Guest guest Posted August 3, 2005 Report Share Posted August 3, 2005 Here is just the problem. As it has been stated before you must have qualified EMS management before the problems you are dicussing here will change. By that I mean management that actually understands what is happening on the street, both medically and professionally. The change has been here for a while. We have gotten away from those who actually know how to do the work as well as how to manage people. Until we are able to return to this type of meaningful work relationship it will only continue to deteriorate. That doesn't mean we should roll over and allow this type of behavior to continue. I speak from experience in both worlds. THEDUDMAN@... wrote: No Gene...that is not it at all....what I want is what I can afford and what is important for both patient care and what the market can bear...I DO NOT want the highest trained, most capable, physicians bow in their presence paramedics if no one can afford them... Dudley Re: Employee Retention? " , " wrote: > I don't mean to spark another debate on this, but don't the EMS Education > Programs work for us? WE are THEIR customers, but yet, this isn't the first > time this lack of education has been noted. Why don't they change to meet > the industry needs? I believe that you are making a very broad generalization regarding EMS Education Programs. You are saying that ALL programs are deficient in what they are teaching. This is simply not true. There are some very, very good programs available. Yes, there are some very poor quality education programs, as well. I, among several other people, am a National Registry Representative in Texas. I see many, many students who come to take the NR test. I know those who do very well and those who do poorly, and usually what education program they came through. Although I will not name those good ones or those poor ones that I am aware of, I firmly believe that there are still some very good programs, programs which far exceed others in their instruction and education offered. I can speak for Gene Gandy, Jane Hill, and myself when I say that when we were all 3 at Tyler Junior College, we all worked very hard to provide the very best training and educational opportunities available, and I believe this is what we delivered. There are still other institutions out there doing this. " Meet the industry needs " you say. I say that we need to meet the patient's needs. We need to teach whatever is necessary to medically help the patient in the very best and most efficient way. So programs do, some programs don't. I urge each person who is to take EMS courses to study the programs available. Talk to people knowledgable regarding the education opportunities available and the quality of the program. Do not simply go to a program because it is the cheapest. Go to one where you will get the very best education. Select a program with quality equipment. Apply yourself to the very best of your abilities and make up your mind that you don't simply want to be a certified EMT, Intermediate, or Paramedic, make up you mind that you want to be the very best in these fields. I guess I have said my .07 cents worth, sorry for rambling but education is something that I take very seriously. Have a Great Day! Education Coordinator Champion EMS Longview, Texas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 3, 2005 Report Share Posted August 3, 2005 Gene, You wrote about educators: <<< In other words, their true agenda is the perpetuation of their own jobs and the bureaucracy that goes with them. >>> Can you name a field, worker, or position that this statement cannot be made about? Maybe a President in the 2nd term? Dudley Re: Employee Retention? > > > I'd like to jump in on this one if I may. > > If an EMS service does not get what they wish from any training program, its > the responsibility of that service to say so. All training programs have > advisory committees of one type or another. Join up. Get involved. Tell > the training programs what you do need if they are not meeting your needs. > Help them meet your goals. > > All must keep in mind one other thing when talking about content of any > level of training in EMS education. EMS educator serve many masters. The > operations folks do get the final result of the program, but local, > regional, state, and federal agencies mandate content. > > The bottom line is that we all must get involved if a " better product " is > required or desired. > > Just a couple of more pennies thrown into the mix...... > > Mike > Longview > > Re: Employee Retention? > > > " , " wrote: > > > I don't mean to spark another debate on this, but don't the EMS Education > > Programs work for us? WE are THEIR customers, but yet, this isn't the > > first > > time this lack of education has been noted. Why don't they change to meet > > the industry needs? > I believe that you are making a very broad generalization regarding EMS > Education Programs. You are saying that ALL programs are deficient in what > they > > are teaching. This is simply not true. > > There are some very, very good programs available. Yes, there are some very > poor quality education programs, as well. I, among several other people, > am > a National Registry Representative in Texas. I see many, many students who > come to take the NR test. I know those who do very well and those who do > poorly, and usually what education program they came through. Although I > will > not > name those good ones or those poor ones that I am aware of, I firmly believe > that there are still some very good programs, programs which far exceed > others > in their instruction and education offered. > > I can speak for Gene Gandy, Jane Hill, and myself when I say that when we > were all 3 at Tyler Junior College, we all worked very hard to provide the > very > best training and educational opportunities available, and I believe this is > what we delivered. There are still other institutions out there doing this. > > " Meet the industry needs " you say. I say that we need to meet the patient's > needs. We need to teach whatever is necessary to medically help the patient > in the very best and most efficient way. So programs do, some programs > don't. > > I urge each person who is to take EMS courses to study the programs > available. Talk to people knowledgeable regarding the education > opportunities > available > and the quality of the program. Do not simply go to a program because it is > the cheapest. Go to one where you will get the very best education. Select > a > program with quality equipment. Apply yourself to the very best of your > abilities and make up your mind that you don't simply want to be a certified > EMT, > Intermediate, or Paramedic, make up you mind that you want to be the very > best > in these fields. > > I guess I have said my .07 cents worth, sorry for rambling but education is > something that I take very seriously. > > Have a Great Day! > > > Education Coordinator > Champion EMS > Longview, Texas > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 I think a good place to start would be to give them enough education to pass the National Registry Test on the first or second time. That seems to be more than many education systems can do at this time. Educators were all over wanting National and now can't seem to understand what to get to the student so they can be prepared to test. Henry Mike wrote: > I would like for someone to outline exactly what a " Paramedic " is, what they > are worth (not what they are paid), and how education should approach the > creation of a competent " Paramedic " . I am a Paramedic (certified in TX) and > I see both sides of the tracks. Some managers expect PA-level medicine > while others will chastise you for performing at or above the minimums. > > Mike > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 Yes Technical Skills there are some good programs out their. What about something as simple as documentation. Nate Re: Employee Retention? " , " wrote: > I don't mean to spark another debate on this, but don't the EMS Education > Programs work for us? WE are THEIR customers, but yet, this isn't the first > time this lack of education has been noted. Why don't they change to meet > the industry needs? I believe that you are making a very broad generalization regarding EMS Education Programs. You are saying that ALL programs are deficient in what they are teaching. This is simply not true. There are some very, very good programs available. Yes, there are some very poor quality education programs, as well. I, among several other people, am a National Registry Representative in Texas. I see many, many students who come to take the NR test. I know those who do very well and those who do poorly, and usually what education program they came through. Although I will not name those good ones or those poor ones that I am aware of, I firmly believe that there are still some very good programs, programs which far exceed others in their instruction and education offered. I can speak for Gene Gandy, Jane Hill, and myself when I say that when we were all 3 at Tyler Junior College, we all worked very hard to provide the very best training and educational opportunities available, and I believe this is what we delivered. There are still other institutions out there doing this. " Meet the industry needs " you say. I say that we need to meet the patient's needs. We need to teach whatever is necessary to medically help the patient in the very best and most efficient way. So programs do, some programs don't. I urge each person who is to take EMS courses to study the programs available. Talk to people knowledgable regarding the education opportunities available and the quality of the program. Do not simply go to a program because it is the cheapest. Go to one where you will get the very best education. Select a program with quality equipment. Apply yourself to the very best of your abilities and make up your mind that you don't simply want to be a certified EMT, Intermediate, or Paramedic, make up you mind that you want to be the very best in these fields. I guess I have said my .07 cents worth, sorry for rambling but education is something that I take very seriously. Have a Great Day! Education Coordinator Champion EMS Longview, Texas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 The role of EMS educator is to prepare the student, as much as possible, to step into a position on an EMS unit. Passing the National Registry is mandatory. Despite problems with the registry, the exam is as close to a national standard as we have. It assures that the graduate has mastered a particular area of knowledge. Some programs do this well. In Florida, at St. sburg Community College, they have a full