Guest guest Posted January 10, 1999 Report Share Posted January 10, 1999 ÿþ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 1999 Report Share Posted January 10, 1999 , First of all, I don't work in a hospital based ems and second, I understand what you are saying. I am referring to nurses who are obviously burned out and make it blatantly obvious they don't want another patient in front of that patient. We run into this problem sometimes and we go to the charge nurse or whoever is in charge and we tell them about it. I like and get along with 95% of the nurses we deal with and we have the best in Metroplex, but I am sorry to say, that the other 5% are b*tches who carry a chip on their shoulder and as you would say there is no hope for. I'm also sorry to say that there are alot of paramedics with the same attitude. These people need to get out of the business. My partner and I try to be as professional as we can. Sometimes its hard when a nurse immediately mouths off to you about bringing a patient to them while the patient is on your stretcher listening to it. [] Re: Questionÿþ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 1999 Report Share Posted January 10, 1999 In order to answe that question i revert back to my days in fire service. used to be that the Fire Chiefs could only be firefighters who promoted through the ranks and had the experience as a " grunt " so to speak. Then they started re-thinking and decided that they had thei choice in what they wanted a chief to be capable of...doing administrative duties and running the dept or being a fire ground commander., and yes these are two distinctly different tasks. Anyway, guess the answer is what does your hospital want in making the DON head of EMS...a capable administrator, i.e. someone who can manage the dollars and take advice from experts on staff....ordo they want someone from EMS who may not be as strong in administration but has the field experience. There are certainly pros and cons but to be objective maybe one should think in terms described above. Rinard ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 1999 Report Share Posted January 10, 1999 Hmmm... some very interesting responses to the question of who should manage an EMS System: Whether it should be a paramedic or a nurse. There are some interesting points of view. Managing, in and of itself, requires a skills-set that is different from those taught and routinely used by paramedics and nurses. Being a good medic or nurse does not make one a good manager. Managers need to understand the roles and responsibilities of supervision and management; they need to understand motivation and how it affects the individual and overall organization; they need to learn to blend diplomacy and straight forwardness; they need to know the laws that govern workforces; and they need to understand their industry. There is much, much more. I was promoted from Paramedic to manager very quickly. I believe it was because I was considered to be a good paramedic (...and that is a large assumption on my part). What I learned was that the skills that I had gained as a paramedic, through training and experience, did very little to prepare me to be a good manager. We simply did not cover managerial topics in paramedic training. To succeed, I had to learn more. Not even my " Type-A " Paramedic personality worked well for me as a manager. Introspection and self- evaluation were a large part of my learning. I don't believe that managerial topics are covered in ADN level nursing either. If so, this is a commonality with EMS training. Anyhow, after my experiences in management, I set out to create training programs that would help others learn about managing EMS organizations. And those training programs are going strong today. I never considered that one should be a medic or a nurse before they could learn to manage an EMS System. The only requirements that I have found is that the person needs to have a genuine desire to be a good leader; a sincere listener; and a life long learner. I can go on with this list for a long time... If you know someone who is running a system and needs some help, give me their name and address. I'll send them some information on our management training programs. This way, you can feel that you've done something to help them instead of being part of your system's failure. That's right, if you don't try to help them, you're as large a part of your system's impending failure as you believe they are. Thanks for listening. Ernie , President EMS Leadership Academy http://www.emsla.org ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 10, 1999 Report Share Posted January 10, 1999 In a message dated 1/10/99 10:49:43 PM Central Standard Time, ErnestR945@... writes: > they need to understand motivation and how it affects the > individual and overall organization; ................ > This way, you can feel that you've done something to help them > instead of being part of your system's failure. > > That's right, if you don't try to help them, you're as large a part of your > system's impending failure as you believe they are. > > Ernie , President > EMS Leadership Academy > http://www.emsla.org ------------------------------------------------- That's motivation? ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 1999 Report Share Posted January 11, 1999 I totally agree. Each profession brings different experiences and knowledge to the pre-hospital care scenarios, but the person running the ambulance/prehospital services should be grounded extensively in paramedicine. While many paramedics can operate competently in ER settings, even performing above nurses in " some emergency cases " each professional is skilled and talented in their chosen profession. The person in charge of the EMS system should be experienced in street situations and prehospital requirements. Nurses are a valuable part of the treatment and recovery of critical medical and trauma patients, but just as important are paramedics who usually provide initial stabilization and treatment for the patient, making the further treatment and recovery for the patient even necessary. If the DON is a paramedic with considerable street experience and recognizes the EMS providers