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Ummm. I thought the NR did that. Isn't that what we were promised?

Seamless reciprocity?

Surely there has been a mistake. Shocked! I'm SHOCKED!

GG

>

>

> All,

>

> When Katrina and Rita hit the Gulf coast states licensing considerations and

> varying scopes of practice caused considerable delay for EMS response. Once

> the govenors signed emergency declarations the EMAC's could be implemented,

> but EMS personnel still had some difficulty because of differing state

> training standards. Nursing and physicians had little trouble. Nurse response

was

> further facilitated by the Nurse License Compact. Because of the compact they

> were able to respond even before the EMAC's were signed. The exception is

> possibly Louisiana. I understand they are not a compact state. Is that

correct?

>

> Now, the question for discussion, what direction should EMS move to

> facilitate standardization of pre-hospital medical standards from state to

state to

> eventually allow a multi-state compact similar to nursing? Would this be a

> benefit to individual medics? To the profession?

>

> Thank you,

> Roy Strange, EMT-P

>

>

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

> Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> countries) for 2¢/min or less.

>

>

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Dudley,

Legal question. If paramedics practice under the delegated orders of their

medical director, and they go into a state where that physician is not

licensed, what authority to they have?

Seems to me they would have to hook on to a licensed medical director's

credentials.

Do we need national legislation regarding recognition of state credentialed

medics who go to another state in an emergency?

Would state compacts do the job? What if some states refused to join the

compact?

Would there be time limits on the time a person was allowed to practice?

Could medics go to another state under the compact, like it there, and

continue practicing?

Should all states be required to adopt NR as a recognized certification, so

that if you're NR, there IS no state certification?

Inquiring minds want to know.

Gene

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By God, pass a federal law setting forth national certification requirements

and eliminate all state EMS agencies. Federalize EMS. That will save a

batch of money, do away with a lot of bureaucracy, make things ridiculously

simple, restore the people's faith in their elected representatives, and bring

peace to the Middle East.

If you want answers to complex questions, just ask me.

Gene

> Seamless reciprocity.  I deal with out of state students in my online

> courses.  It seems that each state has its own weird pathway for reciprocity,

if

> it exists at all, and it is almost NEVER based on National Registry

> certification.

>

> For instance, New York requires that they pass National Registry but then,

> if they took the course out of state, they have to apply for that state's

> certification and then use THAT to apply for reciprocity - not the NR. 

Florida

> requires they take the national registry but THEN, they have to apply for

> state certification and then take yet ANOTHER version of the NR test their on

the

> CBT system they have.  Other states do their own versions - this is just two

> of them. 

>

> The point is that the idea of seamless reciprocity was a good dream on NR's

> part, but the problem is that the state departments of health do NOT play

> well with each other and cannot get on the same page no matter WHAT NR tries

to

> do. 

>

> Jane Hill

>

> -------------- Original message from wegandy1938@...: --------------

>

>

> Ummm. I thought the NR did that. Isn't that what we were promised?

> Seamless reciprocity?

>

> Surely there has been a mistake. Shocked! I'm SHOCKED!

>

> GG

>

>

>

> >

> >

> > All,

> >

> > When Katrina and Rita hit the Gulf coast states licensing considerations

> and

> > varying scopes of practice caused considerable delay for EMS response.

> Once

> > the govenors signed emergency declarations the EMAC's could be

> implemented,

> > but EMS personnel still had some difficulty because of differing state

> > training standards. Nursing and physicians had little trouble. Nurse

> response was

> > further facilitated by the Nurse License Compact. Because of the compact

> they

> > were able to respond even before the EMAC's were signed. The exception is

> > possibly Louisiana. I understand they are not a compact state. Is that

> correct?

> >

> > Now, the question for discussion, what direction should EMS move to

> > facilitate standardization of pre-hospital medical standards from state to

> state to

> > eventually allow a multi-state compact similar to nursing? Would this be a

> > benefit to individual medics? To the profession?

> >

> > Thank you,

> > Roy Strange, EMT-P

> >

> >

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

> > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> > countries) for 2¢/min or less.

