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WANTYNU

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Posts posted by WANTYNU

  1. CERTIFICATION: The process by which an agency or association grants recognition to an individual who has met its qualifications.

    LICENSURE: The process by which a governmental agency grants permission to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the public's protection.

    In a nutshell, you get certified by the school you attended, and licensed by the state that you're allowed to practice in.

    These terms are often mistakenly used as interchangeable, but the differences between certification and licensure are distinct and clear, as delineated by the definitions above.

    In most EMS systems in the United States, your authority to practice (license) is generally an extension of your Medical Director's license.

    Michigan and Georgia both issue a state license once your certification obligations are met.....

    *Edited to add quote and response*

    Well stated, more importantly a LICENSE would send an unspoken message of professionalism (to both the industry as well as the public). I know (before some pounce on this statement) that there are may "professions" that are licensed, but that is just a method for control and finance, whereas a Professional EMERGENCY MEDICAL license has educational implications that in some cases can cross state lines. This is critical in the establishment of a national standard. In my opinion a license is a very necessary first step.

    `WANTYNU

  2. "Do these BDU's make my butt look big?" ... "too much bootie in the pants !" ... That was several years ago, but I still smile every time I think about it ! thumbsup.gif

    Our USAR gear is actually pretty good, but it’s this awful custard yellow and as you may know a few in this profession have physiques that trend to the lipid enriched side, so once dressed out they start looking liked plump ripe bananas with helmets…

    tongue.gif

    -w

  3. 4) FDNY EMS EMD runs all 9-1-1 ambulances in the city, of which there are about 250 FDNY EMS Command ambulances, with several hospitals running their own ambulances (have the hospital name on the side of the vehicles) as a part of the 9-1-1 system. Some of the hospitals are actually subcontracting private service ambulances (have both the hospital name and the service provider, such as AMR or Metrocare).

    (Note that the figures are dated, the current numbers might be different).

    Richard, I know we're up to Avg 3000 ALS & BLS calls per day (most days the MDT has job #'s in the 3500's by 23:30, time I sign off). Whatever the number it always feels like we're short a bus or two.

    FDNY has added some units but some hospitals have shut down as well, so your total might not be far off.

    AMR and Transcare (Metro is gone) runs 911, private and Intrafacility, I think Senior Care and another few do only private and step down. Most of the voluntary hospital EMS (volunteered by the hospital to assist the City with 911 responses ("FDNY 911 Participating Ambulance" i.e. Paid EMS not Mutual Aid System) do purely 911 calls , some of the larger institutions do general, Intrafacility and Critical Care transport as well.

    -w

  4. .... Many professional EMS companies do care about what their employees do when wearing their uniform. However, those that make the newswires are the most interesting for Hollywood to write their scripts around. I would also tend to believe that the consultants who advise the directors and producers may get a little full of themselves when talking about their life as a Paramedic just to make it seem a little glamorous. ...

    Come on,

    We all know the REAL reason they stay away from “True to life” costume / casting is our USAR gear makes us look fat… laugh.gif

    -w

  5. I'd say it's somewhere in between. I think the professional organizations of many other professions have bigger fish to fry. Though, true, I'm sure there are many articles written that we never seen...but of the ones I have seen (physician and LE world), they've never been so raging and spiteful.

    At the same time you need to start thinking outside the box, yes other professions have been depicted in an unkind or unfair light as well, there is no doubt about that, however when they have protested it just may not have caught your eye.

    Not all computer technicians wear short sleeved shirts, clip on ties, ill fitting black pants with white socks (some wear logo’d polo shirts…) and even lawyers have complained about their inaccurate caricatures, not all bankers are crooks (last one probably hard to prove).

    The point being, yes TV is just TV, but this show has obviously touched a sensitive spot in most first responders for the very reason that WE ARE ALREADY so widely misunderstood by the public.

    Is that exclusively our fault, I think salient arguments could be made for both positions, however shows like this certainly don’t help the fight to correct these misperceptions.

    I do believe a difference can be found on the positive side and not the negative, in that most of the other groups portrayed on TV have some type of PR spokesmen (women) who puts out in the public view a positive spin of the profession which acts somewhat to counter negative stories or images.

    Unfortunately I can’t think of any such group that has run a successful campaign for EMS.

