Re: [TEXAS_EMS] Re: Transfer Service in Flight Suits?

[Guest guest]

Now now, to be fair, Metrocare does do a lot of transports that probably

should be considered Critical Care... multiple drips, long-haul transports

with monitoring and medication administration, etc. And, the knkowledge

these medics got will be very, very sueful to them. Plus, medicare does

allow for billing at SCT rates, from what I understand. From a business

perspective it makes sense, and for the medics involved it makes sense - I'm

just hard-pressed to understand why they don't consider their employees,

especially these, whom they're giving marketable job skills to, as assets

rather than resources.

Clinically, I have no problem with Metrocare. They're more advanced than

Austin/ County EMS.

Mike :/

>

> I guess they need to feel special while they transport

> their " critical " patients from the nusing home to dialysis...and

> back.

>

>

> >

> >

> >

> > In a message dated 12/21/2006 3:42:03 P.M. Central Standard Time,

> > wegandy1938@... writes:

> >

> > I don't know why anybody would want to wear one who didn't have

> to.

> >

> >

> > Oh come on Gene not even someone for the want of the ego trip

> they bring to

> > the wearers?

> >

> > In a less PC world I'd say that I do like them on some of the

> Crews I see

> > them on at Conference

> >

> >

> >

> > Louis N. Molino, Sr., CET

> > FF/NREMT-B/FSI/EMSI

> > Freelance Consultant/Trainer/Author/Journalist/Fire Protection

> Consultant

> >

> > LNMolino@...

> >

> > (Cell Phone)

> > (Home Phone)

> > (IFW/TFW/FSS Office)

> > (IFW/TFW/FSS Fax)

> >

> > " A Texan with a Jersey Attitude "

> >

> > " Great minds discuss ideas; Average minds discuss events; Small

> minds

> > discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 -

> 1962)

> >

> > 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.

> >

>

>

>

[Guest guest]

>

> I worked for a transfer service in San that went to

> 'flight/jump suits' and nobody liked them so they went away. The

> comment in a later reply seems to indicate that somehow a flight

> paramedic provides a higher level of care than a ground paramedic. If

> one chooses to think this way, maybe they should stay in the air, lest

> this 'inadequate' EMT-P might have to perform life saving

> interventions. The service I currently work for (DFW) has protocols

In most cases, flight paramedics have expanded protocols and therefore

do, in fact, provide a higher level of care than a ground paramedic.

In this case, however, and according to medicare, these medics are

specially trained for the types of things likely to be encountered in

specialty care transports and have expanded protocols based on their

training that allow for more advanced interventions and treatments, so

they also do provide a higher level of care...

> for RSI and the like. We carry SUCCS, MS, Lorazepam and epam.

What is succs? I can't seen to find that in the USP.

> While in San , I worked for a transfer service that also

> handled 911 response and transport for Balcones Heights and Shavano

> Park. Vehicle vs vehicle, vehicle vs ped, vehicle vs bicycle, MI, CVA,

> suicide, OD, shootings, stabbings; you name it, I've worked it. So

> tell us, just how much better do you believe you are compared to the

> rest of us beneath you? IMHO, the only thing different is the

Not me. But, in this case, these medics have more training (and

in my personal case they have more than me - I've never completed a

CCEMT-P course and I'm not FP-C certified, either).

This is one area (and perhaps the ONLY area) in which I see private,

for-profit EMS geared towards transfers leading the pack, clinically

speaking. 911 services seem content to languish in the " well, it

works " mentality and ignore new science.

Mike :/

[Guest guest]

I think everyone who wears a flightsuit knows where I come from when I say

.... Not fun or for " bling " .

Some private companies wear them for numerous reasons. Technically, a

hospital based transport team is a private service. You have to weigh the

number of incidences those personnel fly or are likely to spontanously

combust and need nomex for protection.

How I see it. In Texas, wearing Nomex is hot and very uncomfortable, but at

times required.

I am part of a pediatric transport team in south texas associated with a

hospital that wears flightsuits everyday. Do I fly everyday? No, but I

respect the need for the uniform. It is pointless to have two types of

uniforms and I must admit as a team we all look sharp all wearing the same

uniform.

with service,

Penny Engelking LP

>

> Now now, to be fair, Metrocare does do a lot of transports that probably

> should be considered Critical Care... multiple drips, long-haul transports

> with monitoring and medication administration, etc. And, the knkowledge

> these medics got will be very, very sueful to them. Plus, medicare does

> allow for billing at SCT rates, from what I understand. From a business

> perspective it makes sense, and for the medics involved it makes sense -

> I'm

> just hard-pressed to understand why they don't consider their employees,

> especially these, whom they're giving marketable job skills to, as assets

> rather than resources.

>

> Clinically, I have no problem with Metrocare. They're more advanced than

> Austin/ County EMS.

>

> Mike :/

>

> On 12/21/06, txmedic129 <agentlaos@... <agentlaos%40hotmail.com>>

> wrote:

> >

> > I guess they need to feel special while they transport

> > their " critical " patients from the nusing home to dialysis...and

> > back.

> >

> >

> > >

> > >

> > >

> > > In a message dated 12/21/2006 3:42:03 P.M. Central Standard Time,

> > > wegandy1938@... writes:

> > >

> > > I don't know why anybody would want to wear one who didn't have

> > to.

> > >

> > >

> > > Oh come on Gene not even someone for the want of the ego trip

> > they bring to

> > > the wearers?

> > >

> > > In a less PC world I'd say that I do like them on some of the

> > Crews I see

> > > them on at Conference

> > >

> > >

> > >

> > > Louis N. Molino, Sr., CET

> > > FF/NREMT-B/FSI/EMSI

> > > Freelance Consultant/Trainer/Author/Journalist/Fire Protection

> > Consultant

> > >

> > > LNMolino@...

> > >

> > > (Cell Phone)

> > > (Home Phone)

> > > (IFW/TFW/FSS Office)

> > > (IFW/TFW/FSS Fax)

> > >

> > > " A Texan with a Jersey Attitude "

> > >

> > > " Great minds discuss ideas; Average minds discuss events; Small

> > minds

> > > discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 -

> > 1962)

> > >

> > > 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.

> > >

> >

> >

> >

>

>