EMS Solutions

Good luck

Cool idea with the mini pins.

This is NYS attempt to force agencies to go to electronic PCR's. They will not be printing up anymore and while they will allow agencies to print their own. They have to follow the current PCR format inlcuding copies and colors. This can be expensive and wind up costing more than going to say the e-PCR. It will happen and agencies will have to fit the bill. NJ did pretty much the same thing a few years ago.

NYS state does not accept reciprocity from FL. You would have to take a "challenge refresher" class and then take the NYS exam. NY also does not recognize the NREMT cert. Once you have your NYS cert, you then have to get "online" with whatever region you want to work in. Up state NY area offers low pay and various region certifications. NYC you have to take the REMAC exam to work within the 5 boroughs and that includes a written and oral exam. But pay is much better. About 5-7 dollars more per hour than the rural areas. NJ is even more fun. To work in NJ you can get reciprocity with NREMT certification IF you are sponsored by one of the "ALS Projects" in the state. These are the agencies and organziations that run 911 paramedic units. Once sponsored you fill out some forms and that gets sent to the State and they decide if your training and/or experience meets NJ requirements/standards and if so you get issued a NJ card. If not then your project sponsor works with you to help you meet these requirements. Depending on the project it may be working as an EMT, a 3rd crew member etc. and it may be paid or on the arm until you get the missing parts. Pay can be between $19-27 hour which is usually judged by experience. There's a lot of ins and outs to both as well as pluses and minuses. If you have a specific question, PM me. Good luck

You should try and discover what it is that is making you anxious. This is one of the steps to eliminating testing anxiety. By finding out what is causing it, you will be able to take steps to eliminate the stress or at least acknowledge the cause and lessen the overall anxiety you have. take alook at these hypnosis type audios - I think they are down towards the bottom of the page. http://www.selfhelprecordings.com/exams-studying/ I also did a recorded webinar back in July that covered EMS exams, testing taking and anxiety. You can check that out as well at http://emsbootcamp.com/archives.htm Good luck

I think this is a topic that plagues providers. Each state or region has different rules, and every agency has different ways of helping or not helping with obtaining needed recert. requirements. I am actually doing a live call in radio show on this topic Monday Sept 28th at 8pm EST. I would love for EMTcity members to come and join in the discussion. Here is the show link Who Is Paying For Your Continuing Education? It is scheduled for an hour so you can still watch the new show "Trauma" at 9:00.

Hey if you wind up not making it this time out I suggest listening to the interview I did with Dr Margolis from the NREMT. We talked specifically about the CBT exam. It's over at http://ems-safety.com/greggm.htm Good luck

Take a listen to an interview with Dr. Margolis from the NREMT. In this interview he talks indepth about the CBT exam. http://ems-safety.com/greggm.htm Good luck

I did a few videos on the RMA guidelines in NYC. You can view them and also download the actual policy at http://ems-safety.com/rma.htm Hope this helps Jim

Some great points and advice given for new EMT students. Come and take part in the upcoming "EMT Training Preparation" Live Webinar at EMS Boot Camp. This is a free online class. You can see if you think this will help you and get all the details at http://emsbootcamp.com

Depending on the heat emergency some protocols say to give cool fluids by mouth if the patient has a patent airway. Others say nothing by mouth. I have put cold packs to arm pits, groin, neck to cool patient off. IV fluids are also an option. I would check with your local treatment guidelines and follow those established by your medical director. I actually just did a hyperthermia overview podcast with Greg Friese from EMS1 and Everyday EMS Tips. There's some good points to listen to: http://ems-safety.com/blog/?p=67 Plus a free online CE on Hyperthermia.

