tskstorm

Practicing skills outside your scope of practice is illegal. If you are a paramedic and you happen to be volunteering/working on a BLS ambulance and then meet up with an ALS... you still CANNOT perform ALS skills. Yes, you are a paramedic, but you are not "working" as one at that moment and therefor not covered under that scope of practice.

Here not only can you work as a medic if medics arrive you can even perform certain interventions without calling for medics at provider option.

Just depends on your local.

<TONGUE IN CHEEK>

Lets see .... sounds like this guy needs the works

• Fentanyl 100mcg

• Ketamine 150mg

• Suxamethonium 150mg

• Vecuronium 10mg

Somebody want to get me a 20ml syringe?

</TONGUE IN CHEEK>

Kiwi that would equal a dead patient ..

A class 4 airway is not an easy tube by any means. Essentially the tongue is blocking everything accept the hard pallet. So if someone with a difficult airway is sating well and talking fine .. why bother risk it ?

Sorry there is nothing like that in NYC I cant help ya lol

I'm not sure I see the need to have a dedicated thread to the topic at hand as it is essentially an extension of an active thread? Would it not be better to have a consolidated discussion?

Take care,

chbare.q

Which thread are you referring to ? I wasn't aware this was a discussion somewhere else.

Ruff, I have answers, but I kind of wanted to see how this played out a bit more before I gave my opinion on it.

WELCOME TO THE CITY.

well i was trying to figure out what he meant by that..

NIBP is noninvasive blood pressure... It is usually used as NIBP to mean an automated cuff whether by lp12 or other.

Invasive BP info here http://www.ebme.co.uk/arts/iabp/index.htm

1. Ability to see who gave reputation points (Sponsoring members only can use this)

I saw this when the site was down as an option on the bar, somewhere near the marketplace but I no longer see it ... Is it hidden somewhere else?

I was wondering how and what the rates are that a 3rd party billing company typically charge (what is the industry average)?

Do they charge a percentage of receipts (money collected)? If so, does the rate differ from reimbursements from insurance companies and private pay patients?

Thank you to all who respond.

Industry average depends on your local area. We charge between $450 and $600 just for BLS to show up, plus care, ALS is $800-$1400.

I'm sure these prices are outrageous to most but this is NYC!

Lol!!

Just get X-Ray Glasses that is all anyone needs. Why pay thousands for a machine when all you need to do is go to the joke store and pay 2 bucks. Hmmph There is your new "health care bill".

Although X-ray glasses area great concept, there are just somethings I'd rather not see lol

One of the jobs I had in MI, I was working for a manufacturing company that produced cowls for several automobile manufacturers.

I tried to get onto the 'first response team' since I had credentials in hazardous materials (awareness and response) as well as firefighting and had my EMT-B, (AED, CPR, BTLS, and PHTLS).

The supervisor that I had to talk to (who by, the way didn't like me), stated that since it wasn't 'the (insert company name here) way', my credentials meant nothing. I offered to take their silly classes and was told "it isn't feasible to bring the instructors in for just one person".

I guess the 'company way' outranks the 'State requirements'!

While I agree that the classes would be a break with pay from the daily grind of 'industrial duties', the supervisors (especially if they're trained themselves) need to realize that EMT outranks MFR any day of the week, in any situations where there is a 'first responder' situation.

Unfortunately, even as an EMT, if the First Responder does something wrong, the higher license has to answer for it; even if only for nothing more than being a 'higher license'.

In the field, the EMT-P must answer for the actions of the lower license levels on their truck. Similarly, if the field crew commits a breech of protocol resulting in injury, the Medical Command Physician must also answer for the actions of the offending crew.

This concept is known as ‘Respondeat superior’ (Let the master answer). This applies to more than just the employee/employer relationship. We’re taught this in Med/Legal as an EMT-B. (I can’t say if MFR is taught this, since I’ve never taken a MFR class). The concept is further reinforced at the EMT-I and EMT-P levels.

