Arkymedic

So what do I do then? I sure as fuck do not agree with only being paid for 16 hrs while I have to be there for 24 hours at a salaried level and, I really do not agree with the policy if no one comes in we are REQUIRED to stay for the next shift until relieved. If we leave a base without coverage we are fired and reported for abandonment. I am fairly new to this service, just recieved a raise, and do not want to stir up some major waves if it accompolishes nothing.

A lot of services in the South do this Jake as federal law states an employee must be provided a minimum of 5 hrs sleep and that the 16 hr model is perfectly acceptable by law. Ark Emerg Transport had a lawsuit filed once but not much come of it. It is just a fact of life and pay ranges from 21-25,000 for a new medic in this particular area. Add int the fact that we only get paid once a month towards the end of the month, and it is easy to see why one works as many shifts or multiple jobs as one can. Not much one can really do about it and this is a progressive aggressive service. Ask Rid and others from AR and OK and they can tell you much more about conditions in OK and AR. I have also seen this occur in other Southern states as well.

I work 24 (where we get paid for 16 hrs only unless you are up for three hours past midnight resulting in less than 5 hrs sleep)/48 at my main service however if someone calls in and the supervisor cannot find coverage, you are stuck and have no choice but to work. Many of us also pull doubles due to trades, conflicts, etc. I have also worked 48/48s, 48/24s, 6 12s, 3/4 4/3 12s and many other combinations. Very common type of system for EMS in AR and OK

My service forbids us in the writing of the uniform policy from sleeping in uniform due to the unprofessionalism it creates and can encourage when one doesn't take the time to make it look presentable. Even without uniforms on at night we have to meet a 2 minute response time and a one min before 2200.

In addition to the obvious lack of skill, intellegence, and professionalism the EMT showed the patient could have seriously been harmed by her bad judgement. I do not know about ya'll but I do not care what the situation is. There is no way in hell that I would ever tell anyone they did not have a fracture without x-ray proof. That is just asking for serious legal trouble and losing your source of livelihood.

rotfl

George Strait- the Fireman

In the United States we have four levels that are recognized by our National Registry. NR recognizes NR First Responder, NR EMT-Basic, NR EMT-Intermediate (both I-85 and I-99 courses), and NR EMT-Paramedic. Now this seems simple; however, NR is not recognized by every state in the US and does not have to be as NR is not a true certification. From that statement each state can have their own levels of what is recognized and terminology is different everywhere. I live in Arkansas and we only have EMT-Ambulance, EMT-I, EMT-P. In AR you can be state registered and not NR and still work. I work in Oklahoma and in OK we have NR-FR (Yes in OK a NR-FR can work on an ambulance), NREMT-B, NREMT-I, NREMT-P and you are required to maintain registry. My EMT-P program was in Arkansas and ran from Jan 05 until we graduated July 7, 06 of the next year. We were required to be EMT-B before you could even start pre-reqs (which they have since changed but I won't get on that soapbox). We went spring, fall, summer I, fall, spring, summer I. During our last semester after the entire class had completed all of our didatic, clinical, and EMS internship time, we went to Memphis, TN and rode three days with MFD medics (DAMN!! What a town that is). This is the newest curriculum they have there http://atuoc.atu.edu/EMTCurrWeb.pdf. I was among some of the first few to earn the new AAS (before the circ. listed was set in stone) but it is absolutely worthless since its just an AAS.

the man on the flying trapeze

blues man- allen jackson

It came upon a midnight clear

here comes the rain again- Eurythmics

effervescent

Sorry lack of sleep today and not thinking correctly.

Inner

Per our medical director we have taken activated charcoal and NG tubes off our trucks and out of our protocols and neither is to be performed.

Memphis will disappear under the immense flooding the Mississippi River will unleash

A much much larger area than 50-100 miles I promise.

Thank you

Does anyone have a good powerpoint presentation on providing medical care during extrication operations?

width

cervical

Newton County we make a lot of jokes about that area he he he.

I'm originally from Omaha, AR up by Harrison and Branson but I live in Fort Smith right now.

Hey now there is absolutely nothing wrong with Arkansas. We gave Bill, Hillary, and Chelsea to NY so its a much better place now