brentoli

And that is the point of having an EMT delegated to that role. You have the tools and knowledge to stabalize the situation. You have the capability of transporting to the ER, or awaiting an ALS ambulance. That is exactly the point trying to be made. Basics are better served in the non emergent transport field.

Spenac finally acknowleged me *waits for dispatcher comment*

I never took National Registry, and I know nothing about it, which I regret now. But congrats and good luck.

I hope he doesn't post here though.

Spite me, will I go to EMS hell? A CNA in a nursing home?

Would you like a fry up your nose?

I will refrain from making any personal attacks. Why can we not come together as basic's and realize we are not the be all-end all of emergency care? Patients can be much better serviced by higher levels of care on a 911 truck. It is what they expect. If you want to be an ambulance driver, then so be it. Rural/Metro does all kinds of inter-facility transports. They would love to take anyone aboard. Don't bring the rest of this profession down by refusing to realize there are people with more knowledge, education, skills, and experience then you. That is what I meant by being ashamed. I don't want to be put in the same category as yayhoo ricky rescue who thinks that he is the best EMT-B to ever get his card in the mail.

Does Mount Horeb have one of these? If you are not familiar with Mount Horeb, I submit Exibit "A" An ambulance with a custom chassis.

Don't you get docked for asking if PD is aware of an accident we dispatched you to, when never in the history of the county, they have not been dispatched to an injury accident?

I prefer stuffed french toast.

EMT's should be docked pay everytime they screw up the address we gave them, and confirmed the correct address on the Instant Replay Recorder.

I would call dispatch and ask their opinion.... Whoops.... Wrong thread. I take it we are asking this about situations where implied consent does not apply. If a patient refuses an IV, with out being through more advanced ethics class then my EMT book offers, I would explain to them the situation, the benefits of the IV procedure, and what is associated with it. If they still refuse, of course you would want it documented. I may even go as far as having the patient sign that portion of my PCR affirming they denied the treatment. My question, if they deny it while conscious, and then they lose consciousness, does implied consent take over?

It's posts like this that make me hesitant to declare that I am a BLS provider... heh...

Wow... Rid, felt strongly about that one didcha?

I am not a medic, and even I take issue to this. A medic is not a medic because of drugs. This has been hashed out way to often for me to explain it, but, wow. I can not believe this far in the discussion I actually read that. Basic's do not need to start IV's and push medications. Not with out proper education and understanding. I am a basic, not a pompous medic, but this is asinine.

Is it a local dispatcher, or a wide area dispatcher? I dispatch for 12 towns, and the whole county. Also a few "unincorporated areas" I will admit, in Hickville, I don't know what roads intersect with others, I have to rely on my maps and computer for that, which can be wrong.

Ok that part of my post got construed. I know you can vary from protocols. What I meant was, you have to show reason for that. You can not just say no we are not following them. You have to have a valid reason. If the pt passes the original assessment, then you can go with his wishes, I would probably consult online control first, but that is because I am an EMT-B. Clear as New York water?

We should follow his lead. On call, 24/7.

Just remember, dispatchers can only tell you what the caller told them. If they want to :blob5: :blob3: :blob2: :blob4: it up from there, then thats the problem.

At least it was a puddle and not a toliet

There is no such thing as an important paramedic, only important skills. Like IV's. Needle Decompression, Intubation. All things an EMT-B can, and should do. [s:dff210bc02]Foot from mouth[/s:dff210bc02]

Please stop giving my lab results out in public Dust. It hurts my reputation. Really. :violent1:

I won't lie. I talk on the phone alot while driving my car. Too much. But I never answer it driving the ambulance. My duty and responsiblity is 100 fold in the ambulance. Talking on the radio, we can get away with that. You usually only need to mark enroute to destination and arriving at the destination. Granted you can do that stopped. I hate driving emergent to the hospital. My neck needs some better ball bearings to swivel on.

Were they paramedics? Only paramedics have access to narcotics. Did you ask for pain medication? If you weren't critical then there is no reason to risk lives running emergent to the hospital. When have you worked in EMS? Glad to hear you are doing ok. How would rolling you on your back be detrimental? You only have a femur fracture? No other fractures? The protocols around here call for a traction splint and immoblization on a long spinal board. Need more information.