Richard B the EMT Posted November 10, 2007 Share Posted November 10, 2007 We hold the only CON for 9-1-1 . Comparing notes here. Is a CON for you what it is in NY State, a Certificate Of Need? This is a form issued by NYS DoH saying that there is sufficient need for a service provider to operate within specified geographic/political areas. Link to comment Share on other sites More sharing options...
Niftymedi911 Posted November 12, 2007 Share Posted November 12, 2007 Yes, CON stands for Certificate of Need in the state of Florida. And you guys took my post out of context. I've got quite much more than just lighting up. Perhaps, I mislead. I've been doing EMS for 3 years now. I guess it's just hard for me to see the other side of doing NET's etc. I've done nothing but 9-1-1. That's where my comment came from. (Which even then isn't 9-1-1 except maybe 1 call a month.) Link to comment Share on other sites More sharing options...
NREMT-Basic Posted November 12, 2007 Share Posted November 12, 2007 I haven't "lit up" in a year now, and my skills are being used quite regularly and appropriately. If that's the most important "skill" you have, that's pretty sad. I never "light up." The only two vehicles in my agency with lights and sirens are command vehicles. Im on call 24/7/365 with a pager waiting to grab my ruck sack and get on a C-130 waiting for an explosion or a hurricane. We have no ambulances since we dont tranport 911 or non-911 and on the rare occasions we do its with someone else's rig...like one of the Nat'l Guards. Im an NREMT, but since all of the above is true, does that mean we arent EMS? We have all the same toys and do the same procedures (except more advanced than most Critical Care teams). Is this the new Im a paramedic and youre a stupid EMT my schmeckle is bigger than your schmeckle argument? I vote with Dust on this one. The DOPH in most of the states I know of say those NET EMTs are licensed by the same EMS division as the trauma chasers. A general big old -25 for even having this conversation. Link to comment Share on other sites More sharing options...
Medic2588 Posted November 12, 2007 Share Posted November 12, 2007 I guess you could make the argument they are part of EMS, depending on the agency. We utilize transport services for mutual aid BLS, especially on large incidents. But then again, we probably shouldn't be using some of them. I had a cardiac arrest call with a private ambulance company. They were bringing someone home from the hospital and the person went into cardiac arrest. On the way to the hospital, the Ambulance Attendent (because I will not call him an EMT after this statement) said "I wasnt prepared to see this today." I asked, "Oh? First cardiac arrest?" He said, "No, I just didn't expect to see this when I came into work today." Bewildered I asked, "You didn't expect to see a cardiac arrest? On an ambulance?" Devin Link to comment Share on other sites More sharing options...
spenac Posted November 12, 2007 Share Posted November 12, 2007 No Emergency response, not EMS. Link to comment Share on other sites More sharing options...
Niftymedi911 Posted November 13, 2007 Share Posted November 13, 2007 I never "light up." The only two vehicles in my agency with lights and sirens are command vehicles. Im on call 24/7/365 with a pager waiting to grab my ruck sack and get on a C-130 waiting for an explosion or a hurricane. We have no ambulances since we dont tranport 911 or non-911 and on the rare occasions we do its with someone else's rig...like one of the Nat'l Guards. Im an NREMT, but since all of the above is true, does that mean we arent EMS? We have all the same toys and do the same procedures (except more advanced than most Critical Care teams). Is this the new Im a paramedic and youre a stupid EMT my schmeckle is bigger than your schmeckle argument? I vote with Dust on this one. The DOPH in most of the states I know of say those NET EMTs are licensed by the same EMS division as the trauma chasers. A general big old -25 for even having this conversation. Whoa whoa whoa wait a minute. Who even mentioned stupid EMT vs. Paramedic in this post??? Obviously sir, you have some undealt with anger. No one even mentioned or even hinted at the whole paramedic vs. EMT arguement. This was based solely on whether or not we believe the NET's are a part of EMS. Even going back further to a different topic, Dust said that all transfers should be completely eliminated from the EMS role. Which I agree wholeheartedly with. That would be the only way to get EMS from the dark ages. Reguarding the lights, that is all they freaking are. Hell MPDS, even regulates the response so that we're not running to a knife fight with a nuclear bomb. Whether we run code or not, we're called, we assess, we transport. That is EMS. Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted November 13, 2007 Author Share Posted November 13, 2007 Dang NREMT The intent of my original post was not to get your knickers in a bundle which apparantly it did. Too bad you took the spirit of the post wrong. Link to comment Share on other sites More sharing options...
