HotelCo

Intact skin = no exposure.

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18 year olds are hired around here at IFT companies. It all depends where you are.

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No one should go straight from emt to medic. You need time in the back of a bus (ambulance) by yourself with a patient in need to have the clinical experience to make you ready to be a decent medic.

The only thing it does is allow bad habits to form. Go straight to medic school. Between your clinicals, and FTO rides at your job, you'll be fine. Sent from my iPhone using Tapatalk

I wouldn't call it a new topic, but rather a subset of the current one.

Students will become employees. Are we not supposed to set them up for successful careers in the field?

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What is absurd is that you still seem to fail to recognise what this thread is about. It's about STUDENTS voluntarily enrolling into an adult education course in the community. It is NOT about what you personally think your EMPLOYEES should be able to perform. Stay on topic.<br />

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Why can't we expand on the topic?

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<br />In the same sense, how many services do random spot drug tests?<br />

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Mine does. You can clear a call, and be told to goto concentra. Once they tell you to go, you have a set amount of time to show up.

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You're right, it isn't difficult. But it's also a high standard, even for the military. It's the longest run of any branch. We do pullups rather than pushups. And the CFT - completely not relevant to EMS. Maybe you could modify it to make it relevant, but it would be very extensive modification.<br />

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Think about employees in most indepentent EMS services. How many can run 3 miles in 27:59 or less? How many can do 3 pullups (how many can even do 1???). How many can do 55 crunches in 2 minutes? My guess would be 1 in 10... or less.<br />

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I COMPLETELY agree that some physical fitness standards should be maintained, some sort of fitness test. But let's make it RELEVANT to what we do. I'm gonna take some flack for mentioning these guys, but how about standards similar to fire departments (entry standards, not 20-years-on-the-job-getting-fat-eating-donuts standards). I would suggest that is much more relevant to EMS than a test designed for the Marine Corps. Again, it would need some modification.<br />

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A 1 or 2 mile run, sure. Pushups and situps, sure. Some sort of lifting test, absolutely. Maybe a timed relay carrying a certain amount of equipment.<br />

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Maybe someday, in the far distant future, we could hold EMS'ers to Marine Corps standards. But to be honest, I don't ever see it happening. In any case, given the current fitness levels I see around me, we need to start with baby steps.<br />

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What's so absurd about a 3 mile run, a few pullups, and some crunches?

Just because our profession is so out of shape, that we have providers who can barely fit in the ambulance, doesn't mean we should have low standards. I'm not suggesting that we cut anyone who can't get to that level tomorrow, but I think it's a goal that can be attained. How can we promote health when our profession isn't healthy?

Yes, the CFT was a stretch, and I said it only to make a point. Hyperbole, I suppose.

Now that I think about it, it could be modified. Raising and lowering the stretcher with weight on it, for a set amount of reps, loading and unloading the cot, carrying gear up and down stairs, etc...

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On scene: PD takes control of it if they're there.

If there is no PD, or it's discovered en route: Clear it, and secure it. It will be released to a LEO only. No hospital security, no family, only a LEO.

This, of course, is assuming the pt is unconscious.

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I don't think a master's degree and MENSA membership are unreasonable either, but I'm betting you do.

If you can build people up to that standard, go for it.

A PFT isn't difficult. If they can't pass it, they can be worked up to that level, that's the great thing about fitness.

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A 3 mile run? Really? I agree with some sort of physical agility/endurance test, but if you put almost any of my coworkers through a PFT and a CFT, you'd need a dozen extra response units standing by to transport them all for chest pain, syncope, SCA, etc!<br />

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That aside, I do get what you're saying. Maybe, say, a half mile or mile run. And pushups instead of pullups (like the Army does). Crunches can stay. As for the CFT... maybe we can do a Lifepak lift instead of an ammo can lift. And a gurney push instead of the boots & utes run. OK, I'm being a little facetious now.<br />

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A start would be employers allowing their employees to get out of the ambulance for at least some of their shifts. No wonder we're fat, when we eat McDonald's all day long, and sit on our ever-fattening as*es in the front seat for 12 hours a day, 4 days a week. I know, this scenario doesn't apply to everybody in EMS, but it is typical of most system-status management services.<br />

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Why not a 3 mile run? It's more than we're ever likely to do, so a half mile run by comparison will be easy... Overtrain.

I dont think a PFT is unreasonable.

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All service's I've ever I've worked with require someone to witness wastage. I know it doesn't prevent partners from working with each other but it's at least some kind of attempt at maintaining narcotic usage control. Some form of mental health screening prior to employment is more important than falling over oneself trying to ensure narcotics control.<br />

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Who said anything about wastage?

Medic gives pt 2 of morphine, and writes that he gave 10 of morphine. Take the extra 8mg, and put it in another vial (not hard to get), and turn in the now empty morphine vial to the pharmacy along with the drug box. Partner is driving, so they're oblivious. There's really no way to completely eliminate the potential for abuse.

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Stealing narcs is as easy as marking down you gave a pt 10mg of morphine, when you've only given two. Put the excess into a separate container for yourself later on, and turn in the empty vial.

The only way I see to prevent that, is to have a supervisor in back at all times, and then who's to say the sup can't be in on it?

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Just to enrol into EMT-B school?? <img src='http://www.emtcity.com/public/style_emoticons/<#EMO_DIR#>/unsure.gif' class='bbc_emoticon' alt='' /> <br />

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Schools would never go for that. It'd be impossible to keep their classes full.<br />

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Perhaps not to enroll into the school, but certainly to be on a frontline response unit.

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FSM came down and collected me already. I'm posting this from the great plate of spaghetti in the sky. (side note: free wifi up here)

We have a bubble sheet that is filled out every call. It includes patient race.

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I may take some flak for this, but...

I'd like to see some sort of entrance requirement similar to a Marine Corps PFT, and a CFT modified for EMS. I'm also not entirely opposed to body fat % requirements (except in cases of a genuine medical condition causing it, or causing an inability to exercise).

I just have this crazy notion that if you're in healthcare, you should be healthy.

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But let me ask everyone this, this is the time of year that alot of fire departments do boot drives for various charities, or may even participate in things like Relay for Life, special olympics, or some type of camp for disabled kids, while wearing your department's uniform. If the same people wore their uniform to a gay pride rally, would they be fired ???? Most definitely.

that's a problem with society, and our field, not with homosexuality.

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I'll take the opposite track. You want to be a paramedic? Don't wait. Just go to paramedic school.<br />

Just out of curiosity, is this your only source for research?

I agree. Dont waste your time getting your I, just go for medic.

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I have actually been questioned about paperwork on calls that I simply could not remember.

I've fell asleep on calls while writing my report. :/

You can see this line from the last word I wrote, that trails to the edge of the paper, from falling asleep while writing.

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Several openly gay men and women at my service. One is fairly flamboyant, but I can't speak to how it affects patients, since I've never worked on shift with him.

I have no problem working with a gay/lesbian. As long as he doesn't hit on me, i say bang whatever gender you want.

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No to one and two.

I'm only required to report child/adult neglect/abuse.

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Birmingham, mi?

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We have quarters. Tv, couches, kitchen, office, classroom, workout/billiards/ping pong area. Separate quarters for ALS and BLS personell, so one isn't woken up when the other is toned out.

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I'm an atheist, so I obviously see no need for one. I'm of the mind that if you need someone to talk to after a difficult call, you should goto a professional that's been trained in handling such things (therapist).

As for them going on calls, Id prefer not to have a chaplain on scene of my accident/death.

Just my .02

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Trying to start a service, but can't think of a name, eh?

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