    Always IMHO

    Be Safe,

    WANTYNU

    • Like 1
  6. What is with all the over inflated ego's and people walking around high on there degrees that have yet to realize it's just TV! Dustdevil I have no idea what 9/11 has to do with my comment or this show, but I'm not surprised some type of silly comment would come from you.

    No it's not just a TV show, it's a view to the public about a profession not well reported nor understood.

    Perception is EVERYTHING

    -w

  7. Folks I think we're all missing the message here, it's not about drinking on the job, or in the rig, or having sex in a place that is sometimes dirtier than a public restroom, it's at last WE ARE LIKE EVERYONE ELSE!!!!

    YES, we can live normal lives, we can take the rig out of service, have a drink, unwind and laugh with our coworkers on a bluff overlooking a beautiful sunset that is all our own, because at the end of the day people no longer get sick or have accidents.

    Working 9 to 5 it's a way to make a living…

    I can't believe I was soooo blind! This is GREAT!!!!

    Opps, is my sarcasm showing?

    -w

  8. It's true that "House" isn't accurate either. But it's so much fun to watch a brilliant actor with marvelous character development play an egotistical zebra-hunting doctor... A lot of us don't watch "House" for the medicine or the "thrill" of watching idolized heroes in action, we watch because Hugh Laurie plays one of the most emotionally complex and fascinating characters I've seen (just my opinion) in a long time. A lot of people don't accept "House" as reality... they think "ER" is where it's at. ROFL

    I agree, that "House" doesn't put doctors in a good light, and many doctors probably have just as many complaints about "House" as we do right here for "Trauma"... but the quality difference is inescapable. At least "House" attempts to put more emphasis on the cerebral stuff (Kutty's boobs aside) and doesn't rely on explosions and gratuitous sex to keep viewers interested.

    Maybe if the acting and story set-up in "Trauma" were better, we'd be better able to forgive the blatant medical follies... but I still say that EMS is enough of the bastard red-headed stepchild that we don't need any more negative public images. We struggle enough with our dear compatriots who run over people and abuse people and make headlines for just plain being crappy providers... you don't hear as much of that from other medical fields.

    Wendy

    CO EMT-B

    What she said.

    And Dust took the words right out of my mouth (again), the public has no perception of who or what we are and what we do (nor the crap we wade through to do it).

    To some of the public we're "Ambulance Drivers" (or a hospital taxi) to others were traveling doctors because we wear a stethoscope. And to most (in the city anyway) we're a traffic nuisance that drive too fast (or to slow) and belch diesel.

    What is real life? Real life is the two EMT's that called in the MCI that made national news (the fire where the civilian called by the media a hero, because he carried a child down a fire escape) were suspended because some higher up watching the news that night saw something he didn't like when the techs were moving the (OK and conscious) kid on their stretcher to the medics who transported the kid to the hospital. Put that on TV and nobody would believe it, land a helicopter on a regular roof and everyone thinks it's real.

    Real life always beats fiction, again no reason it can't be done if the show "Paramedic's" violated HIPPA laws, then do stories BASED on real situations.

    We do not need more nonsense that distorts the reality of who we are and what we do.

    Quality acting and stories are good entertainment regardless of the subject.

    As always IMHO

    Be Safe

    WANTYNU

  9. I can tell you that the actors themselves have put in a good deal of effort to try to get a feel for what real EMTs/Medics are like, what working EMS is like, and the hardships of their lives are like. They are of course limited by what the people on the movie staff tell them to go for and the stories they create.

    Why do you think this?

    Look I do understand the idea of "Acting", but there was a time when actors studied their subjects, and made an effort to portray them accurately, and the writers tried to make a believable story line.

    I've seen Medic's treat EMT's that way (and they got a reputation for such) but fellow medics, they'd have nitro paste in their boots before their next shift…

    (btw CPR shows up on a monitor… the wave form does not stay flat until there's a heart beat….)

    A friend of mine defends this by saying they need action so they combine a year's worth of jobs into a day, but is it too much to ask for the SCENT of authenticity? "COPS" has a decent viewer base and that's just a bunch of shields busting petty felons (and it's a "REALITY" show).

    Like any show if our day ran like this program, we'd be on an Ativan drip by the end of the day, and speaking of which I know "Rabbit" would be in custody if he pulled a stunt like that in NYC, let our actors practice within the law.

