Re: [texasems-L]Diversion Notification

[Guest guest]

Can you all tell me the different ways you are

notified about hospital diversion. Which is a good

method? Here in Hidalgo County it is done from

Cameron County. STECF/MEDCOM control paging for

diversion status. The catch is you have to join the

RAC to get a pager. And to join the RAC there is a

membership fee of $600. So yes, you have to pay $600

to get a pager to be notified about hospital

diversion. This is ridiculous esp. for transfer

companies. We do not do too many transports to the

hospital, but when we do the hospital is usually on

diversion and we do not know. I am looking to start

another method specifically for Hidalgo County

hospitals. Seems like STECF and MEDCOM are

monopolizing everything.

Salvador Capuchino Jr

EMT-Paramedic

__________________________________________

Yahoo! DSL – Something to write home about.

Just $16.99/mo. or less.

dsl.yahoo.com

[Guest guest]

in the metro areathe EMSYSTEM website is used. It's very useful that all

hospitals are on the same prograam.

In Fort Worth there is no such thing as divert anymore...thank god.

Re: Diversion Notification

Can you all tell me the different ways you are

notified about hospital diversion. Which is a good

method? Here in Hidalgo County it is done from

Cameron County. STECF/MEDCOM control paging for

diversion status. The catch is you have to join the

RAC to get a pager. And to join the RAC there is a

membership fee of $600. So yes, you have to pay $600

to get a pager to be notified about hospital

diversion. This is ridiculous esp. for transfer

companies. We do not do too many transports to the

hospital, but when we do the hospital is usually on

diversion and we do not know. I am looking to start

another method specifically for Hidalgo County

hospitals. Seems like STECF and MEDCOM are

monopolizing everything.

Salvador Capuchino Jr

EMT-Paramedic

__________________________________________

Yahoo! DSL - Something to write home about.

Just $16.99/mo. or less.

dsl.yahoo.com

[Guest guest]

In Guadalupe co and Comal Co the diversions are announced via radio from

the SO and PD dispatchers. Anybody with a scanner and has the freqs can

get the notification.

Crosby

EMT-B

Re: Diversion Notification

Can you all tell me the different ways you are

notified about hospital diversion. Which is a good

method? Here in Hidalgo County it is done from

Cameron County. STECF/MEDCOM control paging for

diversion status. The catch is you have to join the

RAC to get a pager. And to join the RAC there is a

membership fee of $600. So yes, you have to pay $600

to get a pager to be notified about hospital

diversion. This is ridiculous esp. for transfer

companies. We do not do too many transports to the

hospital, but when we do the hospital is usually on

diversion and we do not know. I am looking to start

another method specifically for Hidalgo County

hospitals. Seems like STECF and MEDCOM are

monopolizing everything.

Salvador Capuchino Jr

EMT-Paramedic

__________________________________________

Yahoo! DSL - Something to write home about.

Just $16.99/mo. or less.

dsl.yahoo.com

[Guest guest]

I think you'll find that most areas of the state use EMSystems in one form

or another. Either a dedicated dispatch center monitors and announces/pages

diversions, or the individual EMS system dispatchers have access to monitor

hospital/ems/helicopter status.

Having said that. I just logged in, and there's no listing for any of the

resources in your area. Is your RAC doing something other than EMSystems?

Jack

_____

From: [mailto: ] On

Behalf Of salvador capuchino

Sent: Friday, January 06, 2006 7:57 PM

To:

Subject: Re: Diversion Notification

Can you all tell me the different ways you are

notified about hospital diversion. Which is a good

method? Here in Hidalgo County it is done from

Cameron County. STECF/MEDCOM control paging for

diversion status. The catch is you have to join the

RAC to get a pager. And to join the RAC there is a

membership fee of $600. So yes, you have to pay $600

to get a pager to be notified about hospital

diversion. This is ridiculous esp. for transfer

companies. We do not do too many transports to the

hospital, but when we do the hospital is usually on

diversion and we do not know. I am looking to start

another method specifically for Hidalgo County

hospitals. Seems like STECF and MEDCOM are

monopolizing everything.

Salvador Capuchino Jr

EMT-Paramedic

__________________________________________

Yahoo! DSL - Something to write home about.

Just $16.99/mo. or less.

dsl.yahoo.com

[Guest guest]

I think you'll find that most areas of the state use EMSystems in one form

or another. Either a dedicated dispatch center monitors and announces/pages

diversions, or the individual EMS system dispatchers have access to monitor

hospital/ems/helicopter status.

