JPINFV

I think your area has the purposes of POA mixed up because a person capable of making decisions can revoke a POA at any time. http://www.idph.state.il.us/public/books/PwrOf.PDF Now with a "hx of dementia" (sure, paperwork would be nice, but the nurses testimony is something that could fry you in court), the question really becomes how demented is the person normally, and would it be enough to incapacitate the patient? No neuropsych disorder proceeds immediate to 'incapable of making decisions,' but some reach that point faster than others.

Any neuropsych history (dementia)? It's a sticky situation where communication skills plays an upmost importance in getting the patient to cooperate with the questions. The patient is right, it is her right not to say anything and to refuse to go, but at the same time it is difficult to impossible to assess such patient's to the point that shows that they have the ability to sign AMA. I don't think you did anything wrong given what you've told us. Also, while I might be wrong, but a POA doesn't mean that the patient can't make their own decisions. A conservatership, on the other hand, would.

It really depends on which general bio course your talking about, though. Granted, I could be talking about the difference between general bio being in quarter format (2 courses) vs. semester format (could be condensed to 1 course). Where I took general bio, the 2 courses were split up between DNA to Organisms and Organisms to Ecosystems. The first is very relevant to insure that everyone is on the same level before starting higher science classes (A/P, biochem, microbio), the second is mind numbingly useless (especially the part where we had to memorize families). Physics is important in a similar manner. Mechanics, energy, and electricity? Important. Waves and relativity? Not so important. The problem, though, is unless you teach the course as a part of your program, good luck finding someplace that offers a trimmed down version of physics. Another skill that I learned in g. chem. that was reinforced in physics was dimensional analysis (understanding how equations with units worked together), a skill that is probably just as important as the entire algebra course. Finally, would there be placement exams or a way to test out of courses? I've taken algebra 1 twice (8th, 9th grades) and Algebra 2 once (11th). There's gotta be something mind numbingly new to make me want to sit through algebra again.

We've never used that form, per say, but dispatch will advise customers/patients if their non-emergent scheduled transport might not be covered and advise them of the cost. edit: Besides, just because a patient isn't critical doesn't necessarily mean that medicare won't reimburse it.

I'm sorry, I refuse to learn Bostonian. I like my "r"s very much, thank you.

Well, if we really want to get picky, why is Battlestar Galactica on there without Battlestar Galactica? Also, where's the TARDIS?

I'm surprised that this isn't coming out of Via-reconquesta's Los Angeles.

Well, to be fair, plenty of non-medical schools require "more" than medical schools. Medical school doesn't require anatomy, physiology, medical terminology, ECG, ACLS, or another certification (EMT-Basic). Instead it's a year of bio, year of G-Chem, year of O-Chem, and a year of physics. Most require calculus/statistics (2 semesters of Calc or 1 of Calc and 1 of Stats) and a growing number require biochem or a few other courses. In addition, looking at purely numbers, medical school is much harder to get into than medic school. The competition and cost of applying (regardless of if you get in) are high. I think even with a 4 year BS requirement, it would be a while before paramedicine rivals the entrance regiment for medical school. To me, some of the courses are complementary. There is practically zero coverage of histology and biochemistry in anatomy and physiology [separate courses] this semester. Why? Because we had an entire semester of them (5 unit course) last semester. A/P builds very nicely off of histology.

EMT-SB? Your ideas are intriguing to me and I wish to subscribe to your newsletter.

You know, I'd take a 19 year old stair chair over putting someone on a flat break away stretcher any day of the week. As far as idealism, how does not smack of idealist and unreasonable views? If you want to sit there and complain about something substantial, sure go for it. Complaining that you have to do things involved with [gasp] billing [gasp] is just foolish because most healthcare workers deal with billing, regardless of if they work for a for profit, non-profit, or state run system/hospital. Complaining about a company firing at will employees who wreck their ambulance or the fact that monitoring equipment has been installed is just stupid. Personally, I loved the one ambulance with a drive cam at my old company. The idiots hated it so it was in better condition than the majority of the fleet even though it was one of the oldest units.

This is the thing I never seem to understand. Is AMR a truly bad company, or is it just that idealist EMTs sit around and whine about a company making a [gasp] profit. Newsflash. Unless you work for the government, organizations exist, in part, because they make enough money to cover their bills. Even non-profits that don't bring in enugh money to cover their expenses (be it donations, providing services for fees, or anything else) tend to cut back on services or close down rather quickly. Companies that aren't non-profit exist to [gasp] turn a profit. This profit is used, in part, to pay your salary and pay the people who invested their money into the venture making it a possibility. Similar question. Do the AMR locations with old equipment maintain it properly? Is it a question of AMR being cheap or AMR not giving new toys/replacing old toys in areas where the employees can't seem to take care of their stuff?

Evil way: Declare him a part of the MCI and green tag him. Safe way: Medical control

Most Extreme Elimination Challenge (MXC) or Ninja Warrior?

Remember, Star Wars is set in the past (long time ago in a galaxy far away) and Star Trek is set in the future. Imagine what Star Wars would have when that universe catches up with the Trekkies. Now the real question is, would Space Balls be a spoiler combatant?

See, the reason I asked was because there are a lot of places that do seemingly useless required training. Learning about fire extinguishers, blood born pathogens, TB, and a ton of other things (MSDS, mandated reported) is kinda of useless if your just going to be doing non-invasive research on human subjects (EEGs in my case). Mind you, it was a requirement to take a 1 unit ethics course prior to even thinking about research that covered things like institutional review boards. The point is, though, everyone at the hospital had at least a minimum amount of training covering general hospital procedures and policies. You can't claim that you "didn't know" this way. Also, it sounds like AMR got its hand caught in the cookie jar. For better or worse, you're being punished for the sins of your coworkers past and present.

So it's things like HIPAA?

Bacta tanks beat the heck out of tricoders. [spoil:6178b3e661]Mind you, a battle between Star Wars and Star Trek will always come out with Star Wars on top.[/spoil:6178b3e661]

Surely you must be joking.

Yea, but is the lifepak 12 large because it's a monitor or is it large because it is a defibrillator? I'd wager that the defibrillator component adds much more weight than the monitor component.

Generally statistical significance is considered having a "P value" of 0.05 or less. Essentially the likely hood of the result happening by chance is 5% of the time. This is a semi-arbitrary cut-off mark and can determine if a study is published or not. Hence P=publication. Is a P value of 0.05 that much more significant than 0.06? Also P value will be affected by sample size. The larger the size, the lower the P value a study will earn. Hence things like confidence interval width are just as important for determining the precision of the data.

I can't pull up the protocol right now, but I'm 95% sure that any disagreement on scene results in the start of resuscitation and a call to med control. This goes hand in hand, though, with immediate family being able to verbally decline resuscitation, even if there is no written DNR.

He he, my Epi professor is on a one man crusade to end the P=Publish problem.

Custom built cot mounts for the save. Put an actual quick release mount instead of semi-jerry rigging one (used only for CCTs, so the only time I've had to take one off the mount was when the C-clamp that mounted everything to the gurney's frame was left on another unit's gurney), and you won't have to worry so much about carrying it around. (Monitor on the right, 3 line IV pump on the left).

Note to self: Read scenarios all the way through. Don't scan. Call medical control. Conflicting requests get worked up pending base hospital contact since any parent can rescind a DNR.