tskstorm

thanks, but again thats estimates it isnt an exact science. good luck all

thats what basics witha years expirience get here from (AMR)

no my basic class didnt either, but my basic employer gave it. sorry for being confusing :

in ny there isnt a pre-req to be an EMT-b before emt-p however it is almost every schools pre-req you must be a emt-b before emt-p and inorder to work as a emt-b you need EVOC .. if you can follow that i mean inorder to work as a B you need to have EVOC and you need to be a B before you can go to P school

i'd be quite interested in an expansion of your thoughts on this issue.

okay just a few quick replies, the reason for the badge was stated in the first post read it. and more importantly the badge if being purchased will be purchased from a "cop shop" a police/fire/ems uniform store, and they require proof of certification, proof of who you are bla bla bla, and it is custom ordered. i mean if these badges have no weight why is there even such a procedure? ... note: this wouldnt be a badge with pretty pictures or custom wording, it is a ny patrolman or ny detective badge, that say emergency medical technician and have the ny state seal. and then your doh number. it doesnt say ny state, and wouldnt be used except when on duty.

im still undecided. but if i do get one i will.

and company ID cards cant be duplicated? my company ID doesnt even have an expiration date. what state card? you mean this letter ive had for 2 years telling me they are backed up and new cards cant be processed but this paper has all the authorities of the card. ? that thing ? why carry it ? the state does not require you 2 carry your card or paper so why bother? this is slightly off topic just mentioning. anyways thx for your opinions.

yup pretty much. not exactly though ... just asking

yes most things are common practice, taking and swapping out linen, replacing 1 time use equipment to maintain a fully stocked ambulance. i was gearing it torwards more of excess stocking, or taking it for personal kits, or personal use.

i know i take supplies, and stuff from the hospital, sheets, blankets gloves etc... what else have you taken for pt's or for yourself ? i've had partners take scrubs, washclothes etc... im guilty of taking a box of gloves for myself what else have you taken for pt's or for yourself ?

masters your talking about many thousands of dollars, im talking possibly 2500$'s in total over a year or 2

on a side note to anyone who wants free training .. pay the money up front then write it off on your taxes as a job expense or school or whatever you want to consider it. i mean, you can write off gambling losses. i wrote off emt school, my uniforms, gps, pens, jump kit, cell phones etc... and anything else you may need for the job. the other day i had to call 2 dispatchers and 2 nursing homes on my personel cell about a pt, theres my proof for the write off, i use my 2nd phone a nextel to contact dispatch cuz our radio in the buses always go out. not to hijack your thread, but this buisness allow's tons of legitimate writeoffs, get and keep receipts !

The First Law of EMS: All emergency calls will wait until you begin to eat, regardless of the time. The EMS Law of Gravity: Any instrument, when dropped, will always come to rest in the least accessible place possible. The EMS Law of Time and Distance: The distance of the call from the hospital increases as the time to shift change decreases. Corollary 1 - The shortest distance between the station and the scene is under construction. The EMS Rule of Random Simultaneity: Emergency calls will randomly come in all at once. The Axiom of Late-Night Runs: If you respond to any motor vehicle accident call after midnight and do not find a drunk on the scene, keep looking - somebody is still missing. The EMS Law of Options: Any patient, when given the option of either going to jail or going to the hospital by a police officer, will always be inside the ambulance before you are. EMS Rules of the Bathroom: A. If a call is received between 0500 and 0700, the location of the call will always be in the bathroom. B. If you have just gone to the bathroom, no call will be received. C. If you have not just gone to the bathroom, you will soon regret it, because the probability of receiving a run increases proportionally to the time elapsed since last going to the bathroom. The First Principle of Triage: In any accident, the degree of injury suffered by a patient is inversely proportional to the amount and volume of agonized screaming produced by that patient. The Gross Injury Rule: Any injury, the sight of which makes you sick, should immediately be covered by 4x4s and Kerlix. The EMS Law of Light: As the seriousness of any given injury increases, the availability of light to examine that injury decreases. The EMS Law of Space: The amount of space which is needed to work on a patient varies inversely with the amount of space which is available to work on that patient. The EMS Theory of Relativity: The number of distraught and uncooperative relatives surrounding any given patient varies exponentially with the seriousness of the patient's illness or injury. The EMS Theory of Weight: The weight of the patient that you are about to transport increases by the square of the sum of the number of floors which must be ascended to reach the patient plus the number of floors which must be descended while carrying the patient. Corollary 1 - Very heavy patients tend to gravitate toward locations which are furthest from sea level. Corollary 2 - If the patient is heavy, the elevator is broken, and the lights in the stairwell are out. The EMS Rules of No-Transport: A Life-or-Death situation will immediately be created by driving away from the home of patient whom you have just advised to go to the hospital in a private vehicle. The First EMS Rule of Bystanders: Any bystander who offers you help will give you none. The Second EMS Rule of Bystanders: Always assume that any Physician found at the scene of an emergency is a Gynecologist, until proven otherwise. The EMS Rule of Warning Devices: Any ambulance, whether it is responding to a call or traveling to a hospital, with lights and siren, will be totally ignored by all motorists, pedestrians, and dogs which may be found in or near the roads along its route. The EMS Rule of Rules: As soon as an EMS Rule is accepted as absolute, an exception to that Rule will immediately occur.