ambulance mock-up with a patient simulator. In addition, they have two functional ambulances where EMT students learn the basics of patient movement and ambulance operations and paramedic students learn the intricacies of patient care. However, here in Texas (and a few other states), quality EMS education will always be undercut by programs graduating students with a minimum number of hours and limited competency with the attitude that they will " learn on the job just like doctors. " Well, doctors are intensely supervised during residency--gaining more autonomy with each passing year of residency training. We do not have that luxury in EMS as most services cannot afford full-time training officers to mentor each new student. Again the educational programs (and we have some of the best in Texas) should graduate a student so prepared to work that all the employer has to do is to teach them the policies and procedures and idiosyncrasies of their particular service. Some employers have to accept blame for educational issues. As long as the employer's criteria for an EMT or paramedic is " a patch and a pulse " then things ill never get better. They depend on a constant flow of new graduates who are initially willing to work for $7.00 an hour until they get burned out or move on. They don't care about the person, they just need another warm body to get a unit staffed. For example, last week my wife and I were at an unnamed barbecue joint in an unnamed suburb of Dallas. In front of us in line were two EMS personnel from a private ambulance service in Dallas (that I had never heard of). I was in my standard attire (Jimmy Buffett T-shirt, shorts, and sandals) and noticed that one of the guys was wearing essentially a police belt. I struck up a conversation with the fellow (not revealing my identity) and asked about the items on his belt. He had " trauma shears " , gloves, pepper spray and a telescoping baton. So, I said, " You must also be a police officer. " He said, " Not yet, but I will be starting the police academy in a two months. I'm just working here until I start. " Again, this supports the concept that EMS often depends on an itinerant work force whose interest is elsewhere. Such people never do the professional image of EMS any good. BEB Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 As one currently responsible for developing leadership and management training, exactly what would you include in your curriculum? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 PEPPER SPARY AND A BATON..Are you serious? Why would a EMT need a can of pepper spary, much less a BATON. I can see LAWSUIT written all over that one. I am amazed that his employer would even allow an event to take place.. Lord help us when we start allowing this to occur..... Bledsoe wrote: The role of EMS educator is to prepare the student, as much as possible, to step into a position on an EMS unit. Passing the National Registry is mandatory. Despite problems with the registry, the exam is as close to a national standard as we have. It assures that the graduate has mastered a particular area of knowledge. Some programs do this well. In Florida, at St. sburg Community College, they have a full ambulance mock-up with a patient simulator. In addition, they have two functional ambulances where EMT students learn the basics of patient movement and ambulance operations and paramedic students learn the intricacies of patient care. However, here in Texas (and a few other states), quality EMS education will always be undercut by programs graduating students with a minimum number of hours and limited competency with the attitude that they will " learn on the job just like doctors. " Well, doctors are intensely supervised during residency--gaining more autonomy with each passing year of residency training. We do not have that luxury in EMS as most services cannot afford full-time training officers to mentor each new student. Again the educational programs (and we have some of the best in Texas) should graduate a student so prepared to work that all the employer has to do is to teach them the policies and procedures and idiosyncrasies of their particular service. Some employers have to accept blame for educational issues. As long as the employer's criteria for an EMT or paramedic is " a patch and a pulse " then things ill never get better. They depend on a constant flow of new graduates who are initially willing to work for $7.00 an hour until they get burned out or move on. They don't care about the person, they just need another warm body to get a unit staffed. For example, last week my wife and I were at an unnamed barbecue joint in an unnamed suburb of Dallas. In front of us in line were two EMS personnel from a private ambulance service in Dallas (that I had never heard of). I was in my standard attire (Jimmy Buffett T-shirt, shorts, and sandals) and noticed that one of the guys was wearing essentially a police belt. I struck up a conversation with the fellow (not revealing my identity) and asked about the items on his belt. He had " trauma shears " , gloves, pepper spray and a telescoping baton. So, I said, " You must also be a police officer. " He said, " Not yet, but I will be starting the police academy in a two months. I'm just working here until I start. " Again, this supports the concept that EMS often depends on an itinerant work force whose interest is