> >

> >

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All,

When Katrina and Rita hit the Gulf coast states licensing considerations and

varying scopes of practice caused considerable delay for EMS response. Once the

govenors signed emergency declarations the EMAC's could be implemented, but EMS

personnel still had some difficulty because of differing state training

standards. Nursing and physicians had little trouble. Nurse response was further

facilitated by the Nurse License Compact. Because of the compact they were able

to respond even before the EMAC's were signed. The exception is possibly

Louisiana. I understand they are not a compact state. Is that correct?

Now, the question for discussion, what direction should EMS move to facilitate

standardization of pre-hospital medical standards from state to state to

eventually allow a multi-state compact similar to nursing? Would this be a

benefit to individual medics? To the profession?

Thank you,

Roy Strange, EMT-P

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

Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

countries) for 2¢/min or less.

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Guest guest

Unfortunatly I think the only way standardization like you are speaking of (and

I may be hung out to dry for saying this) is to enable some sort of state run

then FEMA or another federal agency run triage standard where all levels of EMS

response be brought down to a " triage & transport " only skill level. In other

words during a federally run senerio or incident all EMS personell preform first

responder care sorry guys I really think that is the only feasable way EMS

response can be standardized during a disaster ALS and MICU would have to be

reserved for Doctors and Nurses during the initial phases of the emergency.

Since EMT`s can`t preform ALS the only logic to me is make everyone during a

disaster a BLS provider, of course that would take MASSIVE federal, state, and

local organization and I dont see it happening anytime soon but hey like I said

in posts before I`m young maybe I`ll see it before my career is over!!!

- Chris

wegandy1938@... wrote:

Ummm. I thought the NR did that. Isn't that what we were promised?

Seamless reciprocity?

Surely there has been a mistake. Shocked! I'm SHOCKED!

GG

>

>

> All,

>

> When Katrina and Rita hit the Gulf coast states licensing considerations and

> varying scopes of practice caused considerable delay for EMS response. Once

> the govenors signed emergency declarations the EMAC's could be implemented,

> but EMS personnel still had some difficulty because of differing state

> training standards. Nursing and physicians had little trouble. Nurse response

was

> further facilitated by the Nurse License Compact. Because of the compact they

> were able to respond even before the EMAC's were signed. The exception is

> possibly Louisiana. I understand they are not a compact state. Is that

correct?

>

> Now, the question for discussion, what direction should EMS move to

> facilitate standardization of pre-hospital medical standards from state to

state to

> eventually allow a multi-state compact similar to nursing? Would this be a

> benefit to individual medics? To the profession?

>

> Thank you,

> Roy Strange, EMT-P

>

>

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

> Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> countries) for 2¢/min or less.

>

>

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Guest guest

No. With the appetites that medics have, that's not a realistic expecation.

GG

>

> Gene,

>

> What about world hunger???

>

> Dudley

>

>

> Re: Standardization

>

> By God, pass a federal law setting forth national certification requirements

> and eliminate all state EMS agencies. Federalize EMS. That will save a

> batch of money, do away with a lot of bureaucracy, make things ridiculously

> simple, restore the people's faith in their elected representatives, and

> bring

> peace to the Middle East.

>

> If you want answers to complex questions, just ask me.

>

> Gene

> In a message dated 8/7/06 8:37:59 PM, je.hill@.... writes:

>

> > Seamless reciprocity. I deal with out of state students in my online

> > courses. It seems that each state has its own weird pathway for

> reciprocity, if

> > it exists at all, and it is almost NEVER based on National Registry

> > certification.

> >

> > For instance, New York requires that they pass National Registry but then,

> > if they took the course out of state, they have to apply for that state's

> > certification and then use THAT to apply for reciprocity - not the NR.

> Florida

> > requires they take the national registry but THEN, they have to apply for

> > state certification and then take yet ANOTHER version of the NR test their

> on the

> > CBT system they have. Other states do their own versions - this is just

> two

> > of them.

> >

> > The point is that the idea of seamless reciprocity was a good dream on

> NR's

> > part, but the problem is that the state departments of health do NOT play

> > well with each other and cannot get on the same page no matter WHAT NR

> tries to

> > do.

> >

> > Jane Hill

> >

> > ------------ ------------<wbr>-- Origwegandy1938@wegandy: ------------:

> >

> >

> > Ummm. I thought the NR did that. Isn't that what we were promised?

