Re: National Scope of Practice Final Document

November 1, 2005

That is kind of where I am going in asking the questions. The education has to

be there. We have to find ways to educate those who do not have the resources

available. EMS being different from other medical or safety related professions

has to develop a strategy to train and educate our personnel. I personally

envision a system not unlike Australia where EMS is considered the pinnacle of

ones career and not, we get into EMS to springboard us to Nursing where we can

make a better living. Will it happen? Only if we get on the same page. I see

the National Scope of Practice as a way to get on that page.

Do I believe there will be attempts to derail the operation? Yes I do. It is

happening now.

I still believe that if there are major concerns with the document as written

there appears to be nothing to stop changing it to suit Texas. I believe putting

this document as the minimum standard is not a bad thing.

If you don't want to be known as an Advanced EMT, Texas says " EMT-Intermediate

is the same as Advanced EMT " . Is there a major difference in the level as

explained in the document and what is now EMT-Intermediate? I don't

particularly see, but I have been know to be wrong (very rarely but it happens);

where the major difference is. Ladies and Gentlemen lets get on board and start

somewhere with being a group to be heard. Only then will we be able to steer

our profession in the right direction. It has been stated many times before me

that being a large group instead of scattered squads is when we will be heard.

Please take this as an opportunity to form the beginning. Change what major

problems there are and lets go. I still have not seen anything on major

differences. I am still asking those who have seen them to put them on this list

for all to see.

I will go back to a statement I have made before. Lets see the major changes

not just I say potato (Poe-ta-toe) and you say potato (Poe-tay-toe). Prove me

wrong. I am waiting.

wrote:

Danny;

I agree with your response. I feel that most of the resistance in the EMS field

as far as the National Scope is concerned is two-fold. First, there is an actual

basis for resisting the education requirements. I came from the up-state, rural

areas of New York, where most (not all) but most services are volunteer. They

can not afford to have there people required to be AAS holders in order to

practice. With that said I understand the educational requirements, but they

can't take there people " off line " untill the educational requirements are met

(for the AAS). I know some excellent Paramedics and Critical Care medics up

there, some of which will never go to school and earn an AAS in Paramedicine.

Conversely in the more populated areas of the country getting the educational

requirements is not that hard of a deal. I can see the frustration (I now share

in that) when we of the EMS field are looked at as the ugly " step child " of the

pre-hospital medical field and those in the Nursing

field. I say to those in the Nursing field that look at us funny, come and ride

with us, see what we do, understand us don't reject us. Most Paramedics would

gladly welcome a nurse if the end result would be a greater understanding of our

profession in the medical field. For those of you in our field who haven't seen

the writing on the wall get you education in order (either by night classes or

on-line) give our profession some backing. Just look at what most Paramedics can

do in the pre-hospital setting today compared to the " ny and Roy

environment " That is my feeling anyway.

Thanks

Pat

This message created by: W.

---------------------------------

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November 1, 2005

The apathy is deafening in regard to EMS. How many people on the list are

paramedics with the Dallas Fire Department, Houston Fire Department, San

Fire Department? These are the biggest EMS operators in the state.

They are firefighters and, in many cases, despise EMS. They hope, in certain

ways, this will all fail and the fire departments will return to what they

once were. There are a few that will embrace EMS and work to make things

better--but they are as common as 4 leaf clovers.

_____

From: [mailto: ] On

Behalf Of Danny

Sent: Tuesday, November 01, 2005 9:08 AM

To:

Subject: RE: National Scope of Practice Final Document

That is kind of where I am going in asking the questions. The education has

to be there. We have to find ways to educate those who do not have the

resources available. EMS being different from other medical or safety

related professions has to develop a strategy to train and educate our

personnel. I personally envision a system not unlike Australia where EMS is

considered the pinnacle of ones career and not, we get into EMS to

springboard us to Nursing where we can make a better living. Will it

happen? Only if we get on the same page. I see the National Scope of

Practice as a way to get on that page.

Do I believe there will be attempts to derail the operation? Yes I do. It

is happening now.

I still believe that if there are major concerns with the document as

written there appears to be nothing to stop changing it to suit Texas. I

believe putting this document as the minimum standard is not a bad thing.

If you don't want to be known as an Advanced EMT, Texas says

" EMT-Intermediate is the same as Advanced EMT " . Is there a major difference

in the level as explained in the document and what is now EMT-Intermediate?

I don't particularly see, but I have been know to be wrong (very rarely but

it happens); where the major difference is. Ladies and Gentlemen lets get on

board and start somewhere with being a group to be heard. Only then will we

be able to steer our profession in the right direction. It has been stated

many times before me that being a large group instead of scattered squads is

when we will be heard.

Please take this as an opportunity to form the beginning. Change what

major problems there are and lets go. I still have not seen anything on

major differences. I am still asking those who have seen them to put them on

this list for all to see.

I will go back to a statement I have made before. Lets see the major

changes not just I say potato (Poe-ta-toe) and you say potato (Poe-tay-toe).

Prove me wrong. I am waiting.

wrote:

Danny;

I agree with your response. I feel that most of the resistance in the EMS

field as far as the National Scope is concerned is two-fold. First, there is

an actual basis for resisting the education requirements. I came from the

up-state, rural areas of New York, where most (not all) but most services

are volunteer. They can not afford to have there people required to be AAS

holders in order to practice. With that said I understand the educational

requirements, but they can't take there people " off line " untill the

educational requirements are met (for the AAS). I know some excellent

Paramedics and Critical Care medics up there, some of which will never go to

school and earn an AAS in Paramedicine. Conversely in the more populated

areas of the country getting the educational requirements is not that hard

of a deal. I can see the frustration (I now share in that) when we of the

EMS field are looked at as the ugly " step child " of the pre-hospital medical

field and those in the Nursing

field. I say to those in the Nursing field that look at us funny, come and

ride with us, see what we do, understand us don't reject us. Most Paramedics

would gladly welcome a nurse if the end result would be a greater

understanding of our profession in the medical field. For those of you in

our field who haven't seen the writing on the wall get you education in

order (either by night classes or on-line) give our profession some backing.

Just look at what most Paramedics can do in the pre-hospital setting today

compared to the " ny and Roy environment " That is my feeling anyway.

Thanks

Pat

This message created by: W.

---------------------------------

Yahoo! FareChase - Search multiple travel sites in one click.

November 1, 2005