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Re: Re: EMS profession

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Any scheme which rewards someone for referral can be considered a violation

of federal law and subject the doer to fines and even criminal prosecution.

Whether or not an occasional batch of cookies qualifies as a kickback will

depend upon the facts and circumstances, but I would suggest that a regular

habit of bringing gifts might be looked upon with suspicion.

When I held public office, it was common for people to bring gifts by at

Christmas time, such as whisky, cookies, candy, and the like. I returned all

the whisky with a " thanks but no thanks letter, " and all the other goodies

were placed in the courthouse lobby for the public to consume. Even the

" appearance " of wrongdoing must be avoided; so I would advise anyone owning a

service that depends upon referrals to refrain from bestowing gifts of any

nature to the referrer.

Gene

E. Gandy, JD, LP

4250 East Aquarius Drive

Tucson, AZ 85718

520 299-4448 home and fax (call before sending fax)

903 530-9826 cell

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The difference between a marketing tool and a gift is that the marketing tool

is distributed widely to a variety of recipients while a gift is aimed at one

in particular.

Having pens with the service name printed on them is OK so long as they are

given to the public at large and not just to a referring entity. Same with

notepads and such. The line can be vague, but, like pornography, the Courts

know it when they see it. If it doesn't pass the smell test, then it's

probably wrong.

GG

E. Gandy, JD, LP

4250 East Aquarius Drive

Tucson, AZ 85718

520 299-4448 home and fax (call before sending fax)

903 530-9826 cell

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I have heard from some employees of the transfer services that the nursing

homes call them for everything no matter what, a friend of mine works for a

transfer service and he has told me that they make all kind of calls that

should have been sent by the 911 provider that services that area. According

to him most of the nurses don't care or they use the " I just got this

patient today " and he knows for sure that she has been the nurse the whole

time. The nursing homes to me is where the biggest problem lies, they aren't

looking out for what is best for the patient.

On the other hand the service he works for in under contract with a local

hospital and they do a lot of emergency transfers to other facilities

because of 911 providers that don't transport to the closest " appropriate "

facility. I am not trying to defend transfer services by any means but we as

911 providers should be ensuring that all patients transported are taken to

the most appropriate facility even if means ground transporting a few

minutes further.

K Lowe EMT I

Re: Re: EMS profession

You're indicting the whole EMS transfer industry based on a narrow and

obviously jaundiced perception of how a few providers behave. I work for a

service that is MICU (not capable.........MICU!) and we do " routine "

transfers, as well as critical care transportation of patients- lots of

'em.

You can't put EMS provision in neat little boxes- it's become too complex

an

industry for that kind of generalization. I'm not jumpin' your stuff, but

you need to get a few years under your belt and keep your eyes and brain

circuits open.

Jay Garner, AAS, LP

Re: Re: EMS profession

> OK...so what about your grandfather or mine that is in abc nursing

> home.....and they have that syncopal episode....and the nursing home

calls

> abc ems..(transfer service) with the county 911 service down the

> street....because they know that when the transfer service arrives they

will

> be bringing candy, pizza, cookies, pens, pads, etc....and if they have a

30

> min eta or longer well that is ok..we will just put gramps on a nasel

canula

> and he will be ok till they arrive...and they send the 2 emt-b crew to

> transport him to the hospital....that is what i don't understand and

that

is

> why there should be MEDICAL TRANSFER SERVICES not EMERGENCY MEDICAL

> SERVICES....EMERGENCY MEANS JUST THAT....NOT 45 MIN ETA.....AND WE HAVE

> GOODIES FOR YOU IF YOU CALL US....

>

>

>

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Thanks, Gene. I didn't think I'd been sniffing too much decon spray again...

Back in the early 90's, I worked for a private service that would delivery

(alternately) veggie trays or danish/cookie assortments to nursing

homes/hospitals. If the recipients were REALLY lucky, they would get pies from

House of Pies.

Christmas would find us in the apparatus bay flocking Christmas trees to be

delivered to the Nursing Homes we serviced.

We had a reserve unit that rarely was placed in service. If we were placed in

that rig, we knew we were in for a hungry day of delivering goodies. It's

amazing how many cookies or danishes didn't survive the trip. 8^)

Of course, our boss would FEED US extremely well, at least once a month, and did

he throw a SERIOUS Christmas party for the staff! He even shut down for the

night, so EVERYBODY could go. And he threw me quite the Bachelor party, too!

Those were the days...

Barry E. McClung, Paramedic/Crew Chief

North Blanco County EMS

City, Texas

Re: Re: EMS profession

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