well, my partner always had a badge, so they would take his info and then sign, i have yet to hand in an ACR without a signature. money eh ... i make more then enough, i work more then 1 job! ems dont pay the bills. thanks for the entire opinion though thanks

first thing i said was "Now I know this was spoken about before, probably numerous times." but the last topic i saw about it was numerous months ago, and hell things change everyday in this field. star of life tattoo ? interesting ? and thx for your opinions, and on a side note, i can't stand Raman noodles!

just on side note, i wouldnt wear it on my uniform but rather keep it in a wallet or in a closed pouch of a utility belt or something else of the sort. i have no interest in wearing it on my shirt, i work in the projects too often

Now I know this was spoken about before, probably numerous times. However I'm curious how many people are still issued badges? and how many EMT's that are not issued badges but get them on there own ? It was suggested to me to get one, the company I work for does not issue them anymore, they did in the past. When I asked them why they stopped, they mentioned something about an EMT being arrested for carrying it. When I did further research I can't really see any legal reason as to why EMT's cannot carry them, but don't see why they should either. ( It was suggested to me because alot of facilities, specifically psychiatric one's ask for a name and badge number before they sign your ACR/PCR, and on occasion they wont let me just give them my DOH number they want to see a badge, my old partner does have one and they usually will take his information, now that I have a new partner she does not have one neither do I. This is where this originates.) This section of the NY DOH's website http://www.health.state.ny.us/nysdoh/ems/policy/03-08.htm says you can wear a badge, patch, insignia etc... as long as it only indicates the level you are trained at. Meaning you can't claim to be a paramedic if you are a basic and so on. You can read it all on that link. So I'm curious to hear opinions, debate and over all just about anything on the subject. If you are going to ask a question like "what the hell psych center wants to see a badge or wont release a pt." Don't waste anyones time. I don't know why they require it but we all know in healthcare we all must cover our own arse's and have our own protocols.

upside down but hell good enough find me a devil in a bluedress:)

simple...... "laziness" ......

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actually i wouldnt write any of that on an acr. i also say things like cuz and if and dont use puntuation or grammar, re-read my post im sure i spelled dialysis wrong least once, and really couldnt care less, this threads closed for me didnt even read his last reply.