Is there a way I could get a copy of the NJ Paramedic protocols? http://www.state.nj.us/health/ems/regs.shtml The standing orders are put out by the state as guidelines. Each "Project" medical control then decides what to allow the medics to do and OLMC options will vary. How are medics usually deployed? Are you 911 only? Transfers only? a mix (scheduled 911 & transfer days, you start 911 but if a transfer comes in they pull you from rotation, etc)? This will depend on where you work. Some are posted on street assignments usually in the urbam areas and others have quarters to station at. From what I know, you are either 911 or critical care transport. NJ runs dual medics for 911 and 1 medic/1 emt or 1 emt and 1 RN for CC. Do you know what starting average pay is NJ? Pay ranges I have seen are between $18.00 and $28.00 Is there a union? This will also depend on where you work. From what I know there are 2 that have unions (IAFF). One being MONOC, who covers Jackson/egg harbor. But to date still no working contract, since the union decided to file job actions instead of solidifying a contract. How are the benefits? Still will depend on your employer. My wife seems interested in the Jackson, Egg Harbor and surrounding areas for us to live...any suggestions on companies to approach? MONOC.org is that areas coverage. But other NJ medic projects pay better and supposedly have a better work environment. I just cant speak for other agencies. how busy is it? Is there a lot of violence? More trauma? More medical? or about equal? Like other posters mentioned, this will vary and depend on your area. I found most of the time to be pretty busy. I have worked in an urban setting for quite some time. I apologize for the ton of questions, but trying to as much info as I can before I plunge head first. To get a medic card in NJ you must be sponsored by one of the providers. Then they send your info, training and experience to the state who then decides if you meet NJ requirements for reciprocity. If you dont, then most likely the sponsor will arrange for you to get the needed or missing training. Depending on the sponsor, this can be paid or at your expense. If coming from another ems system, I think you may find NJ a shock to how they do things. Hope this helps. Jim PS - Sorry I couldnt figure out how to get the "quote" thing working.

Is this what you are looking for? http://www.jems.com/rss/index.html

It isn't as bad as you may be thinking. Take a listen to this interview with the Assoc. Director of the NREMT. He talks about the exam and how it really isn't designed to have people fail. http://ems-safety.com/greggm.htm Good luck

Any recent landscaping, chemicals to treat grass, shrubs?

I think there needs to be better incentive. Get rid of the volunteers - well no incentive. Why would a county pay for EMS when they can get it for free. Get EMS out of Fire - no incentive there. Why remove a portion of your budget and response numbers. Get better education - 2 years great! Wait, no incentive there either. Why go to school for 2 years to get paid 12 bucks an hour with no growth or career path. When you can do the same and be a nurse for 2x the pay or more with plenty of career options. As long as you have commercials showing nurses in the back of ambulances ventilating a patient with a BVM and running to the aid of a downed motorcyclist. Theres no incentive to have the public care about us and OUR profession. Getting real public and political support is the first step to getting support for the changes we need. Until they can truly undertsand what we do, no amount of education requirements, national guidelines and upteen levels of certification will help us. No amount of fancy stickers given away or free public tours of the ambualnce during a fair at EMS week is going to make anyone turn their head to support us. We need real PR. Not PR that tries not to step on anyones toes or hurt anyones feelings. Do you think that nursing commercial cares? Or that every Fire rescue operation rarely mentions a medic or emt that saved a life? It's always "firefighters help victims from car wreck" when you can plainly see the "paramedic" label on the jacket. As far as the public knows we are the ones who drive the thing to the hospital, the ones who are wearing the flip flops or the big bat belt that jingled so nicely. Get that public outcry about how they may or may no get an ambulance response from that volunteer agency, or let them in on how some providers are barely trained to use the oxygen cynlinder never mind poke them with a needle. Show them the training we should have nationwide, the calls we do and are expected to handle for $12 an hour. Just maybe then they will support us in our goals. OK - now I went on much longer than I wanted and it's all just my 2 cents. There are people with much bigger brains than me. But everyone has their own 2 cents. Isn't that the real underlying problem?

I have a basic PP file. PM with your email and I can send it to you.

NYC has a ten minute rule. Meaning that you can bring a patient to their hospital of choice as long as that hospital is not longer than 10 minutes away from the closest hospital. With that said, special patient types psych, trauma, burns etc. are transportated to the appropriate facility unless certain criteria are met such as unmanageable airway or cardiac arrest- then they go to the closest. When a hospital Er is on diversion and a patient requests transport to that hospital, patients are advised to choose a another hospital. But if the patient insists on that hospital anyway, and it meets the 10 minute rule, then you take them where they want to go. Two other points - If a patient is a psych patient and the ER is on diversion, you would take them to the next available appropriate facility. If both are on a diversion status, then they go to the closest. lastly - if a patient requests transport to a hospital longer than the 10 minute rule or you feel that even the 10 minute rule may compromise the patient. Then contact with medical control for approval is required. Mostly they will approve transport to the patients requested ER. Now I dont think I covered all the bases, but this is the basics of it.

11 Ambulances Cut 28 shifts Now where will the 45,000 patients each year go? Come discuss it tonight at 8:30PM EST Authorized Transmissions Radio Show Just visit and listen in or call in and give your opinion.