question

[Guest guest]

The hospital where I work has decided to have the hospital's paramedics

respond to calls in the city This would make the EMS an ALS service-a

definite plus for the community.

The EMS service is presently staffed by volunteer ECAs and EMTs who have

resisted system upgrades by saying that they are too close to a hospital

for ALS to be worthwhile.

Hospital administration advises us that he EMT-P is to travel to the

scene in the paramedic's personal vehicle. The EMT-P will not clock out

from the hospital. They say that when the EMT-P leaves on the call, he is

covered under the workman's comp insurance for the city's volunteer EMS.

Opinions, please?

Please feel free to mail me directly or post to the list.

Thank you.

J.

wildheart3@...

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[Guest guest]

Some questions: (1) Will the hospital's liability policy cover you under

these circumstances? The carrier must be notified or it might deny coverage

if there's a claim. Seek an opinion in writing from the insurance carrier.

(2) Will you be responding with red lights/siren? If so, will your auto

insurance policy cover you for the same premium? Will they deny coverage if

you have an accident and they didn't know you were operating an emergency

vehicle? Would you be covered by the hospital's blanket motor vehicle

policy? Get a written opinion from your agent. (3) If you're on the

payroll of the hospital and on the clock, will the volunteer EMS's comp

policy cover you? Seek a written opinion from the comp carrier. (4) Will

you be using hospital equipment? Are they going to give you a monitor/defib

to keep in your car? If not, what are you going to use? Will they supply

you with IV stuff, airway stuff, medications and a bag to put it in? (5)

Whose medical license will you be working under? You'll have to have a

medical director. Are there existing MICU protocols? Is the volunteer

service licensed as an ALS or MICU provider by TDH? Is the hospital? Whose

provider license will you be working under? Will this be a first responder

arrangement? (6) Is the hospital requiring you to do this as a part of your

job? Can you refuse? If this is a job requirement, you're definitely under

their comp policy and they're liable for anything you do, I'll bet.. (7)

Who will pay for the wear and tear on your auto? If you're required to have

emergency signal equipment, will they pay for it? (8) Will you have radio

communications with EMS and the hospital? Who will furnish you with that?

(9) What kind of uniform will you wear? What do you wear at work? Will you

be identified as an EMS volunteer or a hospital employee? (10) If you make

a call at the end of your shift will you be paid overtime?

There are probably more questions that could be asked, but these may be a

start.

Gene Gandy

E. Gandy, JD, EMT-P

EMS Professions Program Director

Tyler Junior College

Tyler, TX

ggan@...

Check out our website at: http://www.tyler.cc.tx.us/emmt/

Victor GA Szebehely wrote:

> The hospital where I work has decided to have the hospital's paramedics

> respond to calls in the city This would make the EMS an ALS service-a

> definite plus for the community.

> The EMS service is presently staffed by volunteer ECAs and EMTs who have

> resisted system upgrades by saying that they are too close to a hospital

> for ALS to be worthwhile.

> Hospital administration advises us that he EMT-P is to travel to the

> scene in the paramedic's personal vehicle. The EMT-P will not clock out

> from the hospital. They say that when the EMT-P leaves on the call, he is

> covered under the workman's comp insurance for the city's volunteer EMS.

> Opinions, please?

> Please feel free to mail me directly or post to the list.

> Thank you.

>

> J.

> wildheart3@...

>

> ___________________________________________________________________

> You don't need to buy Internet access to use free Internet e-mail.

> Get completely free e-mail from Juno at http://www.juno.com

> or call Juno at (800) 654-JUNO [654-5866]

> ______________________________________________________________________

> 2X 2X 2X DOUBLE REWARDS POINTS! 2X 2X 2X

> Open a new NextCard Internet Visa account with a

> qualifying balance transfer and you'll earn DOUBLE

> Rewards points. Earn free airline tickets in half the

> time! Intro rates as low as 2.9% APR and NO annual fee!

> Apply Online NOW!

> http://ads./click/63/0/nextcard

>

>

[Guest guest]

<< 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

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[Guest guest]

Those are great thoughts, ! Thanks for sharing them...and I didn't think

you were ranting at all. You said a lot of what I was going to say. I really

didn't like the comments about " sitting on their asses " and " talking to their

husbands and boyfriends. " Perhaps the writers didn't mean it, but those

sounded like blanket indictments. That type of flaming is offensive to me and

I hope to lots of other folks who want to be treated with respect.

I am not a nurse, am not married to a nurse, mom's not a nurse, daughter is

not a nurse. However, I have worked with nurses in many capacities and haven't

found there to be a lop-sided quantity of b------'s as compared to any other

profession. I have been a paramedic for 16 years (EMS for 19), and I now work

as a firefighter (when you see the old woman with a walker getting off the

truck in Sugar Land...that's me).

PLEASE, please, please folks, try not to bash other medical professionals; it

makes us look UNprofessional.

By the way, ...you are AWESOME ;-)

Cheryl K. Bakhtiari

Sugar Land (two words is correct)

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[Guest guest]

Thanks all of you who have replied. I did exercise this morning, and as soon

as I started exercising, the cramps slowed down, and weren't really there,

It wasn't as bad as I thought it was. The cramps haven't been excruciating

like they are sometimes...a few times before instead of cramping and being

tired, I get sick feeling, like I'm gonna puke, and that was interesting to

say the least, lol. Anyway, I guess this exercising isn';t so bad during the

period. This also has been the first period I've had since January, so it's

a little...annoying, lol. Thanks for the replies again, and God bless

Deirdre/t

RE: QUESTION

> hi juliet - i get awful cramps with my period so i take ibuprophen for the

> first 2 days or so and that enables me to do my workouts. really i find

> that the stretching and exercising helps to ease the cramps, if i can get

> just get started. the only other problem i have with it is that exercise

> makes my flow really heavy, especially on the first day... so, sometimes

if

> the cramps are really bad and the flow is heavy i will rest on the first

day

> of my period and get back into it on the second day. if your cramping is

> killing you, talk to your doctor. mine prescribes me a great pain

reliever

> (which is a strong ibuprophen) which women use as pain relief after

> delivering a baby. it works great as long as i take it at the first sign

of

> my period... before the pain starts. another thing about exercising is

> that it makes my pms symptoms alot less severe... the more in shape i am

> in, the less bloating i get and im less irritable.

> *~*~*~*~*

> Carolyn in ONT Canada

>

> RE:

> > Do you all do Tae-bo during your period? I was just wondering,

> > I've never excercised during my period, because I just feel like

> > never moving again, also I get bad....and I do mean bad...

> > cramps. Will it harm you in any way to do Tae-Bo even when you

> > are on your period? Even if the cramps are killing you?

>

>

>

> As Deb has said: " Fitness is a journey and it begins with the first step. "

> " This isn't about weight loss, it's about enlightenment " -

>

> Visit our new vault site http://taeboon.isportsdot.com/

>

>

[Guest guest]

Question:

Are you planning on doing the work with the single mom?

Please answer me. Grrr

T