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NR and State Cert

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No Lee, I don't treat them all the same. I was taught by some of the best

instructors in the state, and they taught me to treat the patient, not the

monitor, which I'm sure a genius like yourself knows. I don't believe we were

even

talking about that subject, but trying to discuss NR stupidity. Why the

personal attack when that wasn't even in our discussion? Oh, and NO ONE said I

wasn't up to National Standards. What I said is its STUPIDITY that dictates us

driving 5 hours to take a simple test when there is a TDH office about an hour

and a half from here where in the past, all exams have been taken. And, one

more thing--I didn't sign my name because I have it set to insert the

signature. My bad for not checking to make sure it did. But don't think you

have to

be nice to me about anything. Just make sure you know what you are talking

about before you go shooting your mouth off.

Dana Garrett EMT-I 427

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No Lee, I don't treat them all the same. I was taught by some of the best

instructors in the state, and they taught me to treat the patient, not the

monitor, which I'm sure a genius like yourself knows. I don't believe we were

even

talking about that subject, but trying to discuss NR stupidity. Why the

personal attack when that wasn't even in our discussion? Oh, and NO ONE said I

wasn't up to National Standards. What I said is its STUPIDITY that dictates us

driving 5 hours to take a simple test when there is a TDH office about an hour

and a half from here where in the past, all exams have been taken. And, one

more thing--I didn't sign my name because I have it set to insert the

signature. My bad for not checking to make sure it did. But don't think you

have to

be nice to me about anything. Just make sure you know what you are talking

about before you go shooting your mouth off.

Dana Garrett EMT-I 427

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No Lee, I don't treat them all the same. I was taught by some of the best

instructors in the state, and they taught me to treat the patient, not the

monitor, which I'm sure a genius like yourself knows. I don't believe we were

even

talking about that subject, but trying to discuss NR stupidity. Why the

personal attack when that wasn't even in our discussion? Oh, and NO ONE said I

wasn't up to National Standards. What I said is its STUPIDITY that dictates us

driving 5 hours to take a simple test when there is a TDH office about an hour

and a half from here where in the past, all exams have been taken. And, one

more thing--I didn't sign my name because I have it set to insert the

signature. My bad for not checking to make sure it did. But don't think you

have to

be nice to me about anything. Just make sure you know what you are talking

about before you go shooting your mouth off.

Dana Garrett EMT-I 427

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In a message dated 5/30/03 10:02:28 AM Central Daylight Time,

Etlaesium@... writes:

> " .There is no occupational difference between the two and the " license "

> is also granted to certified paramedics in the State of Texas. The only

> differences are the patch and the fees. "

>

Another difference would be education.

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In a message dated 5/30/03 10:02:28 AM Central Daylight Time,

Etlaesium@... writes:

> " .There is no occupational difference between the two and the " license "

> is also granted to certified paramedics in the State of Texas. The only

> differences are the patch and the fees. "

>

Another difference would be education.

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In a message dated 5/30/03 10:02:28 AM Central Daylight Time,

Etlaesium@... writes:

> " .There is no occupational difference between the two and the " license "

> is also granted to certified paramedics in the State of Texas. The only

> differences are the patch and the fees. "

>

Another difference would be education.

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JB,

Not to flog the dead horse too many times, but my original post stated

" .There is no occupational difference between the two and the " license "

is also granted to certified paramedics in the State of Texas. The only

differences are the patch and the fees. "

I do agree with you that it would have been a waste of your time to try

to obtain the TxEMT-LP because, aside from the increased fees and the

gold trim on the patch, there is no significant difference. Now, on a

National level, the " occupational equivalent " to the TxEMT-LP is merely

the NREMT-P. What I mean by that, and I can refer you to the nursing

occupation, is TDH was attempting to give status to those paramedics in

the state that had completed a college degree (or were close to doing

so). As far as nursing, an RN is not the same as a BSN, whereas some

jobs within the occupation require a BSN to even be considered for the

position. This is not the same regarding TxEMT-P and TxEMT-LP

licensures (and, yes, they are both licensures. no matter what the state

wants to call them).

Schadone, NREMT-Paramedic

City of Austin

Austin/ County EMS

Medic 12 / Medic 24

@...

Re: NR and State Cert

Mr. Schadone,

On this issue, I must disagree with you. The NREMTP is not the TxLP

equivalent and that is according to TDH. When I came he 4 years ago

after being NR for 10+ yrs and a LP in the state of GA. FL. and AL. for

the same amount of time, with an AAS in Prehospital medicine from UAB

in Birmingham, AL. and a BS in Physics. All I was given was a

certification because supposed the colleges I attended were not

accredited in the state of Texas. I questioned the issue twice and got

the same answer. Since there is no difference in pay I said why waist my

time with the red tape and bureaucracy.

" De Opressa Liber "

JB

Re: NR and State Cert

It's about having a STANDARD body of knowledge, and having standard

acceptance criteria for the level of certification. The feds got us

part way there with the national standard curriculum. Now we need get

on board with the standard certification process.

