RE: HELP ME ASAP................................................

[Guest guest]

last I checked, those don't exist anymore. Could be wrong, but the list

DSHS uses to inspect is based on what the provider submitted on the last

License renewal.

HELP ME

ASAP................................................

I need a T D H EMS Vehicle Inspection List for min.

Required Equipment . Please,if an one has one,send it

to me asap. Thanks To all.

--- je.hill@... wrote:

> That's just the point, Dr. B. You can't pick and

> choose - not that way anyway. But I personally

> don't want to be thrown out with the bathwater when

> I KNOW we produce an excellent product. There has

> to be another solution than forcing everything into

> a college environment. I have students who take our

> classes and still go and work on their degrees at

> colleges - credit by exam for the EMS classes and

> then finish the other core classes their (math,

> sciences, history) and get a degree. Others come to

> us because they don't WANT to get a degree for

> whatever reason, and I am ok with that. Even the

> college based programs usually have a certificate

> program too so that they can target that population.

> I have found that the older students aren't as keen

> on the degree thing most of the time -they just want

> to work or volunteer for their communities. Most of

> our students when I was at TJC who wanted a degree

> were the young ones fresh from high school.

>

> I understand what you are saying about

> professionalism and pay levels - things that can

> come with a degree. But I also hear every day about

> folks saying, " I got my degree and my license, and

> it has gotten me nothing. " I hear administrators

> saying that the reason it has gotten them nothing is

> because of the reimbursement situation and how

> moneys to run EMS services are dwindling, pretty

> much nationwide. I was an administrator, so I know

> there is truth to that. So there ARE no easy

> answers to any of these things and I personally do

> not think the Scope of Practice document is one of

> the answers - certainly not the overall solution.

>

> Jane Hill

>

> --------- RE: National Scope of Practice

> Final Document

>

>

> Dr. Bledsoe, this is the part where I have to step

> to the side and disagree

> with you. While I DO agree that there are probably

> still certificate

> programs that are out there that are a part of the

> problem, not part of the

> solution, there are also certificate programs out

> there that turn out an

> excellent product. I have worked in the college

> environment and I have also

> worked in the " certificate program " environment.

> Just because something is

> based in a college and requires a degree doesn't

> make the course good - I

> know that for a fact. I have seen good college based

> programs and bad ones -

> just like the disparity between some certificate

> programs.

>

> I think the problem with this document is what we

> were discussing earlier -

> about the tendency for lawyers and other folks in

> positions of power who

> will want to use this to set ceilings and use the

> document AGAINST EMS folks

> and agencies in an attempt to prove claims, make

> money,whatever. I also

> know that some physicians will do the same - hold

> the service to the

> document only due to FEAR of potential liability

> otherwise. I know that NR

> will attempt to hold us from the testing standpoint

> to the document as well.

> But heck, we currently use their First Responder and

> I85 tests which don't

> test what we currently teach for the most part in

> Texas. So how would that

> be different?

>

> Anyway, the issue around education that will be a

> problem is

> " accreditation. " While I believe in the concept and

> think that

> accreditation is a goal we should look toward in the

> future - maybe

> something that we should achieve nationwide in ten

> years - I DON'T think it

> should be placed as an immediate requirement as this

> document seems to

> indicate. First, the accreditation process is

> expensive and programs need

> to plan to find the budget to do it. Second, the

> accrediting organization

> was behind on going through the process on the few

> that apply was the last

> thing I heard, so I don't see how they could even

> begin to do all the

> programs in the nation in the time frame indicated.

> Third, the accrediting

> agency seems to have made indications that they

> intend to restrict that

> process to college based or college affiliated

> programs - I think Lee

> posted something about that with quotes

> from their current

> document in an earlier thread - Lee if you would

> care to elaborate. Anyway,

> again, we are throwing the baby out with the bath

> water by wanting to

> eliminate strong and good certificate programs just

> because they are not

> college based. And fourth, I have yet to see any

> proof that " accredited "

> programs overall provide better education than

> " non-accredited " programs.

>

> We need to be very careful, folks, as we enter this

> phase where we will now

> how to work with DSHS, the medical directors, the

> educators, and the EMS

> services to make sure that Texas does the right

> thing. We already know that

> we are experiencing a shortage of EMS personnel at

> least in Texas. I think

> that it is theoretically possible that we could

> worsen that situation by

> adopting this document and setting ourselves up for

> more issues, but that is

> just my personal opinion.

>

> Jane Hill

>

> -------------- Original message from " Bledsoe "

> : --------------

>

> How many times have you read on this list that

> paramedics want parity with

> nurses? " I can do what they do. " " We should be

> paid

=== message truncated ===

__________________________________

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

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[Guest guest]

Go to the following link. It will tell you what the minimum equipment and

supplies are needed for an ambulance, broken down by certification (BLS, ALS,

MICU).

http://info.sos.state.tx.us/pls/pub/readtac$ext.TacPage?sl=R & app=9 & p_dir= & p_rloc\

= & p_tloc= & p_ploc= & pg=1 & p_tac= & ti=25 & pt=1 & ch=157 & rl=11

.

" , " wrote:

last I checked, those don't exist anymore. Could be wrong, but the list

DSHS uses to inspect is based on what the provider submitted on the last

License renewal.

HELP ME

ASAP................................................

I need a T D H EMS Vehicle Inspection List for min.

Required Equipment . Please,if an one has one,send it

to me asap. Thanks To all.

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

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

[Guest guest]

(g) Equipment and supplies. The provider shall submit an equipment and

supply list which is approved by the medical director and which is

consistent with, and fully supportive of, the protocols. The list shall

specify an adequate variety of sizes and types and shall specify quantities

appropriate to the provider's call volume, transport times and restocking

capabilities. All equipment and supplies shall be clean and in working

order. During unannounced inspections consideration will be given to

equipment and supply deficiencies caused by recent or repeated EMS calls.

(h) The requirements for air ambulance equipment and supplies are listed in

?157.12(h) of this title or ?157.13(h) of this title.

(i) At least the following equipment and supplies shall be present on each

in-service vehicle and on, or immediately available for, each response-ready

vehicle at all times:

(1) BLS:

(A) oropharyngeal airways;

( portable and vehicle mounted suction;

© bag valve mask units, oxygen capable;

(D) portable and vehicle mounted oxygen;

(E) oxygen delivery devices;

(F) dressing and bandaging materials;

(G) rigid cervical immobilization devices;

(H) spinal immobilization devices;

(I) extremity splints;

(J) equipment to meet special patient needs;

(K) equipment for determining and monitoring patient vital signs,

condition or response to treatment;

(L) medications as required by protocols;

(M) Automatic External Defibrillator (AED) or equivalent; and

(N) patient transport device capable of being secured to the vehicle.

(2) ALS or BLS with ALS capability:

(A) all required BLS equipment;

( advanced airway equipment; and

© IV equipment and supplies.

(3) MICU, BLS with MICU capability, ALS with MICU capability:

(A) all required BLS and ALS equipment; and

( cardiac monitor/defibrillator (in lieu of AED).

(4) In addition to medical supplies and equipment:

(A) protocols approved by the current medical director;

( emergency warning devices;

© personal protective equipment for the crew to include at least:

(i) protective, non-porous gloves;

(ii) medical eye protection;

(iii) medical respiratory protection;

(iv) medical protective gowns or equivalent; and

(v) personal cleansing supplies;

(D) sharps container;

(E) biohazard bags;

(F) fire extinguisher; and

(G) no smoking signs.