Guest guest Posted December 30, 2006 Report Share Posted December 30, 2006 In a message dated 12/28/2006 12:21:06 A.M. Central Standard Time, wegandy1938@... writes: If I have missed something, please let me know. Not you missing it but me stating it badly (writers block is a PIA). If a hospital writes a job description and calls it ED Tech (or whatever) can they use a persons P card as a basis for that job description, let that person do all the things that a P can do on a trucks and call that person an unlicensed person and allow the RN's to control them. In other words what defines paramedic in Texas and when is a paramedic not a paramedic? 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2006 Report Share Posted December 30, 2006 The answer is NO NO NO NO NO NO NO Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2006 Report Share Posted December 30, 2006 In a message dated 12/30/2006 3:17:29 P.M. Central Standard Time, rachfoote@... writes: The answer is NO NO NO NO NO NO NO The answer to what? 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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2006 Report Share Posted December 30, 2006 To your question on this OLD subject. You asked it, I just reiterated the point. Thought this was gone and sure nuff here it comes again. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2006 Report Share Posted December 30, 2006 The answer to the question, silly man! Mike Re: Re: Need some help. In a message dated 12/30/2006 3:17:29 P.M. Central Standard Time, rachfoote (AT) aol (DOT) <mailto:rachfoote%40aol.com> com writes: The answer is NO NO NO NO NO NO NO The answer to what? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino (AT) aol (DOT) <mailto:LNMolino%40aol.com> com (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. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 30, 2006 Report Share Posted December 30, 2006 There's nothing wrong with using the paramedic job description (available from DSHS website) to describe a part of the job. The thing is, none of it makes any difference unless there are also written protocols and standing orders allowing the paramedic to do the skills unless the physician is personally present and issues a verbal direct order. So, at least in my mind and from what I have learned from litigation, there should both be a paramedic job description in the hospital's P & P, and there should be paramedic protocols with standing orders governing each task and skill the paramedic will be allowed to do. Once that is done, it is perfectly OK for nursing staff to direct the paramedic's work setting. So, the charge could assign a paramedic to a patient just as she or he might assign an RN to a patient. With the right protocols, that paramedic could do anything from patient assessment to administration of medications, so long as it was covered by protocols and standing orders. HOWEVER, the RN cannot become a substitute for the physician's direction. The paramedic works for the physician in terms of delegated skills. The RN may deploy the paramedics as needed, but the RN can neither expand nor contract the scope of practice set by the physician. The interesting questions becomes: Is it necessary for a physician to be physically present when the paramedic is practicing? I think not. However, it is clear that it is the physician who bears ultimate responsibility for the paramedic's actions, not the nurse. Nevertheless, when working as a member of a team, various interacting duties may arise, such as the duty not to allow a treatment to be done by another team member that would be harmful to the patient. But that's another fact situation entirely. Gene G. n a message dated 12/30/06 2:52:53 PM, lnmolino@... writes: > > > > In a message dated 12/28/2006 12:21:06 A.M. Central Standard Time, > wegandy1938@wegandy writes: > > If I have missed something, please let me know. > > Not you missing it but me stating it badly (writers block is an IPA). > > If a hospital writes a job description and calls it ED Tech (or whatever) > can they use a persons P card as a basis for that job description, let that > person do all the things that a P can do on a trucks and call that person an > unlicensed person and allow the RN's to control them. > > In other words what defines paramedic in Texas and when is a paramedic not a > paramedic? > > Louis N. Molino, Sr., CET > FF/NREMT-B/FSI/ FF./ > Freelance Consultant/Trainer/ Freelance Cons Freelance Consultant/Traine > > 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. > > Quote Link to comment Share on other sites More sharing options...
Recommended Posts
Join the conversation
You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.