Just Plain Ruff

CSR I think you are wrong but your opinion is yours. The homeowner said that he did not know that he needed to pay dues. He says he never was told. That's not neglecting to join, it's information that he did not get.

Hammer hunting with Dick Cheney is infinitely safer than riding in a car with Teddy Kennedy Just ask Mary Jo Kopecnik(sic) Just do a google on Chappequidic

I agree that they don't have a obligation to respond if you haven't paid your dues but for god's sake, they were right there at the scene. Another inground swimming pool courtesy of the Monett fire department. Oh do you need water for that pool, pay your dues. It's just wrong that they were right there and did NOTHING.

Holy heck batman well with muffled heart tones I suspect that she has cancer around the heart and it's prohibiting her ability to pump. Or she could have a tamponade. Any history of trauma after her syncopal episode??

OH MY GOD, It's the RACE CARD. Seriously, I don't believe that race had anything to do with it.

CSR let's say you didn't know any better and always lived in an area where fire suppression and service was paid for by taxes. You didn't pay the fire department dues cause you didn't know. Even to the point that you went to those so called meetings etc that you slam this guy for not going to. No-one told you that you had to pay membership to have fires put out. Your house burns down with everything in it. The Fire department came out to make sure that their members houses were safe. You go up and ask why they aren't fighting your house fire. They say, Oh you didn't pay your dues so we'll let these shiny new fire trucks sit around and not be used. You then try to pay the fire chief and he says, oh, we don't allow that and are not equipped to do that. I am sure that you would get your garden hose and a bucket and start to try to put your house out. NO NO NO I am sure you'd be cryin on these boards as well as getting the first lawyer you can find cause they sat on their assess (sic intended) and watched your house burn. When the shoe is on the other foot it is usually too tight. I for one moved to a county where there were dues and I had no idea that you had to pay dues to the fire department. I paid the dues after working an incident with the fire department. But they said that if someone's house was on fire and they were called and the person hadn't paid dues they would put out the fire and then bill the home owner's insurance company or directly to the homeowner. This was clearly a Failure to ACT or a Duty to act they failed to act.

Nice site on Grants for Fire Departments. http://www.firegrantsupport.com/afg/awards...nersSearch.aspx

PPG you took the words right out of my mouth. Spot on if you ask me. Even though the homeowner said he'd pay the dues they still didn't fight the fire. That's just plain wrong. For the person who lives in that area who posted, what are the fire departments dues anyway? How much are they?

Does anyone know of the legal ramifications of this? They were there and they did nothing. That's outrageous. What about car fires. Oh your license plate doesn't have the tag on it so you are out of luck. Burn baby burn What a bunch of morons. Perfect chance to put their skills(if any) to work and practice.

This is just plain wrong. The fire fighters were already there. Why not fight the fire. Then bill the guy afterward. I wonder how many monett fire fighters pay dues? Or do they get it for free if their house burns down. Dues based fire fighting is woefully out of date and needs to be changed. I'd send the bill to the fire department or take the dues thing to court. If you aren't told about dues then how are you supposed to know. I too used to work in a county without 911 except for the major city of 5500 people. The rest of the county paid long distance to call Emergency services. If someone called 911 in the county it was routed across county lines into neighboring henry county and sometimes there were the same addresses so Henry county would respond only to realize it was in Bates County. It's F'd up if you ask me.

So do paramedics - they need doctors to work under also. Let's not forget that. Where do you think you get your orders from? Where do you think you get your protocols from. You also have to have a medical Doctor to be your service's medical director. Standing orders are approved by physicians from where I come from so yes you do work under a doctor. Yes the nurse was out of line but I believe that cotjockey was out of line too and her snappish comments only accelerated the issue.

I agree with Rid on this one. In my opinion - the attitude posted stinks. You openly were rude to the RN on scene. I didn't see you writing that you asked her for what she found while you were driving to the scene? How did you know the patient was diabetic? You don't state that you checked the Blood sugar. As for your student, yes she's a pain yet she seems like she is trying and wants to get her cpr cert. Even though she sounds like a total moron you also don't want to deal with her and you do offer your services for free so you can refuse to teach her. Some people are just not cut out to learn cpr. Just don't agree to teach her. How would you have treated a doc on the scene, the same way? I hope not. I cannot say what happened on the scene but your posting here makes you look like you are a smart mouthed paramedic. And like Rid said, this is the second time you've had a run in with a nurse, be it the same one or not, it sure sounds like you have issues with Nurses. Just my two cents. By the way, if I was a supervisor and heard you speak that way to a Nurse who was trying to help I'd have given you 3 days off without pay and a mark on your personnel record.

