Re: Stirrin the pot response

[Guest guest]

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Mike

Stirrin the pot response

>>1. we go by protocal, That means that the doctors trust us in full

without >>hesitation, and that we make the call on the field, to where

the nurses >>have daily written orders from the physicians, They can't

even put a >>patient on O2 w/o written orders. the best part you put in

your last email >>was they are to wipe butts regardless.

First, protocols also set guidelines under which we fall, they set

ceilings and minimum expectations, just the same as the nursing industry

has guidelines to follow with their patient care. Our docs trust us to

work " within " those protocols, we don't freelance. ER's have standing

orders for various patients, the nurses operate within those standing

orders, just as we operate within ours. Their protocols may be more

limited, but I can tell you now, that I know a lot of them that don't

like the restrictions, and are intelligent enough to know what to do,

they just can't do it. It also depends on where they are and what field

they are in, i.e ER nurses have a lot more latitude then NH nurses, etc.

>>2. thats why alot of nurses are getting there EMT-B,I, & or LP so they

can >>assist outside the hospital and have somewhat protections.

How does having a pre hospital cert give them added protection?

>>3. I have seen nurses loose there lisence over a small kid getting hit

by >>a baseball on the head and was unconscious for about 10min and the

>>somewhat nurses decided to put the kid in the dugout and put an ice

pack >>on his head, To make a short story, The patient sustained a

fracture to >>the skull and and there was a sign of battle signs, So the

parents tried >>to sue the nurse and ended up getting nothing, But did

loose her license >>but there were no protocal or medical control at the

time..the kid is fine >>and doing real well. it could've been worse.

I have seen medics lose their license for turning a car from it's side

to it's wheels to get a patient out because they didn't think they could

get them out any other way, patient was fine there too, but they (2 of

them) were decertified. Point being is that ignorance and stupidity is

certainly not limited to nursing.

>>So i don't listen to them unless a medical control is actually making

the >>call, And i sure the hell will not listen to them on the field

unless they >>are certified and current.

That's good sense, no matter where you are.

>>just because they make alittle more money than we do, who cares. and

>>further more they are only paid that high salary because nursing

staffing >>is very critical and they will pay whatever to get

them...........and we >>dont make that much because we are dedicated and

we don't mind on what we >>do for others,and there is always someone who

wants on a crew/ambulance >>because we are not picky. EMS IS AWESOME

I beg to differ, they were making a lot more than us even before the

nursing shortage, they make more money because they have come together

despite their different opinions, created organizations, raised the

education levels, raised the respect and raised their unified voice to

their legislation. The reason I don't make more than I do, is that I am

in a profession that while it is a wonderful and meaningful profession,

we are still in the process of doing all the things that the nursing

world has accomplished. I like what I do, and I am proud that I get the

opportunity to help people, but it is still a job and I still bank on

the paycheck, the more I make the happier I am.

In closing, let me add that there are closed minded, ignorant and biased

morons in the nursing field, no doubt about it, but there are just as

many closed minded, ignorant and biased morons in EMS. We just choose to

ignore them instead of policing ourselves.

Maybe we should be picky?

'Tater Salad' Hatfield EMT-P

" Si hoc legere scis nimium eruditiones habes. "

EMStock 2005, it's never to early to plan!!!

www.emstock.com

www.temsf.org

[Guest guest]

-- Wayne Edgin wrote:

When the supervisor arrived,she began to lambast him with

the how ,the why ,and the IF YOU DONTS.......... When

all of the sudden Our Clinical Manager walks in and

states'If you do not move,and keep impeading Paitent

Care,you will be arrested for interfering with

emergency medical providers in the performance of

their duties' So just because they have Alphabet Soup

at the end of their name,dont mean crap. If you can't

run with the big dogs,keep your little puppy tail

under the porch.

I understand in California, if you are an MICN (and a dialysis center RN most

likely isn't) there is some hierarchy there.

Our service does a fair number of routine dialysis transports, but frequently we

are asked to transport a patient (not one of our regular clients) to an ER /ICU

by the nephrologist / charge nurse because we have the level of care, the

equipment and their confidence in our abilities. The reason for transport can

run from intractable chest pain (ACS),to (very)ACTIVE arterial bleeding.(youda

thunk we were a 911 car that had been at a bad shooting).

I find that if the patient is sufficiently FUBAR'd that they are being urgently

/ emergently being transported from the DC, the staff is MORE than happy to

expedite the transfer of care!

" We sleep safe in our beds because rough men stand ready in the night to visit

violence on those who would do us harm. " - Orwell.

Larry RN LP

Operations Manager, Maxxim Care EMS

Spring, Texas

[Guest guest]

-- Wayne Edgin wrote:

When the supervisor arrived,she began to lambast him with

the how ,the why ,and the IF YOU DONTS.......... When

all of the sudden Our Clinical Manager walks in and

states'If you do not move,and keep impeading Paitent

Care,you will be arrested for interfering with

emergency medical providers in the performance of

their duties' So just because they have Alphabet Soup

at the end of their name,dont mean crap. If you can't

run with the big dogs,keep your little puppy tail

under the porch.

I understand in California, if you are an MICN (and a dialysis center RN most

likely isn't) there is some hierarchy there.

Our service does a fair number of routine dialysis transports, but frequently we

are asked to transport a patient (not one of our regular clients) to an ER /ICU

by the nephrologist / charge nurse because we have the level of care, the

equipment and their confidence in our abilities. The reason for transport can

run from intractable chest pain (ACS),to (very)ACTIVE arterial bleeding.(youda

thunk we were a 911 car that had been at a bad shooting).

I find that if the patient is sufficiently FUBAR'd that they are being urgently

/ emergently being transported from the DC, the staff is MORE than happy to

expedite the transfer of care!

" We sleep safe in our beds because rough men stand ready in the night to visit

violence on those who would do us harm. " - Orwell.

Larry RN LP

Operations Manager, Maxxim Care EMS

Spring, Texas

[Guest guest]

-- Wayne Edgin wrote:

When the supervisor arrived,she began to lambast him with

the how ,the why ,and the IF YOU DONTS.......... When

all of the sudden Our Clinical Manager walks in and

states'If you do not move,and keep impeading Paitent

Care,you will be arrested for interfering with

emergency medical providers in the performance of

their duties' So just because they have Alphabet Soup

at the end of their name,dont mean crap. If you can't

run with the big dogs,keep your little puppy tail

under the porch.

I understand in California, if you are an MICN (and a dialysis center RN most

likely isn't) there is some hierarchy there.

Our service does a fair number of routine dialysis transports, but frequently we

are asked to transport a patient (not one of our regular clients) to an ER /ICU

by the nephrologist / charge nurse because we have the level of care, the

equipment and their confidence in our abilities. The reason for transport can

run from intractable chest pain (ACS),to (very)ACTIVE arterial bleeding.(youda

thunk we were a 911 car that had been at a bad shooting).

I find that if the patient is sufficiently FUBAR'd that they are being urgently

/ emergently being transported from the DC, the staff is MORE than happy to

expedite the transfer of care!

" We sleep safe in our beds because rough men stand ready in the night to visit

violence on those who would do us harm. " - Orwell.

Larry RN LP

Operations Manager, Maxxim Care EMS

Spring, Texas