Having said that. I just logged in, and there's no listing for any of the

resources in your area. Is your RAC doing something other than EMSystems?

Jack

_____

From: [mailto: ] On

Behalf Of salvador capuchino

Sent: Friday, January 06, 2006 7:57 PM

To:

Subject: Re: Diversion Notification

Can you all tell me the different ways you are

notified about hospital diversion. Which is a good

method? Here in Hidalgo County it is done from

Cameron County. STECF/MEDCOM control paging for

diversion status. The catch is you have to join the

RAC to get a pager. And to join the RAC there is a

membership fee of $600. So yes, you have to pay $600

to get a pager to be notified about hospital

diversion. This is ridiculous esp. for transfer

companies. We do not do too many transports to the

hospital, but when we do the hospital is usually on

diversion and we do not know. I am looking to start

another method specifically for Hidalgo County

hospitals. Seems like STECF and MEDCOM are

monopolizing everything.

Salvador Capuchino Jr

EMT-Paramedic

__________________________________________

Yahoo! DSL - Something to write home about.

Just $16.99/mo. or less.

dsl.yahoo.com

[Guest guest]

I think you'll find that most areas of the state use EMSystems in one form

or another. Either a dedicated dispatch center monitors and announces/pages

diversions, or the individual EMS system dispatchers have access to monitor

hospital/ems/helicopter status.

Having said that. I just logged in, and there's no listing for any of the

resources in your area. Is your RAC doing something other than EMSystems?

Jack

_____

From: [mailto: ] On

Behalf Of salvador capuchino

Sent: Friday, January 06, 2006 7:57 PM

To:

Subject: Re: Diversion Notification

Can you all tell me the different ways you are

notified about hospital diversion. Which is a good

method? Here in Hidalgo County it is done from

Cameron County. STECF/MEDCOM control paging for

diversion status. The catch is you have to join the

RAC to get a pager. And to join the RAC there is a

membership fee of $600. So yes, you have to pay $600

to get a pager to be notified about hospital

diversion. This is ridiculous esp. for transfer

companies. We do not do too many transports to the

hospital, but when we do the hospital is usually on

diversion and we do not know. I am looking to start

another method specifically for Hidalgo County

hospitals. Seems like STECF and MEDCOM are

monopolizing everything.

Salvador Capuchino Jr

EMT-Paramedic

__________________________________________

Yahoo! DSL - Something to write home about.

Just $16.99/mo. or less.

dsl.yahoo.com

[Guest guest]

Sal,

I know what you mean about diversion. We have been meeting with

the hospitals in Hidalgo County in order to have a better working

relationship between EMS and ER's.

The committee is called The Hidalgo County EMS and Hospital Alliance.

The last week in December I personaly called all of the ambulance

providers and spoke to someone or left a message about a meeting that

we had at ERMC on Dec 30.

Our region is in the process of setting up EMSystems, and although

you don't participate in the RAC, they along with the state are

paying for it. Cameron and Hidalgo Counties are two totally different

animals and everyone here in the Valley knows that.

STECF is a non-for profit organization so it is easier to get grants

and to justify funding.

By the way at the meeting we had on Dec 30, there were only 3 out of

38 EMS services.

Director of Communications

Med-Care EMS

>

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

[Guest guest]

Sal,

I know what you mean about diversion. We have been meeting with

the hospitals in Hidalgo County in order to have a better working

relationship between EMS and ER's.

The committee is called The Hidalgo County EMS and Hospital Alliance.

The last week in December I personaly called all of the ambulance

providers and spoke to someone or left a message about a meeting that

we had at ERMC on Dec 30.

Our region is in the process of setting up EMSystems, and although

you don't participate in the RAC, they along with the state are

paying for it. Cameron and Hidalgo Counties are two totally different

animals and everyone here in the Valley knows that.

STECF is a non-for profit organization so it is easier to get grants

and to justify funding.

By the way at the meeting we had on Dec 30, there were only 3 out of

38 EMS services.

Director of Communications

Med-Care EMS

>

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

[Guest guest]

Sal,

I know what you mean about diversion. We have been meeting with

the hospitals in Hidalgo County in order to have a better working

relationship between EMS and ER's.

The committee is called The Hidalgo County EMS and Hospital Alliance.

The last week in December I personaly called all of the ambulance

providers and spoke to someone or left a message about a meeting that

we had at ERMC on Dec 30.

Our region is in the process of setting up EMSystems, and although

you don't participate in the RAC, they along with the state are

paying for it. Cameron and Hidalgo Counties are two totally different

animals and everyone here in the Valley knows that.

