Need some help.

December 26, 2006

In a message dated 12/26/2006 8:26:27 AM Central Standard Time,

medic_ms@... writes:

Good Morning,

I am needing a little help. I am doing some research for my wife, her

nurse manager questioned the possibility of using paramedics in the

ER. I was looking for any hospital that uses paramedics in the ER and

what tasks they perform.

I am not necessarily looking for specifics, but any info will help,

just hospitals that utilize paramedics. We will contact them directly

for further information.

Thanks,

Mike Shown

specifically Texas or would any state do?

ck

S. Krin, DO FAAFP

(who enjoys working at a small rural hospital in Missouri where the medics

and nurses are well integrated.)

December 26, 2006

Good Morning,

I am needing a little help. I am doing some research for my wife, her

nurse manager questioned the possibility of using paramedics in the

ER. I was looking for any hospital that uses paramedics in the ER and

what tasks they perform.

I am not necessarily looking for specifics, but any info will help,

just hospitals that utilize paramedics. We will contact them directly

for further information.

Thanks,

Mike Shown

December 26, 2006

Arlington Memorial.....Cooks Children

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

Howdy from the Show Me State

North Kansas City Hospital, 2800 Clay Drive, North Kansas City,

Missouri 64116 (Level 2 Trauma Center)

A contact name would be Charlene Booth, ED Nurse Manager.

Rande

Need some help.

Good Morning,

I am needing a little help. I am doing some research for my wife, her

nurse manager questioned the possibility of using paramedics in the

ER. I was looking for any hospital that uses paramedics in the ER and

what tasks they perform.

I am not necessarily looking for specifics, but any info will help,

just hospitals that utilize paramedics. We will contact them directly

for further information.

Thanks,

Mike Shown

December 26, 2006

Hi Mike, Here in Hamilton Paramedics are used in the ER along with

EMT-I. They basicly do triage, all the paper work and place the

patient in the appropriate room. Start IV's and vitals. Everything

you would do in the back of the ambulance but give meds. Hey you

have to give the nurses something to do.. LOL. The main thing is

that the Paramedic is operating under the Head ER Nurse license.

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in

the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will

help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

In a message dated 12/26/2006 11:42:37 A.M. Central Standard Time,

emt_hunter@... writes:

The main thing is

that the Paramedic is operating under the Head ER Nurse license.

In Texas? I don't think so.

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.

December 26, 2006

>

> Mother Frances Hospital, East Texas Medical Center, and Good

Shepherd Medical Center have paramedics working in the ECC/ED.

Contact me off list and I can give you some contact numbers.

> In a message dated 12/26/2006 8:26:27 AM Central Standard Time,

> medic_ms@... writes:

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in

the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will

help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

> specifically Texas or would any state do?

>

> ck

> S. Krin, DO FAAFP

> (who enjoys working at a small rural hospital in Missouri where

the medics

> and nurses are well integrated.)

>

December 26, 2006

Check with the Medical Center of Mesquite, Mesquite Community, Methodist

Medical Center of Dallas, Medical City of Dallas, The Medical Center of Plano

and Lakepoint Medical Center in Rowlett. As with the others named earlier by

our esteemed brethren throughout this list. Duties vary from facility to

facility but you should get a good idea.

Contact me off list if you need contact numbers and names. Good luck.

December 26, 2006

Plaza Medical Center in Fort Worth, Medical Center of

Las Colinas, Methodist Medical Center, HEB Hospital to

name a few...

--- Mike wrote:

> Good Morning,

>

> I am needing a little help. I am doing some

> research for my wife, her

> nurse manager questioned the possibility of using

> paramedics in the

> ER. I was looking for any hospital that uses

> paramedics in the ER and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any

> info will help,

> just hospitals that utilize paramedics. We will

> contact them directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

Both St. and Herrman Baptis in Beaumont use them. The Trauma team

also uses them in St. and they do just about whatever they want to.

Andy Foote

Need some help.

Good Morning,

I am needing a little help. I am doing some research for my wife, her

nurse manager questioned the possibility of using paramedics in the

ER. I was looking for any hospital that uses paramedics in the ER and

what tasks they perform.

