I'm mixed on this. On one hand, the amount of people getting sick with Covid just boggles my mind. Around 50% of the patients who come in the our emergency room and that we go get in the ambulance are either covid symptomatic or actually have covid. For that reason I'd like to see everyone vaccinated but on the other hand.......
I totally understand the mentality that people have who do not want the shot. I'm not sure that I agree with it but I'm not going to push a vaccine mandate on them.
I am hearing of hospitals who are mandating for continued employment the vaccination and they are losing about 25% on average staff. I' m sure the hospital or EMS system have taken into consideration how many people they may lose and are ok with that.
For my EMS Agency (about 18 total people) we have at least 3 if not 4 that will quit if the vaccine becomes mandatory for continued employment and that would cripple our ability to fully staff/respond to the community. As for the hospital itself, I'm thinking that around 25% of the staff will refuse the vaccination which would again, damage badly our ability to provide care to patients in need.
yesterday case in point, we had a transfer to a hospital about 200 miles away(the only hospital in a 400 mile radius that could take care of this patient) and I'm not sure if they got the patient transferred or not due to staffing levels. Having one ambulance on a transfer of that distance and length of time leaves us with one ambulance in the entire county of around 20000 people/900 square miles. We only average about 5 calls a week that put both our ambulances on the road at the same time (not including transfers) but you can see how having even a small number of staff down can really cause havoc.
So I don't know the answer and I don't think there is.
I am not anti vax like some people say, I'm antimandate.
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Hypothetical or not - this is a terrible idea - plain and simple. No matter how many times we run the same addict, we still took an oath and it's part of the job - we go to help the person.
We don't put the same parameters on the person who is 400 pounds (due to very poor diet) who we go get every week or 3 x a week at home and transport to the hospital
We don't put the same parameters on the elderly person who is living at home who pushes the button on their medic alert device
We don't put the same parameters on the drunk who continues to fall down and passes out do we
We don't put the same parameters on the diabetic who refuses to take their insulin or medication but still continues to eat mcdonalds or every time you go to their house you find a huge bag of Haribo gold gummi bears and a case of coca cola.
I learned long ago that "It's not my emergency, I'm not paid to get my panties in a bunch because I B Bangin" overdosed again for the 36th time in Heroin alley and I've got to put on my "Supermedic" hat to go save his life again. My service pays me to go and put a IV catheter in his vein, dump a little bit of narcan in his body and wake him up again and have him sign the refusal so he can go do this again for the next crew.
A good friend of mine in sunday school was teaching and he had a wonderful class topic called "My response is my responsibility" and in the end, how I respond to this situation dictates how I deal with I B Bangin's condition and I choose to treat him like I would treat my own family member who overdosed on heroin - Im going to do everything in my power to bring him back from the dead and let him see his next fix.
I'm not here to pass judgement, I'm here to work. If anyone reading this falls into the "3 strikes and your out" mentality that seems to be slowly pervasively moving into EMS, then honestly, get the Fuck out of EMS, you don't belong here, your thinking SUCKS Big donkey balls. And if your service is beginning to think like that then as a very very valued member of this forum (DustDevil god rest his soul) used to say "Your service Sucks" and that I agree with.
I have heard of many U S jurisdictions considering 3 strike rule implementation. Unfortunately, 3 strikers, and the full run of frequent flyers, are a part of the job.
I didn't like those calls when I was still working, either, but some of that is actually our bread and butter.
Everyone would be a PTSD case, if all we handled were multiple alarm fires, 20 car pileups, and planes into apartment buildings, in the course of a workweek.
Just administer the Narcan to effect, get them breathing again. Restrain them as nessesary as per your regional accepted policies, and transport. NEVER slam the entire amount of Narcan, as that's when they're going to really become agitated, and they'll attack anyone and everyone who, in their muddled AMS state, they associate with the ruining of their high!
Watch how quickly you as an individual, as well as your EMS agency, get sued by the family of the 3 strikes patient, when said patient dies. You and agency will be charged with "Failure to act", under malpractice. It could mean your certification or license revocation, as well as the state Department of Health closing down the agency.
This would be the potential results, were this to follow what I believe are New York State DoH rules and regulations. I'm going on memory, as I'm now retired 10 years.
Addendum: Would you refuse a frequent flyer who calls for help due to more than 3 times, due to their Angina condition? An uncontrolled diabetic? An asthma patient?
We've all encountered drug addicts needing EMS. A lot of the time they need Narcan. A lot of the time we have to put them in restraints and risk our lives because they are combative.
I have had discussions with EMS personnel who advocate a "3 times rule." If you OD on drugs and require EMS, we will help you 3 times. But if you ever drink or drug again to the point of needing EMS after 3 times, we will refuse to help you.
After all, there are SO many innocent people who require EMS because of natural health issues, why should we continue to render aid to combative drug addicts who don't even value their OWN lives, let alone yours?
What's your opinion?
This company appears to have the contract. They provided a link to the company website. Looks like a decent sized company that does government contract work as a specialty.
The open position was to start 20 May in Denver. I received an email prior to the start date, and another one after the start date.
I can't believe that they couldn't fill the position.
I wonder if it's some contract contingency kind of thing. I've run into a few of those. They don't actually *have* the contract yet but want to make sure they have a crew so they can hit the ground running if they are awarded it.