> > Seamless reciprocity?

> >

> > Surely there has been a mistake. Shocked! I'm SHOCKED!

> >

> > GG

> >

> > In a message dated 8/7/06 5:50:16 PM, roystrange1@roystrang writes:

> >

> > >

> > >

> > > All,

> > >

> > > When Katrina and Rita hit the Gulf coast states licensing considerations

> > and

> > > varying scopes of practice caused considerable delay for EMS response.

> > Once

> > > the govenors signed emergency declarations the EMAC's could be

> > implemented,

> > > but EMS personnel still had some difficulty because of differing state

> > > training standards. Nursing and physicians had little trouble. Nurse

> > response was

> > > further facilitated by the Nurse License Compact. Because of the compact

> > they

> > > were able to respond even before the EMAC's were signed. The exception

> is

> > > possibly Louisiana. I understand they are not a compact state. Is that

> > correct?

> > >

> > > Now, the question for discussion, what direction should EMS move to

> > > facilitate standardization of pre-hospital medical standards from state

> to

> > state to

> > > eventually allow a multi-state compact similar to nursing? Would this be

> a

> > > benefit to individual medics? To the profession?

> > >

> > > Thank you,

> > > Roy Strange, EMT-P

> > >

> > >

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

> > > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> > > countries) for 2¢/min or less.

> > >

> > >

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To respond across state lines during a disaster without an EMAC request is a

term we all discussed here last year...freelancing. Through years of ICS and now

NIMS getting blasted into our craniums, we should all know that freelancing is

not good.

Also, and this is a hard concept, but when you go on your own (and in EMS's

case) with your shiny brand new ambulance, your two Robbie-Rescue ready to go

paramedics and charge across the state line into the nether-regions, your

ability to be reimbursed for your time and effort is drastically reduced. I know

RN's don't have to worry about that...they just walk into any old ER and get

busy...who cares about all that JCAHO credentialing...I mean that never happens

in a disaster...just any old Tom, Dick or Harry off the street says they are a

nurse and BAAM...into the fire they go. NR sure doesn't do that for us...I mean

having to check out that people are who they say they are during a

disaster...who'da thunk it???

I know there were some difficulties...but I doubt that any delays were too

substantial and I am certain that they occurred in all areas of healthcare...we

do have a necessity to make sure the people showing up to help are actually

qualified to help...BTW, I believe the EMAC process puts this responsibility on

the sending state...so that the receiving state is less burdened...so when your

ambulances from Arkansas show up, have all the personnel show you their

certification card...and away they go....

Here are two really good links to learn more...hadn't heard of the Nurse

License Compact...but it was a really good read...might be something to get the

Association of State EMS Officials to start looking into...It would seem to have

to start with them and the NR process is key...as well as the new Scope of

Practice...seems that would facilitate equal standards across state-lines.

http://www.ncsbn.org/nlc/index.asp

http://www.emacweb.org/

Roy, I was under the impression that when Mutual Aid showed up, they operated

under their own physician's protocols...so as long as they have a current cert

card from their sending area...and they are on the requested ambulances...why

the delay in getting credentialed? Also, all of the gulf states except Florida

are National Registry states...so if they all have to take the same test to get

certified originally, what differing standards caused issues?

Dudley

Standardization

All,

When Katrina and Rita hit the Gulf coast states licensing considerations and

varying scopes of practice caused considerable delay for EMS response. Once the

govenors signed emergency declarations the EMAC's could be implemented, but EMS

personnel still had some difficulty because of differing state training

standards. Nursing and physicians had little trouble. Nurse response was further

facilitated by the Nurse License Compact. Because of the compact they were able

to respond even before the EMAC's were signed. The exception is possibly

Louisiana. I understand they are not a compact state. Is that correct?

Now, the question for discussion, what direction should EMS move to facilitate

standardization of pre-hospital medical standards from state to state to

eventually allow a multi-state compact similar to nursing? Would this be a

benefit to individual medics? To the profession?

Thank you,

Roy Strange, EMT-P

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

Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

countries) for 2¢/min or less.

Link to comment
Share on other sites

Guest guest

Seamless reciprocity. I deal with out of state students in my online courses.