STECF is a non-for profit organization so it is easier to get grants

and to justify funding.

By the way at the meeting we had on Dec 30, there were only 3 out of

38 EMS services.

Director of Communications

Med-Care EMS

>

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

[Guest guest]

I am not sure if we were called, but I was not aware

of this meeting. It is to everyone's benefit to be a

part of the RAC, however, most transfer services do

not care to be a part of it for one reason or another.

It is hard to make them understand that what affects

EMS affects everyone. This is apparant by the

attendance. Please if you can, try to notify me by

email of any furture meetings. I want to become more

involved in EMS issues affecting our area.

Salvador Capuchino Jr

EMT-Paramedic

--- Danny wrote:

> Sal,

> I know what you mean about diversion. We have been

> meeting with

> the hospitals in Hidalgo County in order to have a

> better working

> relationship between EMS and ER's.

> The committee is called The Hidalgo County EMS and

> Hospital Alliance.

> The last week in December I personaly called all of

> the ambulance

> providers and spoke to someone or left a message

> about a meeting that

> we had at ERMC on Dec 30.

> Our region is in the process of setting up

> EMSystems, and although

> you don't participate in the RAC, they along with

> the state are

> paying for it. Cameron and Hidalgo Counties are two

> totally different

> animals and everyone here in the Valley knows that.

> STECF is a non-for profit organization so it is

> easier to get grants

> and to justify funding.

>

> By the way at the meeting we had on Dec 30, there

> were only 3 out of

> 38 EMS services.

>

>

> Director of Communications

> Med-Care EMS

>

>

>

> >

> > Can you all tell me the different ways you are

> > notified about hospital diversion. Which is a

> good

> > method? Here in Hidalgo County it is done from

> > Cameron County. STECF/MEDCOM control paging for

> > diversion status. The catch is you have to join

> the

> > RAC to get a pager. And to join the RAC there is

> a

> > membership fee of $600. So yes, you have to pay

> $600

> > to get a pager to be notified about hospital

> > diversion. This is ridiculous esp. for transfer

> > companies. We do not do too many transports to

> the

> > hospital, but when we do the hospital is usually

> on

> > diversion and we do not know. I am looking to

> start

> > another method specifically for Hidalgo County

> > hospitals. Seems like STECF and MEDCOM are

> > monopolizing everything.

> > Salvador Capuchino Jr

> > EMT-Paramedic

> >

> >

> >

> > __________________________________________

> > Yahoo! DSL – Something to write home about.

> > Just $16.99/mo. or less.

> > dsl.yahoo.com

> >

>

>

>

>

>

>

>

>

[Guest guest]

I am not sure if we were called, but I was not aware

of this meeting. It is to everyone's benefit to be a

part of the RAC, however, most transfer services do

not care to be a part of it for one reason or another.

It is hard to make them understand that what affects

EMS affects everyone. This is apparant by the

attendance. Please if you can, try to notify me by

email of any furture meetings. I want to become more

involved in EMS issues affecting our area.

Salvador Capuchino Jr

EMT-Paramedic

--- Danny wrote:

> Sal,

> I know what you mean about diversion. We have been

> meeting with

> the hospitals in Hidalgo County in order to have a

> better working

> relationship between EMS and ER's.

> The committee is called The Hidalgo County EMS and

> Hospital Alliance.

> The last week in December I personaly called all of

> the ambulance

> providers and spoke to someone or left a message

> about a meeting that

> we had at ERMC on Dec 30.

> Our region is in the process of setting up

> EMSystems, and although

> you don't participate in the RAC, they along with

> the state are

> paying for it. Cameron and Hidalgo Counties are two

> totally different

> animals and everyone here in the Valley knows that.

> STECF is a non-for profit organization so it is

> easier to get grants

> and to justify funding.

>

> By the way at the meeting we had on Dec 30, there

> were only 3 out of

> 38 EMS services.

>

>

> Director of Communications

> Med-Care EMS

>

>

>

> >

> > Can you all tell me the different ways you are

> > notified about hospital diversion. Which is a

> good

> > method? Here in Hidalgo County it is done from

> > Cameron County. STECF/MEDCOM control paging for

> > diversion status. The catch is you have to join

> the

> > RAC to get a pager. And to join the RAC there is

> a

> > membership fee of $600. So yes, you have to pay

> $600

> > to get a pager to be notified about hospital

> > diversion. This is ridiculous esp. for transfer

> > companies. We do not do too many transports to

> the

> > hospital, but when we do the hospital is usually

> on

> > diversion and we do not know. I am looking to

> start

> > another method specifically for Hidalgo County

> > hospitals. Seems like STECF and MEDCOM are

> > monopolizing everything.