"Your duty bound to treat the emergent presenting condition which you find and be sure that the patient recieves adequate care and get acess to continuing advanced care. PERIOD refusing to transport and leaving..that abandonment pure and simple " Abandonment paraphrased definition in an EMS setting, leaving a pt. whom you have had pt. contact with, with personell of lesser training/certification or leaivng them by themselves. how is leaving a pt at a nursing home in an rn or dr's care instead of taking them to radiology ctr abandonment ? This makes no sense to me ? What you said to me sounds like, dont take your mva pt to an ER if the dialysis ctr is closer cuz he has n stage renal failure. "You have no choice, also, you must provide appropriate care as well as transport...PERIOD.. " appropriate care okay, sure, so if a pt is going to dialysys from a hospital floor, and i dunno has an elevated bp, whats the appropriate care needed? admission of meds? IV? what can i do for that pt on a BLS level ? Give O2 and TXP? where as the hospital can take further interventions, to help the pt. where would i txp that pt too ? the nearest ER? its downstairs 5 flights ? so why would i accept care of an unstable pt when the hospital can take them downstairs and provide advanced care in the transition to the ER ? Same pt, going to dialysis has a pacemaker, and a heart rate of 50, do I TXP this pt out of a hospital to go 50 miles to there dialysis center ? or do i refuse TXP, explain to the nurse, what happend and let them take her to the ER or follow there protocols for that situation ... what am I to do on a BLS level for a pt on a pacemaker with that heart rate? again besides o2 and txp theres nothing. this is what flopeyeman was talking about. you are insisting on taking unstable pt's outta hospitals to go to subsidary care facilities, you are the only one who needs there cert pulled. "Why are you asking a question you should be answering? " sarcasm go over your head? (fyi: MORE SARCASM.) " More than likely the Dr's and nurse take cover and run and the patients fend for themselves. This statement shows you are ignorant to the realities of ER care and policies..." I'm sorry you misread hospital floor to equal ER? or do you not read before you type .. you quotted where it said hospital floor then you rebuttle with ER policies? who cares about ER policies on the 10th floor ? Then you quote someone i quotted and say I'm incorrect... how am i wrong for quotting someone ? "Kindly clarify this statement..Also explain what being a marine has to do with refusing to do psych calls? Unless of course your a marine psych pt? " someone questioned my work ethic and anyone Marine will tell you that no Marine chumps out on work, and I assure you psych pt's don't "scare" me "No it begs mnore questions than it answers. These two astuite and highly capable and experienced individuals were just being niuce and trying to politely tell you that you're wrong. They believe in being PC, I am not going to coddle you like they do on parris island with stress cards and counseling and such. I'm kinda like lue bat that you so obviously need to get educated about EMS care. " Maybe thoose cards are new cuz I never even saw one let alone used one. and notice they didnt say anything after the clarifying post only you did. "I like to ensure that my patients recieve the BEST and most appropriate care." how is a person not in your state whom you never met, or saw your pt? thats just stupidity, trying to save the world? not possible. "you wouldn't pull this crap with ''''''''Dustdevil or asys,''''''''''' or many others of fame here. Don't be fooled by the low number behind my post count and think I'm an easy newbie mark. I'm not; so before you even attempt to make a personal or professional attack against me, consider what you say wisely and for along time...." BUT NOTICE THEY ARE NOT THE ONES MAKING FOOLS OF THEMSELVES. TELLING PROVIDERS TO PULL CRITICAL/UNSTABLE PT'S OUTTA THE HOSPITAL TO GO FOR DIALYSIS. Please point out where I said anything of the sort and reference-post the exact quote where I said those words... I said nothing of the sort. THANK YOU FOR PLAYING PLEASE DON'T TRY AGAIN Rolling Eyes your entire argument which is based on my statements, my statements are based on the pt already being in the hospital, not in a residence, or dialsys ctr or radiology ctr, or a flag down. ALL MY STATEMENTS ARE BASED ON PTS BEING IN THE HOSPITAL ALREADY, WHY WOULD I PROVIDE CARE WHEN PPL HIGHER ABOVE MY TRAINING ARE THERE AND CAN DO IT ? WHY TAKE THEM OUT OF THE HOSPITAL TO DIALYSUS CUZ THEY HAVE ELEVATED BP OR LOW PULSE OR WHATEVER IT MAY BE ? WHATS THE BENEFIT TO THE PT.? there is none cracker jack, best bet is call a code and get to ER downstairs not go 50 miles to dialsys . do you comprehend now ? or are you a ittle 2 thick ? p.s. its 215 AM im a little tired forgive the typo's

i think it died, ill remake it if you guys are itnerested