Guest guest Posted April 20, 2004 Report Share Posted April 20, 2004 In 1998 or so, Mr. Bledsen developed a wonderful and comprehensive CCT curriculum that we still use. Some hospitals and some RNs are in the mindset and abound that an RN needs to transport, or they don't go. Some think it's illegal to send a patient without an RN - no. Some helo services staff RNs just for this marketing purpose- you know they do. However, it's amazing that whenever the ED is full, ICU patients are filling ED beds, 28 patients are in the triage area, and there are thunderstorms in the area the hospital will sack a local ground MICU with a ventilator and three pumps to get the patient out of there. So, after 24 years in this biz, I think all medics need CCT. CCT needs to be an academically based course. AAS and BS programs need to be developed with admin, education, and clinical specialties. AAS degrees should be mandatory. Now, we just need to get somebody to pay us for it. -mikey >>> bbledsoe@... 4/19/04 6:10:36 PM >>> Very interesting back and forth on the EMS Physicians list. I have not waded in yet. ----- At the risk of ... " suffering the slings and arrows of outrageous fortune " ... I would like to propose the following discussion. Premise: 1. CCT and specifically ground transport is becoming more and more frequent. With the advent of specialty hospitals, a growing older population and improved technology, CCT will be even more common. 2. Literature is supporting ground over helicopter transport in most cases. 3. Helicopter transports are expensive and often dangerous. 4. The majority of EMS runs (non-interfacility) can be done by advanced EMT's. Paramedics are often over qualified and in most rural areas too expensive to train and keep. 5. With proper training and experience Paramedics, alone, can handle the vast majority of CCTs. 6. In many locations, out of necessity, untrained Paramedics have been doing all the CCTs. 7. Paramedics are working exclusively, and supplementing in many EDs. 8. Pre-hospital nurses are a rare and expensive resources. Often a delaying factor in providing rapid transport to the appropriate facility. 9. Standards of care for appropriate mix of CCT personnel are based on conjecture. Question: 1. Are Paramedic in the wrong niche? 2. Should Paramedics be primarily in training, administration, field supervision, and in-hospital practice and exclusively in CCT? 2. Should Paramedicine be standardized to be an Associate or Baccalaureate degree? 3. Should we standardize EMTs to a basic and / or advanced level? 3. Can we grandfather existing Paramedic with appropriate experience and CCT training to do all CCTs? Advantages: 1. The cost savings, on many levels, would be significant. 2. The availability of EMS in rural areas would increase. 3. The availability of rapid CCT would increase. 4. Patient care would improve. 5. Paramedics and EMTs would have a definite career ladder and future. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 20, 2004 Report Share Posted April 20, 2004 In 1998 or so, Mr. Bledsen developed a wonderful and comprehensive CCT curriculum that we still use. Some hospitals and some RNs are in the mindset and abound that an RN needs to transport, or they don't go. Some think it's illegal to send a patient without an RN - no. Some helo services staff RNs just for this marketing purpose- you know they do. However, it's amazing that whenever the ED is full, ICU patients are filling ED beds, 28 patients are in the triage area, and there are thunderstorms in the area the hospital will sack a local ground MICU with a ventilator and three pumps to get the patient out of there. So, after 24 years in this biz, I think all medics need CCT. CCT needs to be an academically based course. AAS and BS programs need to be developed with admin, education, and clinical specialties. AAS degrees should be mandatory. Now, we just need to get somebody to pay us for it. -mikey >>> bbledsoe@... 4/19/04 6:10:36 PM >>> Very interesting back and forth on the EMS Physicians list. I have not waded in yet. ----- At the risk of ... " suffering the slings and arrows of outrageous fortune " ... I would like to propose the following discussion. Premise: 1. CCT and specifically ground transport is becoming more and more frequent. With the advent of specialty hospitals, a growing older population and improved technology, CCT will be even more common. 2. Literature is supporting ground over helicopter transport in most cases. 3. Helicopter transports are expensive and often dangerous. 4. The majority of EMS runs (non-interfacility) can be done by advanced EMT's. Paramedics are often over qualified and in most rural areas too expensive to train and keep. 5. With proper training and experience Paramedics, alone, can handle the vast majority of CCTs. 6. In many locations, out of necessity, untrained Paramedics have been doing all the CCTs. 7. Paramedics are working exclusively, and supplementing in many EDs. 8. Pre-hospital nurses are a rare and expensive resources. Often a delaying factor in providing rapid transport to the appropriate facility. 9. Standards of care for appropriate mix of CCT personnel are based on conjecture. Question: 1. Are Paramedic in the wrong niche? 2. Should Paramedics be primarily in training, administration, field supervision, and in-hospital practice and exclusively in CCT? 2. Should Paramedicine be standardized to be an Associate or Baccalaureate degree? 3. Should we standardize EMTs to a basic and / or advanced level? 3. Can we grandfather existing Paramedic with appropriate experience and CCT training to do all CCTs? Advantages: 1. The cost savings, on many levels, would be significant. 2. The availability of EMS in rural areas would increase. 3. The availability of rapid CCT would increase. 4. Patient care would improve. 5. Paramedics and EMTs would have a definite career ladder and future. