Re: Re: RNs vs. EMS

[Guest guest]

You guys do not know me but several weeks ago, I was surfin' the web looking

for a school in Dallas area (east, preferably) to go to school for EMS

training and later to paramedic. I sent questions to several of the schools

listed and whala, I am on this group list receiving about 10-12 emails a day.

However, none are too me or address my question. Can you guys help. I need

someplace where I can go at night and on weekends. I am 43 yr. old male and

my sons have developed a habit of eating on a regular basis therefore I need

to keep my day job.

Any help will be greatly appreciated.

thanks in advance

Holland

[Guest guest]

,

I agree. You are too funny!!!!! I would hope that I would have thought

to expose both feet also (of course, to save the ER staff the trouble,

etc.!!!!). No, I don't work at a downtown hospital and I have to say that,

yes, I've worked with some nurses who have no respect for EMS and treat them

like doo-doo no matter what, but I must take up for the nurses where I work!

They are usually very respectful and go out of their way for the medics.

Now, I do know that there are some medics who have pulled some of the things

I listed among other " boners " and, need I say, they don't get the

consideration that the others get. Although, very rarely, you really have

to mess up BIG, are our nurses are rude to EMS.

And, yes, you are right as far as one deserves the other. I guess

you're right that I'm preaching to the choir because most of the EMS

personnel who are so unprofessional are not on this list. I was just trying

to help someone who asked if anyone had any ideas on how we could get RNs to

treat us better, and that's what came to mind!

Have a really great weekend!

Take care, stay safe, and practice mercy, ya'll!!

Jana

FW,TX

[texasems-L] Re: Right to Practice

Paramedics in Texas have NO right to practice except under the delegated

practice of a physician medical director. The Medical Practice Act allows

physicians to delegate certain practices to anyone; thus the office " nurse "

who has no training except OJT who is allowed to give injections, draw

blood,

and do various other procedures as delegated by the physician s/he works

for.

The Nursing Practice Act states that there are certain functions that a

nurse

cannot delegate to " non-licensed personnel " . One of them is patient

assessment. A nurse cannot legally delegate certain actions that a

physician

can. So herein lies the rub. Nurse administrators have to make sure that

the nurses do not violate the law, and they tend to adhere to narrow

interpretations of the Nursing Practice Act. Many nursing administrators do

not even know that there are Licensed Paramedics in the State of Texas, and,

unfortunately, many of them would not greet that news with any enthusiasm.

Not only that, they are reinforced by the fact that there's no scope of

practice legislation in place for Paramedics, whether Licensed or

Certificated, in Texas. Since THEIR Nursing Practice Act doesn't mention

Paramedics, they take the position that Paramedics don't exist according to

them. If they can't find a law or regulation that specifically grants to a

Paramedic the privilege of doing a certain procedure, then they're going to

take the position of comfort and deny that Paramedic the privilege of doing

anything other than what a janitor could do. (Of course, hospitals can let

janitors do anything they want: give meds, take vitals, start IVs, put in

Foleys, you name it.) And don't ever think for ONE SECOND that this is not

an economic issue. Nurses are going to protect their turf to the death, as

well they should. Who can blame them? Abandon any notions that you might

have of altruistic motivation. All protect their own interests when push

comes to shove. Money talks.

It all boils down to the fact that, as I have stated ad nauseum, we in EMS

have totally and completely failed to form any sort of politically powerful

organization that could work for us to correct these problems. There is

such

an organization available, but it costs a little bit of money to join. EMS

people have never supported such an organization in any sort of numbers.

There are 42, 000 + of us, but we have no voice.

Getting physicians to buy into delegation of practice to Paramedics is very

problematical. Physicians who have a knowledge and background with EMS are

very receptive to our abilities, but often they are put down by the nurses

and administrators. Often the ER physicians are not on staff and are hired

hands and treated like step-children by the hospital administration and

medical staff. Many of them don't have any stomach for engaging in

internecine battles with administration. Why should they? They are usually

stressed to the limit by the administration and have little or no time to

engage in turf battles, especially those they don't have an immediate

economic interest in. There are a very few who recognize patient care

issues

and will go to bat for the patients. It's easier for them to say, " Hey,

that's not my problem. I doctor, they decide who helps me and I can't

control that. "

Who's to blame? Well, " We have met the enemy and they is us! " We're to

blame. Not the nurses, not the doctors, not the administrators. We're to

blame because we have failed and refused to develop a united front and to

increase our level of education and training to a unified professional

level.

We continue to foster an image of " technician " rather than professional.

Now I know some of y'all are going to roast me because of that and say that

I'm elitist and don't appreciate experience and skills. Not so. I do. But

as others on here have so adroitly stated, nobody outside our own circles

recognizes the " skilled technician " as being anything more than a minimum

wage earner. Even plumber's helpers and carpenter's helpers make more than

we do. We have nobody to blame but ourselves.

If we want the right to practice in hospitals and in other forums outside

pure EMS, then we need to get some laws to protect us. As has been stated,

we must be very vigilant or we'll have done to us what the nurses did to the

PAs and EMTs in Mississippi. There they got amendments to the laws that

were

introduced that protected their turf and decimated the very people the PA

and

EMT laws were designed to protect. Although we all have friends who are

nurses, THE NURSES (as in the TNA) are NOT our friends. Their political

organization will do anything and everything that they possibly can to keep

us from gaining a legal foothold from which to practice our education and

skills outside their control. And they will NEVER willingly allow us to

practice along side of them. Trust me.

