Need some help.

[Guest guest]

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.

[Guest guest]

The answer is NO NO NO NO NO NO NO

[Guest guest]

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.

[Guest guest]

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.

[Guest guest]

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.

[Guest guest]

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.

>

>