NYCEMS9115

Hooker Ave Poughkeepsie, NY; Hooker Pl Staten Island, NY; Hooker Rd Bridgeport CT; Hooker Lne Greenwich, CT; Hooker St Middlesex, NJ or Kingston NY...

I give all the NH free BCLS, ACLS, PALS courses. I still have the same old routine of free company: pens, pads, post-its, calendars, mugs, and stickers. Food is also provided monthly. Somehow, money under the table, works best. Unfortunately, my company doesn't engage in this. So, we must do it the old fashion way; be on time, courteous, and provide excellent care. It hasn't worked well.

Welcome!!!!!!!

Have fun.

Good luck on nursing. Congratulations on the engagement. Beiber is cool. Have fun in the forum. Some are rude but take it as it is. Don't take anything personal. All the best...

http://www.health.state.ny.us/nysdoh/ems/main In NYC, many hospitals have closed. Most of the closed hospitals had EMS Dept. Most were 1199 SEIU union members. Many of the opened hospitals are 1199 hospitals. So, the out of work members must get placed first before new hires are taken. There are Privates and even they are strapped due to business (hospitals closed) being slow. FDNY EMS is your best bet but they are on a freeze. Plus, HHS have not increased reimbursement in years but cost of living and minimum waged has increase. In NYS, many hospitals have closed and outside NYC; 911 is not paid for EMTs; they volly or work in Private Ambulances. I can tell you first hand; its hard. I've been an EMT since 95 and a Paramedic since 98. I worked in NYC Hospital EMS for 10years and managed one for 3years; I lost my job because of closings. Luckily the dept I managed, had business with a Private Ambulance Company. The Manager there liked my approach and handling in my hospital closing (I stayed till the end; I used personal funds to keep the dept afloat; I took a pay cut to keep it afloat; I jumped on the truck to do calls, when my employees bailed out; I made sure all who had accrued time were paid out, told all Full timers and Part timers not to come back to work until they used up their time). So he offered me a job as a Supervisor. The pay was better and I've been there since 08. I am still owed $5000+ from the hospital. I guess what I'm saying is without hardwork, ethical values, and persistence; it will be harder than it has to. Call NYS DOH EMS; leave a message about your situation and they'll get back to you. Good luck... All the best...

Its all good... Welcome all.....

I guess I shouldn't ask what someone's scope of practice is? I assume I should know. I will rely on google because everything you get from google is accurate. I retract my questions. All the best.

http://m.nypost.com/p/news/local/manhattan/charlie_losing_xLahPtH37ntkYfKr8MSzxH

http://www.huffingtonpost.com/blackberry/p.html?id=846614 I'm all for cutting $40B in Federal spending. Let's see what the next step will be.

I am all for progressive change but I have been shot down and insulted because I think Paramedics need to be a Degree ONLY program. No more Certificate Programs. It needs to incorporate the CCEMTP into the curriculum. I want this. I've sent emails/letters to every EMS Alphabet Organization regarding this. Requesting for a meeting; so I could show them my proposal. Well not much progress. You guys are arguing what I've been proposing. I want the Paramedic to become more than an Ambulance Driver. I've also proposed that the EMT must receive more didactic hours and rotation hours. They must have a HS/GED; in NYS many courses don't ask and the state requires it but no proof needs to be submitted. I wanted to merge the EMT-I85 to the EMT-I99; I wanted all the other various state EMT certifications to be eliminated that are not recognized by NREMT (EMT-B, EMT-I, and EMT-P). I am still fighting but its a weekly thing at most not daily as it once was. Beiber, I am not discouraging you but be prepared to fight for your cause. Its going to be a long one. All the best....

You may find a job but its very competitive. Good luck. http://www.health.state.ny.us/nysdoh/ems/counties/map.htm

Wow, that's cool. You're originally from South Africa? What are some of the skills a Paramedic can perform in South Africa? I'm a New York State Paramedic for 13years. I'm a Manager of a Private Ambulance Company.

This is the GOP's way to hopefully control the Senate and the Presidency. The Democrats do the same thing when they controlled the House during W's term. Its so messed up; we all suffer because of Political Agendas.

REMAC are for ALS only. It allows you to work in a specific Region in NYS. Being just a NYS EMT-P doesn't allow you to work. You have to be credentialed in a Region w/in NYS. I'm a NYS EMT-P; credentialed in NYC, Westchester, and Hudson Valley. So I can work in these Regions. I can not work in Albany, Troy, Buffalo, or Syracuse; they are in another Region... Basically, a person will be credential in a Region in which the school is in. You can apply for a position in an EMS Organization and if they hire you; you will get credentialed in the Region the employer is in. They're are exams to be credentialed; usually on the Regional Protocol...