An ambualance service I used to work for had several incidents where the crews were working 24-72 hour shifts. This was about 20 years ago or so but after several of their drivers either were involved in accidents or they took out parked cars and a telephone pole the service wised up and maxxed their shifts to 14 hours in a given 24 period. Making someone work a 24 and not allow them sleep is a lawsuit waiting to happen. I know because I've been involved in one lawsuit due to lack of sleep. I was the medic on the truck and my partner and I had been up 19 hours straight before running a red light and creaming a small 4 door car. My driver fell asleep. It was not fun nor pretty and we lost.

I think he spell checked prior to putting that spell check note in.

had a call on a short of breath. Got to the house. door locked. no response on the call back. looked all over the yard and around the house to find a place they might have kept a key. 20 minutes later a police officer went to the neighbors house and was able to get a key. We opened the door, looked around the house. didn't find a patient. walked downstairs and in a finished basement there was the patient. DEAD WE did not work her. I kicked myself for not forcing the issue of forced entry but I documented in the report that the PD refused to allow forced entry since there was no answer on the call back and the house was dark. He got 2 days off and and internal affairs investigation. Not pretty

Don't forget the broken heart from all the sad calls we have seen. Also the loss of one's mind comes shortly after you start the job. Then the breakdown of your washboard abs from eating ems style quick dinners.

Having been involved in a number of QI/QA projects what you need to do is to maintain anonymity if all members of a service are doing this project. I would start off on reviewing your run reports for completeness and all boxes checked. Keep a log of these. I would not assign crew members to review other crews reports as this can turn into a quagmire. One crew member reads anothers report and spreads it around that he did something or didn't do something. Leads to monday morning quarterbacking. What you need is one person assigned to reviewing the reports and bringing deficiencies up to the report writer in a private method. One person is good for a service which runs less than 1000 calls a year but you need more if you run more calls. Or more if you won't assign that duty to someone as their full time responsibility. You can allow rewards for most percentage completed tickets or what not. Incentives you know. If you do decide to do a Peer review - confidentiality agreements should be signed. As they are looking at run reports that they had no part in and could be considered by some a HIPAA violation unless that person took care of the patient. UNDER NO CIRCUMSTANCES ::: SHOULD THE PERSON WHO WROTE THE REPORT BE ALLOWED TO REVIEW THEIR OWN REPORT What we did at our service is assign on a monthly rotational basis each crew member to take a specific type of call. Mike takes cardiac arrest joe takes trauma john takes chest pain Barry takes medical etc etc etc The people reviewing the reports should not talk about the quality of the reports to anyone except the person in charge of the QI initiative. QI is a good thing but it can be taken too far and you can get way to into the nitty gritty of stuff. If you can get ahold of someone to come out to your service who is certified as belt level in Six Sigma that would be best. Local hospitals who do six sigma usually have someone on staff. That would be a good place to start. I think I have some stuff for six sigma and qi programs for ambulance services so let me see what i Have.

so they get these 1099 forms saying they were paid, no payment was made, they guy admitted that he didn't pay em yet he has gotten 7.9 mill from FEMA. I'd say that he can be investigated for IRS Fraud at least. This guy is a dirt bag if you ask me.

This is an article I found regarding paramedics, Katrina and a bad consulting company. Read and be prepared to get mad. http://www.emsresponder.com/article/articl...n=1&id=2913

so EMT-W is the emt who get's to play in the woods and be so far from help that they both die of exposure and starvation before getting rescued. Wilderness EMS is something I have always wanted to do.

I spent the better part of 8 years in and out of hospital based EMS systems. worked the ambulance when a call came out and then worked the ed between calls. I was trained on so many different skills from foley cath's to ABGs, to picc lines to subclavian. Even was trained on how to evacuate a pericardial tamponade. Surgical airway skills practiced and taught. The only thing I could not do in the ER was to spike a bag of blood. Could do everything else with that blood but spike it. Finally the state of MO put together a course on how to correctly admin blood from getting it from the lab to spiking it to turning on the pump. So I can say that my training was pretty thorough.

your guest instructor is a maroon and an Id10t What other blatant falsehoods have they told you?

Is De-Protocoled similar to De-veined or De-boned???

organic chemistry and physics I don't think are needed for ems education. That's putting too much onto students.