Signatures, or the lack thereof

[CBEMT]

I'm sorry it sucks where you work. I don't recall ever having to take anyone to the ED for a foley replacement.

If they need it replaced and the nursing staff can't do it, which is a rare occurrence, I will.

It sucked where I worked. Past tense (I know you didn't know that). "Problem" foleys and G-tubes made up easily a third of my runs after midnight. Apparently there isn't a nursing home medical director in the state that will allow their staff to put the g-tubes back in, and magically they "just couldn't manage to get that darn foley back in. Looks like the ER will have to do it. Do you mind taking them to [ER that we already know is backed up for hours but we want to get rid of the patient for the night]?"

[JakeEMTP]

I understand what you're say CB. I knew we simply had our wires crossed. It is unfortunate that there is that kind of abuse of the system but it is the nature of the beast.

My initial comment about us having more runs from the nursing homes comes down to this. Our Medical Director does not want EMT-Basics with their limited education deciding whether or not a patient needs ALS. It is his Medical License and he's extremely more comfortable having medics take patients to the ED, therefore our runs increased from the SNF's.

I apoligise if I came off a bit snippy. That was never my intention.