Guest guest Posted October 18, 2006 Report Share Posted October 18, 2006 I would like to start a thread, and I'd like to ask the list to limit your responses to TEXAS and TEXAS ONLY, please. What " types " of paramedic exist in Texas? I ask this in the vein of paramedics becoming a part of the Occupations Code, much like Peace Officers, and the discussions that seem to be going on in back-channels about paramedic scope of practice, etc. The Code of Criminal Procedure lists many different types of peace officer appointments - municipal, county sheriff, etc. - and uses these to delegate authority, powers, duties, etc. So, in Texas, what " kinds " of paramedics are there? For the purpose of this discussion, consider EMT's and EMT-I's to be paramedics, for all general purpose. I'll start with my list... see what you can add, and if you have comments on the delineations, I'd love to hear those too. 1) Firefighter-Paramedic: Any paramedic working primarily for a fire department that provides emergency medical service 2) EMS-Paramedic: Any paramedic working primarily for a governmental agency (city, county, ESD) in the primary role of paramedic 3) Private-Paramedic: Any paramedic working for a company that obtains the majority of its billing revenue from private or interfacility transports 4) First Responder-Paramedic: Any paramedic working for a first responder agency that is NOT primarily a fire department 5) Clinical Paramedic: Any paramedic working in a clinical setting, including emergency rooms 6) Tactical Medic: Any paramedic working for a police department assigned to a tactical team 7) Event Paramedic: Any paramedic working at a site or for a service that provides medics for events, movie sets, etc. 8) Jail Paramedic: Any paramedic working in a jail whose primary assignment is a paramedic 9) School Paramedic: Any paramedic working in a school whose primary assignment is as paramedic ***************************** others ? ***************************** Now, here's why I ask. For each of the types of peace officers, different requirements, laws, regulations, etc. apply. The same could be done for paramedics... and I'm just curious to explore how we would even start to " group " ourselves in EMS. I'm not " stuck " to any of my designations, just throwing ideas around. Once we get these fleshed out, ask yourself if any particular group should have varied training requirements, baseline protocols, etc. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 > > I would like to add Volunteer Paramedic- those who volunteer at an agency, including those who do AND do not make a living as a paramedic elsewhere. Also, Flight Paramedic (self-explanitory). M> Flight paramedic - how'd I miss that one? Maybe Critial Care Paramedic, too, for those who have completed a CCEMT-P course and work for a specialty care transport provider? I have to wonder about volunteer, though, as a " category, " and here's why: Volunteer doesn't change the TYPE of paramedic work if we're classifying medics... much like " reserve " peace officers are volunteers, but can still have the same responsibilities, duties, powers, etc. if hired on a full commission status. So, would it make sense to simply note " volunteer " or " career/paid " as a status, not a type - that way volunteers would still qualify for " free " testing, but the state would have a method to collect fees from those who register as volunteers and end up taking paid assignments (which means they owe pro-rated fees to the state)? > I would also consider Nurse Paramedic (those who are nurses as well as paramedics), MD Paramedics (those who are MDs as well as paramedics), and possibly even Medical Control Paramedics (MDs who are medical control who have their paramedic). M> I'd have to think that being a doctor would somehow " override " paramedic status, and I tend to feel that way about nurses. Nurses could be RN or LVN, and " also " have a paramedic " status, " but that's just my opinion. What " role " would RN-Paramedics play that " just medics " couldn't? I'm honestly asking - what's the real differentiation? > What about Beaurocrat Paramedics? Those who have been behind a desk so long, they have forgotten what being in an ambulance was like... (DSHS wants an audit of my CEs now? What the...?) Heehee... M> I know this was meant as a joke, but why not " Managing Paramedic " or some similar designation for a paramedic who has completed a prescribed course of education in business, management, or leadership? I know that many consulting practices operate in such a manner... PS - Remember that for this discussion, " paramedic " includes ANY EMS personnel from EMT --> paramedic. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Don't forget the four or five of us who are Lawyer-Paramedics (Doctor of Jurisprudence, EMT-P). By the way, the majority of us don't practice law any more, we've returned to the good side of " the force. " Todd, B.S., J.D., EMT-P. P.S. We can either race ambulances, or chase ambulances. --- Lala wrote: > Mike, > I would like to add Volunteer Paramedic- those who > volunteer at an agency, including those who do AND > do not make a living as a paramedic elsewhere. Also, > Flight Paramedic (self-explanitory). > I would also consider Nurse Paramedic (those who > are nurses as well as paramedics), MD Paramedics > (those who are MDs as well as paramedics), and > possibly even Medical Control Paramedics (MDs who > are medical control who have their paramedic). > What about Beaurocrat Paramedics? Those who have > been behind a desk so long, they have forgotten what > being in an ambulance was like... (DSHS wants an > audit of my CEs now? What the...?) Heehee... > --Lala