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Difficulty With a Nurse


firedoc5

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Zippy,

she/he can "believe herself" to be catwoman, but this does not make it so. Semantics and whiny bullshit regarding position papers and the opinions or workings of the ANA are worth how much? Not a damned thing. We are talking about environment of care and the rule of law.

Most states have some form of Medical Practice Act that details the authority of various care providers in the pre-hospital or out of hospital environment. I am unaware of any state of the 50 that grants an off duty RN any authority whatsoever, in the pre hospital environment, and certainly none that would give them authority over Paramedics.

How many nurses (not including nurse/medics) have you seen 500 feet over an embankment or chest deep in the twisted remains of a semi lately? Hey I know, now that zippy has decided nursing is on such an elevated plane over Paramedics, perhaps they can now move into technical rescue, fire fighting, search and rescue who knows perhaps they can rule the world!

I would venture a guess that zippy has been about as close to real rescue situations or true field emergency medicine as her/his big screen tv and the last episode of Third Watch. Hey zippy, do you check with the ANA or the physician before giving Ms. Jones something to drink?

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How many nurses (not including nurse/medics) have you seen 500 feet over an embankment or chest deep in the twisted remains of a semi lately?

Is there a lucid point associated with this egotistical rant?

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How many nurses (not including nurse/medics) have you seen 500 feet over an embankment or chest deep in the twisted remains of a semi lately?

Yes, me! :lol:

Dust,

I think you are being a little hard on the captain. Zippy brought this on himself with his "better than the rest attitude". He even accused me, a fellow nurse, of professional misconduct. I'm still waiting for him to answer me as to why he thinks he can write such rubbish.

And for those of you not familiar with him. He volunteers for the St John Ambulance, an organisation that provides event cover, mostly. They are looked down upon by professional EMS in the UK (that too has a history - they provided cover when EMS went on strike in the early 80's for better pay and conditions).

I suspect this is where his attitude stems from. But who knows, since I've asked him to explain himself repeatedly in the past and have yet to get a decent answer, what motivates him?

WM

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It's a shame that some people are not aware of the limitations in their capabilities. If I were the provider on scene and you dealt with me in the same way that you deal with your (virtual) colleagues on this forum then I, too, would have you immediately removed.

good job you don't have NMC or HPC registration ... becasue potentially it;s you that faces the professional discipline ...

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<snip>

And for those of you not familiar with him. He volunteers for the St John Ambulance, an organisation that provides event cover, mostly.

and

-Emergency ambulances under contract the NHS Ambulance service (exact arrangements depend on the individual services some services treat SJA vehicles as full A+E vehicles, other treat them as 'middle tier' vehicles and only send to Urgents and cat Cs , but allow Cat A ( by AMPDS but not actually life threatening) or B 'running calls' to be assessed and transported by the SJA vehicle )

-First responders under contract the NHS ambulance service

-Alternatives to 999 under contract to local authories / licencees association with the full support and agreement of the NHS Ambulance Sefivce and recieving EMErgency Departments

- the Transport side of several specialist neonatal and paediatric retrevial services

- Formed Specialist mobile medical teams

- additional Resources under trhe provisions of the civil contingencies act to both Health bodies and local authoritis

They are looked down upon by professional EMS in the UK

so much so that they clamour hand over fist for SJA members to join the NHS Ambulance service

so much so that they use SJA as their preferred source of additional resources in many places

so much so that they will 'foot print' areas to SJA cover around events

the issues are not with 'professional EMS' they are with a vocal minority of muppets employed by NHS ambulance services ... and play out some ofthe issues seen with respect to leftpondian tensions between volunteer and paid services.

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Is there a lucid point associated with this egotistical rant?

of course not , it;s just another opportunity to slag off Nurses ...

oh and captian, so far managed to avoid wrecked semis other than on the training ground ... been involved in plenty of other RTCs as a care provider though

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Zippy,

All of the above is applicable to the work situation.

Do you think I have something to fear if I have a "colleague" that is obstructing me at a RTA removed?

Please remember that I stated that if you showed the same lack of respect at a scene that you do here, that THEN I would remove you. If however, you were co-operative and were competent, I would let you help; something which I have done in the past. But remember, I am the scene's senior medic and have the responsibility as such. If there are any ALS interventions to be carried out, then I'll be doing them. If you cross that line (Dutch law only recognizes pre-hospital RN's as ALS providers extramurally) then I will not ony remove you but also have you for assaulting a pt.

I have been in a situation at a cardiac arrest on a golf-course whereby a woman came running up stating that she was an anesthetist. She then proceeded to rip everything out of my bags and started barking orders. She too was removed. I never once heard any more about it...

WM

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Zippy,

All of the above is applicable to the work situation.

no it's any time you make patient contact

and the case law from UKCC hearings suggests that not getting involved to your level of skill / available resources can result in professional discipline against you , equally there is the potnetial for anyone who 'removes' a registrant from patient care unless there is clear grounds to suggest they are dangerous and /or incapable may have fallen foul of part 4 of the NMC code ( if an NMC registrant) and the equivalent part of the HPC or GMC equivalent documents ( if covered by those professional regulators)

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I think I may have to put your hypothesis to our learned colleagues at the BWTS. I'm curious to hear what they think of it.

But I think you already know the answer to that, don't you?

WM

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I've informed several that if they pushed the issue, every single pt I would bring in would be fully packaged on LSB with at least 2 IV's and on a CM - acting as a proper patient advocate... and I know how to document on my chart. Ensuring that every single pt would be brought back in the ER. After hearing that, a couple of particularly bitchy nurses got REAL quiet REAL quick.

Glad to know I won't be going to Mississippi any time soon. I'll be sure to warn my family that travels through that area though. No wonder the nurses are pissed. Weak.

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