I am not necessarily looking for specifics, but any info will help,

just hospitals that utilize paramedics. We will contact them directly

for further information.

Thanks,

Mike Shown

December 26, 2006

I think you spell Baptis, Baptist.

Andy Foote

Need some help.

Good Morning,

I am needing a little help. I am doing some research for my wife, her

nurse manager questioned the possibility of using paramedics in the

ER. I was looking for any hospital that uses paramedics in the ER and

what tasks they perform.

I am not necessarily looking for specifics, but any info will help,

just hospitals that utilize paramedics. We will contact them directly

for further information.

Thanks,

Mike Shown

December 26, 2006

Baylor in Dallas and the surrounding areas uses them

Need some help.

Good Morning,

I am needing a little help. I am doing some research for my wife, her

nurse manager questioned the possibility of using paramedics in the

ER. I was looking for any hospital that uses paramedics in the ER and

what tasks they perform.

I am not necessarily looking for specifics, but any info will help,

just hospitals that utilize paramedics. We will contact them directly

for further information.

Thanks,

Mike Shown

December 26, 2006

Contact Rio Grande Regional Hospital in Mc, ask

for Sally Carpenter @.

Salvador Capuchino Jr

EMT-Paramedic

--- Mike wrote:

> Good Morning,

>

> I am needing a little help. I am doing some

> research for my wife, her

> nurse manager questioned the possibility of using

> paramedics in the

> ER. I was looking for any hospital that uses

> paramedics in the ER and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any

> info will help,

> just hospitals that utilize paramedics. We will

> contact them directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

The

> main thing is

> that the Paramedic is operating under the Head ER

> Nurse license.

I thought we are supposed to work under the ER doc's

license?

Salvador Capuchino Jr

EMT-Paramedic

--- Dail 911 and I will tell ya

wrote:

> Hi Mike, Here in Hamilton Paramedics are used in the

> ER along with

> EMT-I. They basicly do triage, all the paper work

> and place the

> patient in the appropriate room. Start IV's and

> vitals. Everything

> you would do in the back of the ambulance but give

> meds. Hey you

> have to give the nurses something to do.. LOL. The

> main thing is

> that the Paramedic is operating under the Head ER

> Nurse license.

>

> >

> > Good Morning,

> >

> > I am needing a little help. I am doing some

> research for my wife,

> her

> > nurse manager questioned the possibility of using

> paramedics in

> the

> > ER. I was looking for any hospital that uses

> paramedics in the ER

> and

> > what tasks they perform.

> >

> > I am not necessarily looking for specifics, but

> any info will

> help,

> > just hospitals that utilize paramedics. We will

> contact them

> directly

> > for further information.

> >

> > Thanks,

> > Mike Shown

> >

>

December 26, 2006

I beg to differ with this one, I think. I have been wrong so many times and

this list will prove you wrong, even when you aren't. I worked in the ER for

many years at Baptist Beaumont before it became Herrman and I was under the

license of the ER doc. I do not believe any paramedic can be under a nurses

license.

Andy Foote

Re: Need some help.

Hi Mike, Here in Hamilton Paramedics are used in the ER along with

EMT-I. They basicly do triage, all the paper work and place the

patient in the appropriate room. Start IV's and vitals. Everything

you would do in the back of the ambulance but give meds. Hey you

have to give the nurses something to do.. LOL. The main thing is

that the Paramedic is operating under the Head ER Nurse license.

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in

the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will

help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

I am certainly not an attorney, but I'm of the opinion that it depends

on the situation. Since the Texas Board of Nurse Examiners (BNE)

views paramedics as Unlicensed Assistive Personnel (UAPs), the

Registered Nurse would be responsible for all care rendered by said

UAPs by delegation. However, if the paramedic in question is allowed

to practice up to his/her scope of practice, then he/she would be

required to work under a physician's license since RNs cannot

intubate, etc.

-Alfonso R. Ochoa

>

> I beg to differ with this one, I think. I have been wrong so many

times and this list will prove you wrong, even when you aren't. I

worked in the ER for many years at Baptist Beaumont before it became

Herrman and I was under the license of the ER doc. I do not believe

any paramedic can be under a nurses license.