EMT-B > > Mike wrote: > I would like to start a thread, and I'd > like to ask the list to limit > your responses to TEXAS and TEXAS ONLY, please. > > What " types " of paramedic exist in Texas? I ask this > in the vein of > paramedics becoming a part of the Occupations Code, > much like Peace > Officers, and the discussions that seem to be going > on in > back-channels about paramedic scope of practice, > etc. The Code of > Criminal Procedure lists many different types of > peace officer > appointments - municipal, county sheriff, etc. - and > uses these to > delegate authority, powers, duties, etc. > > So, in Texas, what " kinds " of paramedics are there? > For the purpose > of this discussion, consider EMT's and EMT-I's to be > paramedics, for > all general purpose. > > I'll start with my list... see what you can add, and > if you have > comments on the delineations, I'd love to hear those > too. > > 1) Firefighter-Paramedic: Any paramedic working > primarily for a fire > department that provides emergency medical service > > 2) EMS-Paramedic: Any paramedic working primarily > for a governmental > agency (city, county, ESD) in the primary role of > paramedic > > 3) Private-Paramedic: Any paramedic working for a > company that obtains > the majority of its billing revenue from private or > interfacility > transports > > 4) First Responder-Paramedic: Any paramedic working > for a first > responder agency that is NOT primarily a fire > department > > 5) Clinical Paramedic: Any paramedic working in a > clinical setting, > including emergency rooms > > 6) Tactical Medic: Any paramedic working for a > police department > assigned to a tactical team > > 7) Event Paramedic: Any paramedic working at a site > or for a service > that provides medics for events, movie sets, etc. > > 8) Jail Paramedic: Any paramedic working in a jail > whose primary > assignment is a paramedic > > 9) School Paramedic: Any paramedic working in a > school whose primary > assignment is as paramedic > > ***************************** others ? > ***************************** > > Now, here's why I ask. For each of the types of > peace officers, > different requirements, laws, regulations, etc. > apply. The same could > be done for paramedics... and I'm just curious to > explore how we would > even start to " group " ourselves in EMS. I'm not > " stuck " to any of my > designations, just throwing ideas around. Once we > get these fleshed > out, ask yourself if any particular group should > have varied training > requirements, baseline protocols, etc. > > Mike > > > > > > > --------------------------------- > How low will we go? Check out Yahoo! Messenger’s low > PC-to-Phone call rates. > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 : You bring up an interesting phenomenon. There are quite a few EMS personnel who hold law degrees (I have a stack of business cards somewhere). Many were former practitioners, some never practiced, some still do. It is interesting. You all ought to consider organizing like Jim Page did through the Street Medicine Society. BEB _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Todd Sent: Thursday, October 19, 2006 9:26 AM To: texasems-l Subject: Re: Texas Paramedics Don't forget the four or five of us who are Lawyer-Paramedics (Doctor of Jurisprudence, EMT-P). By the way, the majority of us don't practice law any more, we've returned to the good side of " the force. " Todd, B.S., J.D., EMT-P. P.S. We can either race ambulances, or chase ambulances. --- Lala <emslala (AT) yahoo (DOT) <mailto:emslala%40yahoo.com> com> wrote: > Mike, > I would like to add Volunteer Paramedic- those who > volunteer at an agency, including those who do AND > do not make a living as a paramedic elsewhere. Also, > Flight Paramedic (self-explanitory). > I would also consider Nurse Paramedic (those who > are nurses as well as paramedics), MD Paramedics > (those who are MDs as well as paramedics), and > possibly even Medical Control Paramedics (MDs who > are medical control who have their paramedic). > What about Beaurocrat Paramedics? Those who have > been behind a desk so long, they have forgotten what > being in an ambulance was like... (DSHS wants an > audit of my CEs now? What the...?) Heehee... > --Lala EMT-B > > Mike <paramedicop@ <mailto:paramedicop%40gmail.com> gmail.com> wrote: > I would like to start a thread, and I'd > like to ask the list to limit > your responses to TEXAS and TEXAS ONLY, please. > > What " types " of paramedic exist in Texas? I ask this > in the vein of > paramedics becoming a part of the Occupations Code, > much like Peace > Officers, and the discussions that seem to be going > on in > back-channels about paramedic scope of practice, > etc. The Code of > Criminal Procedure lists many different types of > peace officer > appointments - municipal, county sheriff, etc. - and > uses these to > delegate authority, powers, duties, etc. > > So, in Texas, what " kinds " of paramedics are there? > For the purpose > of this discussion, consider EMT's and EMT-I's to be > paramedics, for > all general purpose. > > I'll start with my list... see what you can add, and > if you have > comments on the delineations, I'd love to hear those > too. > > 1) Firefighter-Paramedic: Any paramedic working > primarily for a fire > department that provides emergency medical service > > 2) EMS-Paramedic: Any paramedic working primarily > for a governmental > agency (city, county, ESD) in the primary role of > paramedic > > 3) Private-Paramedic: Any paramedic working for a > company that obtains > the majority of its billing revenue from private or > interfacility > transports > > 4) First Responder-Paramedic: Any paramedic working > for a first > responder agency that is NOT primarily a fire > department > > 5) Clinical Paramedic: Any paramedic working in a > clinical setting, > including emergency rooms > > 6) Tactical Medic: Any paramedic working for a > police department > assigned to a tactical team > > 7) Event Paramedic: Any paramedic working at a site > or for a service > that provides medics for events, movie sets, etc. > > 8) Jail Paramedic: Any paramedic working in a jail > whose primary > assignment is a paramedic > > 9) School Paramedic: Any paramedic working in a > school whose primary > assignment is as paramedic > > ***************************** others ? > ***************************** > > Now, here's why I ask. For each of the types of > peace officers, > different requirements, laws, regulations, etc. > apply. The same could > be done for paramedics... and I'm just curious to > explore how we would > even start to " group " ourselves in EMS. I'm not > " stuck " to any of my > designations, just throwing ideas around. Once we > get these fleshed > out, ask yourself if any particular group should > have varied training > requirements, baseline protocols, etc. > > Mike > > > > > > > --------------------------------- > How low will we go? Check out Yahoo! Messenger's low > PC-to-Phone call rates. > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Reference the Firefighter Paramedic, would there be a difference between departments that run boxes and departments that are FRO's only. If you divide that way then you get EMT-P and EMT-LP that run on BLS only systems and do not practice ALS for their Departments. And of course you also get Paid and Volunteer divisions for all of these categories. This thread seems to be considering a Texas Commission type setup for EMS and would probably be addressed under that type of system. Pat Fitzpatrick Potter County Fire-Rescue Texas Paramedics I would like to start a thread, and I'd like to ask the list to limit your responses to TEXAS and TEXAS ONLY, please. What " types " of paramedic exist in Texas? I ask this in the vein of paramedics becoming a part of the Occupations Code, much like Peace Officers, and the discussions that seem to be going on in back-channels about paramedic scope of practice, etc. The Code of Criminal Procedure lists many different types of peace officer appointments - municipal, county sheriff, etc. - and uses these to delegate authority, powers, duties, etc. So, in Texas, what " kinds " of paramedics are there? For the purpose of this discussion, consider EMT's and EMT-I's to be paramedics, for all general purpose. I'll start with my list... see what you can add, and if you have comments on the delineations, I'd love to hear those too. 1) Firefighter-Paramedic: Any paramedic working primarily for a fire department that provides emergency medical service 2) EMS-Paramedic: Any paramedic working primarily for a governmental agency (city, county, ESD) in the primary role of paramedic 3) Private-Paramedic: Any paramedic working for a company that obtains the majority of its billing revenue from private or interfacility transports 4) First Responder-Paramedic: Any paramedic working for a first responder agency that is NOT primarily a fire department 5) Clinical Paramedic: Any paramedic working in a clinical setting, including emergency rooms 6) Tactical Medic: Any paramedic working for a police department assigned to a tactical team 7) Event Paramedic: Any paramedic working at a site or for a service that provides medics for events, movie sets, etc. 8) Jail Paramedic: Any paramedic working in a jail whose primary assignment is a paramedic 9) School Paramedic: Any paramedic working in a school whose primary assignment is as paramedic ***************************** others ? ***************************** Now, here's why I ask. For each of the types of peace officers, different requirements, laws, regulations, etc. apply. The same could be done for paramedics... and I'm just curious to explore how we would even start to " group " ourselves in EMS. I'm not " stuck " to any of my designations, just throwing ideas around. Once we get these fleshed out, ask yourself if any particular group should have varied training requirements, baseline protocols, etc. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 Does that affect your medical status enough that it would warrant inclusion? Seriously, is there a " niche " for lawyer-paramedics? What could a lawyer paramedic do differently, medically? Mike > > Don't forget the four or five of us who are > Lawyer-Paramedics (Doctor of Jurisprudence, EMT-P). > By the way, the majority of us don't practice law any > more, we've returned to the good side of " the force. " > > Todd, B.S., J.D., EMT-P. > > P.S. We can either race ambulances, or chase > ambulances. > > > --- Lala <emslala@... <emslala%40yahoo.com>> wrote: > > > Mike, > > I would like to add Volunteer Paramedic- those who > > volunteer at an agency, including those who do AND > > do not make a living as a paramedic elsewhere. Also, > > Flight Paramedic (self-explanitory). > > I would also consider Nurse Paramedic (those who > > are nurses as well as paramedics), MD Paramedics > > (those who are MDs as well as paramedics), and > > possibly even Medical Control Paramedics (MDs who > > are medical control who have their paramedic). > > What about Beaurocrat Paramedics? Those who have > > been behind a desk so long, they have forgotten what > > being in an ambulance was like... (DSHS wants an > > audit of my CEs now? What the...?) Heehee... > > --Lala EMT-B > > > > Mike <paramedicop@... <paramedicop%40gmail.com>> wrote: > > I would like to start a thread, and I'd > > like to