A question for those that know. Is there a requirement that the State

get involved in this? Is it legally and professionally acceptable for

the State to just pass a law that says, in essence, " if you are

Nationally Registered, you meet the standards for an EMT-B, EMT-I,

EMT-P

in Texas " , and not issue certs, patches, or any of the above? Then

there'd be no need for a lot of the expensive duplication (you'd still

need enforcement and management of those practicing I guess). And

then,

what would become of our LPs, who don't have a national equivalent?

=Steve=

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JB,

Not to flog the dead horse too many times, but my original post stated

" .There is no occupational difference between the two and the " license "

is also granted to certified paramedics in the State of Texas. The only

differences are the patch and the fees. "

I do agree with you that it would have been a waste of your time to try

to obtain the TxEMT-LP because, aside from the increased fees and the

gold trim on the patch, there is no significant difference. Now, on a

National level, the " occupational equivalent " to the TxEMT-LP is merely

the NREMT-P. What I mean by that, and I can refer you to the nursing

occupation, is TDH was attempting to give status to those paramedics in

the state that had completed a college degree (or were close to doing

so). As far as nursing, an RN is not the same as a BSN, whereas some

jobs within the occupation require a BSN to even be considered for the

position. This is not the same regarding TxEMT-P and TxEMT-LP

licensures (and, yes, they are both licensures. no matter what the state

wants to call them).

Schadone, NREMT-Paramedic

City of Austin

Austin/ County EMS

Medic 12 / Medic 24

@...

Re: NR and State Cert

Mr. Schadone,

On this issue, I must disagree with you. The NREMTP is not the TxLP

equivalent and that is according to TDH. When I came he 4 years ago

after being NR for 10+ yrs and a LP in the state of GA. FL. and AL. for

the same amount of time, with an AAS in Prehospital medicine from UAB

in Birmingham, AL. and a BS in Physics. All I was given was a

certification because supposed the colleges I attended were not

accredited in the state of Texas. I questioned the issue twice and got

the same answer. Since there is no difference in pay I said why waist my

time with the red tape and bureaucracy.

" De Opressa Liber "

JB

Re: NR and State Cert

It's about having a STANDARD body of knowledge, and having standard

acceptance criteria for the level of certification. The feds got us

part way there with the national standard curriculum. Now we need get

on board with the standard certification process.

A question for those that know. Is there a requirement that the State

get involved in this? Is it legally and professionally acceptable for

the State to just pass a law that says, in essence, " if you are

Nationally Registered, you meet the standards for an EMT-B, EMT-I,

EMT-P

in Texas " , and not issue certs, patches, or any of the above? Then

there'd be no need for a lot of the expensive duplication (you'd still

need enforcement and management of those practicing I guess). And

then,

what would become of our LPs, who don't have a national equivalent?

=Steve=

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JB,

Not to flog the dead horse too many times, but my original post stated

" .There is no occupational difference between the two and the " license "

is also granted to certified paramedics in the State of Texas. The only

differences are the patch and the fees. "

I do agree with you that it would have been a waste of your time to try

to obtain the TxEMT-LP because, aside from the increased fees and the

gold trim on the patch, there is no significant difference. Now, on a

National level, the " occupational equivalent " to the TxEMT-LP is merely

the NREMT-P. What I mean by that, and I can refer you to the nursing

occupation, is TDH was attempting to give status to those paramedics in

the state that had completed a college degree (or were close to doing

so). As far as nursing, an RN is not the same as a BSN, whereas some

jobs within the occupation require a BSN to even be considered for the

position. This is not the same regarding TxEMT-P and TxEMT-LP

licensures (and, yes, they are both licensures. no matter what the state

wants to call them).

Schadone, NREMT-Paramedic

City of Austin

Austin/ County EMS

Medic 12 / Medic 24

@...

Re: NR and State Cert

Mr. Schadone,

On this issue, I must disagree with you. The NREMTP is not the TxLP

equivalent and that is according to TDH. When I came he 4 years ago

after being NR for 10+ yrs and a LP in the state of GA. FL. and AL. for

the same amount of time, with an AAS in Prehospital medicine from UAB

in Birmingham, AL. and a BS in Physics. All I was given was a

certification because supposed the colleges I attended were not

accredited in the state of Texas. I questioned the issue twice and got

the same answer. Since there is no difference in pay I said why waist my

time with the red tape and bureaucracy.

" De Opressa Liber "

JB

Re: NR and State Cert

It's about having a STANDARD body of knowledge, and having standard

acceptance criteria for the level of certification. The feds got us

part way there with the national standard curriculum. Now we need get

on board with the standard certification process.

A question for those that know. Is there a requirement that the State

get involved in this? Is it legally and professionally acceptable for

the State to just pass a law that says, in essence, " if you are

Nationally Registered, you meet the standards for an EMT-B, EMT-I,

EMT-P

in Texas " , and not issue certs, patches, or any of the above? Then

there'd be no need for a lot of the expensive duplication (you'd still

need enforcement and management of those practicing I guess). And

then,

what would become of our LPs, who don't have a national equivalent?