It seems that each state has its own weird pathway for reciprocity, if it exists

at all, and it is almost NEVER based on National Registry certification.

For instance, New York requires that they pass National Registry but then, if

they took the course out of state, they have to apply for that state's

certification and then use THAT to apply for reciprocity - not the NR. Florida

requires they take the national registry but THEN, they have to apply for state

certification and then take yet ANOTHER version of the NR test their on the CBT

system they have. Other states do their own versions - this is just two of

them.

The point is that the idea of seamless reciprocity was a good dream on NR's

part, but the problem is that the state departments of health do NOT play well

with each other and cannot get on the same page no matter WHAT NR tries to do.

Jane Hill

-------------- Original message from wegandy1938@...: --------------

Ummm. I thought the NR did that. Isn't that what we were promised?

Seamless reciprocity?

Surely there has been a mistake. Shocked! I'm SHOCKED!

GG

>

>

> All,

>

> When Katrina and Rita hit the Gulf coast states licensing considerations and

> varying scopes of practice caused considerable delay for EMS response. Once

> the govenors signed emergency declarations the EMAC's could be implemented,

> but EMS personnel still had some difficulty because of differing state

> training standards. Nursing and physicians had little trouble. Nurse response

was

> further facilitated by the Nurse License Compact. Because of the compact they

> were able to respond even before the EMAC's were signed. The exception is

> possibly Louisiana. I understand they are not a compact state. Is that

correct?

>

> Now, the question for discussion, what direction should EMS move to

> facilitate standardization of pre-hospital medical standards from state to

state to

> eventually allow a multi-state compact similar to nursing? Would this be a

> benefit to individual medics? To the profession?

>

> Thank you,

> Roy Strange, EMT-P

>

>

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

> Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> countries) for 2¢/min or less.

>

>

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Guest guest

And wait, let me guess....there are additional fees for each?

This couldn't have anything to do with the state receiving more money could

it?

Nahhhhhhh....don't know what I was thinking.

Mike

Hatfield FF/EMT-P

www.canyonlakefire-ems.org

" Ubi concordia, ibi victoria "

Re: Standardization

Seamless reciprocity. I deal with out of state students in my online

courses. It seems that each state has its own weird pathway for

reciprocity, if it exists at all, and it is almost NEVER based on National

Registry certification.

For instance, New York requires that they pass National Registry but then,

if they took the course out of state, they have to apply for that state's

certification and then use THAT to apply for reciprocity - not the NR.

Florida requires they take the national registry but THEN, they have to

apply for state certification and then take yet ANOTHER version of the NR

test their on the CBT system they have. Other states do their own versions

- this is just two of them.

The point is that the idea of seamless reciprocity was a good dream on NR's

part, but the problem is that the state departments of health do NOT play

well with each other and cannot get on the same page no matter WHAT NR tries

to do.

Jane Hill

-------------- Original message from wegandy1938@...: --------------

Ummm. I thought the NR did that. Isn't that what we were promised?

Seamless reciprocity?

Surely there has been a mistake. Shocked! I'm SHOCKED!

GG

>

>

> All,

>

> When Katrina and Rita hit the Gulf coast states licensing considerations

and

> varying scopes of practice caused considerable delay for EMS response.

Once

> the govenors signed emergency declarations the EMAC's could be

implemented,

> but EMS personnel still had some difficulty because of differing state

> training standards. Nursing and physicians had little trouble. Nurse

response was

> further facilitated by the Nurse License Compact. Because of the compact

they

> were able to respond even before the EMAC's were signed. The exception is

> possibly Louisiana. I understand they are not a compact state. Is that

correct?

>

> Now, the question for discussion, what direction should EMS move to

> facilitate standardization of pre-hospital medical standards from state to

state to

> eventually allow a multi-state compact similar to nursing? Would this be a

> benefit to individual medics? To the profession?

>

> Thank you,

> Roy Strange, EMT-P

>

>

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

> Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> countries) for 2¢/min or less.

>

>

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Guest guest

You appear to be onto something, Mike. LOL Who knows? You know, they could do

what Texas did and accept the NR to get their state cert if you just pay the fee

if that was the issue. But it is just not that simple. If this were resolved,

the Katrina type issues would be mute, huh?