ask the list to limit > > your responses to TEXAS and TEXAS ONLY, please. > > > > What " types " of paramedic exist in Texas? I ask this > > in the vein of > > paramedics becoming a part of the Occupations Code, > > much like Peace > > Officers, and the discussions that seem to be going > > on in > > back-channels about paramedic scope of practice, > > etc. The Code of > > Criminal Procedure lists many different types of > > peace officer > > appointments - municipal, county sheriff, etc. - and > > uses these to > > delegate authority, powers, duties, etc. > > > > So, in Texas, what " kinds " of paramedics are there? > > For the purpose > > of this discussion, consider EMT's and EMT-I's to be > > paramedics, for > > all general purpose. > > > > I'll start with my list... see what you can add, and > > if you have > > comments on the delineations, I'd love to hear those > > too. > > > > 1) Firefighter-Paramedic: Any paramedic working > > primarily for a fire > > department that provides emergency medical service > > > > 2) EMS-Paramedic: Any paramedic working primarily > > for a governmental > > agency (city, county, ESD) in the primary role of > > paramedic > > > > 3) Private-Paramedic: Any paramedic working for a > > company that obtains > > the majority of its billing revenue from private or > > interfacility > > transports > > > > 4) First Responder-Paramedic: Any paramedic working > > for a first > > responder agency that is NOT primarily a fire > > department > > > > 5) Clinical Paramedic: Any paramedic working in a > > clinical setting, > > including emergency rooms > > > > 6) Tactical Medic: Any paramedic working for a > > police department > > assigned to a tactical team > > > > 7) Event Paramedic: Any paramedic working at a site > > or for a service > > that provides medics for events, movie sets, etc. > > > > 8) Jail Paramedic: Any paramedic working in a jail > > whose primary > > assignment is a paramedic > > > > 9) School Paramedic: Any paramedic working in a > > school whose primary > > assignment is as paramedic > > > > ***************************** others ? > > ***************************** > > > > Now, here's why I ask. For each of the types of > > peace officers, > > different requirements, laws, regulations, etc. > > apply. The same could > > be done for paramedics... and I'm just curious to > > explore how we would > > even start to " group " ourselves in EMS. I'm not > > " stuck " to any of my > > designations, just throwing ideas around. Once we > > get these fleshed > > out, ask yourself if any particular group should > > have varied training > > requirements, baseline protocols, etc. > > > > Mike > > > > > > > > > > > > > > --------------------------------- > > How low will we go? Check out Yahoo! Messenger's low > > PC-to-Phone call rates. > > > > [Non-text portions of this message have been > > removed] > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 19, 2006 Report Share Posted October 19, 2006 > > Reference the Firefighter Paramedic, would there be a difference between > departments that run boxes and departments that are FRO's only. If you > divide that way then you get EMT-P and EMT-LP that run on BLS only > systems and do not practice ALS for their Departments. And of course > you also get Paid and Volunteer divisions for all of these categories. I agree with the distinction between paid and volunteer because Texas already makes that distinction. You tell us, though - is there a good reason to break them out? Is firefighter-medic too broad, and should it be subcategorized? How? Remeber that for this thread, everyone is a medic, ALS, BLS, ILS, etc. - we're all in the same boat. > This thread seems to be considering a Texas Commission type setup for > EMS and would probably be addressed under that type of system. Maybe, but it's baby steps. How would you create something like this? Unless you work on the foundation, how can you build a house (a commission)? Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2006 Report Share Posted October 20, 2006 It seems that a few of us working together could bring something valuable to the table for EMS. The writing and negotiating skills that most of us possess (to some degree) could be valuable in lobbying lawmakers. A little organization and some input from rank and file EMS Professionals could help shape the future of EMS. Does anyone else on the list have any ideas or input on the issue? R. Todd --- " Bledsoe, DO " wrote: > : > > > > You bring up an interesting phenomenon. There are > quite a few EMS personnel > who hold law degrees (I have a stack of business > cards somewhere). Many > were former practitioners, some never practiced, > some still do. It is > interesting. You all ought to consider organizing > like Jim Page did through > the Street Medicine Society. > > > > BEB > > > > _____ > > From: texasems-l > [mailto:texasems-l ] On > Behalf Of Todd > Sent: Thursday, October 19, 2006 9:26 AM > To: texasems-l > Subject: Re: Texas Paramedics > > > > Don't forget the four or five of us who are > Lawyer-Paramedics (Doctor of Jurisprudence, EMT-P). > By the way, the majority of us don't practice law > any > more, we've returned to the good side of " the > force. " > > Todd, B.S., J.D., EMT-P. > > P.S. We can either race ambulances, or chase > ambulances. > > --- Lala <emslala (AT) yahoo (DOT) > <mailto:emslala%40yahoo.com> com> wrote: > > > Mike, > > I would like to add Volunteer Paramedic- those who > > volunteer at an agency, including those who do AND > > do not make a living as a paramedic elsewhere. > Also, > > Flight Paramedic (self-explanitory). > > I would also consider Nurse Paramedic (those who > > are nurses as well as