    For the folks who say you need drama, you can have that without a plane crash or a truck blowing up every 15 seconds, what about dialog? Look at ER, you have a trauma, disease, kindly homeless person with nowhere to go, and some staff issue (child care, boss issues, love found or lost, etc) and ran that formula for years to many awards.

    I think this show sucks and possibly worse does damage because it distorts reality so greatly it gives the public false expectations.

    Maybe my standards are too high for today's TV shows.

    Go ahead tell me I'm wrong.

    As always IMHO

    Be safe

    WANTYNU

    • Like 1
  10. Can't load the picture, but with a bunch of other experienced folks recognizing it as 60 cycle, it most likely is.

    But there is another reason I've seen.

    Was the monitor left out in the sun or in a hot bus? Remember it's a thermal printer, if it got hot, it could print thicker lines.

    Just another R/O

    -w

  11. I'm not offended, I'm pissed off. You want to know why?

    This is how the public sees us...

    And it sucks.

    Wendy

    CO EMT-B

    Man after being away for over a year it takes dreck like this to bring me back to post.

    I agree with Wendy (and just about every other post on this thread) all I can think is "there goes an hour of my life I'll never get back".

    Why does this stuff happen? For the same reason that J&J still shows nurses in the back of a bus.

    How's this for an Idea, if you want reality portrayed on TV, just treat jobs from NBC studios like they show us on TV! (just make sure you document what SHOULD have been done), see how quickly they change their thinking. In the meantime, it's time for "So you think you can dance" (or whatever) reruns in this Monday night slot.

    If you think about it, we (as a nationwide group) touch the lives of a lot of people, and on occasion the ones who come up with this crap, no I'm not suggesting euthanasia, but I'm sure a happy median can be found (to bury the bodies)...

    United we stand.

    As always IMHO,

    Be safe

    -Wantynu

  12. Granted you invented the greatest video game system in the world but now have to run 90 times as many calls on 400+ pound patients due to the lack of exercise.

    I wish I could rule the world :P

    Granted, but the world you rule is hell! :o

    Oh wait, that's real life.... Himmmm, I'll have to get back to you on this. ;)

    -w

  13. Wish granted but now Richard all the wishes you wish for are the best wishes in the world but the wish fairy is pissed at you and wont grant any of them. ;)

    I wish some one would wash my truck.

    (Great thread for wasting time)

    Granted, but it was in female moose pheromones during mating season!

    I wish stupidity wasn't the main reason for our job security.

    -w

  14. Seems to me, all answers are right, it’s the scenario that changes, is it 911 / stat job / short transport to hospital.

    Or a interfaculty transport / ICU to ICU / ER to Cath lab / etc.

    One the patient is unstable and has not had a Dr’s evaluation / treatment, the goal is to get to definitive care, so the old “Titrate to effect” is what is needed and called for.

    The other, is a “Stabilized” Patient who is on and has been on meds for a specific time and rate, where a therapeutic dose has been reached and just needs maintenance as per a prescription.

    Or am I over simplifying?

    IMHO

    -w

  15. I love this thread, wouldn't be nice to get pretested / regularly serviced / never fail equipment, or at least a say in the stuff we do get?

    Himmmm, Maybe I'll add this to the wish tread.

    Well my 2009 additions:

    Stair chair (sorry don't know the make, the NYC EMS special), bolts popped out, thankfully before using it!

    Motorola 3500 radio, will no longer change frequencies (hope thats the spelling), but Mgt won't change out since it still works on our primary area's 3 channels.

    Girrrrrrrr.

    -w

  16. My three cents (getting ready for inflation);

    Trust is EVERYTHING, you have to trust your partner, your partner must trust you, your patient must trust both of you, and you and your spouse (or significant other) must trust each other, that’s it, period end of story.

    Dr. Ian Malcolm in Jurassic Park said "Life finds a way", well so will love (or lust).

    If the parties want it, it will happen, I think the whole thing about having a video camera is a little ridiculous, the truth is we’re not available 24/7, who's gonna take a call when doing CPR or an extraction with a Hurst tool cracking in your ear? So who would do the same while getting a little ill-gotten nookie? The person calling just gets voice mail (or an empty crew room to look at) all the same....

