brentoli

Chester Ashton, head of the fire union, said it's a waste of money to pay overtime for 27 firefighters to stand in a hallway waiting to be called. He believes the proceedings are motivated by politics at City Hall.

They will make up the money when they release 27 paramedics and bring in newbies at a lower pay scale.

Unbelievable.

I wouldn't even administer a new test. If found to be guilty of the accused offense, goodbye. I wouldn't want someone of that integrity going into the publics home under the publics trust.There could be 9 guys on a scene where a patient accuses the FD of taking something from the residence... If one of those alleged cheaters is there, of course he will be the primary suspect.

And boom goes the dynamite.

and the boss was letting her work thinking she was able to work during a 60 day grace period.

The OP says it was within 60 days.

Michigan says that is ok.

Sorry OP, you lost your job over nothing.

As far as reporting this to the state, you need concrete solid proof that said EMT is working in the scope of an EMT outside the 60 day period with no renewal. When you call the state EMS office and tell them Billy Joe is working outside of his license, their first question will be, "how do you know?" If your answer involves the department rumor mill, your case will promptly be forwarded to the Division of Sanitary Refuse for prompt investigation.

But was that medic working under the grace period or working under a truly expired license?

I think that this is the gray area we are looking at right now.

I agree Ruff. I belive that is a question that should be answered by the state first. That isn't exactly the clearest worded paragraph.

I also get the feeling there may be more to the story. Why did the OP quit? My personal opinion... if it was that big of an issue report it, deal with the ramifications at work. Document everything you do, and if it becomes a hositle work enviroment due to your report you may have a civl, or wage & labor claim. To me it seems silly to give up your income stream over this. Thats why I think there is more to the story than what we have been told.

Also never ever let anyone tell you not to try and diagnos your findings. I'm an EMT for 17 years with The New York City Fire Dept. Bureau Of EMS and in my job I'm required to give a diagnosis on my report. If you don't try you won't learn. If your wrong so what!! When you find out the answer you'll be ready for the next time a simular incident occures and become a better tech. I'm guessing a medic gave that comment.

Friendly suggestion....

Get a few hundred posts under your belt and get estabilished around here before you end something with a snide remark like that.

Or better yet, don't do it at all.

Seriously, read around the board a little bit... You will see why that isn't the wisest thing.

The bread and butter of emergency medicine,as once stated is geriatric patients........so get use to it bub.

Your opinion is worthless.

Heh. =)

Ok I set this up for failure.

Even though I have never taken out any thing on a staff member or patient at any time of day or night for any complaint and always treat them the way I wanted my father treated while he was in LTC. This call had nothing to do with me. The way it was presented to me I thought it would be an interesting topic to discuss. Many vaild points have been made, even though I don't agree with their presentation. And yes I do take offense to the way I was referred to. I don't believe the tone implied by the wording was appropriate.

It's cool Bro, I didn't take it personally at all. If you want to see what happens if I take things personally look at the last thread "the-kid" made last nite, oh wait they deleted that thread.

Peace,

Marty

:thumbleft:

OK folks, this was not a bash the nursing home thread.

No one has really talked about how they would handle the situation. Aside from making mention about the vengeance you would get on the nursing home.... How are you going to treat this patient assuming all of the details I gave are correct?

Vent, some of the ways you have indirectly quoted me, lead me to believe you have taken offense to me posting this, is that the case?

I am not asking anyone to second guess anything.

I am not complaining or griping about anything.

I was just throwing this topic out here for discussion amongst the members.

Just a little further on facts... this incident was a couple of years ago, I was talking with the same nurse today about it after I read where this was going. It was a 911 only ambulance service that transported. The reason the call stuck out amongst the others, was the pt was transported on standing bi-weekly bloodwork orders. She remembers the doctor calling the NH to get clarification on the reason for transport thinking they sent the wrong orders, and thats when they found out the pt was just being transported for bloodwork to CYA dayshift.

It wasn't on scene, coming out of the hospital I left the clipboard and portable radio on the back bumper.

About two miles away, several rough intersections, 2 sets of railroad tracks, and an ON/OFF driver.... I got that sweaty feeling and yelled "STOP PULL OVER!"

Jumped out, ran to the back of the truck......

It was still there.

I almost kissed him when I got back in the truck. But he was a bit short for my tastes.

emsboy_2000

I'm not trying to call you out, but why did you quote your whole post? Seriously, I read it a couple of times and can't fiqure it out, can you elaborate?

When the nurse called 911 did she say it was for labwork?

I don't know. I do know they told the medic that they were doing it because day shift forgot and the doctor would want them in the morning.