paramedics), MD Paramedics > > (those who are MDs as well as paramedics), and > > possibly even Medical Control Paramedics (MDs who > > are medical control who have their paramedic). > > What about Beaurocrat Paramedics? Those who have > > been behind a desk so long, they have forgotten > what > > being in an ambulance was like... (DSHS wants an > > audit of my CEs now? What the...?) Heehee... > > --Lala EMT-B > > > > Mike <paramedicop@ > <mailto:paramedicop%40gmail.com> gmail.com> wrote: > > I would like to start a thread, and I'd > > like to ask the list to limit > > your responses to TEXAS and TEXAS ONLY, please. > > > > What " types " of paramedic exist in Texas? I ask > this > > in the vein of > > paramedics becoming a part of the Occupations > Code, > > much like Peace > > Officers, and the discussions that seem to be > going > > on in > > back-channels about paramedic scope of practice, > > etc. The Code of > > Criminal Procedure lists many different types of > > peace officer > > appointments - municipal, county sheriff, etc. - > and > > uses these to > > delegate authority, powers, duties, etc. > > > > So, in Texas, what " kinds " of paramedics are > there? > > For the purpose > > of this discussion, consider EMT's and EMT-I's to > be > > paramedics, for > > all general purpose. > > > > I'll start with my list... see what you can add, > and > > if you have > > comments on the delineations, I'd love to hear > those > > too. > > > > 1) Firefighter-Paramedic: Any paramedic working > > primarily for a fire > > department that provides emergency medical service > > > > 2) EMS-Paramedic: Any paramedic working primarily > > for a governmental > > agency (city, county, ESD) in the primary role of > > paramedic > > > > 3) Private-Paramedic: Any paramedic working for a > > company that obtains > > the majority of its billing revenue from private > or > > interfacility > > transports > > > > 4) First Responder-Paramedic: Any paramedic > working > > for a first > > responder agency that is NOT primarily a fire > > department > > > > 5) Clinical Paramedic: Any paramedic working in a > > clinical setting, > > including emergency rooms > > > > 6) Tactical Medic: Any paramedic working for a > > police department > > assigned to a tactical team > > > > 7) Event Paramedic: Any paramedic working at a > site > > or for a service > > that provides medics for events, movie sets, etc. > > > > 8) Jail Paramedic: Any paramedic working in a jail > > whose primary > > assignment is a paramedic > > > > 9) School Paramedic: Any paramedic working in a > > school whose primary > > assignment is as paramedic > > > > ***************************** others ? > > ***************************** > > > > Now, here's why I ask. For each of the types of > > peace officers, > > different requirements, laws, regulations, etc. > > apply. The same could > > be done for paramedics... and I'm just curious to > > explore how we would > > even start to " group " ourselves in EMS. I'm not > > " stuck " to any of my > > designations, just throwing ideas around. Once we > > get these fleshed > > out, ask yourself if any particular group should > > have varied training > > requirements, baseline protocols, etc. > > > > Mike > > > > > > > > > > > > > > --------------------------------- > > How low will we go? Check out Yahoo! Messenger's > low > > PC-to-Phone call rates. > > > > [Non-text portions of this message have been > > removed] > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2006 Report Share Posted October 20, 2006 I'm open to ideas as to how I could help. -Wes Ogilvie, MPA, JD, EMT-B (paramedic student) Austin, Texas Re: Texas Paramedics > > > > Don't forget the four or five of us who are > Lawyer-Paramedics (Doctor of Jurisprudence, EMT-P). > By the way, the majority of us don't practice law > any > more, we've returned to the good side of " the > force. " > > Todd, B.S., J.D., EMT-P. > > P.S. We can either race ambulances, or chase > ambulances. > > --- Lala <emslala (AT) yahoo (DOT) > <mailto:emslala%40yahoo.com> com> wrote: > > > Mike, > > I would like to add Volunteer Paramedic- those who > > volunteer at an agency, including those who do AND > > do not make a living as a paramedic elsewhere. > Also, > > Flight Paramedic (self-explanitory). > > I would also consider Nurse Paramedic (those who > > are nurses as well as paramedics), MD Paramedics > > (those who are MDs as well as paramedics), and > > possibly even Medical Control Paramedics (MDs who > > are medical control who have their paramedic). > > What about Beaurocrat Paramedics? Those who have > > been behind a desk so long, they have forgotten > what > > being in an ambulance was like... (DSHS wants an > > audit of my CEs now? What the...?) Heehee... > > --Lala EMT-B > > > > Mike <paramedicop@ > <mailto:paramedicop%40gmail.com> gmail.com> wrote: > > I would like to start a thread, and I'd > > like to ask the list to limit > > your responses to TEXAS and TEXAS ONLY, please. > > > > What " types " of paramedic exist in Texas? I ask > this > > in the vein of > > paramedics becoming a part of the Occupations > Code, > > much like Peace > > Officers, and the discussions that seem to be > going > > on in > > back-channels about paramedic scope of practice, > > etc. The Code of > > Criminal Procedure lists many different types of > > peace officer > > appointments - municipal, county sheriff, etc. - > and > > uses these to > > delegate authority, powers, duties, etc. > > > > So, in Texas, what " kinds " of paramedics are > there? > > For the purpose > > of this discussion, consider EMT's and EMT-I's to > be > > paramedics, for > > all general purpose. > > > > I'll start with my list... see