=Steve=

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Seems I struck a nerve! I would say that actually we were talking about the

same thing since most of your post centered around bashing the " stupidity of the

NR exam " , my question is why are you not being offered the NR exam at the

school you went to? It is obvious by your comments that you truly don't know

the different presentations of MI's or the current standards or you would not

have made such an ignorant comment like: " I treat my patient not the monitor "

regarding the ACS patient. But that said this whole little debate really does

not warrant anymore of my mouth shooting, thanks for playing!

Lee

Re: NR and State Cert

No Lee, I don't treat them all the same. I was taught by some of the best

instructors in the state, and they taught me to treat the patient, not the

monitor, which I'm sure a genius like yourself knows. I don't believe we were

even

talking about that subject, but trying to discuss NR stupidity. Why the

personal attack when that wasn't even in our discussion? Oh, and NO ONE said

I

wasn't up to National Standards. What I said is its STUPIDITY that dictates

us

driving 5 hours to take a simple test when there is a TDH office about an hour

and a half from here where in the past, all exams have been taken. And, one

more thing--I didn't sign my name because I have it set to insert the

signature. My bad for not checking to make sure it did. But don't think you

have to

be nice to me about anything. Just make sure you know what you are talking

about before you go shooting your mouth off.

Dana Garrett EMT-I 427

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The ORIGINAL statements you made concerned NR vs State cert. was:

" There is a national equivalent to the " TxEMT-Licensed Paramedic " . It's

called the " NREMT-Paramedic " . There is no occupational difference

between the two and the " license " is also granted to certified

paramedics in the State of Texas. The only differences are the patch

and the fees. "

I still say this isn't true. The REQUIREMENTS are different. NR

requires you be

a graduate of a State approved paramedic program, be 18, be certified as

an EMT or better, and pass the tests. There is NO formal education

requirement.

So, NREMT-P is equivalent to EMT-P in Texas, which has similar

requirements. LP has an advanced education requirement, for which there

is no national registry equivalent.

Licensing, certification, etc are not the issue. And occupationally,

there are no additional " skills " an LP can perform. And they MAY or MAY

NOT make more money.

The DIFFERENCE is in the entry requirements. And they ARE different.

Whether we think it makes a difference in any of the above, that's an

opinion.

heck, we don' need non of that edukashun stuf. Third grade was HARD all

4 times, I AIN't GOIN to no advanced schoolin' (like 4th grade).

=Steve=

Mike Schadone wrote:

>You can probably find that same description (or one like it) of

>licensure vs. certification in any EMT or Paramedic book. " Legal

>Guidelines for Unlicensed Practitioners " is available at Amazon.com

>through

>http://www.amazon.com/exec/obidos/ASIN/0962865729/inktomi-bkasin-20/104-

>3622110-9448730 for $12.00. Also, I have had discussions with

>practicing attorneys who hold this to be true.

>

>

>

>I would suggest that anyone who has an interest in this do a web search

>on " licensure vs. certification " . There are a number of resources

>available on the internet. Also, going to the local library and picking

>up any law dictionary might be helpful.

>

>

>

>The original question that I had regarding this topic was if given the

>same circumstances, would an TxEMT-LP be held to a different standard

>than a TxEMT-P in a court of law. The answer was a resounding " No " .

>

>

>

> Schadone, NREMT-Paramedic

>City of Austin

>Austin/ County EMS

>Medic 12 / Medic 24

> @...

>

>

>

> Re: NR and State Cert

>

>

>

>Where would this text, by Dr. Lawrence ; be made available? So if

>we

>are to take what is written, since we are not allowed to practice

>without our

>certification that this makes us Licensed? Interesting viewpoint.

>

>Danny L.

>Owner/NREMT-P

>Panhandle Emergency Training Services And Response

> (PETSAR)

> Office

> FAX

>

>

>

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Steve,

So, just because I do not hold a TxEMT-LP, I am uneducated? Nice. I

guess, if I weigh as much as a duck, then I must be a witch, too?!

My argument was that there is no OCCUPATIONAL difference, and there is

not. I concede to the education requirements, but where is the

reasoning to pay higher fees for a " license " when a " certification " is

just as good? Again, there are no special benefits from holding a

TxEMT-LP as opposed to an EMT-P.

Schadone, NREMT-Paramedic

City of Austin

Austin/ County EMS

Medic 12 / Medic 24

@...

Re: NR and State Cert

>

>

>

>Where would this text, by Dr. Lawrence ; be made available? So

if

>we

>are to take what is written, since we are not allowed to practice

>without our

>certification that this makes us Licensed? Interesting viewpoint.

>

>Danny L.

>Owner/NREMT-P

>Panhandle Emergency Training Services And Response

> (PETSAR)

> Office

> FAX

>

>

>

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