeys.

Oh my. Thats like for sure.

They don't know better. They like most citizens expect us to either just be drivers or in the other extreme perform surgery. It is truly sad that they do not understand how much a properly educated and directed service can do for them.

You got that right. It is cruel. Friend of mine got ran over broke his femur and tib/fib. They back boarded and hauled him to the hospital all with no pain meds. That was in a town with over 100,000 people and every ambulance has paramedics. He asked them for pain meds and they do not carry any. Apparently they a fire based service failed in some way in the past so their medical director took most meds away from them. Whats funny is another service that the same medical director is in charge of allows even more than my medical director, but that service is about the only one in Texas as bad off or worse as far as distance than my part time service is.

Definitely come to Texas for your Paramedic studys. Will be easier than trying to change location later. At least thats what I think. If you want rural life look in west Texas, many services paying in the $20 an hour range and in the $13 an hour range for basics. Cost of living is low as well.

Whatever. Have you never heard that all patients that are dead are warm and dead. If cold then other criteria comes in.

Your companys billing service reads your report and then uses pre established billing codes. If the codes are payable you get paid. Sometimes billing companys stretch what you said to make it meet payable criteria. Also many billing companys break the law by giving a list of things to say or not say in your report. I do not lie by direct statement or omission. Honestly most claims that do not meet the criteria never leave the billing companys office unless they need a denial in order to be able to bill the patient directly.

Medicare/Medicaid/Insurance look for anything that indicates that the patient could have traveled by any other means besides ambulance. If it appears that they could have payment is denied or is at least decreased. Non payment leads to low EMS wages. So all the non paying patients does affect you.

It really does. I hate having to walk up and tell someone begging for help that help will be there shortly. Because we have no back up often we will work on multiple patients but sometimes you can't save them all, and making the decision of which ones to basically ignore haunts you. Sadly the city/county cares more about the dollar than the people. At least my current full time job is determined to keep increasing number of ambulances which my old full time current part time felt that way.

Please post so we can all consider if it should/could be put in place in our services.

Fire :boxing: EMS. :twisted: We are active in that we are in the cars while we wait forever for fire to show up to cut up the car. We provide all medical care, fire provides equipment and manpower.

Patient is legally dead. Crotch failed at his own reading exam.

This site has been posted multiple times. It is not a complete log by any means. Sadly ambulance crashes happen way to often. Thankfully I have never wrecked.

I would say the majority of 911 providers in Texas are not fire related but who cares. As mentioned each service has a medical director that decides what is allowed. In my service we look like a pharmacy with all we carry. Yet other services have no pain meds even. So varys greatly. Pay also varys greatly. My service which has no ties to fire pays nearly $20 an hour and you are paid all hours on duty. Many services seem to required either free or low paid standby hours so really you do not get the pay they advertise.

Lividity, even a small amount is a sign of death. No need to start regardless of family wishes.

One example is a nearby ( over 4 hour drive ) city of over 100,000 people does not carry any pain meds. The majority of their transports are under 10 minutes. Every ambulance has at least 1 paramedic. My nearest hospital is 90 miles away. I have numerous pain management options. But if all services were required to maintain a higher level of education, then all could and should have available more aggressive protocols. Perhaps have a dual protocol, one for short, but then another if you are at the end of no where.

Interesting idea. It has possibilitys. The biggest problem I see is that most rules are made for city services. Yes thats where most people are located. But many people in my area would be harmed and some even would die if I had the same protocol as services that are less than 20 minutes to hospital. OLMC is not a reliable option as cell phones and even our Satellite phones are not always available to hit or stay locked on. So the state wide group would need to have those that are familiar with those of us at the end of no where.

blood glucose level?

OK AK. Posted this news on that discussion you can lock away this post.

http://www.emtcity.com/phpBB2/viewtopic.ph...&highlight= http://dcist.com/2008/12/firefighters_whine_about_test.php [web:53621db1c0]http://dcist.com/2008/12/firefighters_whine_about_test.php[/web:53621db1c0]

This was on front page of emtcity on news. http://dcist.com/2008/12/firefighters_whine_about_test.php Firefighters Whine About Test Last night WJLA went with a story about how 28 percent of the District's firefighters failed to pass the national registry exam for EMTs. The city's emergency responders are now required to pass the national test under an agreement reached between the District and the family of late New York Times reporter David Rosenbaum, who died due to EMT negligence. I realize that in post-Sept. 11 America, all firefighters are heroes and you're not supposed to say anything bad about them ever, but I'm about to break that rule. If you want to read some seriously whiny, high school-style complaining, read the story. Grown men who fight fires for a living took the time to tell a local TV news station that they feel this nationally accepted test wasn't fair and that the department didn't help them prepare enough. Deputy Fire Chief Kenneth Crosswhite has the most reasonable reaction: "You have to take a look at yourself in the mirror and say did I do everything that I could do to pass this test? Did I study on my own? Did I ask for help?" The department allows those who failed the exam three more chances, so buckle down and study, guys. [web:a007550c39]http://dcist.com/2008/12/firefighters_whine_about_test.php[/web:a007550c39]

Pretty much thats how it works. There are some exceptions but 911 is hard to force collections.

Actually not really any real way to collect medical debts as long as a person does not sign a contract for repayment after the fact. In your case you could have just filed it in the trash and not much they could do about it. Thankfully you are honorable and paid your debt. If you keep sending bills just costs you more and more money, so you just end up writing it off.

Come on its right there "1In the(A) beginning" . OK southernese we would pronounce that "In the big inning".

Are we sure it's human? After all it's Don's. Just Kidding. Congrats on the poop monster. Glad its yours and not mine. I need my sleep.