what you can add, > and > > if you have > > comments on the delineations, I'd love to hear > those > > too. > > > > 1) Firefighter-Paramedic: Any paramedic working > > primarily for a fire > > department that provides emergency medical service > > > > 2) EMS-Paramedic: Any paramedic working primarily > > for a governmental > > agency (city, county, ESD) in the primary role of > > paramedic > > > > 3) Private-Paramedic: Any paramedic working for a > > company that obtains > > the majority of its billing revenue from private > or > > interfacility > > transports > > > > 4) First Responder-Paramedic: Any paramedic > working > > for a first > > responder agency that is NOT primarily a fire > > department > > > > 5) Clinical Paramedic: Any paramedic working in a > > clinical setting, > > including emergency rooms > > > > 6) Tactical Medic: Any paramedic working for a > > police department > > assigned to a tactical team > > > > 7) Event Paramedic: Any paramedic working at a > site > > or for a service > > that provides medics for events, movie sets, etc. > > > > 8) Jail Paramedic: Any paramedic working in a jail > > whose primary > > assignment is a paramedic > > > > 9) School Paramedic: Any paramedic working in a > > school whose primary > > assignment is as paramedic > > > > ***************************** others ? > > ***************************** > > > > Now, here's why I ask. For each of the types of > > peace officers, > > different requirements, laws, regulations, etc. > > apply. The same could > > be done for paramedics... and I'm just curious to > > explore how we would > > even start to " group " ourselves in EMS. I'm not > > " stuck " to any of my > > designations, just throwing ideas around. Once we > > get these fleshed > > out, ask yourself if any particular group should > > have varied training > > requirements, baseline protocols, etc. > > > > Mike > > > > > > > > > > > > > > --------------------------------- > > How low will we go? Check out Yahoo! Messenger's > low > > PC-to-Phone call rates. > > > > [Non-text portions of this message have been > > removed] > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2006 Report Share Posted October 20, 2006 It seems that the first step is to identify which ones of us are on board and then see what, if anything, needs to be communicated and who we need to communicate with. We have a clean page to start with, which can be a blessing and a curse. When the page is empty it's a bit harder to start writing; however, without the confines of an existing agenda, you're free to write whatever story you want read. I'm sincerely interested in seeing what we can come up with. With scope of practice and educational requirement issues on the horizon, silence is not golden. R. Todd --- ExLngHrn@... wrote: > I'm open to ideas as to how I could help. > > -Wes Ogilvie, MPA, JD, EMT-B (paramedic student) > Austin, Texas > > > Re: Texas Paramedics > > > > > > > > Don't forget the four or five of us who are > > Lawyer-Paramedics (Doctor of Jurisprudence, > EMT-P). > > By the way, the majority of us don't practice law > > any > > more, we've returned to the good side of " the > > force. " > > > > Todd, B.S., J.D., EMT-P. > > > > P.S. We can either race ambulances, or chase > > ambulances. > > > > --- Lala <emslala (AT) yahoo (DOT) > > <mailto:emslala%40yahoo.com> com> wrote: > > > > > Mike, > > > I would like to add Volunteer Paramedic- those > who > > > volunteer at an agency, including those who do > AND > > > do not make a living as a paramedic elsewhere. > > Also, > > > Flight Paramedic (self-explanitory). > > > I would also consider Nurse Paramedic (those who > > > are nurses as well as paramedics), MD Paramedics > > > (those who are MDs as well as paramedics), and > > > possibly even Medical Control Paramedics (MDs > who > > > are medical control who have their paramedic). > > > What about Beaurocrat Paramedics? Those who have > > > been behind a desk so long, they have forgotten > > what > > > being in an ambulance was like... (DSHS wants an > > > audit of my CEs now? What the...?) Heehee... > > > --Lala EMT-B > > > > > > Mike <paramedicop@ > > <mailto:paramedicop%40gmail.com> gmail.com> wrote: > > > I would like to start a thread, and I'd > > > like to ask the list to limit > > > your responses to TEXAS and TEXAS ONLY, please. > > > > > > What " types " of paramedic exist in Texas? I ask > > this > > > in the vein of > > > paramedics becoming a part of the Occupations > > Code, > > > much like Peace > > > Officers, and the discussions that seem to be > > going > > > on in > > > back-channels about paramedic scope of practice, > > > etc. The Code of > > > Criminal Procedure lists many different types of > > > peace officer > > > appointments - municipal, county sheriff, etc. - > > and > > > uses these to > > > delegate authority, powers, duties, etc. > > > > > > So, in Texas, what " kinds " of paramedics are > > there? > > > For the purpose > > > of this discussion, consider EMT's and EMT-I's > to > > be > > > paramedics, for > > > all general purpose. > > > > > > I'll start with my list... see what you can add, > > and > > > if you have > > > comments on the delineations, I'd love to hear > > those > > > too. > > > > > > 1) Firefighter-Paramedic: Any paramedic working > > > primarily for a fire > > > department that provides emergency medical > service > > > > > > 2) EMS-Paramedic: Any paramedic working > primarily > > > for a governmental > > > agency (city, county, ESD) in the primary role > of > > > paramedic > > > > > > 3) Private-Paramedic: Any paramedic working for > a > > > company that obtains > > > the majority of its billing revenue from private > > or > > > interfacility > > > transports > > > > > > 4) First Responder-Paramedic: Any paramedic > > working > > > for a first > > > responder agency that is NOT primarily a fire > > > department > > > > > > 5) Clinical Paramedic: Any paramedic working in > a > > > clinical setting, > > > including emergency rooms > > > > > > 6) Tactical Medic: Any paramedic working for a > > > police department > > > assigned to a tactical team > > > > > > 7) Event Paramedic: Any paramedic working at a > > site > > > or for a service > > > that provides medics for events, movie sets, > etc. > > > > > > 8) Jail Paramedic: Any paramedic working in a > jail > > > whose primary > > > assignment is a paramedic > > > > > > 9) School Paramedic: Any paramedic working in a > > > school whose primary > > > assignment is as paramedic > > > > > > ***************************** others ? > > > ***************************** > > > > > > Now, here's why I ask. For each of the types of > > > peace officers, > > > different requirements, laws, regulations, etc. > > > apply. The same could > > > be done for paramedics... and I'm just curious > to > > > explore how we would > === message truncated === Sincerely, Todd __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2006 Report Share Posted October 20, 2006 How about Wilderness Paramedic? One who has completed the WMA or similar wilderness medical certification programs, which emphasize emergency care practices when definitive care resources are not available within a few hours (e.g., backcountry trips & SAR missions, trek medic, aboard aircraft caring for patient during transport, on a ship, drilling rig medic, and other wrong place/wrong time situations). Cofran, WEMT-P, NREMT-P City TX, Crested Butte CO _____ From: texasems-l [mailto:texasems-l ] On Behalf Of Mike Sent: Thursday, October 19, 2006 6:55 AM To: texasems-l Subject: Re: Texas Paramedics On 10/19/06, Lala <emslala (AT) yahoo (DOT) <mailto:emslala%40yahoo.com> com> wrote: > > I would like to add Volunteer Paramedic- those who volunteer at an agency, including those who do AND do not make a living as a paramedic elsewhere. Also, Flight Paramedic (self-explanitory). M> Flight paramedic - how'd I miss that one? Maybe Critial Care Paramedic, too, for those who have completed a CCEMT-P course and work for a specialty care transport provider? I have to wonder about volunteer, though, as a " category, " and here's why: Volunteer doesn't change the TYPE of paramedic work if we're classifying medics... much like " reserve " peace officers are volunteers, but can still have the same responsibilities, duties, powers, etc. if hired on a full commission status. So, would it make sense to simply note " volunteer " or " career/paid " as a status, not a type - that way volunteers would still qualify for " free " testing, but the state would have a method to collect fees from those who register as volunteers and end up taking paid assignments (which means they owe pro-rated fees to the state)? > I would also consider Nurse Paramedic (those who are nurses as well as paramedics), MD Paramedics (those who are MDs as well as paramedics), and possibly even Medical Control Paramedics (MDs who are medical control who have their paramedic). M> I'd have to think that being a doctor would somehow " override " paramedic status, and I tend to feel that way about nurses. Nurses could be RN or LVN, and " also " have a paramedic " status, " but that's just my opinion. What " role " would RN-Paramedics play that " just medics " couldn't? I'm honestly asking - what's the real differentiation? > What about Beaurocrat Paramedics? Those who have been behind a desk so long, they have forgotten what being in an ambulance was like... (DSHS wants an audit of my CEs now? What the...?) Heehee... M> I know this was meant as a joke, but why not " Managing Paramedic " or some similar designation for a paramedic who has completed a prescribed course of education in business, management, or leadership? I know that many consulting practices operate in such a manner... PS - Remember that for this discussion, " paramedic " includes ANY EMS personnel from EMT --> paramedic. Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 20, 2006 Report Share Posted October 20, 2006 Possibly you might handle it like TC Fire Protection. Show the basic level of certification, EMT, I, P, LP and then show the other items as additional certifications. TCFP also handles the paid and/or volunteer and working for multiple agencies by allowing each service to be shown. We have paid firefighters that volunteer on our department and TCFP shows both agencies and pay status. Under TCFP you are a firefighter then they add certifications for ARRF, HazMat, Investigators, Marine, etc. This method would cut down the total number of different levels needed by allowing each person to be shown with their certifications. Probably the agencies the person work for would have to attest to some of the person's certification levels, ACLS, PALS, PHTLS, etc. Pat Fitzpatrick Potter County Fire-Rescue Re: Texas Paramedics On 10/19/06, Fire/Rescue - Pat Fitzpatrick wrote: > > Reference the Firefighter Paramedic, would there be a difference between > departments that run boxes and departments that are FRO's only. If you > divide that way then you get EMT-P and EMT-LP that run on BLS only > systems and do not practice ALS for their Departments. And of course > you also get Paid and Volunteer divisions for all of these categories. I agree with the distinction between paid and volunteer because Texas already makes that distinction. You tell us, though - is there a good reason to break them out? Is firefighter-medic too broad, and