>

> Andy Foote

>

> Re: Need some help.

>

> Hi Mike, Here in Hamilton Paramedics are used in the ER along with

> EMT-I. They basicly do triage, all the paper work and place the

> patient in the appropriate room. Start IV's and vitals. Everything

> you would do in the back of the ambulance but give meds. Hey you

> have to give the nurses something to do.. LOL. The main thing is

> that the Paramedic is operating under the Head ER Nurse license.

>

December 26, 2006

I concur with Andy.

I am pretty surprised though, at how many ER's are now letting Medics

function.

Not so long ago, it was an uphill battle with the BNE.

Re: Need some help.

Hi Mike, Here in Hamilton Paramedics are used in the ER along with

EMT-I. They basicly do triage, all the paper work and place the

patient in the appropriate room. Start IV's and vitals. Everything

you would do in the back of the ambulance but give meds. Hey you

have to give the nurses something to do.. LOL. The main thing is

that the Paramedic is operating under the Head ER Nurse license.

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in

the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will

help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

When I was flying with Air Rescue in the early 90's, we were officed and slept

just down the hall from the ER. We gave every medication known to man, from

Penicillin to all antibiotics because the head doctor was our Medical Director.

After a few years, we shut down and the helicopter was Med-Link out of St.

and the Paramedics there were allowed to give anything if they passed

the medication test that the nurses took when they hired on.

Later, BNE got involved and they would not allow them to do anything they

normally don't do on the ambulance. That has since changed and gone back to the

old, but they are still under a Dr. not the Charge Nurse.

Andy Foote

Re: Need some help.

Hi Mike, Here in Hamilton Paramedics are used in the ER along with

EMT-I. They basicly do triage, all the paper work and place the

patient in the appropriate room. Start IV's and vitals. Everything

you would do in the back of the ambulance but give meds. Hey you

have to give the nurses something to do.. LOL. The main thing is

that the Paramedic is operating under the Head ER Nurse license.

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in

the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will

help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

December 26, 2006

In a message dated 12/26/2006 11:44:16 AM Central Standard Time,

randemccrary@... writes:

Howdy from the Show Me State

North Kansas City Hospital, 2800 Clay Drive, North Kansas City,

Missouri 64116 (Level 2 Trauma Center)

A contact name would be Charlene Booth, ED Nurse Manager.(816) 691-2000

Rande

Bates County Hospital in , MO is where I work, Rande, and we've got

them too.

ck

S. Krin, DO FAAFp

December 26, 2006

I believe Baylor Dallas uses a few and Medical City of Dallas uses paramedics.

Chuck wrote: Arlington Memorial.....Cooks

Children

>

> Good Morning,

>

> I am needing a little help. I am doing some research for my wife,

her

> nurse manager questioned the possibility of using paramedics in the

> ER. I was looking for any hospital that uses paramedics in the ER

and

> what tasks they perform.

>

> I am not necessarily looking for specifics, but any info will help,

> just hospitals that utilize paramedics. We will contact them

directly

> for further information.

>

> Thanks,

> Mike Shown

>

__________________________________________________

December 26, 2006

Andy is correct. Nurses cannot delegate any practice to an EMT or paramdic.

However, the physician can.

Paramedics in Texas work under the delegated practice of a physician.

Nurses have no place in the process. They have neither the power to delegate

practice to an EMT or to deny the EMT the right to practice under the

physician's

orders. They are totally superfluous to the practice of EMTs and Paramedics.

Nurses have fought to the death in other states to keep paramedics out of

the ER and other places in the hospital. This has, so far, not happened in

Texas, but don't hold your breath.

It is purely an economic battle, a turf battle, and it has nothing

whatsoever to do with competency to perform the delegated skills.

In Texas, Paramedics or EMTs can work in a hospital if they are working

under the delegated orders of a physician. Nurses have no role in either

approving or disapproving what medics do in the hospital if they're working

under

the physician's license.

However, if a nurse were to decide to delegate to a medic, it would be

illegal.