as the professionals they are, then the relationship might prove beneficial, considering the DON could require the ER nurses to ride out with the units to increase their knowledge of the conditions the medics must respond to. But if the DON is blind to the day-to-day operations of the EMS society, then maybe another choice should be made. Just my feeble mind inputing Joanna Burgan, EMT-P ------------------------------------------------------------------------ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 11, 1999 Report Share Posted January 11, 1999 We were one of the first Hospital based Ambulances in the State of Texas, and we went through the dame things I've seen described here, glorified nurse aids. We ever were called in form home to place male foley's. The salary was also about what the aids made. We managed to turn that around and now have it a lot better. It was not an easy task but we managed to collect the data and information to show that we should be paid better, and do only EMS work. We still worked in the ER but it got better. After we collected all of the documentation then we went through the chain of command and followed the proper procedures, until we were allowed to present our needs and documentation to the board of directors before things changed for the better. If anyone chooses this route, let me stress, it is very important not to miss a step in the chain of command, and to make written request where your employee manual requires. K. , EMT-P Nacogdoches Co. Hospital District EMS (Nac. Co. EMS) [] Re: Question << What does everybody think of the idea of having a DON (Director of Nurses) running the ambulance? The EMS is hospital based and the guys that work there are mad! >> That is incredibly inappropriate. Unless this DON is also a paramedic, with **current** EMS management experience, s/he is absolutely not qualified to administer an EMS program. Nursing practice and paramedic practice are fundamentally different. Although I have about 10 years of experience working in hospitals, I am in no way qualified to manage nurses. Likewise, being a nurse/manager does not qualify this individual to manage EMS personnel. Such a decision reflects poorly on the administration of your hospital. Good luck, because you and your co-workers are going to need it. , BS, EMT-P EMS Manager City of Beaumont Public Health Click Here To Save Now! Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2006 Report Share Posted March 1, 2006 If a man that you care about tells you not to call him every day but every other day, cause he needs to miss you What does it means? Is talking every other day can really make the defernt I don't know what it means and I am too tried to think of it maybe you can do the thinking for me? T Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 1, 2006 Report Share Posted March 1, 2006 Dear Tami, In the spirit of this group, instead of trying give you advice, why not do the work? How do you feel when someone says they only want to talk every other day? Why don't you judge that person, and then inquire to see what is true? Love > > If a man that you care about tells you not to call him > every day but every other day, cause he needs to miss you > > What does it means? > > Is talking every other day can really make the defernt > > I don't know what it means > and I am too tried to think of it > > maybe you can do the thinking for me? > > T > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2006 Report Share Posted March 2, 2006 I wish I could have been more honest like alex and told andrea not to call me everytime and everyday… when she does not call, I do miss her and I then get to be the one to call… Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 2, 2006 Report Share Posted March 2, 2006 Hi T, Thank you for asking, and no. love, Ric > >Reply-To: Loving-what-is >To: Loving-what-is >Subject: Question >Date: Wed, 01 Mar 2006 23:58:36 +0200 > > > > > >If a man that you care about tells you not to call him > >every day but every other day, cause he needs to miss you > > > >What does it means? > > > >Is talking every other day can really make the defernt > > > >I don't know what it means > >and I am too tried to think of it > > > >maybe you can do the thinking for me? > > > >T > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2006 Report Share Posted March 4, 2006 how would you feel if someone called you every day.. ?? are you obsessed with alex? or obsesed with your story of alex ? i should say love,rh - -- In Loving-what-is , Tamar Fattal wrote: > > If a man that you care about tells you not to call him > every day but every other day, cause he needs to miss you > > What does it means? > > Is talking every other day can really make the defernt > > I don't know what it means > and I am too tried to think of it > > maybe you can do the thinking for me? > > T > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2006 Report Share Posted March 4, 2006 > > > > If a man that you care about tells you not to call him > > every day but every other day, cause he needs to miss you > > > > What does it means? > > > > Is talking every other day can really make the defernt > > > > I don't know what it means > > and I am too tried to think of it > > > > maybe you can do the thinking for me? > > > > T > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 4, 2006 Report Share Posted March 4, 2006 .. thats a good point.. it could be love not obsession or both. That was unfair on my part.. sorry tami. My story of tami is that she is a bit obsessed. but is it true.. not necessarily and anyway it is not my business. I have been obsessed before i suppose thats why i see it in her. and thats not fair.. obsessed, roslyn --- In Loving-what-is , " " wrote: > > > > > > > > If a man that you care about tells you not to call him > > > every day but every other day, cause he needs to miss you > > > > > > What does it means? > > > > > > Is talking every other day can really make the defernt > > > > > > I don't know what it means > > > and I am too tried to think of it > > > > > > maybe you can do the thinking for me? > > > > > > T > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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