Richard B the EMT Posted August 31, 2005 Posted August 31, 2005 If I understand correctly, this instructor offers this I-85, then offers a "bridge" training program to bring you up to this I-99 standard? Sounds like he wants to get as much money off of you for getting trained as he can, in my opinion. This is, unless there's something in the details that I missed, here.
Neb.EMT Posted August 31, 2005 Posted August 31, 2005 Go with the I/99. Basics can get the extra certs to do pretty much everything the I//85 can anyways.
Guest Posted August 31, 2005 Posted August 31, 2005 If I understand correctly, this instructor offers this I-85, then offers a "bridge" training program to bring you up to this I-99 standard? Sounds like he wants to get as much money off of you for getting trained as he can, in my opinion. This is, unless there's something in the details that I missed, here. They way he explained it is this: The text book outlines both the DOT objectives for the 85 and the 99. He will be teaching and testing from the 85 objectives. However, we can go ahead and read/study those parts of the book that include the 99 objectives. He will supply us with the extra skills sheets required for that test and assign a preceptor to work those skills with us and test us on them. However he highly discourages it, saying it is fool-hearted to do so because TX still accepts either one and the 85 is easier to pass, in his opinion. There is no extra charge though if we opt for the 99, as he is required to give us both options. Of course I was the only one in class who spoke up and said they'd rather test at the 99 exam, so I'm probably not his favorite person right now. What part of Texas are you in? I live in Navarro County, work out of Hill County, and my classes are out of Waco, paid for by my company and HOTRAC grants.
asrnj77 Posted August 2, 2006 Posted August 2, 2006 Yeah but EMT-I/85 and EMT-I/99 are night and day...I can't see a place saying that you could take NR for 99 based upon their 85 level of instruction. That seems like a First Responder instructor saying that you could take EMT-B because they taught a few extra things...its many more hours of instruction and clinicals...in Virginia you can practice as a Paramedic with an I/99 (just need to call medical control a little more) so if you had the option to get I/99 I would do it...just curious how your system works....
medic001918 Posted August 2, 2006 Posted August 2, 2006 n Virginia you can practice as a Paramedic with an I/99 (just need to call medical control a little more) so if you had the option to get I/99 I would do it...just curious how your system works.... And I'm curious how your system works. An EMT-I having the same skill set as a paramedic and the only difference is in that they have to call medical control "a little more" is something that I find rather disturbing as it allows a much greater margin of error. If you want to be a paramedic, go to paramedic classes. Don't be an Intermediate and have to call a doc for everything that you might or might not understand. This is probably going to kick off another "EMT-I vs. Medic" debate, but it's one of those things that bothers me. An EMT-I is not a paramedic...even with having to call medical control. Shane NREMT-P
asrnj77 Posted August 2, 2006 Posted August 2, 2006 Anybody else from VA feel free to chime in here :wink: But here is something I found for Alexandria, VA..I don't agree with calling I/99's "paramedics" however they are known as "medics" in Virginia "All Fire Department paramedics are required to maintain certifications that maintain their ability to perform state-of-the-art out-of-hospital care. Each paramedic is certified at the Virginia Emergency Medical Technician-Cardiac level (EMT-I/99) at a minimum and the majority are certified as a Nationally Registered Paramedic(NREMT-P). In addition, all paramedics are certified in American Heart Association Basic (BLS) and Advanced Cardiac Life Support (ACLS), Pediatric Life Support (PALS), Basic Trauma Life Support (BTLS), and Pediatric Basic Trauma Life Support (PBTLS). Continuing medical education is provided for all EMS providers through the Fire Department Training Academy. Most of this education is supervised by medical specialists, such as nurses and physicians, from nearby hospitals."
Rezq304 Posted August 8, 2006 Posted August 8, 2006 Anybody else from VA feel free to chime in here :wink: But here is something I found for Alexandria, VA..I don't agree with calling I/99's "paramedics" however they are known as "medics" in Virginia "All Fire Department paramedics are required to maintain certifications that maintain their ability to perform state-of-the-art out-of-hospital care. Each paramedic is certified at the Virginia Emergency Medical Technician-Cardiac level (EMT-I/99) at a minimum and the majority are certified as a Nationally Registered Paramedic(NREMT-P). In addition, all paramedics are certified in American Heart Association Basic (BLS) and Advanced Cardiac Life Support (ACLS), Pediatric Life Support (PALS), Basic Trauma Life Support (BTLS), and Pediatric Basic Trauma Life Support (PBTLS). Continuing medical education is provided for all EMS providers through the Fire Department Training Academy. Most of this education is supervised by medical specialists, such as nurses and physicians, from nearby hospitals." There are various differences between I/99 & Paramedic levels in Virginia. I's can push the same meds that P's can, just requires order from medical control for some drugs in certain situations and usually these drugs are 4th and 5th line treatments. The biggest difference that I have heard of is in the skill set. I know that P's are capable of placing a Foley catheter in Virginia (although the majority of the trucks don't carry them). Also, surgical airways are a Paramedic skill set.
brock8024 Posted August 8, 2006 Posted August 8, 2006 I agree with shane. In oklahoma if I remember right and since i will be taking this test in two weeks, We are a I-85 state. I do not understand the 99 stuff. I mean you learn the rhythms and stuff but that can not go into as much detail as the paramedic program. It is like a LPN and RN. the LPN knows how to do the skills but really do not understand the reasons why. I am nto dogging the I 99 but why learn something like then go to medic school just to find out why. Just go to medic school.
asrnj77 Posted August 8, 2006 Posted August 8, 2006 Actually though it is nothing like the LPN and RN comparison. The requirement to be an ALS unit in Virginia (and Washington DC) is I/99. It is cheaper and quicker to instruct EMS employees and volunteers in I/99 as opposed to paramedic. ( Agree with it or not) Of course they encourage paramedic training but do not require it. Also as far as I know all paramedic schools around here train you as an I/99 first and you have to pass the NR exam before continuing to paramedic. In my county/city all ALS units are called "medics" regardless of whether they are I/99 or EMT-P. If memory serves me correctly, Arlington County can run an ALS unit with just I/99's
chbare Posted August 8, 2006 Posted August 8, 2006 Brock8024, I do not think you can use the LPN and RN comparison. The LPN is educated and does know the reasoning, pathophysiology, and implications of the procedures that they perform. Generally LPN's will have 1-2 years of education and complete the same general requisite studies that the RN must complete. (A&P, math, biology, English, and psych among other courses) The LPN must sit on a board, (NCLEX PN) and is considered a licensed health care provider. True, the RN does receive additional education and will generally work in a leadership role. It is also true that RN's are generally responsible for performing additional invasive procedures. (hanging blood, IV medications, IV access depending on the facility) However, I do not think the comparison is valid. Take care, chbare.
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