> > Salvador Capuchino Jr

> > EMT-Paramedic

> >

> >

> >

> > __________________________________________

> > Yahoo! DSL – Something to write home about.

> > Just $16.99/mo. or less.

> > dsl.yahoo.com

> >

>

>

>

>

>

>

>

>

[Guest guest]

I am not sure if we were called, but I was not aware

of this meeting. It is to everyone's benefit to be a

part of the RAC, however, most transfer services do

not care to be a part of it for one reason or another.

It is hard to make them understand that what affects

EMS affects everyone. This is apparant by the

attendance. Please if you can, try to notify me by

email of any furture meetings. I want to become more

involved in EMS issues affecting our area.

Salvador Capuchino Jr

EMT-Paramedic

--- Danny wrote:

> Sal,

> I know what you mean about diversion. We have been

> meeting with

> the hospitals in Hidalgo County in order to have a

> better working

> relationship between EMS and ER's.

> The committee is called The Hidalgo County EMS and

> Hospital Alliance.

> The last week in December I personaly called all of

> the ambulance

> providers and spoke to someone or left a message

> about a meeting that

> we had at ERMC on Dec 30.

> Our region is in the process of setting up

> EMSystems, and although

> you don't participate in the RAC, they along with

> the state are

> paying for it. Cameron and Hidalgo Counties are two

> totally different

> animals and everyone here in the Valley knows that.

> STECF is a non-for profit organization so it is

> easier to get grants

> and to justify funding.

>

> By the way at the meeting we had on Dec 30, there

> were only 3 out of

> 38 EMS services.

>

>

> Director of Communications

> Med-Care EMS

>

>

>

> >

> > Can you all tell me the different ways you are

> > notified about hospital diversion. Which is a

> good

> > method? Here in Hidalgo County it is done from

> > Cameron County. STECF/MEDCOM control paging for

> > diversion status. The catch is you have to join

> the

> > RAC to get a pager. And to join the RAC there is

> a

> > membership fee of $600. So yes, you have to pay

> $600

> > to get a pager to be notified about hospital

> > diversion. This is ridiculous esp. for transfer

> > companies. We do not do too many transports to

> the

> > hospital, but when we do the hospital is usually

> on

> > diversion and we do not know. I am looking to

> start

> > another method specifically for Hidalgo County

> > hospitals. Seems like STECF and MEDCOM are

> > monopolizing everything.

> > Salvador Capuchino Jr

> > EMT-Paramedic

> >

> >

> >

> > __________________________________________

> > Yahoo! DSL – Something to write home about.

> > Just $16.99/mo. or less.

> > dsl.yahoo.com

> >

>

>

>

>

>

>

>

>

[Guest guest]

I'm only curious - why do you care? I'm not asking that in any sort

of personal sense, but if they're going to those lengths to avoid

notifying providers, why not just take them the patients that need to

be taken there, diversion status be damned?

Honestly - I'm honestly wondering - why even worry about it? Show up,

present the patient, and it becomes THEIR problem to triage, treat and

dispo the patient. They need more staff or more room, let them build

it. They get sued for dropping the ball on something? They'll decide

whether paying off lawsuits is cheaper than building new facilites and

staff, or than developing a good, free diversion notification system

for providers to be notified.

If they're going to play that way, my personal answer would be " why

bother? what do I care? "

Mike :/

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

>

>

>

>

>

[Guest guest]

I'm only curious - why do you care? I'm not asking that in any sort

of personal sense, but if they're going to those lengths to avoid

notifying providers, why not just take them the patients that need to

be taken there, diversion status be damned?

Honestly - I'm honestly wondering - why even worry about it? Show up,

present the patient, and it becomes THEIR problem to triage, treat and

dispo the patient. They need more staff or more room, let them build

it. They get sued for dropping the ball on something? They'll decide

whether paying off lawsuits is cheaper than building new facilites and

staff, or than developing a good, free diversion notification system

for providers to be notified.

If they're going to play that way, my personal answer would be " why

bother? what do I care? "

Mike :/

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

>

>

>

>

>

[Guest guest]

I'm only curious - why do you care? I'm not asking that in any sort

of personal sense, but if they're going to those lengths to avoid

notifying providers, why not just take them the patients that need to

be taken there, diversion status be damned?

