craig

Registered Nurses are NOT 'hospital based providers' , RNs work in every health setting going.

in the case of the USA while paramedics and their fire monkey / for -profit bosses are happy to be treated and trained as taxi drivers service development won't take place. This is in part due to the fragmented and billing orientated way in which healthcare i nthe USA (doesn't) work ...

If you look at the model the UK, Canada and Aus has and the Kiwis are heading towards, where Paramedic preparation for practice is equal to the preparation of other Health Professionals i.e. 'proper' Health Professional status, near ( 2/3 or 3/4) if not degree level entry, legal accountability for own practice ( not as the proxy of the medical director) proper own account responsibility and accountabilty to possess administer and in some cases supply medication ... ...

like I said...Australia, heaps better medically than America...ahhh, God's country and now above pararity to the US$....how cool is that

why is is so improtant to have an RN on flight?

here we have a doctor and paramedic or maybe just 2 paras...afterall the field is the area that is foreign to most RNs

It sounds like a good system man..

33/hr...isn't like like six chickens and some beads in Australian?

Dwayne

Dwayne, isnt that what you guys purchased Alaska and New York for?

besides with the exchange rate at 1 dollar Aus equal to 1.06 US i think I have the better deal.....(makes it 35.15 Hr to you guys...and i am not a manager just a grunt)

I think one pay scale for every level is ok as long as it's good, there is a very solid way to measure proformance, and it's really easy to remove bad employees. Otherwise you end up in a bit of a socialist bind...poor performance equals all the perks of good performance and there are very few people that can maintain peak performance in that environment... Dwayne

Dwayne...all still depends on maintaining standards...part of the contract for employment is to maintain current certification competencies each 2 years in all levels....no 50% pass mark either ALS / ICP have a 85% pass with lower clinical levels have a 75% but all levels need to have 85% in ECG and 100% pass on all drugs and medications determine to their level of training.... that with regular clinical mentoring seem to weed out the poor performance. cheers BTW as an ICP technical rescue officer I am on base rate of 33.03 an hour in a rural setting

I feel sorry for you guys in the great US of A, seems a substandard working deal and therefore a lower level of health care is what happens in this style of system here in NSW you join the job you get paid the same as eveyone else on your level, as the year progress you also get a pay rise at the same rate as everyone else dont matter if you are rural or metro based. If you specialize ie ICP technical rescue, flight para then you also get a pay rise that is calculated into you base rate. pays top out or the grunt ambo at 10 yrs...to get more you either specialize or go into management (equivilent to your Lt. Capt and such) the rural officers also get paid an on call allowance for the days they are on call as well as the O/T for each call out. O/T is available to all officers there are incentves for officers to stay in rural areas (isolation allowance, promotion credits, rental assistance etc) not bad going and seeing that the normal ambo can get around 100K in the rural setting its a wonder no more move away from the city.....like I said Aussie is Gods country....

Six people eh? Sounds like that time I turned round and saw four firefighters standing there doing ... nothing

"Where did these firefighters come from?"

"Fire station"

"But why?"

"Medical run"

"But ... how?"

"See that guy there? He's the engineer, he drove the fire truck here"

"But why?"

"Medical run"

"Um, but ...."

"Medical run"

And that's about the truth of it

</slightly taking the piss>

typical firefighter response kiwi........the tosser want to do it all ans save the world...just not enuff fires........

well done in the RWC

hlpp, please do not "preach" about professionalism...........many people on here have a vast experience in these type of Pts

if you only do 4-6 of these transports a month, then maybe your company is on the minority of the experience level of ones protrayed on this site.

as for equipment, paramedics an only work with whats supplied, be it 500lbs or 750lbs stretchers, so there is no prblem there.

but back toprofessionalism......its not professional to:

* place a patient on a matteress on the floor of the ambulance, especially if the Pt was not an emergency Tx

* NOT wait to use the CORRECT transport option for the patient

* to misrepresent your self as either older or younger on the site and then preach about your experience

* place an avatar that shows no professionality or managerial leadership quailities (do as I say not as I do) such as the one you have

as for bariatric units check...... www.ambulance.nsw.gov.au

craig

I am sorry, but I would have terminated you. First of all, the stretcher bar and antlers are easily removed from the floor. We do this type of transport frequently, we typically roll them to the truck on the hospital bed (fully raised), remove the head board and then just slide the mattress and patient into the back of the truck, then reverse the process at the receiving facility.