Jane Hill

--------- Re: Standardization

Seamless reciprocity. I deal with out of state students in my online

courses. It seems that each state has its own weird pathway for

reciprocity, if it exists at all, and it is almost NEVER based on National

Registry certification.

For instance, New York requires that they pass National Registry but then,

if they took the course out of state, they have to apply for that state's

certification and then use THAT to apply for reciprocity - not the NR.

Florida requires they take the national registry but THEN, they have to

apply for state certification and then take yet ANOTHER version of the NR

test their on the CBT system they have. Other states do their own versions

- this is just two of them.

The point is that the idea of seamless reciprocity was a good dream on NR's

part, but the problem is that the state departments of health do NOT play

well with each other and cannot get on the same page no matter WHAT NR tries

to do.

Jane Hill

-------------- Original message from wegandy1938@...: --------------

Ummm. I thought the NR did that. Isn't that what we were promised?

Seamless reciprocity?

Surely there has been a mistake. Shocked! I'm SHOCKED!

GG

>

>

> All,

>

> When Katrina and Rita hit the Gulf coast states licensing considerations

and

> varying scopes of practice caused considerable delay for EMS response.

Once

> the govenors signed emergency declarations the EMAC's could be

implemented,

> but EMS personnel still had some difficulty because of differing state

> training standards. Nursing and physicians had little trouble. Nurse

response was

> further facilitated by the Nurse License Compact. Because of the compact

they

> were able to respond even before the EMAC's were signed. The exception is

> possibly Louisiana. I understand they are not a compact state. Is that

correct?

>

> Now, the question for discussion, what direction should EMS move to

> facilitate standardization of pre-hospital medical standards from state to

state to

> eventually allow a multi-state compact similar to nursing? Would this be a

> benefit to individual medics? To the profession?

>

> Thank you,

> Roy Strange, EMT-P

>

>

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

> Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> countries) for 2¢/min or less.

>

>

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Guest guest

Gene,

Check out the EMAC web page. All 50 states are a part of that compact and to be

a member you have to have legislation that says a number of things. I have not

taken the time to read through all the info on their website, but I would

imagine that physician practice during times of disaster is addressed. EMAC has

been in place since the late 90's and I would bet this question came up early

on....

But to be sure, I will ask those questions at GETAC this week as well as spend

some " down time " examining the EMAC stuff a little closer.

Dudley

Re: Standardization

Dudley,

Legal question. If paramedics practice under the delegated orders of their

medical director, and they go into a state where that physician is not

licensed, what authority to they have?

Seems to me they would have to hook on to a licensed medical director's

credentials.

Do we need national legislation regarding recognition of state credentialed

medics who go to another state in an emergency?

Would state compacts do the job? What if some states refused to join the

compact?

Would there be time limits on the time a person was allowed to practice?

Could medics go to another state under the compact, like it there, and

continue practicing?

Should all states be required to adopt NR as a recognized certification, so

that if you're NR, there IS no state certification?

Inquiring minds want to know.

Gene

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Guest guest

Gene,

What about world hunger???

Dudley

Re: Standardization

By God, pass a federal law setting forth national certification requirements

and eliminate all state EMS agencies. Federalize EMS. That will save a

batch of money, do away with a lot of bureaucracy, make things ridiculously

simple, restore the people's faith in their elected representatives, and bring

peace to the Middle East.

If you want answers to complex questions, just ask me.

Gene

> Seamless reciprocity. I deal with out of state students in my online

> courses. It seems that each state has its own weird pathway for reciprocity,

if

> it exists at all, and it is almost NEVER based on National Registry

> certification.

>

> For instance, New York requires that they pass National Registry but then,

> if they took the course out of state, they have to apply for that state's

> certification and then use THAT to apply for reciprocity - not the NR.

Florida

> requires they take the national registry but THEN, they have to apply for

> state certification and then take yet ANOTHER version of the NR test their on

the

> CBT system they have. Other states do their own versions - this is just two

> of them.

>

> The point is that the idea of seamless reciprocity was a good dream on NR's

> part, but the problem is that the state departments of health do NOT play

> well with each other and cannot get on the same page no matter WHAT NR tries

to

> do.