Honestly - I'm honestly wondering - why even worry about it? Show up,

present the patient, and it becomes THEIR problem to triage, treat and

dispo the patient. They need more staff or more room, let them build

it. They get sued for dropping the ball on something? They'll decide

whether paying off lawsuits is cheaper than building new facilites and

staff, or than developing a good, free diversion notification system

for providers to be notified.

If they're going to play that way, my personal answer would be " why

bother? what do I care? "

Mike :/

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

>

>

>

>

>

[Guest guest]

what about soemthing like emsystem

www.emsystem.com

jim davis

Mike wrote: I'm only curious - why do you care?

I'm not asking that in any sort

of personal sense, but if they're going to those lengths to avoid

notifying providers, why not just take them the patients that need to

be taken there, diversion status be damned?

Honestly - I'm honestly wondering - why even worry about it? Show up,

present the patient, and it becomes THEIR problem to triage, treat and

dispo the patient. They need more staff or more room, let them build

it. They get sued for dropping the ball on something? They'll decide

whether paying off lawsuits is cheaper than building new facilites and

staff, or than developing a good, free diversion notification system

for providers to be notified.

If they're going to play that way, my personal answer would be " why

bother? what do I care? "

Mike :/

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

>

>

>

>

>

[Guest guest]

what about soemthing like emsystem

www.emsystem.com

jim davis

Mike wrote: I'm only curious - why do you care?

I'm not asking that in any sort

of personal sense, but if they're going to those lengths to avoid

notifying providers, why not just take them the patients that need to

be taken there, diversion status be damned?

Honestly - I'm honestly wondering - why even worry about it? Show up,

present the patient, and it becomes THEIR problem to triage, treat and

dispo the patient. They need more staff or more room, let them build

it. They get sued for dropping the ball on something? They'll decide

whether paying off lawsuits is cheaper than building new facilites and

staff, or than developing a good, free diversion notification system

for providers to be notified.

If they're going to play that way, my personal answer would be " why

bother? what do I care? "

Mike :/

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

>

>

>

>

>

[Guest guest]

what about soemthing like emsystem

www.emsystem.com

jim davis

Mike wrote: I'm only curious - why do you care?

I'm not asking that in any sort

of personal sense, but if they're going to those lengths to avoid

notifying providers, why not just take them the patients that need to

be taken there, diversion status be damned?

Honestly - I'm honestly wondering - why even worry about it? Show up,

present the patient, and it becomes THEIR problem to triage, treat and

dispo the patient. They need more staff or more room, let them build

it. They get sued for dropping the ball on something? They'll decide

whether paying off lawsuits is cheaper than building new facilites and

staff, or than developing a good, free diversion notification system

for providers to be notified.

If they're going to play that way, my personal answer would be " why

bother? what do I care? "

Mike :/

> Can you all tell me the different ways you are

> notified about hospital diversion. Which is a good

> method? Here in Hidalgo County it is done from

> Cameron County. STECF/MEDCOM control paging for

> diversion status. The catch is you have to join the

> RAC to get a pager. And to join the RAC there is a

> membership fee of $600. So yes, you have to pay $600

> to get a pager to be notified about hospital

> diversion. This is ridiculous esp. for transfer

> companies. We do not do too many transports to the

> hospital, but when we do the hospital is usually on

> diversion and we do not know. I am looking to start

> another method specifically for Hidalgo County

> hospitals. Seems like STECF and MEDCOM are

> monopolizing everything.

> Salvador Capuchino Jr

> EMT-Paramedic

>

>

>

> __________________________________________

> Yahoo! DSL – Something to write home about.

> Just $16.99/mo. or less.

> dsl.yahoo.com

>

>

>

>

>

>

[Guest guest]

The problem is not the hospital here, but the

organization controlling the diversion notification.

The organization, MEDCOMM, has teamed up, or should I

say, is a part of STECF and they have somehow made it

so that if you join the RAC, you get a pager after a

certain period of time. But to join the RAC the

membership fee is $600. That is outrageous. So in

essence you have to pay $600 in order to get a

diversion pager. Most transfer services do not want

to be a part of the RAC because they have no need for

it. The money the RAC offers to get them for running

emergencies is chump change compared with what you get

from dialysis transfers.

As for why care? Because the hospitals' way of

dealing with the problem is by making us wait 3 or

more hours before even transfering the patient to a

bed and freeing up our stretchers. I used to work for

a service that once all the units were out and no

other units were available we took advantage of the

CMS letter and gave the charge nurse 5 minutes to find

you a bed. If not you look for an empty one and

transfer the patient over. Last resort was putting

the patient on the floor. This after carefully

explaining to the patient what was going on and why.