Gene Gandy, LP

[Guest guest]

Brain,

You might try Metrocrest Medical Services. It is in the addison area, and it

is a good school. They may still have classes on both tuesdays and

thursdays, as well as a few weekends.

scott

[Guest guest]

If your children have developed a habit of eating on a regular basis, I would

suggest another field. But, if you insist of relegating yourself to this

profession, I am sure there are plenty of schools in the Dallas area at night.

brianh2u@... wrote:

> You guys do not know me but several weeks ago, I was surfin' the web looking

> for a school in Dallas area (east, preferably) to go to school for EMS

> training and later to paramedic. I sent questions to several of the schools

> listed and whala, I am on this group list receiving about 10-12 emails a day.

> However, none are too me or address my question. Can you guys help. I need

> someplace where I can go at night and on weekends. I am 43 yr. old male and

> my sons have developed a habit of eating on a regular basis therefore I need

> to keep my day job.

> Any help will be greatly appreciated.

> thanks in advance

>

> Holland

>

[Guest guest]

,

Call me at . I have an EMT class starting the last week of November

Monday and Wed. evening 6-10 PM.

Bernie Stafford

EMS Coordinator

College

>>> brianh2u@... 10/6/00 11:11:52 PM >>>

You guys do not know me but several weeks ago, I was surfin' the web looking

for a school in Dallas area (east, preferably) to go to school for EMS

training and later to paramedic. I sent questions to several of the schools

listed and whala, I am on this group list receiving about 10-12 emails a day.

However, none are too me or address my question. Can you guys help. I need

someplace where I can go at night and on weekends. I am 43 yr. old male and

my sons have developed a habit of eating on a regular basis therefore I need

to keep my day job.

Any help will be greatly appreciated.

thanks in advance

Holland

[Guest guest]

In a message dated 10/9/00 4:38:40 PM Pacific Daylight Time,

silvermedicj@... writes:

<< Brain,

- silvermedicj here,

There are several schools in the Dallas area. I will list them:

Mertocrest Medical Services

Methodist Medical Center

EMS Resources

Collin County Comunity College

These above are all fairly good, I took my emt at Methodist. I attempted

my Paramedic at methodist it was a rather fast paced class, I eventually

got it at Collin County comunity college. They have a two semmester

program. I recommend getting the emt and working for several months to

two years. Its hard going from emt straight into paramedic, and knowing

everything you need to know. But it can be done.

Thanks, good luck, be safe,

- silvermedicj >>

University of Texas Health Science Center in Dallas also has a paramedic

school.

[Guest guest]

In a message dated 10/9/00 7:21:13 PM Central Daylight Time,

RaaEMS605@... writes:

<< < Brain,

- silvermedicj here,

There are several schools in the Dallas area. I will list them:

Mertocrest Medical Services

Methodist Medical Center

EMS Resources

Collin County Comunity College

These above are all fairly good, I took my emt at Methodist. I attempted

my Paramedic at methodist it was a rather fast paced class, I eventually

got it at Collin County comunity college. They have a two semmester

program. I recommend getting the emt and working for several months to

two years. Its hard going from emt straight into paramedic, and knowing

everything you need to know. But it can be done.

Thanks, good luck, be safe,

- silvermedicj >>

University of Texas Health Science Center in Dallas also has a paramedic

school.

>>

PARKER CHIROPRACTIC ALSO HAS AN EMT, I BELIEVE IT STARTS IN NOVEMBER.

Call at . EMT class starting the last week of November Monday

and Wed. evening 6-10 PM.

Bernie Stafford

EMS Coordinator

College

BERNIE IS THE BEST, I WENT THROUGH IS CLASS IN 96 AND WAS WELL PREPARED FOR

THE STATE TEST. HE IS ON THE STATES DISASTER TEAM AND HAS LOTS OF

EXPERIENCE. HE ALSO IS THE TYPE OF PERSON WHO WILL GO OUT OF HIS WAY TO HELP

STUDENTS EXCEL (ON HIS OWN TIME). MY BROTHER TOOK THE TEST AT METHODIST AND

DID NOT PASS THE STATE EXAM THE FIRST TIME. BERNIE, WHO WAS NOT EVEN ONE OF

HIS INSTRUCTORS, HAS TAKEN THE TIME TO PREPARE HIM TO PASS. IN OTHER WORDS

HATS OFF TO BERNIE STAFFORD - THAT WOULD BE MY CHOICE FOR THE CLASS (YEA I,

AM, LITTLE BIAS BUT THE MAN IS GOOD AND REALLY CARES)

JULIE DAVIS

[Guest guest]

Brain,

- silvermedicj here,

There are several schools in the Dallas area. I will list them:

Mertocrest Medical Services

Methodist Medical Center

EMS Resources

Collin County Comunity College

These above are all fairly good, I took my emt at Methodist. I attempted

my Paramedic at methodist it was a rather fast paced class, I eventually

got it at Collin County comunity college. They have a two semmester

program. I recommend getting the emt and working for several months to

two years. Its hard going from emt straight into paramedic, and knowing

everything you need to know. But it can be done.

Thanks, good luck, be safe,

- silvermedicj

Sat, 7 Oct 2000 00:11:52 EDT brianh2u@... writes:

> You guys do not know me but several weeks ago, I was surfin' the web

> looking

> for a school in Dallas area (east, preferably) to go to school for

> EMS

> training and later to paramedic. I sent questions to several of the

> schools

> listed and whala, I am on this group list receiving about 10-12

> emails a day.

> However, none are too me or address my question. Can you guys help.

> I need

> someplace where I can go at night and on weekends. I am 43 yr. old

> male and

> my sons have developed a habit of eating on a regular basis

> therefore I need

> to keep my day job.

> Any help will be greatly appreciated.

> thanks in advance

>

> Holland

>

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