So, medics in a hospital work under a physician's license or not at all.

Gene G.

December 27, 2006

Austin Radiological Association based out of Austin, Texas utilizing

Paramedics and RN's to perform sedations for both adult and

pediatrics ranging from oral to concious sedations. There are more

Paramedics then Nurses mostly because only one clinic has an onsite

radiologist after 5pm and all locations are open until 11:00 pm, and

paramedics are able to perform medical tasks without physician

(Radiologist) being there. These paramedics perform not only

sedations, but respond within the clinic for medical emergencies,

allergies to CT contrast, and perform other nursing tasks including

administrative. We operate under several different protocols

including Austin/ Co EMS protocols and certain in house

sedation protocols by the Radiologist. I know this is not a

hospital set up, but i figure it might be of interest to you since

this is an outpatient clinical setting and not an EMS setting.

Take Care!

Tommy EMT-P

>

> Andy is correct. Nurses cannot delegate any practice to an EMT

or paramdic.

> However, the physician can.

>

> Paramedics in Texas work under the delegated practice of a

physician.

> Nurses have no place in the process. They have neither the power

to delegate

> practice to an EMT or to deny the EMT the right to practice under

the physician's

> orders. They are totally superfluous to the practice of EMTs and

Paramedics.

>

> Nurses have fought to the death in other states to keep paramedics

out of

> the ER and other places in the hospital. This has, so far, not

happened in

> Texas, but don't hold your breath.

>

> It is purely an economic battle, a turf battle, and it has

nothing

> whatsoever to do with competency to perform the delegated skills.

>

> In Texas, Paramedics or EMTs can work in a hospital if they are

working

> under the delegated orders of a physician. Nurses have no role in

either

> approving or disapproving what medics do in the hospital if

they're working under

> the physician's license.

>

> However, if a nurse were to decide to delegate to a medic, it

would be

> illegal.

>

> So, medics in a hospital work under a physician's license or not

at all.

>

> Gene G.

>

December 27, 2006

In a message dated 12/27/2006 10:30:21 A.M. Central Standard Time,

joetemt_p@... writes:

but patient care went from good to fantastic because for several situations,

we didn't have to wait for the Doc, but could iniate necessary care under

the protocols.

When we start letting things like quality patient care and what might be

best for the patient guide our actions where will we be?

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.

December 27, 2006

I've been through all the mess with nurses about Paramedics working

in the ER. It's a common misconception by nurses that the Medics work

under their license thanks to BNE. They came out with an opinion that

the charge nurse was responsible for any actions by ANY unlicensed

personnel in the ER. We asked for an opinion and recommendation from

TDH (was still TDH in the old days LOL). They stated that the ONLY way

Paramedics could operate was under a Doctor's license. They further

recommended that we have the Medical Director write up protocols for

the ER just like he did for the ambulance. Fortunately, we had an

outstanding ER director that not only wrote protocols for us, but for

the ER nurses too. VIOLA, no more arguments. Not only did it stop that

problem, but patient care went from good to fantastic because for

several situations, we didnt have to wait for the Doc, but could iniate

necessary care under the protocols. Patients started getting all the

preliminary stuff out of the way (labs, xrays, EKGs, and any immediate

interventions necessary) before the Doc even got there. Patients loved

it, nurses loved it, we loved it, and the Docs were happy as clams

because all they had to do was breeze in and make a diagnosis. I'd

recommend this set up for any ER that was going to use Paramedics.

Stops all the crap before it even gets started.

December 27, 2006

Tommy,

This is an appropriate setting for our skills. I firmly believe that no setting

is right if it involves us acting as nurses nor do I think nurses should act as

paramedics. We have been through this time and time again on this group and

that doesn't need to start again.

What I do advocate for Paramedics is appropriate pay for our education.

Unfortunately in some of these settings they are using us to lower their cost.

This is another reason that nurses have fought to keep paramedics out of

hospitals. (not the only reason) Hospitals use paramedics for economic reasons

instead of educational reasons. If it was for education alone they would pay us

the same as they do their nurses. This is not to start a long diatribe on

nurses vs. paramedics.