PRPGfirerescuetech

Two things. One, I am aware what a doctorate is. The point I was attempting to make centered around the fact that it would require a elevation to a collegiate level of all EMS education to make any "giving back to acedemia" worth a damn. This is years, not months ahead. Two, From a perspective of research, there is little that is researched that is truely, 100% EMS. Please remember, we practice medicine. Most of the research that exists isn't coming from anyone with a EMS specific degree, it's someone with a degree in a related field of medical or scientific practice. Oh, an EMS management doctorate? No. Too narrow a scope for a long term of education. Reccomendations? Save your ideas for later. They will be revolutionary, somewhere around 2030. Right now, you sound like a college student with no grasp of the EMS career ladder, and the overall scope of the EMs system. I am aware that you arent that, but that is what you sound like. Doctorate is step 2,104,832 and were on step 9. Lets work on step 10. PRPG

Ok...time out....too much. A doctorate, EMS oriented, that would get you, if I had to guess....the same as a similarly titled masters? Repost this in 20 years, itll be more legit. EMS has alot more growing to do.

Dispatch notes: "27 year old female, nude in the front yard, playing card stuck in her vagina" Crew: "Oooook?" Notification: "County ###-## notification..." County: "###-##?" Crew: "Enroute to _________ Hospital with a Class 4, 27 year old female, work up after inappropriate relations with a queen of hearts...2 minutes"

*throws on Red bandanna, rolls up left pant leg* Word.

If I read correctly, and i think I do, your right, nothing different between a Saline Lock and Clamped hanging bag of solution. Nothing different. Most regions dont allow it because its too easy to just "open the clamp" when u need it.

Send thank you note...

I've started same day, ive done a month or more of orientation first. LOTS of variables there. No differences really... Why do you ask?

I think your looking for feedback on your decision not to call ALS due to distance. There are multitudes of theories on this, my theory has always been if the MD is closer than ALS, then go to the ER. ALS should only be called when ALS can be used. Looking at it from your administrations standpointe, they are likely thinking it from a general liability side, where you would assume less liability for dispatching ALS, and never getting them. I wouldnt worry about it. Sounds like you did right, and actually thought outside of the box. Good luck

Ahh, the canteen gods. Never smiled more than seeing those kids show up.

Your expenses are WAY TOO HIGH for the revenue and call volume. In house billing isnt going to fix that problem. Its like your local walmart employee buying a house in the Hamptons.....too much discrepency. Start a subscriptionj service, farm out to residents, cut your expenses back to....140k, and you should be able to just about bridge the gap.

We had an ambulance get stolen a few years back, by an escaped psych patient from the ward. Drove a few miles down the road to a church. We followed him for awhile until PD could pick up the "chase" (25 mph). During the trip...crazy man found the radio... Crazy Man "Stop followin meeeee" Disp: Ummm, unit calling? Crazy man: Leave me alone...i need to see the cardinal! Disp: This is an emergency band sir, we have no cardinals...

You can make money in this business, but you all are right, its all in what you pay into it. A 36 hour week in EMS wont pay the bills. Maybe someday (if you sign up with my staffing service,...mwahahaha...kidding). For some, EMS is life...if thats the case, it can work. I made 81k in 2005 in EMS money....as a basic. ...and VS....canada too cold...brrrrrr

Typical response. I have no logic behind my belief, so I will blindly stand behind it. Cattle. Ugh.

1st: Congrats on the impending marriage... 2nd: Hourly billing to service, plus administrative percentage, possibly 20 percent. Buy in at yearly contract signing of a set bulk pay, few thousand to cover insurances and pensions, and the hour for hour percentage covers administrative costs, and money in the kitty.

?????

*sighs* You ain't kidding. I would piss off sooooo many people with this, b ut I think it would work. Meh...something to think about. Like I need another project...lol

Ok, time for a real live actual thread in the Tac catagory that isnt training oriented. Holy crap. Moving on.... Of all the active Tems providers out there, do your services provide active entry time and stack-work, or are you aligned to the support role only. Trying to get a feel for the standard here. PRPG

Not ramblings, in case you hadnt noticed, Ive been running all my ideas past the board these days for ideas... Ideally, I'd hire everyone. Every card holding active squadder in the county. All the medics would thus work for the same company, i'd imagine under the same medical director, with....the same protocols... Incentives would be simple. In this area, and across PA, the standard is private service non municipal EMS. The exception is all city services which are municipal. These 3rd service private agencies are missing several factors that would be a draw. Pension / Retirement packages, Pay at a level where they could only work one job, good benefits with minimal pay ins, PTO time above the fringe... Upward mobility would still exist, because i'd have to hire all the administrators, career chiefs of each organization and such. Therefore, open positions would exist. Hmmmm....

Rid: Correct UM: He needed to do that because he made low income. Income would increase if demand did.

To the admin, could we add to the TOS to hang at the stake the next idiot that does this? Blindfold, and hang them from their toes, and beat them with poetry books, in a proverbial poetic pinyata game? ok...maybe not. To everyone, lets be reminded to quote all referenced material appropriately...

Ok, ive been turning an idea over and over in my head. Time to kick it to yall. Ive been debating adding a EMS staffing service to my list of adventures this year. Heres the theory. With everyone as free agents in the county system (made up of fifty or so private service ALS units), there is no demand, because the supply is big. If all the EMS works for me, and I contract them out to each service...i could name the rate, benefit package, and conditions for these people. Thoughts? Ask questions if more info is needed...

Judging by how you wrote this, it sounds like more of an anxiety and claustrophobia issue, less medical. The answers are in the prior posts, but also, I pose a question. If said patient is an anxiety and claustrophobia, and we allow them to refuse, does the liability remain on the provider due to the frantic state of mind the patient was in when they refused the tx? (im tired, and will clarify if asked) *Spellchecked, no mistakes....ha ha, i didnt have to not give a s*%t that time

I work with one now, great guy, didnt know he was an amputee until he climbed onto the couch for our first night tour, he was getting ready, pulled off his pants and removed his leg. Needless to say...I was....suprised.... :shock: :shock: :shock: :shock:

Exactly. I just find it funny that we recert CPR yearly, which we cant do any harm if we foul up,....but allow any 19 year old yahoo to barrel a 1/2 ton apparatus in the wrong lane of traffic to pick up the town drunk with chest pain. Does this make sense? ummmm, no. (over-dramatized for point illustration) Spell checked for your pleasure, 1 mistake found, not fixed, because I dont give a s*%t