I pissed off a doc once, but once I flashed the CMS

letter they backed down. Most charge nurses were

understanding and knew we were only following orders.

I worked for another service that had the hospital

contract and we were basically stuck until they took

the patient. That is until they hired CNAs to stay

with the patients until a bed was recieved. In other

words the medics gave report and a copy of the run

report to the CNA and left with another stretcher and

got back in service. Meanwhile the CNAs stayed with

the patient on the EMS stretcher till the hospital had

a bed available. The nurse then only had the run

report and the CNA to get a report from.

Salvador Capuchino Jr

EMT-Paramedic

--- Mike wrote:

> I'm only curious - why do you care? I'm not asking

> that in any sort

> of personal sense, but if they're going to those

> lengths to avoid

> notifying providers, why not just take them the

> patients that need to

> be taken there, diversion status be damned?

>

> Honestly - I'm honestly wondering - why even worry

> about it? Show up,

> present the patient, and it becomes THEIR problem to

> triage, treat and

> dispo the patient. They need more staff or more

> room, let them build

> it. They get sued for dropping the ball on

> something? They'll decide

> whether paying off lawsuits is cheaper than building

> new facilites and

> staff, or than developing a good, free diversion

> notification system

> for providers to be notified.

>

> If they're going to play that way, my personal

> answer would be " why

> bother? what do I care? "

>

> Mike :/

>

> On 1/6/06, salvador capuchino

> wrote:

> > Can you all tell me the different ways you are

> > notified about hospital diversion. Which is a

> good

> > method? Here in Hidalgo County it is done from

> > Cameron County. STECF/MEDCOM control paging for

> > diversion status. The catch is you have to join

> the

> > RAC to get a pager. And to join the RAC there is

> a

> > membership fee of $600. So yes, you have to pay

> $600

> > to get a pager to be notified about hospital

> > diversion. This is ridiculous esp. for transfer

> > companies. We do not do too many transports to

> the

> > hospital, but when we do the hospital is usually

> on

> > diversion and we do not know. I am looking to

> start

> > another method specifically for Hidalgo County

> > hospitals. Seems like STECF and MEDCOM are

> > monopolizing everything.

> > Salvador Capuchino Jr

> > EMT-Paramedic

> >

> >

> >

> > __________________________________________

> > Yahoo! DSL – Something to write home about.

> > Just $16.99/mo. or less.

> > dsl.yahoo.com

> >

> >

> >

> >

> >

> >

[Guest guest]

The problem is not the hospital here, but the

organization controlling the diversion notification.

The organization, MEDCOMM, has teamed up, or should I

say, is a part of STECF and they have somehow made it

so that if you join the RAC, you get a pager after a

certain period of time. But to join the RAC the

membership fee is $600. That is outrageous. So in

essence you have to pay $600 in order to get a

diversion pager. Most transfer services do not want

to be a part of the RAC because they have no need for

it. The money the RAC offers to get them for running

emergencies is chump change compared with what you get

from dialysis transfers.

As for why care? Because the hospitals' way of

dealing with the problem is by making us wait 3 or

more hours before even transfering the patient to a

bed and freeing up our stretchers. I used to work for

a service that once all the units were out and no

other units were available we took advantage of the

CMS letter and gave the charge nurse 5 minutes to find

you a bed. If not you look for an empty one and

transfer the patient over. Last resort was putting

the patient on the floor. This after carefully

explaining to the patient what was going on and why.

I pissed off a doc once, but once I flashed the CMS

letter they backed down. Most charge nurses were

understanding and knew we were only following orders.

I worked for another service that had the hospital

contract and we were basically stuck until they took

the patient. That is until they hired CNAs to stay

with the patients until a bed was recieved. In other

words the medics gave report and a copy of the run

report to the CNA and left with another stretcher and

got back in service. Meanwhile the CNAs stayed with

the patient on the EMS stretcher till the hospital had

a bed available. The nurse then only had the run

report and the CNA to get a report from.

Salvador Capuchino Jr

EMT-Paramedic

--- Mike wrote:

> I'm only curious - why do you care? I'm not asking

> that in any sort

> of personal sense, but if they're going to those

> lengths to avoid

> notifying providers, why not just take them the

> patients that need to

> be taken there, diversion status be damned?

