scott33

Have a look at their recruitment page which can take you to their current vacancies to give you an idea. I would guess that being such a massive service, that they recruit year-round, but can't be positive. Forgive my ignorance, but I note you are based in Aruba (loved it when I was there last year). Does this mean you are currently in possession of an EU / Dutch Passport? Only asking as it may help with the work visa / permit if you intend to work in England. Good luck with your enquiries.

Yeah, many (if not most) of the volly agencies in Nassau County will have paid medics to fill in the gaps.

Agreed. He is a very dynamic instructor. This may be the third time I have said it here, but if you are able to attend one or more of his seminars, I would highly recommend them.

True :headbang:

Hey thanks Mike, very much appreciated. As a geographical outsider, I have been following the development of the ECP with great interest for some time now. I also think a well known Doctor and Author (who has been known to post here) has too :wink: Very interesting to see how much room there is for expansion when you look out of the "you call, we haul" mentality. You and I know though, that the ECP could never work in the states. CCP? Yes (within the limitations of having a physician extender model) but not ECP ](*,) More is the pity.

The seeing eye dog goes where the patient goes, i.e. in the back of the ambulance.

I find myself agreeing with most of what Dr Bledsoe says. I do try and pick faults, but it is difficult to find any of any significance. I have been a little disappointed with the emphasis my paramedic program placed upon just memorizing protocols. Surely, it would make more sense to become more educated in the reasons why a particular treatment is indicated or recommended. Learning about changes at the cellular level can teach us about what goes on with the tissues, organs, organ systems, and beyond. This is possibly where the difference lies between professional licensure, and vocational certification. It has been interesting doing clinical time on the ambulances where you occasionally get the smart arse medics, trying to showboat by testing your knowledge of protocols at 3am. Strangely enough, my experience with these individuals is that they have trouble looking outside their protocols, and know only the basics about the biological processes involved in what is going on with the patient. I don't claim to know it all myself, far from it, but nor do I feel the need to brag about being able to memorize a series of simple algorithms, and pass it off as the hallmark of being a competent provider. Again, training vs education and catering for the least knowledgeable. :roll: I will say though that paramedic schools, good or bad, are only preparing you for your first day on the road. Education should be ongoing throughout ones career. Personally I do intend to take the CCEMTP course, when I am able to (as well as the CTRN). These are primarily for reasons of continuing my prehospital education / resume building etc. The CCEMTP course is an interesting one, in that many people automatically believe the "P" stands for "paramedic". It does not. In a course which is equally open to RN's, MD's, and RT's, the "Program" caters for more than just paramedics. Personally, I think the patch should be taken out of circulation, as it can be misleading for the above reasons. Bring on Licensure, bring on degree-level to practice, and get rid of the 30-odd levels of provider. That would be a start.

Field training officer. Someone who holds the hand of the noob, and signs off on their clinical competencies, before cutting them loose on the public. I may look you up myself some time when I am over there. I am going to see what work I can scrounge next summer, nudge-nudge, wink-wink, say-no-more, say-no-more :wink:

Our State Practial exam covers NR. In fact, our State practical final is the NR (with maybe a couple of extra State-specific skills tagged on). It is all being done in house, but of course, all under the watchful eye of an NR examiner / coordinator. I think it is the first time it is being done this way in my part of the world, but you won't hear any complaints from me. 8)

How many hours / 8-hour tours do you need on the ambulance for your medic?

I agree with you. There should be no "bragging rights" with people who have these minor bumps and dings. Having them in the first place usually means you are doing something wrong. The unnoticed Stop sign, mail box, or kerb, could just as easily be an unnoticed kid. Those big glassy things on the side of the doors should be used for more to check lipstick, hair, food in teeth etc, so use them. Keep the head moving left to right, remembering that looking in the direction of travel, and not at a map, is also a good thing. Oh, and turn the CD player off, you are not heading down to the beach with your friends. ](*,)

To run around with lights and sirens, and to collect cool patches, and to help people, especially children and old people, and to learn CPR, and to be able to stop at the scene of accidents when off duty, and to help people, and it gives you a cool uniform, and you learn cool stuff, and you can save a life, especially children and old people...

