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Posted

No. It would be horrible. Because then EMS would be even farther dumbed down to the lowest common denominator and restrict those progressive systems from excelling. I believe the word is socialism.

Unless a federal agency took over, and progressively raised all scopes to the same, ELEVATED education and scope of practice standards.

But...thats for another thread.

PRPG

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Posted
Unless a federal agency took over, and progressively raised all scopes to the same, ELEVATED education and scope of practice standards.

Ever the optimist, eh? :)

Remember, there is a very fine line between a vision and a hallucination. :wink:

Posted

I'm not sure why everything would be "dumbed down" as Dustdevil suggests. Why couldn't educational standards and scope of practice move to the ceiling instead of the basement. Nurses, certified athletic trainers, physical therapists and nurse anesthetists all take a national certification exams. I'll bet other health professions are the same. Why can't EMS?

Live long and prosper.

Spock

  • 4 weeks later...
Posted

Nebraska, EMT-B Advanced airway including visualized, IV access and monitoring, Nebulized Albutiral, Epi Pen, ASA and Assisted Meds

Kansas, EMT-B Combi Tube Asstied meds and with Kansas "I and D" (not a NREMT I 85/99 state) IV access and monitoring and manual defiberation

Posted

My hometown service is paid per call and only on call status we have no fulltime personnel. Our EMT-B's can do all the basis skills of course, plus, albuterol nebulizer tx, asa admin in chest pain, assist pt. with their own NTG, epi pens, and soon to be intubation. However, being a low call volume service we have mandaory skill maintenance practice to keep our EMT's up to par. So far so good, we have been practicing these things for 3 years now with absolutely no negative repercussions. We have 2 EMT's, myself, a paramedic and one other basic that work professionaly for fulltime services, which helps with passing on helpful tips and advice for performing these skills or procedures. Our medical director is very invovled as well.

  • 7 months later...
Posted

I always feel so poorly skilled when I read this forum. From what I can tell every EMT in my country is at the EMT-B level. We are not allowed to administer any kind of medication(except O2!), no IV, no intubation.

We're basically there to assess the situation and if needed call for assistance(MD and a nurse). Some hospitals have E-R/ICU nurses on staff who can do more on site but are restricted by standing orders.

Our experience comes from 10% learning(study-exam-internship) and 90% on the field. IMHO if we were allowed to start IV's and administer some 'basic' medication we wouldn't have to call for assistance so often.

Still a long way to go here in waffle-land :roll:

Posted

EDIT:Ooops! I just now figured out the "waffle" reference. Beacause of your excellent English writing skills, I was unaware that you were not in the US. Being unfamiliar with the system there, I am unable to intelligently comment upon the state of affairs there. Perhaps you can take a few minutes to tell us a bit about the education, training, and procedures for EMS there?

But still, minus 5 for resurrecting a long dead topic with nothing of value to add. :wink:

Posted

Sorry. I thought I was going to see a comment from Dustdevil something like, " stay off my ambulance " LOL

May this thread R.I.P

  • 2 months later...
Posted

Resucitating the dead is an EMS talent, after all. Did it just the other day...oops. Those darn HIPPO cops might be watching.

Anyway, our EMT-B's do exactly what their certifications allow them to. Basic EMS.

Combitube & AED only after our OMD clears them, and if they're 21y/o, with EVOC...we MIGHT let them operate an ambulance.

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