>

> Honestly - I'm honestly wondering - why even worry

> about it? Show up,

> present the patient, and it becomes THEIR problem to

> triage, treat and

> dispo the patient. They need more staff or more

> room, let them build

> it. They get sued for dropping the ball on

> something? They'll decide

> whether paying off lawsuits is cheaper than building

> new facilites and

> staff, or than developing a good, free diversion

> notification system

> for providers to be notified.

>

> If they're going to play that way, my personal

> answer would be " why

> bother? what do I care? "

>

> Mike :/

>

> On 1/6/06, salvador capuchino

> wrote:

> > Can you all tell me the different ways you are

> > notified about hospital diversion. Which is a

> good

> > method? Here in Hidalgo County it is done from

> > Cameron County. STECF/MEDCOM control paging for

> > diversion status. The catch is you have to join

> the

> > RAC to get a pager. And to join the RAC there is

> a

> > membership fee of $600. So yes, you have to pay

> $600

> > to get a pager to be notified about hospital

> > diversion. This is ridiculous esp. for transfer

> > companies. We do not do too many transports to

> the

> > hospital, but when we do the hospital is usually

> on

> > diversion and we do not know. I am looking to

> start

> > another method specifically for Hidalgo County

> > hospitals. Seems like STECF and MEDCOM are

> > monopolizing everything.

> > Salvador Capuchino Jr

> > EMT-Paramedic

> >

> >

> >

> > __________________________________________

> > Yahoo! DSL – Something to write home about.

> > Just $16.99/mo. or less.

> > dsl.yahoo.com

> >

> >

> >

> >

> >

> >

[Guest guest]

The problem is not the hospital here, but the

organization controlling the diversion notification.

The organization, MEDCOMM, has teamed up, or should I

say, is a part of STECF and they have somehow made it

so that if you join the RAC, you get a pager after a

certain period of time. But to join the RAC the

membership fee is $600. That is outrageous. So in

essence you have to pay $600 in order to get a

diversion pager. Most transfer services do not want

to be a part of the RAC because they have no need for

it. The money the RAC offers to get them for running

emergencies is chump change compared with what you get

from dialysis transfers.

As for why care? Because the hospitals' way of

dealing with the problem is by making us wait 3 or

more hours before even transfering the patient to a

bed and freeing up our stretchers. I used to work for

a service that once all the units were out and no

other units were available we took advantage of the

CMS letter and gave the charge nurse 5 minutes to find

you a bed. If not you look for an empty one and

transfer the patient over. Last resort was putting

the patient on the floor. This after carefully

explaining to the patient what was going on and why.

I pissed off a doc once, but once I flashed the CMS

letter they backed down. Most charge nurses were

understanding and knew we were only following orders.

I worked for another service that had the hospital

contract and we were basically stuck until they took

the patient. That is until they hired CNAs to stay

with the patients until a bed was recieved. In other

words the medics gave report and a copy of the run

report to the CNA and left with another stretcher and

got back in service. Meanwhile the CNAs stayed with

the patient on the EMS stretcher till the hospital had

a bed available. The nurse then only had the run

report and the CNA to get a report from.

Salvador Capuchino Jr

EMT-Paramedic

--- Mike wrote:

> I'm only curious - why do you care? I'm not asking

> that in any sort

> of personal sense, but if they're going to those

> lengths to avoid

> notifying providers, why not just take them the

> patients that need to

> be taken there, diversion status be damned?

>

> Honestly - I'm honestly wondering - why even worry

> about it? Show up,

> present the patient, and it becomes THEIR problem to

> triage, treat and

> dispo the patient. They need more staff or more

> room, let them build

> it. They get sued for dropping the ball on

> something? They'll decide

> whether paying off lawsuits is cheaper than building

> new facilites and

> staff, or than developing a good, free diversion

> notification system

> for providers to be notified.

>

> If they're going to play that way, my personal

> answer would be " why

> bother? what do I care? "

>

> Mike :/

>

> On 1/6/06, salvador capuchino

> wrote:

> > Can you all tell me the different ways you are

> > notified about hospital diversion. Which is a

> good

> > method? Here in Hidalgo County it is done from

> > Cameron County. STECF/MEDCOM control paging for

> > diversion status. The catch is you have to join

> the

> > RAC to get a pager. And to join the RAC there is

> a

> > membership fee of $600. So yes, you have to pay

> $600

> > to get a pager to be notified about hospital

> > diversion. This is ridiculous esp. for transfer

> > companies. We do not do too many transports to

> the

> > hospital, but when we do the hospital is usually

> on

> > diversion and we do not know. I am looking to

> start

> > another method specifically for Hidalgo County

> > hospitals. Seems like STECF and MEDCOM are

> > monopolizing everything.