should it be subcategorized? How? Remeber that for this thread, everyone is a medic, ALS, BLS, ILS, etc. - we're all in the same boat. > This thread seems to be considering a Texas Commission type setup for > EMS and would probably be addressed under that type of system. Maybe, but it's baby steps. How would you create something like this? Unless you work on the foundation, how can you build a house (a commission)? Mike Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 23, 2006 Report Share Posted October 23, 2006 My initial " Lawyer Medic " was mostly intended in jest. However, utilizing some of the non-medical " persuasive skills, " and having " J.D. " in our alphabet soup might be helpful in furthering the interest of EMS in Texas. I envision pulling together as a profession and determining the message that bureaucrats and lawmakers need to hear and letting the lawyer group of us be the mouthpiece to deliver that message. --- Mike wrote: > Does that affect your medical status enough that it > would warrant > inclusion? > > Seriously, is there a " niche " for lawyer-paramedics? > What could a lawyer > paramedic do differently, medically? > > Mike > > On 10/19/06, Todd > wrote: > > > > Don't forget the four or five of us who are > > Lawyer-Paramedics (Doctor of Jurisprudence, > EMT-P). > > By the way, the majority of us don't practice law > any > > more, we've returned to the good side of " the > force. " > > > > Todd, B.S., J.D., EMT-P. > > > > P.S. We can either race ambulances, or chase > > ambulances. > > > > > > --- Lala <emslala@... <emslala%40yahoo.com>> > wrote: > > > > > Mike, > > > I would like to add Volunteer Paramedic- those > who > > > volunteer at an agency, including those who do > AND > > > do not make a living as a paramedic elsewhere. > Also, > > > Flight Paramedic (self-explanitory). > > > I would also consider Nurse Paramedic (those who > > > are nurses as well as paramedics), MD Paramedics > > > (those who are MDs as well as paramedics), and > > > possibly even Medical Control Paramedics (MDs > who > > > are medical control who have their paramedic). > > > What about Beaurocrat Paramedics? Those who have > > > been behind a desk so long, they have forgotten > what > > > being in an ambulance was like... (DSHS wants an > > > audit of my CEs now? What the...?) Heehee... > > > --Lala EMT-B > > > > > > Mike <paramedicop@... > <paramedicop%40gmail.com>> wrote: > > > I would like to start a thread, and I'd > > > like to ask the list to limit > > > your responses to TEXAS and TEXAS ONLY, please. > > > > > > What " types " of paramedic exist in Texas? I ask > this > > > in the vein of > > > paramedics becoming a part of the Occupations > Code, > > > much like Peace > > > Officers, and the discussions that seem to be > going > > > on in > > > back-channels about paramedic scope of practice, > > > etc. The Code of > > > Criminal Procedure lists many different types of > > > peace officer > > > appointments - municipal, county sheriff, etc. - > and > > > uses these to > > > delegate authority, powers, duties, etc. > > > > > > So, in Texas, what " kinds " of paramedics are > there? > > > For the purpose > > > of this discussion, consider EMT's and EMT-I's > to be > > > paramedics, for > > > all general purpose. > > > > > > I'll start with my list... see what you can add, > and > > > if you have > > > comments on the delineations, I'd love to hear > those > > > too. > > > > > > 1) Firefighter-Paramedic: Any paramedic working > > > primarily for a fire > > > department that provides emergency medical > service > > > > > > 2) EMS-Paramedic: Any paramedic working > primarily > > > for a governmental > > > agency (city, county, ESD) in the primary role > of > > > paramedic > > > > > > 3) Private-Paramedic: Any paramedic working for > a > > > company that obtains > > > the majority of its billing revenue from private > or > > > interfacility > > > transports > > > > > > 4) First Responder-Paramedic: Any paramedic > working > > > for a first > > > responder agency that is NOT primarily a fire > > > department > > > > > > 5) Clinical Paramedic: Any paramedic working in > a > > > clinical setting, > > > including emergency rooms > > > > > > 6) Tactical Medic: Any paramedic working for a > > > police department > > > assigned to a tactical team > > > > > > 7) Event Paramedic: Any paramedic working at a > site > > > or for a service > > > that provides medics for events, movie sets, > etc. > > > > > > 8) Jail Paramedic: Any paramedic working in a > jail > > > whose primary > > > assignment is a paramedic > > > > > > 9) School Paramedic: Any paramedic working in a > > > school whose primary > > > assignment is as paramedic > > > > > > ***************************** others ? > > > ***************************** > > > > > > Now, here's why I ask. For each of the types of > > > peace officers, > > > different requirements, laws, regulations, etc. > > > apply. The same could > > > be done for paramedics... and I'm just curious > to > > > explore how we would > > > even start to " group " ourselves in EMS. I'm not > > > " stuck " to any of my > > > designations, just throwing ideas around. Once > we > > > get these fleshed > > > out, ask yourself if any particular group should > > > have varied training > > > requirements, baseline protocols, etc. > > > > > > Mike > > > > > > > > > > > > > > > > > > > > > --------------------------------- > > > How low will we go? Check out Yahoo! Messenger's > low > > > PC-to-Phone call rates. > > > > > > [Non-text portions of this message have been > > > removed] > > > > > > > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
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