elsewhere. Such people never do the professional image of EMS any good. BEB Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 I would be willing to bet his employer didn't have a clue he was being so STUPID. I would have called and informed them from the restaurant. I can't stand so called EMS Professionals harming the image of every great EMS Professional. Similar to the folks that go to Austin in November, get drunk and wonder 6th street in EMS gear. I see it every year, even have words with the JERKS that do it, and they all think I am the weirdo. Some people will never understand real professionalism.... (seems like I heard that at the conference last year...... Wes, did you hear that too? Joby Berkley wrote: PEPPER SPARY AND A BATON..Are you serious? Why would a EMT need a can of pepper spary, much less a BATON. I can see LAWSUIT written all over that one. I am amazed that his employer would even allow an event to take place.. Lord help us when we start allowing this to occur..... Bledsoe wrote: The role of EMS educator is to prepare the student, as much as possible, to step into a position on an EMS unit. Passing the National Registry is mandatory. Despite problems with the registry, the exam is as close to a national standard as we have. It assures that the graduate has mastered a particular area of knowledge. Some programs do this well. In Florida, at St. sburg Community College, they have a full ambulance mock-up with a patient simulator. In addition, they have two functional ambulances where EMT students learn the basics of patient movement and ambulance operations and paramedic students learn the intricacies of patient care. However, here in Texas (and a few other states), quality EMS education will always be undercut by programs graduating students with a minimum number of hours and limited competency with the attitude that they will " learn on the job just like doctors. " Well, doctors are intensely supervised during residency--gaining more autonomy with each passing year of residency training. We do not have that luxury in EMS as most services cannot afford full-time training officers to mentor each new student. Again the educational programs (and we have some of the best in Texas) should graduate a student so prepared to work that all the employer has to do is to teach them the policies and procedures and idiosyncrasies of their particular service. Some employers have to accept blame for educational issues. As long as the employer's criteria for an EMT or paramedic is " a patch and a pulse " then things ill never get better. They depend on a constant flow of new graduates who are initially willing to work for $7.00 an hour until they get burned out or move on. They don't care about the person, they just need another warm body to get a unit staffed. For example, last week my wife and I were at an unnamed barbecue joint in an unnamed suburb of Dallas. In front of us in line were two EMS personnel from a private ambulance service in Dallas (that I had never heard of). I was in my standard attire (Jimmy Buffett T-shirt, shorts, and sandals) and noticed that one of the guys was wearing essentially a police belt. I struck up a conversation with the fellow (not revealing my identity) and asked about the items on his belt. He had " trauma shears " , gloves, pepper spray and a telescoping baton. So, I said, " You must also be a police officer. " He said, " Not yet, but I will be starting the police academy in a two months. I'm just working here until I start. " Again, this supports the concept that EMS often depends on an itinerant work force whose interest is elsewhere. Such people never do the professional image of EMS any good. BEB Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 Tater -- I'm in my " stand back, big picture, non-interventional " mode. The last time I commented on such, the guys with pepper spray and batons got mad at me. Or was it the guy with 3 " of gold braid on his ECA uniform? -Wes RE: Employee Retention? I would be willing to bet his employer didn't have a clue he was being so STUPID. I would have called and informed them from the restaurant. I can't stand so called EMS Professionals harming the image of every great EMS Professional. Similar to the folks that go to Austin in November, get drunk and wonder 6th street in EMS gear. I see it every year, even have words with the JERKS that do it, and they all think I am the weirdo. Some people will never understand real professionalism.... (seems like I heard that at the conference last year...... Wes, did you hear that too? Joby Berkley wrote: PEPPER SPARY AND A BATON..Are you serious? Why would a EMT need a can of pepper spary, much less a BATON. I can see LAWSUIT written all over that one. I am amazed that his employer would even allow an event to take place.. Lord help us when we start allowing this to occur..... Bledsoe wrote: The role of EMS educator is to prepare the student, as much as possible, to step into a position on an EMS unit. Passing the National Registry is mandatory. Despite problems with the registry, the exam is as close to a national standard as we have. It assures that the graduate has mastered a particular area of knowledge. Some programs do this well. In Florida, at St. sburg Community College, they have a full ambulance mock-up with a patient simulator. In addition, they have two functional ambulances where EMT