> > Salvador Capuchino Jr

> > EMT-Paramedic

> >

> >

> >

> > __________________________________________

> > Yahoo! DSL – Something to write home about.

> > Just $16.99/mo. or less.

> > dsl.yahoo.com

> >

> >

> >

> >

> >

> >

[Guest guest]

salvador capuchino wrote: " ...In other words the medics

gave report and a copy of the run report to the CNA and left with another

stretcher and got back in service. Meanwhile the CNAs stayed with the patient

on the EMS stretcher till the hospital had a bed available. The nurse then only

had the run report and the CNA to get a report from.... "

Oh can I see a big problem with that one. As the RN is in charge of the CNA, I

would have chased down the RN and made them aware of the patient. That solves

tem playing 20 questions with the CNA later (note: There are good, conscienous

CNAs, but that is too much of a liabiity, in my mind, not only for the ambulance

service, but the hospital as well.)

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

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

Yahoo! Photos

Got holiday prints? See all the ways to get quality prints in your hands ASAP.

[Guest guest]

salvador capuchino wrote: " ...In other words the medics

gave report and a copy of the run report to the CNA and left with another

stretcher and got back in service. Meanwhile the CNAs stayed with the patient

on the EMS stretcher till the hospital had a bed available. The nurse then only

had the run report and the CNA to get a report from.... "

Oh can I see a big problem with that one. As the RN is in charge of the CNA, I

would have chased down the RN and made them aware of the patient. That solves

tem playing 20 questions with the CNA later (note: There are good, conscienous

CNAs, but that is too much of a liabiity, in my mind, not only for the ambulance

service, but the hospital as well.)

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

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

Yahoo! Photos

Got holiday prints? See all the ways to get quality prints in your hands ASAP.

[Guest guest]

salvador capuchino wrote: " ...In other words the medics

gave report and a copy of the run report to the CNA and left with another

stretcher and got back in service. Meanwhile the CNAs stayed with the patient

on the EMS stretcher till the hospital had a bed available. The nurse then only

had the run report and the CNA to get a report from.... "

Oh can I see a big problem with that one. As the RN is in charge of the CNA, I

would have chased down the RN and made them aware of the patient. That solves

tem playing 20 questions with the CNA later (note: There are good, conscienous

CNAs, but that is too much of a liabiity, in my mind, not only for the ambulance

service, but the hospital as well.)

" The true soldier fights not because he hates what is in front of him, but

because he loves what is behind him. " - GK Chesterton

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

Yahoo! Photos

Got holiday prints? See all the ways to get quality prints in your hands ASAP.

[Guest guest]

The liability issue relates to abandonment. As for protecting your patch,

if you protect your patient, the patch takes care of itself.

-Wes Ogilvie, MPA, JD, EMT-B

Austin, Texas

In a message dated 1/8/2006 3:37:28 AM Central Standard Time,

micahjackson911@... writes:

Don't forget the liability issue with releasing care to a person less

qualified than you also. That seems to me to be the real issue here with doing

that. Sure it releases you from having to wait. However, if you ever went to

court concerning a patient that was dropped off under those circumstances and

declined, what do you think would happen.

I think that you do what you got to do to protect your patch when it comes

down to it.

salvador capuchino wrote:

But these CNAs are hired by the ambulance company to

relieve medics at the hospital when they are going to

hold the medics for a long time.

Salvador Capuchino Jr

EMT-Paramedic

--- Larry wrote:

> salvador capuchino wrote:

> " ...In other words the medics gave report and a copy

> of the run report to the CNA and left with another

> stretcher and got back in service. Meanwhile the

> CNAs stayed with the patient on the EMS stretcher

> till the hospital had a bed available. The nurse

> then only had the run report and the CNA to get a

> report from.... "

> Oh can I see a big problem with that one. As the

> RN is in charge of the CNA, I would have chased down

> the RN and made them aware of the patient. That

> solves tem playing 20 questions with the CNA later

> (note: There are good, conscienous CNAs, but that is

> too much of a liabiity, in my mind, not only for the

> ambulance service, but the hospital as well.)

>

>

>

>

> " The true soldier fights not because he hates what

> is in front of him, but because he loves what is

> behind him. " - GK Chesterton

>

>

>

> ---------------------------------

> Yahoo! Photos

> Got holiday prints? See all the ways to get quality

> prints in your hands ASAP.

>

> [Non-text portions of this message have been

> removed]

>

>

>

>