It has been research and in use overseas. www.intranasal.net

http://m.aol.com/news/default/dlDetails.do?source=portal&link=http://www.aolnews.com/2011/04/07/gop-readies-1-week-extension-as-shutdown-nears/&icid=dl_fulltxt(1:5) We are doomed......

It has drug interactions with several common Rx'ed medications: Valium, Coumadin, Procardia Glipizide, Metoprolol. Just to name a few. I doubt you'll get it even in the conversation to be placed into Anaphylaxis. Since its not a life saving medication. Benadryl works well. However, good luck in your quest. All the best... In Hospital Care and EMS Care are not same. What the ER does or doesn't do, can't be the only reason to place it into the EMS protocol. Why is it so important to be a medication for you to have? Asking for protocol change is like pulling teeth. Been there doing/done it. You'll get a lot of resistance. Be ready. Good luck...

It is pretty self explanatory. Just download the packet and sent it to NYS DOH EMS. Just need prove of NYS Residency and employment. NYS is very quick with processes. You'll never reach someone on the phone. You will have to leave a message and the appropriate party will call you back. All the best. 433 River Street Troy, NY 12180 ems@health.state.ny.us Phone: 5184020996 Fax: 5184020985

Its going to be a long battle. You will meet resistant. I've been asking for continuous benzodiazepines for Status Epilepticus. Currently we can give 2 doses without calling OLMC. It used to be all OLMC orders. So, for the 13years I've been a Paramedic in NYC; they've made strives and Protocols have changed for the better or worst, several times. The Status Ep Protocol has changed only once. CPR Guidelines have changed more and our Cardiac Arrest Protocol has changed the most out of all Protocols: Bretylium out, 200 300 360J, 360J stacked, Lidocaine out, Isuprel out, 1:1000 Epi out, Pacing out, Vasopressin in, Amiodarome in, Vaso given no Epi, Vaso given Epi given, therapeutic hypothermia, IO in, ET route out, colorimetric in, colorimetric out, capnography in, D50 out, D50 out, Narcan out, Fluid out, and Procainamide out. These changes were not done on one shot; it changed every year for 5years. I feel NYC EMS Protocols cater to the dead more than the alive. What I'm saying is, its going to be tough and you need an organization to piggyback on. Be ready to be questioned and your ideas will be debated. All the best.

Absolutely. Unfortunately, our debt is in the trillions. Inflation is at its highest. Equity is at its lowest. Unemployment is near 10%. Many are reading and writing below grade level. Many can not compute simple algebra. Our thought process is so out of whack. Solving the country's financial burden is many folds. There are many ways we can save money or make money without raising any tax. 1. The appeal process must be sped up; death row inmates should not do life (Min cost 25,000/yr/inmate). 2. All state lotto winners must pay a 10% additional tax of the winnings before standard taxes are taken out. 3. No income tax filing for on the books employees. 4. 10% for all governmental (local, state, federal) fines added to the fine amount. 5. Mandatory Co-pay for all Medicaid recipients. 6. Welfare recipients must work for their check; if physically/mental capable. 7. 10% added to all governmental (local, state, federal) fees for services. 8. All financial aide college students must pay a $100/semester. 9. Increase on all toll crossings by 10%. 10. 3% tax on online sales.

http://www.aa1car.com/library/airbag01.htm

http://www.emsworld.com/features/ article.jsp?id=16524&siteSection=4 http://www.emsworld.com/features/ article.jsp?id=16524&siteSection=4 Sorry for the broken links...... http://www.emsworld.com/features/article.jsp?id=16524&siteSection=4