students learn the basics of patient movement and ambulance operations and paramedic students learn the intricacies of patient care. However, here in Texas (and a few other states), quality EMS education will always be undercut by programs graduating students with a minimum number of hours and limited competency with the attitude that they will " learn on the job just like doctors. " Well, doctors are intensely supervised during residency--gaining more autonomy with each passing year of residency training. We do not have that luxury in EMS as most services cannot afford full-time training officers to mentor each new student. Again the educational programs (and we have some of the best in Texas) should graduate a student so prepared to work that all the employer has to do is to teach them the policies and procedures and idiosyncrasies of their particular service. Some employers have to accept blame for educational issues. As long as the employer's criteria for an EMT or paramedic is " a patch and a pulse " then things ill never get better. They depend on a constant flow of new graduates who are initially willing to work for $7.00 an hour until they get burned out or move on. They don't care about the person, they just need another warm body to get a unit staffed. For example, last week my wife and I were at an unnamed barbecue joint in an unnamed suburb of Dallas. In front of us in line were two EMS personnel from a private ambulance service in Dallas (that I had never heard of). I was in my standard attire (Jimmy Buffett T-shirt, shorts, and sandals) and noticed that one of the guys was wearing essentially a police belt. I struck up a conversation with the fellow (not revealing my identity) and asked about the items on his belt. He had " trauma shears " , gloves, pepper spray and a telescoping baton. So, I said, " You must also be a police officer. " He said, " Not yet, but I will be starting the police academy in a two months. I'm just working here until I start. " Again, this supports the concept that EMS often depends on an itinerant work force whose interest is elsewhere. Such people never do the professional image of EMS any good. BEB Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 4, 2005 Report Share Posted August 4, 2005 , We don't usually agree on much publicly...at least on this list...but you are right on here. I came from the Pinellas system and St. Pete JC not only uses all those simulations...but they are also the CE provider for the entire Pinellas County system....so they work with the Medical Director's office and in their initial education programs (EMT and EMT-Paramedic) they not only prepare students to pass the state test (and do it well) they also prepare them to work in the Pinellas system...teaching protocols, system rules, etc...because they understand that the Pinellas County EMS system is THEIR customer. We could learn a lot from Florida (at least in EMS....I believe we can vote and count much better in Texas... Each county is responsible for providing EMS in their county and they can decide how to do it. They have certificate's of public necessity and need (kinda like County does it here....but mandated by the state in FL) and each county decides how many public and private ambulances they are going to have. Pinellas County has 1 (SUNSTAR) while Hillsborough (Tampa) has 2-ALS 911 services and I think 3 BLS privates now. Then, they regulate EMS Education. They understand what you said in your post. The state EMS regulatory group licenses EMS initial testing and CE programs. I believe all initial testing is Community College and a big majority of CE are the same....but they are inspected, judged, monitored and regulated like EMS providers. The result is a cleaner education system that does a great job of meeting their customer needs. Dudley RE: Employee Retention? The role of EMS educator is to prepare the student, as much as possible, to step into a position on an EMS unit. Passing the National Registry is mandatory. Despite problems with the registry, the exam is as close to a national standard as we have. It assures that the graduate has mastered a particular area of knowledge. Some programs do this well. In Florida, at St. sburg Community College, they have a full ambulance mock-up with a patient simulator. In addition, they have two functional ambulances where EMT students learn the basics of patient movement and ambulance operations and paramedic students learn the intricacies of patient care. However, here in Texas (and a few other states), quality EMS education will always be undercut by programs graduating students with a minimum number of hours and limited competency with the attitude that they will " learn on the job just like doctors. " Well, doctors are intensely supervised during residency--gaining more autonomy with each passing year of residency training. We do not have that luxury in EMS as most services cannot afford full-time training officers to mentor each new student. Again the educational programs (and we have some of the best in Texas) should graduate a student so prepared to work that all the employer has to do is to teach them the policies and procedures and idiosyncrasies of their particular service. Some employers have to accept blame for educational issues. As long as the employer's criteria for an EMT or paramedic is " a patch and a pulse " then things ill never get