While I cannot cite specific case law where this has actually occurred, there IS the potential for the EMT-B to have to answer for the actions of any MFR on site, simply because they were the ‘higher licensed provider in house’ at the time of the incident. A ‘personal injury lawyer’ is going to go searching to find anyone and everyone that they can make pay. This will include a higher licensed health care provider.

I agree, however since ugly is not working as an EMT at the time of the incident would she really be responsible for others actions?

There is nothing that bothers me anymore, smell wise or visually, there will be something I'm sure, but nothing I'm aware of, I've gotten over it all after being exposed to it all so often.

It came out about the same time as "Bringing out the Dead". Since this movie was not a hollywood movie, it did not receive as much attention. Same type of movie though, medics with extreme burnout.

Why the medics always got to be burnt out to make a movie about themselves?

I'd be surprized if it went much faster than 'walking speed', but the 'autobalance' thing has got to be a great help!

I'm just waiting to see the crowd that rides the sport bikes getting one of these and seeing how many 'trick's they can get this to do after speeding it up.....

Needs more power !

Came across this video last night and I nearly wet myself.

"BP Spills Coffee." Youtube.com. Web. 11 Jun 2010.

citations to avoid being sued

ahahahaha citations ....

Of course its a job in this poopy economy

Good lord I am gone 3 months and the place gets sued some one really should keep me up on the gossip you all know I hate to miss anything.

Well where were you young lady? hard to keep you up to date when you disappear!

I've never lived in a state where I've been reqiured to stop for anything, and I kinda like it that way.

Kudos to that!

It's true!!!!!

They put a wedding ring on it and it stopped putting out!

AHAHAHAHAHAHAHAHAHAHA

Thank you tskstorm. I can now see exactly the thought you've put into your reason to not stop. And, I respect it.

Usually, I try to keep my thoughts away from the negative, and focus on the positive things my presence could mean. I never would perform skills without PPE, but I'm not ignorant enough to think that if I'm wearing them, nothing bad can happen. I know it is always a possibility, but it's a hazard of the job.

The scenario I posed to you was not in any way to make you feel guilty for not stopping, just to make you wonder if you would feel differently if you personally knew the person.

Being in MN, I have to stop, so I will, but I feel better knowing I did what I could, so you will not hear me complain!

Now if only we could get some others to chime in with their opinions.

Whats in a title anyay ?

The same thing that's in my paycheck .. nothing .. lol

Still waiting for that instructional lesson...

Remember, while your test might still be stuck in the seventies actual praxis is not and has evolved beyond such a primitive approach to medicine, but ssssh do not tell the Houston Fire Department or other such reputable agencies.

Not every cardiac patient requires oxygen or cannulation, or amiodarone, cardioverison or adenosine ... treat the patient not the rhythm.

EVERY PT requires o2 according to my protocols lol, I can't think of any protocol where we don't give o2 lol.

Ambulance Officers require a delegated scope of practice because of a lack of independant legal ability to use certian pieces of clinical equipment and adminster prescription medication.

I don't know about that officer stuff, however you are right, without a protocol and someones scope to work under, wouldn't be able to do any skills really.

Aaron someone always wants to sue you lol...

I don't see how a website could get sued over something a member posted, it really is silly.

Isn't it the Paramedic's responisbility to know what the correct protocols are? That is part of the job. In class they teach you how to safely do the skills and treat your patient but it is your responsibility to know when to use those skills and treatments (protocols). We cant be spoon fed everything. There isnt going to be someone out there in the field telling you what to do and how to do it. We have the responsibility to also learn and expand on what is taught in class. This is not a field where you can be babysat. If you did something wrong and failed a skills station, then learn from what you did wrong. Go and research in your book what the "right" thing is. Paramedic instructors can't teach you everything there is to know. There is a lot to learn on your own. That is why we have text books. READ THEM!!!

Paramedics job yes, students job not as much.

I can understand being pissed off about not being taught something then being tested on it. However our job is about improvisation, this will develop more in the field then in class.