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2004 Report Share Posted April 23, 2004 Mikey, I agree with you 100% FF/Lic-P Vernon College FIRE/EMS Training Program 4105 Maplewood Wichita Falls, Texas 76308 Office ext. 3233 Fax agarcia@... Re: Interesting > In 1998 or so, Mr. Bledsen developed a wonderful and comprehensive CCT > curriculum that we still use. Some hospitals and some RNs are in the > mindset and abound that an RN needs to transport, or they don't go. > Some think it's illegal to send a patient without an RN - no. Some helo > services staff RNs just for this marketing purpose- you know they do. > However, it's amazing that whenever the ED is full, ICU patients are > filling ED beds, 28 patients are in the triage area, and there are > thunderstorms in the area the hospital will sack a local ground MICU > with a ventilator and three pumps to get the patient out of there. > > So, after 24 years in this biz, I think all medics need CCT. CCT needs > to be an academically based course. AAS and BS programs need to be > developed with admin, education, and clinical specialties. AAS degrees > should be mandatory. > > Now, we just need to get somebody to pay us for it. > > -mikey > > > >>> bbledsoe@... 4/19/04 6:10:36 PM >>> > Very interesting back and forth on the EMS Physicians list. I have not > waded > in yet. > ----- > At the risk of ... " suffering the slings and arrows of outrageous > fortune " ... > I would like to propose the following discussion. > > Premise: > 1. CCT and specifically ground transport is becoming more and > more > frequent. With the advent of specialty hospitals, a growing older > population and improved technology, CCT will be even more common. > 2. Literature is supporting ground over helicopter transport in > most > cases. > 3. Helicopter transports are expensive and often dangerous. > 4. The majority of EMS runs (non-interfacility) can be done by > advanced > EMT's. Paramedics are often over qualified and in most rural areas too > expensive to train and keep. > 5. With proper training and experience Paramedics, alone, can > handle > the vast majority of CCTs. > 6. In many locations, out of necessity, untrained Paramedics have > been > doing all the CCTs. > 7. Paramedics are working exclusively, and supplementing in many > EDs. > 8. Pre-hospital nurses are a rare and expensive resources. Often > a > delaying factor in providing rapid transport to the appropriate > facility. > 9. Standards of care for appropriate mix of CCT personnel are > based on > conjecture. > > Question: > 1. Are Paramedic in the wrong niche? > 2. Should Paramedics be primarily in training, administration, > field > supervision, and in-hospital practice and exclusively in CCT? > 2. Should Paramedicine be standardized to be an Associate or > Baccalaureate degree? > 3. Should we standardize EMTs to a basic and / or advanced level? > 3. Can we grandfather existing Paramedic with appropriate > experience > and CCT training to do all CCTs? > > Advantages: > 1. The cost savings, on many levels, would be significant. > 2. The availability of EMS in rural areas would increase. > 3. The availability of rapid CCT would increase. > 4. Patient care would improve. > 5. Paramedics and EMTs would have a definite career ladder and > future. > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2004 Report Share Posted April 23, 2004 Mikey, I agree with you 100% FF/Lic-P Vernon College FIRE/EMS Training Program 4105 Maplewood Wichita Falls, Texas 76308 Office ext. 3233 Fax agarcia@... Re: Interesting > In 1998 or so, Mr. Bledsen developed a wonderful and comprehensive CCT > curriculum that we still use. Some hospitals and some RNs are in the > mindset and abound that an RN needs to transport, or they don't go. > Some think it's illegal to send a patient without an RN - no. Some helo > services staff RNs just for this marketing purpose- you know they do. > However, it's amazing that whenever the ED is full, ICU patients are > filling ED beds, 28 patients are in the triage area, and there are > thunderstorms in the area the hospital will sack a local ground MICU > with a ventilator and three pumps to get the patient out of there. > > So, after 24 years in this biz, I think all medics need CCT. CCT needs > to be an academically based course. AAS and BS programs need to be > developed with admin, education, and clinical specialties. AAS degrees > should be mandatory. > > Now, we just need to get somebody to pay us for it. > > -mikey > > > >>> bbledsoe@... 4/19/04 6:10:36 PM >>> > Very interesting back and forth on the EMS Physicians list. I have not > waded > in yet. > ----- > At the risk of ... " suffering the slings and arrows of outrageous > fortune " ... > I would like to propose the following discussion. > > Premise: > 1. CCT and specifically ground transport is becoming more and > more > frequent. With the advent of specialty hospitals, a growing older > population and improved technology, CCT will be even more common. > 2. Literature is supporting ground over helicopter transport in > most > cases. > 3. Helicopter transports are expensive and often dangerous. > 4. The majority of EMS runs (non-interfacility) can be done by > advanced > EMT's. Paramedics are often over qualified and in most rural areas too > expensive to train and keep. > 5. With proper training and experience Paramedics, alone, can > handle > the vast majority of CCTs. > 6. In many locations, out of necessity, untrained Paramedics have > been > doing all the CCTs. > 7. Paramedics are working exclusively, and supplementing in many > EDs. > 8. Pre-hospital nurses are a rare and expensive resources. Often > a > delaying factor in providing rapid transport to the appropriate > facility. > 9. Standards of care for appropriate mix of CCT personnel are > based on > conjecture. > > Question: > 1. Are Paramedic in the wrong niche? > 2. Should Paramedics be primarily in training, administration, > field > supervision, and in-hospital practice and exclusively in CCT? > 2. Should Paramedicine be standardized to be an Associate or > Baccalaureate degree? > 3. Should we standardize EMTs to a basic and / or advanced level? > 3. Can we grandfather existing Paramedic with appropriate > experience > and CCT training to do all CCTs? > > Advantages: > 1. The cost savings, on many levels, would be significant. > 2. The availability of EMS in rural areas would increase. > 3. The availability of rapid CCT would increase. > 4. Patient care would improve. > 5. Paramedics and EMTs would have a definite career ladder and > future. > > > > > > Quote Link to comment Share on other sites More sharing options...
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