better. They depend on a constant flow of new graduates who are initially willing to work for $7.00 an hour until they get burned out or move on. They don't care about the person, they just need another warm body to get a unit staffed. For example, last week my wife and I were at an unnamed barbecue joint in an unnamed suburb of Dallas. In front of us in line were two EMS personnel from a private ambulance service in Dallas (that I had never heard of). I was in my standard attire (Jimmy Buffett T-shirt, shorts, and sandals) and noticed that one of the guys was wearing essentially a police belt. I struck up a conversation with the fellow (not revealing my identity) and asked about the items on his belt. He had " trauma shears " , gloves, pepper spray and a telescoping baton. So, I said, " You must also be a police officer. " He said, " Not yet, but I will be starting the police academy in a two months. I'm just working here until I start. " Again, this supports the concept that EMS often depends on an itinerant work force whose interest is elsewhere. Such people never do the professional image of EMS any good. BEB Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2005 Report Share Posted August 5, 2005 Please tell me you are joking. The FIRST time one of my personnel puts that on the belt will be the last time they are my personnel. Out the door they go, and don't collect $200.00 for passing go, either. > The role of EMS educator is to prepare the student, as much as possible, to > step into a position on an EMS unit. Passing the National Registry is > mandatory. Despite problems with the registry, the exam is as close to a > national standard as we have. It assures that the graduate has mastered a > particular area of knowledge. Some programs do this well. In Florida, at St. > sburg Community College, they have a full ambulance mock-up with a > patient simulator. In addition, they have two functional ambulances where > EMT students learn the basics of patient movement and ambulance operations > and paramedic students learn the intricacies of patient care. However, here > in Texas (and a few other states), quality EMS education will always be > undercut by programs graduating students with a minimum number of hours and > limited competency with the attitude that they will " learn on the job just > like doctors. " Well, doctors are intensely supervised during > residency--gaining more autonomy with each passing year of residency > training. We do not have that luxury in EMS as most services cannot afford > full-time training officers to mentor each new student. Again the > educational programs (and we have some of the best in Texas) should graduate > a student so prepared to work that all the employer has to do is to teach > them the policies and procedures and idiosyncrasies of their particular > service. > > Some employers have to accept blame for educational issues. As long as the > employer's criteria for an EMT or paramedic is " a patch and a pulse " then > things ill never get better. They depend on a constant flow of new graduates > who are initially willing to work for $7.00 an hour until they get burned > out or move on. They don't care about the person, they just need another > warm body to get a unit staffed. For example, last week my wife and I were > at an unnamed barbecue joint in an unnamed suburb of Dallas. In front of us > in line were two EMS personnel from a private ambulance service in Dallas > (that I had never heard of). I was in my standard attire (Jimmy Buffett > T-shirt, shorts, and sandals) and noticed that one of the guys was wearing > essentially a police belt. I struck up a conversation with the fellow (not > revealing my identity) and asked about the items on his belt. He had " trauma > shears " , gloves, pepper spray and a telescoping baton. So, I said, " You must > also be a police officer. " He said, " Not yet, but I will be starting the > police academy in a two months. I'm just working here until I start. " Again, > this supports the concept that EMS often depends on an itinerant work force > whose interest is elsewhere. Such people never do the professional image of > EMS any good. > > BEB > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 5, 2005 Report Share Posted August 5, 2005 Dudley......You are full of surprises..... it's been a long time since I have come across a medic/manager in another state, that has seen the Florida style of EMS first hand. My first experience in EMS was in Florida, 22 years ago. I thought every state and EMS system was like Florida, so I was more than a little surprised when I started doing consulting jobs in states that had companies doing their own paramedic/EMT training in 3 to 6 months time, set up their own self designed tests with no real supervision from the state.....states where the medical control was clear across the state, had never seen the area the medic was in, but required every medic in the state to call them when they wanted to provide ALS care......loosely written, amatuer looking protocols....... medical directors that the crews had never seen, much less talked to....not to mention other things. Florida takes a lot of pride in their EMS, with a lot of support and direction from the state. Their Clinicon, which is much like the Texas EMS conference, is a whole different style. And, the best thing I have seen, with the CON rules, is