Budget Fight Looming on Medicare and Government's Size By CARL HULSE Published: April 03, 2011 WASHINGTON - Congress has yet to settle its first budget fight of the year but is already about to move on to an even more consequential fiscal clash. Even as the two parties struggled over the weekend to reach a deal on federal spending for the next six months and avert a government shutdown at the end of the week, House Republicans were completing a budget proposal for next year and beyond. It is likely to spur an ideological showdown over the size of government and the role of entitlement programs like Medicaid and Medicare. The plan, which is scheduled to be unveiled Tuesday, will be the most ambitious Republican effort since the November elections to put a conservative stamp on economic and domestic policy. It involves far greater stakes for Congress and for President Obama - substantively and politically - than the current fight over spending cuts. The outcome of that fight was still uncertain on Saturday as Congressional staff members assembled new proposals and the White House said that Mr. Obama had called House Speaker John A. Boehner and Senator Harry Reid of Nevada, the Democratic majority leader, to urge them to find an acceptable compromise. He reminded them that time "is running short." The longer-term budget proposal has been led by Representative Paul D. Ryan, a Wisconsin Republican who is the party's leading voice on budget matters, and will go beyond numbers to provide policy prescriptions. It will call for deep spending cuts again in 2012, chart a path to reducing the deficit and slowing the growth of the accumulating national debt, and grapple with the politically volatile issue of reining in the cost of entitlement programs, starting with Medicaid, which provides health coverage for the poor. "We want to get spending and debt under control, and we want to get the economy growing, and we want to address the big drivers of our debt, and that is the entitlement programs," Mr. Ryan, chairman of the Budget Committee, said in an interview. "We have a moral obligation to the country to do this." The efforts of Mr. Ryan, backed by Mr. Boehner and other Republican leaders, are certain to meet serious resistance from the Democratic-led Senate and from Mr. Obama. In many respects, the nasty fight over financing the government for the next six months has been a warm-up for the longer-term budget battle, which could be further inflamed by a debate over raising the federal debt limit. House Democrats, who are preparing an alternative budget, say the Republican approach would cut off aid to some of the neediest Americans and shortchange education programs vital to staying economically competitive. "It seems to be the same old, same old," said Representative Chris Van Hollen of Maryland, the senior Democrat on the Budget Committee. "It is going to be continued big tax breaks for millionaires and big corporate special interests like oil companies and deep cuts in education for kids and health care for seniors." "How you get your deficit reduction is important," Mr. Van Hollen added. Republicans have been urging Mr. Obama to seize the opportunity provided by a divided government and lead a legislative push to rein in spending on programs like Medicaid, Medicare and Social Security. Emboldened by their election wins and a sense that the public is ready for a new approach, House Republicans say they will push forward on their own and try to draw the president and Senate Democrats into a broader discussion about long-term deficit reduction and the soaring costs of the entitlement programs. Details of the House budget are being tightly held. But lawmakers and other officials predict serious proposals to change Medicaid and Medicare, with talks continuing about how hard to push for adjustments in Social Security. "You are going to see major reforms in Medicare and Medicaid; you are going to see a change in the deficit trajectory that is pretty dramatic," said Representative Tom Cole, an Oklahoma Republican who is on the Budget Committee. "Ryan isn't touching the third rail," Mr. Cole said, employing the expression used to suggest that messing with Social Security and Medicare can be politically fatal. "He is wrapping both hands around it." The budget for 2012 and beyond could heighten the partisan tensions surrounding the financing debate for the current year. If Congress cannot settle that issue by Friday, authorization for some government spending will expire and parts of the federal government will be shut down. Some Republicans had wanted to delay putting forward Mr. Ryan's plan until this year's negotiations were completed. They were worried that introducing another set of proposals might confuse the debate and give Democrats two targets to exploit in their effort to persuade voters that Republicans were going too far in slashing programs. Others argued that the Ryan proposal could help Mr. Boehner gather the Republican votes he needs to get a compromise on 2011 spending through the House. Any deal for the current fiscal year is likely to fall short of what the Tea Party movement and some other fiscal conservatives are demanding, but Republican leaders are already signaling that the big prize is a deep spending cut for next year and a start on reining in the entitlement programs - steps that could involve trillions of dollars over coming decades, as opposed to the tens of billions of dollars on the table in the budget battle for this year. While Mr. Ryan and top Republican aides would not discuss specifics, there are strong indications that the proposal will draw on deficit reduction plans that Mr. Ryan laid out in his 2010 "roadmap plan" and a second proposal he wrote with Alice M. Rivlin, a director of the Office of Management and Budget in the Clinton administration. In that plan, Ms. Rivlin and Mr. Ryan proposed that Medicaid financing be converted into a block grant program, with states given a set allotment of money and new discretion to shape health coverage programs for the poor. Their Medicare proposal would allow those nearing eligibility to remain with the current system, and it would create a program that would provide payments to Medicare enrollees to buy private health insurance. Top Republicans have been divided on how much to tinker with Social Security, given strong Democratic opposition, its less significant contribution to the budget deficit and the political explosiveness of making any changes to the program. Officials say the budget will probably provide guidance on how to shape Social Security based on recommendations from last year's presidential deficit-reduction committee. Republican leaders have not previously embraced Mr. Ryan's proposals on Medicare and Social Security, but Mr. Boehner said he had tired of watching Congress avoid difficult decisions on entitlement programs. "You can't continue to whistle past the graveyard," he said. "We are imprisoning the future for our kids and our grandkids if we do not act, and it's time to act." Democrats said they intended to draw sharp distinctions between their approach and that of Republicans. "The idea of block-granting and flexibility kind of sounds good, but it is actually code for cutting," said Representative John Yarmuth, a Kentucky Democrat on the Budget Committee. "It is a license to cut." Mr. Ryan promised that his blueprint would be a significant departure from the budget issued this year by Mr. Obama, which made no major recommendations on how to address the big entitlement programs. "The president is not leading; we need to," Mr. Ryan said. "Otherwise the country has no vision and no option for getting out of this debt crisis that we are going into."

That's so stupid..... http://m.nypost.com/p/news/local/queens/carjack_kid_cool_nlfBlKUrd3py0RxQM8GXwL