    And besides, who want's to live in a fishbowl?

    The greater problem is more likely stupid rumors from other crew, those can hurt a career as well as a partnership.

    We literally trust our lives to the person (male or female) in the seat next to us. When on the job, for the next eight / twelve / sixteen / or twenty four hours, it is the most important relationship in our lives.

    It’s a hard concept for people outside our world to appreciate, but it helps a lot if you can get your spouse to understand it. If you are having problems, the best thing you can do is take the time and try to explain it.

    I know a few folks who ended a marriage on the bus, and a lot more who haven’t. Btw I’ve only heard of one case that actually ended because of a romance between partners.

    Trust is where it starts.

    As Always IMHO

    Be safe

    Wantynu

  17. I hate wasting money on frvolous things like living. ;)

    You might try http://www.emtcity.com/index.php?showtopic=14445

    Maybe it has something that will help. Admin has been working on all the bugs in this place. :lol:

    OK, OK, I know I'm getting old But....

    What is "ZOT"....

    also thanks for the PM re "TOP SITES" (Oh well :mellow: )

    Finally yea Money is frivolous after all don’t we all do this job for the personal satisfaction it gives us?

    it's the air we breath.... thats why I'm growing GILLS!!! :lol:

    -w

  18. Welcome back wantynu. hope business has been great.

    Thanks,

    Thinks are OK, I’m feeling this recession like everybody else, so I’m still working the Bus full time to pay the rent, and eat.

    You know the frivolous non important stuff…. :huh:

    -W

    PS is there a trick to getting the Avatar uploaded? I got my picture no problem, but every time I hit the “Update Avatar” button, the browse window goes blank, and nothing happens.

    Also did they get rid of the TOP SITE section?

    Damn, I’ve been away a Long time!

    Thanks -w

  19. I'm looking for a little help here. I've come up with an idea for a new EMS product, but I don't know where to start. It's a simple, low-tech, cheap answer to an on-going problem. Has anyone here taken an idea and turned it into a reality? Ever get something patented? Marketing isn't the problem so much as getting it manufactured. Where do I start?

    Hey folks, long time no see, hope everybody’s doing well in these trying times!

    I just found a few minutes to catch up and decide to poke around back here.

    Interesting to see that many of the old highly active posters are still topping the charts, lol, the more things change, the more they remain the same.

    I’ve been working on a new version of my wrench, and could write volumes just about the learning curve involved with that. You’d think doing it once, would make the second time easier. And you would have thought wrong…

    Well there is an old saying, “A project worth doing, is worth doing right, and nothing worth doing right is easy.”

    If you can give me a better idea where you’re stuck, I will try to give you a little better focused advice.

    For now, if it’s a practical tool / device you have come up with, I’d suggest starting with making a working prototype, that will give you the most information on the “if’s and how’s” , and let you know “If it’s REALLY a PRACTICAL idea” and “How it will REALLY work”.

    I really wouldn’t get paranoid about having it ripped off, the amount of work and money to make something, is enough of a barrier to keep out the home gamers’, and unless you work with the R&D department of a company that CAN make your device, believe me nobody else would be interested.

    FYI, a copyright is not a patient, and WILL NOT PROTECT YOUR IDEA, unless it falls specifically under copyright laws such as image and design, you need a patent for a device.

    Only a small or crooked person, who is looking for a quick hit might give it a try. The truth is it’s really easy to rip-off a device. Because it costs money to spot those who try, the reality of protecting your idea is unless you have big $$$ or a cheap lawyer and it’s not a big rip-off, it may not even be worth it to go after them.

    With that said, If you have decide there IS a market for your device, then you will want Patent protection, as it will keep the real players from copying your idea, as they have more to lose if they do and you go after them and win, most legitimate companies won’t risk it.

    After, I found there was a market for my wrench, THEN I got a Patent attorney and now have three patents pending, (this is the part that will cost you money), but there are ways to skin this cat and your lawyer can help you for less than you think to get started.

    Lawyers can be found, and shopped for, do your homework, and try to get a recommendation from someone you trust.

    Before we get ahead of ourselves, first you must decide if you have something practical, so get into the shop and make one.

    Remember 2% inspiration, 98% perspiration!

    Hope this helped, Good luck.

    As always Stay safe

    -Wantynu

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