>

> Jane Hill

>

> -------------- Original message from wegandy1938@...: --------------

>

>

> Ummm. I thought the NR did that. Isn't that what we were promised?

> Seamless reciprocity?

>

> Surely there has been a mistake. Shocked! I'm SHOCKED!

>

> GG

>

>

>

> >

> >

> > All,

> >

> > When Katrina and Rita hit the Gulf coast states licensing considerations

> and

> > varying scopes of practice caused considerable delay for EMS response.

> Once

> > the govenors signed emergency declarations the EMAC's could be

> implemented,

> > but EMS personnel still had some difficulty because of differing state

> > training standards. Nursing and physicians had little trouble. Nurse

> response was

> > further facilitated by the Nurse License Compact. Because of the compact

> they

> > were able to respond even before the EMAC's were signed. The exception is

> > possibly Louisiana. I understand they are not a compact state. Is that

> correct?

> >

> > Now, the question for discussion, what direction should EMS move to

> > facilitate standardization of pre-hospital medical standards from state to

> state to

> > eventually allow a multi-state compact similar to nursing? Would this be a

> > benefit to individual medics? To the profession?

> >

> > Thank you,

> > Roy Strange, EMT-P

> >

> >

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

> > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> > countries) for 2¢/min or less.

> >

> >

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Guest guest

Dudley,

People who are hungry should eat.

-Wes

In a message dated 8/7/2006 11:28:36 PM Central Daylight Time,

THEDUDMAN@... writes:

Gene,

What about world hunger???

Dudley

Re: Standardization

By God, pass a federal law setting forth national certification requirements

and eliminate all state EMS agencies. Federalize EMS. That will save a

batch of money, do away with a lot of bureaucracy, make things ridiculously

simple, restore the people's faith in their elected representatives, and

bring

peace to the Middle East.

If you want answers to complex questions, just ask me.

Gene

In a message dated 8/7/06 8:37:59 PM, _je.hill@...._

(mailto:je.hill@...) writes:

> Seamless reciprocity. I deal with out of state students in my online

> courses. It seems that each state has its own weird pathway for

reciprocity, if

> it exists at all, and it is almost NEVER based on National Registry

> certification.

>

> For instance, New York requires that they pass National Registry but then,

> if they took the course out of state, they have to apply for that state's

> certification and then use THAT to apply for reciprocity - not the NR.

Florida

> requires they take the national registry but THEN, they have to apply for

> state certification and then take yet ANOTHER version of the NR test their

on the

> CBT system they have. Other states do their own versions - this is just

two

> of them.

>

> The point is that the idea of seamless reciprocity was a good dream on

NR's

> part, but the problem is that the state departments of health do NOT play

> well with each other and cannot get on the same page no matter WHAT NR

tries to

> do.

>

> Jane Hill

>

> ------------ ------------<WBR>-- _wegandy1938@wegandy_

(mailto:wegandy1938@...) : ------------:

>

>

> Ummm. I thought the NR did that. Isn't that what we were promised?

> Seamless reciprocity?

>

> Surely there has been a mistake. Shocked! I'm SHOCKED!

>

> GG

>

> In a message dated 8/7/06 5:50:16 PM, _roystrange1@roystrang_

(mailto:roystrange1@...) writes:

>

> >

> >

> > All,

> >

> > When Katrina and Rita hit the Gulf coast states licensing considerations

> and

> > varying scopes of practice caused considerable delay for EMS response.

> Once

> > the govenors signed emergency declarations the EMAC's could be

> implemented,

> > but EMS personnel still had some difficulty because of differing state

> > training standards. Nursing and physicians had little trouble. Nurse

> response was

> > further facilitated by the Nurse License Compact. Because of the compact

> they

> > were able to respond even before the EMAC's were signed. The exception

is

> > possibly Louisiana. I understand they are not a compact state. Is that

> correct?

> >

> > Now, the question for discussion, what direction should EMS move to

> > facilitate standardization of pre-hospital medical standards from state

to

> state to

> > eventually allow a multi-state compact similar to nursing? Would this be

a

> > benefit to individual medics? To the profession?

> >

> > Thank you,

> > Roy Strange, EMT-P

> >

> >

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

> > Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+

> > countries) for 2¢/min or less.

> >

> >

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