You probably pissed off every social worker and nurse in that facility, and showed them exactly how valuable your competitor is. There are very few services that have a bariatric wench and lift for an ambulance, so the other ambulance may not have been any better equiped than you. It is not your job to determine who you will and will not transport. Hopefully you will still have a job when you go back to work, but do not be surprised if you do not.

P.S. You have no idea what the next stage of treatment was, so you may well have delayed definitive care. She may have been scheduled for a procedure of some sort that day or the next day.

And where is the patient care in that lilpeepees. what happens if god forbis the ambulance is involved in an accident? the patient is NOT retrained in the rear of the ambulance by just lying on the floor on a mattress. If there is a suitable transport vehicle available, then why not wait for the best of the patient. If the patient is then loaded into the ambulance then it is the attending emt/paramedics responsiblity of care....who is covered and made responsible if something goes wrong and the law suits then follow...I think he made the CORRECT decision for the well being of the patient...isnt that who we SHOULD be caring about,,,, not the companies revenue?

from the 2010 annual report

500 community officers (EMTB)

461 First responders

2126 Paramedics

416 IC Paramedics

240 ambulance stations

450+ vehicles

5 helicopters

4 fixed wing aircraft

approx 760 000 "emergency" incidents responded to (ground and air)

approx 250 000 non emergency patient transports

10,000,000+ kilometers driven

5.5 million people in 227 000 square kilometers of land

wow bushy you must see some terrible sights,,,,,,,

From all here in the great south land, condolences and empathy to dust's family and to ALL his friends

It was good to dicuss the differing aspects of prehospital care of our two lands

Dust you will be missed

Craig

ROFL! Best exchange on this forum in months!

I agree dust, best exchange for ages.........

but 20 bucks (yours not ours) says WHEN he does it again it WONT be in the uniform he did it in this time

not to downplay the situation but it was your job! With that said I commend you on your self sacrifice to your profession and the people you serve.

thank you

not downplaying anything

to start with it is NOT timmy's job....he is a uni student that volunteers his time to act as a medical first responder at sporting events.

for timmy to do this is far above and beyong for someone as young as him

good work timmy.............proud of you mate.........stay safe

craig

You carry 100mg of Morphine? :shock:

i can carry up to 100mg of morphine as well (it is only 10 ampoules), but i dont i generally carry 60mg, but then i replace it each time i use it.

stay safe

My involvement with different organizations has no bearing on this issue. I have no desire to parade around in Speedos pretending to save people in a heroic manner. I fail to see how I would contribute to producing such a show?

I live along the Murray River, it’s better than a beach anyway!

That is my point exactly timmy

you are NOT a producer of this show, so how can you really tell what was said/done or wasnt at the scene. A lot of the footage take at all of these 'fly on the wall' reality shows ends up on the editing room floor.

to have the experience in the firelds that you do doesnt really give you the insight to what has been done on this show.

remember that it is a piece of light entertainment for the masses.

dont worry about what they do, how they do it, or what they say....

it doesnt impact on you or the way you carry out your duties, remember to ALWAYS carry out your duties to the best of YOUR abilities.... that way you can prove who does what better in peoples eyes.

no one wants to be played up as a hero, we just want to do the best for the poeple that we are charged to tend to, that is MY main aim.........

and a beach has way more water than the murray at the moment anyway........a dirty mud puddle as it is...

stay safe

merry christmas

I’m not trying to “pick the faults” merely referring to reality. Sure, they saved the guys life yippy, yahoo – it was probably staged and rehearsed.

You need to see the episode were these lifeguards with there years of medical training and rescue skills give a patient in sever pain administering methoxyflurane without even consulting the patient in regards to contraindications. Methoxyflurane is quiet nephrotoxic hence its quiet important to know if the patient has renal problems or if they take any medications in particular tetracycline antibiotics to avoid further renal complications.

I can think of numours occasions were these ‘lifeguards’ have screwed up, yet the public love them. A lot of the Australian public idolize these people because they jump in and drag people from the surf yet the people who have the real education and experience are never spoken of.

Don’t even get me started on Big Brother! :evil:

Timmy

dont mean to rain on our parade but.........

you are still a student right?

you still do the medical side for St John right?

you still stand by at motorcross etc sports events right?

Therefore are YOU one of the producers of this show?

yes i watch and laugh at the things done as well.....

remember that these guys are not medics, that have not been trained as ambulance officers and only have the basic skills.