that you just don't have some john doe deciding to buy an old ambulance, and setting up business wherever he wants to, in whatever style he wants, till the area is run amok with a bunch of idiots running all over each other to see who can patient snatch and who can con the government out of the most money. Much as I hate to admit it, it is some of the private transfer services that are not in it for patient care, quality service, or making sure their staff get their CEU's, that cause much of the problems......and that's sure not fair to the private's, as well as government services, and FD's that struggle to do it all the right way and get seen as being the same as their fraudulent counterparts. LOL.....and Dudley, the voting and counting has gotten better......however, bear in mind, that it was mostly the resident snow birds that couldn't count. Daphne -------------- Original message from THEDUDMAN@...: -------------- , We don't usually agree on much publicly...at least on this list...but you are right on here. I came from the Pinellas system and St. Pete JC not only uses all those simulations...but they are also the CE provider for the entire Pinellas County system....so they work with the Medical Director's office and in their initial education programs (EMT and EMT-Paramedic) they not only prepare students to pass the state test (and do it well) they also prepare them to work in the Pinellas system...teaching protocols, system rules, etc...because they understand that the Pinellas County EMS system is THEIR customer. We could learn a lot from Florida (at least in EMS....I believe we can vote and count much better in Texas... Each county is responsible for providing EMS in their county and they can decide how to do it. They have certificate's of public necessity and need (kinda like County does it here....but mandated by the state in FL) and each county decides how many public and private ambulances they are going to have. Pinellas County has 1 (SUNSTAR) while Hillsborough (Tampa) has 2-ALS 911 services and I think 3 BLS privates now. Then, they regulate EMS Education. They understand what you said in your post. The state EMS regulatory group licenses EMS initial testing and CE programs. I believe all initial testing is Community College and a big majority of CE are the same....but they are inspected, judged, monitored and regulated like EMS providers. The result is a cleaner education system that does a great job of meeting their customer needs. Dudley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2005 Report Share Posted August 16, 2005 I am just full of questions today. Why do people like the below stay in EMS if they don't like it? lverrett wrote: Not only do I agree with Gene I will also say that as a career, EMS sucks big time. I cannot now nor will I ever tell anyone that EMS is a good job. Bad pay, bad hours, It hurts the social life due to the stresses involved, not much of a chance to advance unless you are in a large system such as Houston, Dallas and the such, management may or may not be good, owners do not give a flying rats ..... About the employees, shall I continue? Yea I said it. I think that the profession would do very well with a state wide union. I have no doubt that there will be a few people here who will have something negative to say about this post so bring it on. Danny L. Owner/NREMT-P Panhandle Emergency Training Services And Response (PETSAR) Office Fax Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2005 Report Share Posted August 16, 2005 In a message dated 8/16/2005 9:20:27 A.M. Central Daylight Time, petsardlj@... writes: Why do people like the below stay in EMS if they don't like it? The pay of course and the great hours and then you have...... oh wait I need to take my Med's don't I. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI LNMolino@... (IFW Office) (Cell Phone) (IFW Fax) " A Texan with a Jersey Attitude " The comments contained in this E-mail are the opinions of the author and the author alone. I in no way ever intend to speak for any person or organization that I am in any way whatsoever involved or associated with unless I specifically state that I am doing so. Further this E-mail is intended only for its stated recipient and may contain private and or confidential materials retransmission is strictly prohibited unless placed in the public domain by the original author. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 16, 2005 Report Share Posted August 16, 2005 > Not only do I agree with Gene I will also say that as a career, EMS sucks > big time. I cannot now nor will I ever tell anyone that EMS is a good job. > Bad pay, bad hours, It hurts the social life due to the stresses involved, > not much of a chance to advance unless you are in a large system such as > Houston, Dallas and the such, management may or may not be good, owners do > not give a flying rats ..... About the employees, shall I continue? Yea I > said it. I think that the profession would do very well with a state wide > union. I have no doubt that there will be a few people here who will have > something negative to say about this post so bring it on. > > > > > > > Danny L. > Owner/NREMT-P > Panhandle Emergency Training Services And Response > (PETSAR) > Office > Fax > > Quote Link to comment Share on other sites More sharing options...
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