That's one of the main problems with driving standards though. Too many people daydreaming, not looking where they are going, or at the other extreme, multitasking while barreling down the highway. The days of talking on the cellphone at the wheel seems to have gone out of fashion, in favor of TEXTING at the wheel. It annoys the hell out of me to see two cars, totally oblivious to each others presence, driving parallel to each other on a two lane parkway, at exactly the same speed, one in the slow lane and one in the "overtaking" lane. I suppose I shouldn't expect anything other than dangerous, and self-absorbed driving practices in a State where the 5 minute road test is the norm. Bring back the manual transmission, and put the "driver" (as opposed to the "steerer") back behind the wheel. Moan over. :evil: As to the original question. No! Sod them, let them get pulled. If you engage the eyes and ears now and again while driving, you can spot the Police vehicles a mile away anyway.

You no speak-a-de-lingo of a Paramedic I am afraid. I used to be a little concerned about my up-and-coming NR Exam, but after reading your scenarios, it appears I can put the books away and just chill. Thanks for the heads up :cheers:

Kind of what I have been thinking reviewing his past posts, but I am not going to sling the accusations around...yet. :roll:

I've got it. Occlusion of right mainstem bronchus, caused by patient's tongue, secondary to administration of positive airway pressure device (CPAP) in unresponsive patient, contrary to manufacturers recommendations. Do I win?

Tragic. Sorry for your loss "Disseminated intravascular coagulation" and "Culture and Sensitivity" [wound] I would have thought...

I just read the title of the post, and scrolled down to Doczilla's answer. Some things I just refuse to read :puke:

1. Live long enough to enjoy a long retirement. 2. Visit many Countries (too numerous to mention) 3. BASE jump Baffin Island 4. Look up a couple of old friends 5. Out live my ex :twisted: 6. Learn to speak fluent Russian 7. Invent / patent something (nothing too technical, more like one of those "I wish I would have thought of that" simple ideas). 8. Go Diving / snorkelling in the Great Barrier Reef 9. Photgraph something which makes it into print 10. Live to see one governing body for all EMS, and mandatory degree for entry into the "profession" :roll:

I have no idea. All I know of people employed by FDNY, is that they depend upon a couple more jobs to subsidize their pitiful salary. There are plenty of other local agencies who pay much more for less BS (NY Hospital Queens, NCPD EMS, NSLIJ EMS). Perhaps the lure of FDNY is aimed at the under 25s.

I'm calling. Sentence structure. Like Tarzan.

I know this was posted a while ago but... North Shore EMS also have CCEMT-P's among their transport medics. I believe they hold 1 or 2 classes a year at their HQ in Syosett, for anyone interested in becoming one (staff or not). I was informed just recently, that the practical skills evaluation at the end of my medic course, will be NR only. It is then up to the individual if they want to sit the written NR component. Either way, both the Sate and NR are covered in one practical exam. A move in the right direction, but still some way to go IMO (mandatory degree courses / state license etc). NYC REMAC and county-specific exams remain separate entities.

In spite of my avatar, I must say, from a volly perspective, I have little time for the Buffs. Only interested in coming out for the sexy jobs, never the 600lb lower GIB, and are usually (in my experience) the lower-end Basics with nothing to bring to the party other than a camera. We have a few regulars who are known to buff calls; the usual lust for the lights and sirens, but useless on scene. Mostly just children, but one in his mid 40s I try to avoid riding with. If they spent as much time in the A&P books, as they do listening to their scanners, maybe they would be a little more respected, not to mention, knowledgeable. I have suggested to my BOD that they should insist that every member requests permission from dispatch before turning up on scene, and dispatch should request that they respond back to HQ if they are not required on scene (usually 99% of the time). After all, they have openly made themselves available have they not? Wankers!

Which you are perfectly entitled to. As are the opinions of the Native American Indians, on immigration and reform over the past several hundred years. Something which may just bear a striking resemblance to your own.

Are you talking from personal experience? Or are you confusing immigration with illegal immigration?