However, with out seeing what actually falls to the cuting room floor at post production, how can we say that things were not done correctly?

do you think it might be a tad boring for the joe public tv viewer to see the guys asking if the patient has kidney problems? or if they take tetracycline antibiotics (what the F&%K is that people will ask)?

Things on tv a relevant to the time slot and also to the rating factor. If there wasnt a near drowning each week why would we watch? yes it is all about the excitment and the vouyer in each of us.

Remember that this is filmed in Bondi Sydney....a far cry from Melbourne where you are still, i suppose. So with out being on scene, how do you know what was or wasnt asked of the patient.

Dont get your knickers in a twist, but dont be jealous that Sydney beaches are BETTER than yours in Melbourne.........

stay safe

merry christmas

yeah go ahead and buy it.............

be like the other wanna be's get all the "TOP GEAR" and attach it to your belt, in your pockets........

be like bat man, have a belt that has a pocket for all the 'good things' , wow need a grapple hook and rope....pocket A...need a bearscare flashlight....pocket B......

would love to have shares in these companys that advertise this stuff.....always some one will buy the gear........especially around christmas......

So I say buy it....it can always end up in a kitchen drawer like all the other useless stuff that gets purchased.....

(All said tongue in cheek)

stay safe

merry christmas

Oh

anf i forgot to say the the firebrigade in nsw do not have any of their fire fighters as EMT (at any level from Basic to Para)

however they do have a first aid certificate and can use an auto defib and O2

stay safe

craig

Guys

thanks for the insight that you have but you need a little back ground to understand the situation

The Ambulance service of NSW has been performing rescue for over 50 years.

they dont do it out of the back of an ambulance, they have specialised rescue units to carry out this work.

not all paramedics in nsw are trained in specialist rescue, it is a further optiona nd career path for paramedics

not all areas in nsw have ambulance rescue, and the fire brigade is only taking over in the metropolitan areas.

The problem is that the firebrigade do not have high angle/vertical rescue nor swift water or depts and trenches.. nor do they all do confind space rescue.

the paramedics that are on the rescue units have to maintain their rescue recertification as well as their medical certification.

if they are dispatched to a scene that requirs rescue, they back up and assist the ambulance paramedic already on scene. if required they then after the extrication can assist with the treatment of any injured persons. They do not transport the sick and injured....that is what the ambulance is for.

In times when the ambulance crews are tied up on cases, the rescue crew can respond to medical emergencies to treat the patient until an ambulance can be dispatched to attend for the transport...same as the first responder (single officer in the SUV).

ther was never any problem with the fire brigade doig rescue in nsw, however the ambulance service has a history of carrying out a important and needed task, and woithout any thought it has been taken away, and the public now has to wear the cost.

Stay safe

craig

sometimes you could want to really kill your kids..........right?

by the way isn't grEy?..................

stay safe

He is Australian.

Rapid infusion of Fosters Lager PO. Treat and release, job done!

What? Paramedics aren't needed?

Why the Hell didn't someone tell me before I spent two years in school.....

Just a small piece of useless information for you

paramedics here in NSW Australia are called "FROGS[/font:dce7871e54]"

cause everything they touch "CROAKS"

stay safe

That is one reason why unions don't work for EMS. There is no threat. Private's can walk out. If you work for a county government EMS service, you have no threat. Most have laws against striking, since you are a public safety service.

If you have no threat, you have no leverage!

no thats not true reaper

here we ae ONLY government run services

our serive had over 3000 ems workers not to mention the support staff, dispatchers, clinical trainers etc

if we strike we mean it...mind you the government has never put up a big fight when it is threatened

stay safe

And blow too. They blow a lot of smoke up your arse to get your support, then deliver squat while spending your dues money on a bunch of crap that you otherwise would not support.

seems to me dust that is because unions in the states do not seem to have balls............

here in the great land of Oz things are a little different, we were raised on unionism

i am attending a union meeting tomorrow in where if the paramedics of this state do not get what we thing we deserve, instead of the insult that was offered, then we will walk out

leaving emergency calls only and esculate it from there

ahhh, to quote a line from the song by the strawbs................you wont get me cause i'm part of the union.....

stay safe

Craig

any players out there? i have played prop for about 4 years now. been out of the game this year due to a shoulder injury.

so where you at?

you cant be in aussie as firefighters here are not employed as paramedics

Seeing that I come from the REAL land of OZ, this really doesn't happen here

therfore i would click the heels of mu ruby red slippers and say 'there's no place like home' three time to get the heck out of there nad bck to reality

stay safe

Craig