In this situation, if the paitent is mentally capable, can they refuse transport after explaining to them they are being woken up for bloodwork?

If its a paitent who can't refuse treatment due to mental capacity, would it be appropriate to contact MedControl?

I just passed the last inactive user in post counts. That makes me the lowest active highest post count user.

Say that five times fast!

In my system, the third patient would be classified as green. The rationale is, as many have mentioned, that this patient is extremely unlikely to survive. If we have limited resources, we would like to use them where they count. Someone mentioned putting him in black ("expected"?). While that's one idea, we don't do that here, as black is reserved for people who are already dead (injuries incompatible with life/rigor mortis/etc. or pronounced dead by a physician).

Other than that, I agree with most. Put the first one in yellow, and the pregnant lady in green.

Green means that he won't be taking resources away from those that would more likely benefit from them, but once resources become available, the patient will be treated.

Can you explain your triage system a little more in depth kristo?

This isn't really a senario, just throwing the topic out for debate. This was relayed to me by a friend of mine who works in a large ER.

A 911 ambulance is called to a nursing home, at 3am for a transport. On arrival they are presented with a paitent who was just woken up for an ambulance ride, because day shift forgot to get his labs, and the doc is making rounds in the morning. The RN in charge made the decision to send him to the ER for lab work. No other complaints. Nothing else wrong. Routine old person labs.

How would you handle that call when you arrived on scene?

Great. So not only should he be the stuck up EMT/medic student, he should be the whiny bitch that reported everybody to management. His clinical time is sure to go swimmingly now.

Your students don't make beds. Fanfreakintastic. You get a cookie. In the rest of the world, it doesn't always work that way. Adapt, improvise, and overcome. If making some beds gets him a better clinical experience, that's called initiative in my book.

The one thing I don't necessarily agree with is going on transports to the floors unless it's a critical patient ie learning opportunity. Don't risk missing something in the ED because you're taking Grandma Drippy Drawers up to her Med/Surg bed for an overnight observation.

+1

On the other thread I mentioned volly entitlement. Thanks for showing me its not just them that feel entitled.

Treat others the way you expect to be treated.

If you want to have a good clinical experience, then make your self willing to have one. When you have the can do attitude and jump at oppertunities to interact with staff members that is called networking. You don't have to go to the extent of being the charge nurses pet, but, a little effort can go a long way in making your experience meaningful. Not only that, but when job time comes around in a year and you are applying for the medic position in the ER against the other kid who refused sticks because his check sheet was full, who do you think will get the job?

Posted them both at the same time in the same post (can't help the posting system)

I would have probably left my options the same, however, knowing the amount of personel you have does change things, Having 24 EMS providers (assuming 2 to a truck) for 30 paitents, is alot more than having 2 for 30. That woman who is unresponsive, will be able to get attention she needs in the senario, and not relegated down to black status by virtue of manpower.

I am going to have to agree with the above.

1) If you belive you have a claim against another party, a public forum should not be your first stop. Many law offices will give you cheap/free consultations when it comes to stuff like this.

2) If you belive you have a claim against another party, a public forum should not be your first stop.

It amazes me how many volly's have such a sense of entitlement. I read recently, and if it was on this forum excuse me to whoever I steal this from, but the word volunteer stops when you are hired. I will be honest, I couldn't follow half of this story due to the grammar and lack of paragraphs. I am not even going to try to explain who may be right or anything else. It isn't my place, and I don't feel like driving a thousand miles to appear for a subpeona.

Your poll is no longer worth anything. You had about half of your votes before you changed the scenario. Just FYI.

next time, make yourself an Elvis sandwich --- Peanut butter/bananna/mayo on white bread, fried in a pan like grilled cheese ---hhhhmmmmm

I may have vomited in my mouth a little bit.

Yep.

I did.

Two winters ago, during an "Indiana Blizzard" we were going to an injured in a fall. Got the ambulance stuck approximately 3/4 to a mile away. Hiked all the way in with the bag alone, and left the driver, and 4x4 behind to start digging out the truck.

Arrived, she just needed help up. Got an SOR because of some minor bleeding.

Got back to station, and remembered the BP cuff sitting on their kitchen table.

I just got a spare out to use for the next week.

The first yellow was due to the fractures, and the elevated pulse/decreased BP.

The second I considered yellow. My reasoning (with out looking at any protocols) is that with being pregnant, and the elevated vitals, she will need to go in and get checked out, but not get mixed in with the walking wounded when they make their mass exodus from the scene.

The third is obviously red. In a low manpower/high patient situation, though, she would probably be black.

Where, in the world, did this influx of anti-education people come from!?!?!?

So what drink did you have in your hand?