triemal04 Posted November 13, 2007 Share Posted November 13, 2007 Whoa whoa whoa wait a minute. Who even mentioned stupid EMT vs. Paramedic in this post??? Obviously sir, you have some undealt with anger. No one even mentioned or even hinted at the whole paramedic vs. EMT arguement. This was based solely on whether or not we believe the NET's are a part of EMS. Even going back further to a different topic, Dust said that all transfers should be completely eliminated from the EMS role. Which I agree wholeheartedly with. That would be the only way to get EMS from the dark ages. Reguarding the lights, that is all they freaking are. Hell MPDS, even regulates the response so that we're not running to a knife fight with a nuclear bomb. Whether we run code or not, we're called, we assess, we transport. That is EMS. Don't worry about that; you'll get used to the great disaster specialist at some point. I agree on the rest though; non-emergency transports really aren't part of EMS. They may at some point come across a medical emergency, but given that they aren't normally used to respond to one and often can't due to lack of equipment...nope. Not the same. Regardless of what level you are certified at, running people between a doc's office and there nursing home does not qualify as emergency medical services. Non-emergency (NETS) yes. Lights really don't matter; it's what your job will be. Some of my more memorable calls have happened after I went code 1 to one nursing home or another for a "fall" or "person feeling sick." The difference between an ambulance and somebody there to take them to an appointment is that I may be able to make a difference, and can at the very minimum try. Not so with a handi-cabs van. And banning ambulance services from running transports would be great; no more privates, no more putting the cash-cow (transports) before the black hole for money (emergency calls) and make the city/county/state put money into a decent EMS system. Link to comment Share on other sites More sharing options...
JPINFV Posted November 13, 2007 Share Posted November 13, 2007 well if they go to the nursing home, pick up a sick person and perform skills on that person and then go to the ER then yes I think they could be considered EMS. I'm talking about the emt's on transfer cars that the closest thing to patient assessment they get to is doing a quick look at a patient and assessing whether they need a wheelchair van or a stretcher. And then put them in their ambulance and drive them to their bed in their nursing home or house. I'm surprised that there are services that only do non-emergent transfers. I would imagine that most SNFs would end up calling for their normal transport provider unless the patient was actually at deaths door [death's driveway can still be handled by the IFT crew though ] Not that it matters, but I guess that I worked at a psuedo-EMS service then. Link to comment Share on other sites More sharing options...
Dustdevil Posted November 13, 2007 Share Posted November 13, 2007 Okay, here's how it is. Every citizen is empowered with the right of Citizens Arrest. Does that make every citizen a police officer? No. By the same principle, not every vehicle with "AMBULANCE" on the side of it is EMS. Just because you may end up stumbling upon an emergent patient through occasional bad luck or bad dispatching, or just because your local authorities might ask your transfer company to "light up" the next time two nuclear laden 747s crash into an elementary school full of epileptic haemophiliacs, does not make you EMS. And that goes for all you freelance EMTs who work full-time in the games department at Circuit City too. Just because you carry a seventy-five pound whacker bag in your trunk, stop at a wreck on the side of the road, and hang a custom made badge from Gall's around your neck does not make you EMS either. Thanks for your help, but you can leave now. Or, if you want to really be helpful, pull your ten year old Honda Civic with the $2000 dollar strobe bar sideways across the road to protect the real EMS from getting run over while they earn a living. Damn, I been hanging around Asys too long. :? Link to comment Share on other sites More sharing options...
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