National Registry Skills Sheet

[Guest guest]

I have sat here on my perch, looking like an owl, and grinning like the

Cheshire cat during all this.

Now, let's get to the meat of the problem.

We have whine and wail continuously about how badly we're treated by

everyone, politicians, other medical folks, the public, and Rush Limbaugh. We

beg

for recognition as being the professionals we " think " we are. Why don't they

treat us like professionals?

Well, as a professional in two fields, law and paramedicine, let me tell you

this. The difference between a professional and a hired hand is that the

professional, early in his schooling, learns that it's HIS RESPONSIBILITY, and

nobody else's to remain current on changes in practice and other affairs that

affect him and his practice. So whose job is it to figure out what the NR exam

is going to be all about? THE CANDIDATE. Not his instructor, not Rush

Limbaugh, not Barak Obama, not Maxie Bishop or GETAC---it's the candidate.

If I go into the courtroom to try a case, whose job is it to research the law

and figure out the latest rulings from The Supremes on the subject I'm

litigating? The judge? Surely you jest. The other side? Ain't gonna

happen.

My old law school professors? Nope. It's ME, just ME. Because, you

see, I'm a PROFESSIONAL. That's what being a PROFESSIONAL means----insuring

that you're constantly updating your knowledge and information and staying on

top

of all the things that affect you and your profession.

It takes about three keystrokes to call up Google and put in NREMT. Then it

takes maybe three or four more to get to the page where they have the

skillsheets for download. Now, I admit that it takes a LITTLE curiosity to

figure

out that Exam Coordinator Documents is where you find the skill sheets.

However, most students can locate anybody in the world on Facebook in less than

30

seconds, find a porn site in 10 seconds, and do this while driving, eating a

burger, and talking to the person in the front seat next to them. So why

can't EMS " professionals " find out what the testing criteria are for the exams

they're teaching their students about and why can't the student candidates

figure

it out for themselves? Have we now truly succumbed to the " nanny state "

concept? " (whining) nobody TOLD me I have to use a tourniquet.

WAAAAHHHHHHHHHH! It's ALL THEIR FAULT. "

GIVE ME A @#$$%^& BREAK, PLEASE!!!

So let's get real. If you, as an instructor, do not instill in your

students that THEY, NOT YOU, are responsible for their futures, including

passing the

NREMT exams, you are doing them a disservice.

If you don't teach them, early in the course, what the NREMT is, and require

them to become thoroughly familiar with the NREMT website, read what's on

there, and figure out what they're going to have to do to get certified, you're

doing them a disservice. If you don't make them access information on the

Internet, look at other textbooks than the one you use, teach them what

Tintinalli, Goldfrank's, on's, and Rosen's are, you're doing them a

disservice.

Now, for those post-student " professionals, " it's time to cowboy up and act

like a professional.

In case you don't know, there are a whole slew of medical journals out there

that have really good stuff in them about the things we do. The Internet has

a zillion sites that will tell you in an hour what the leading edge thinking

on any given subject is. All you have to do is be able to Google.

In case you don't know, there is NO ONE TEXTBOOK on any subject that covers

all the material.

Once you've completed your course and got your certificate or license, your

education is just beginning. It's YOUR responsibility to provide CE for

yourself, not your employer's. Matter of fact, that stuff is generally just to

help you remember what you've forgotten, not to teach you what's just around the

corner.

Courses like PHTLS, ITLS, PEPP, AMLS, and so forth are generally on the

leading edge of what's happening now, but remember that any book takes at least

two

years to produce.

So stop the whining. Take responsibility. You're the Captain of Your

Ship, The Master of Your Fate, not me, now your instructor, now Maxie, not Rush,

not Barak, not DSHS, not GETAC, not the NREMT. It's YOU, my friends.

When we all begin to act like real professionals, then we might, just might,

have taken the first step toward actually being a profession.

Gene Gandy, JD, LP, NREMT-P

" Champagne for my real friends and real pain for my sham friends. " ---Tom

Waits.

**************

The year's hottest artists on the red carpet at the Grammy

Awards. AOL Music takes you there.

(http://music.aol.com/grammys?ncid=emlcntusmusi00000002)

[Guest guest]

My students glare when I say " I'm not your Nanny. " Starting a new class

next Monday. Next day's headline will read " SHOCK IN SIERRA VISTA MEDIC

CLASS. "

GG

In a message dated 2/9/09 7:13:22 PM, kenneth.navarro@...

writes:

>

> --- In texasems-l@yahoogrotexasem, wegandy1938@, wegandy193>>> The

> difference between a professional and a hired hand is that the

> professional, early in his schooling, learns that it's HIS

> RESPONSIBILITY, and nobody else's to remain current on changes in

> practice and other affairs that affect him and his practice. <<<

>

> Gene,

>

> It seems the desert air is good for you!

>

> I think some of the dinosaurs are evolving.

>

> Kenny Navarro

> Dallas

>

>

**************

The year's hottest artists on the red carpet at the Grammy

Awards. AOL Music takes you there.

(http://music.aol.com/grammys?ncid=emlcntusmusi00000002)

[Guest guest]

This Change was published in the Sept/Oct 2008 edition of the Texas EMS

Magazine, page 8.

Maxie Bishop, RN, LP

State EMS Director

Office of EMS and Trauma Systems

Phone: 512/834-6737

Mobile: 512/484-5470

Fax: 512/834-6736

e-mail: maxie.bishop@...

[Guest guest]

>>> The

difference between a professional and a hired hand is that the

professional, early in his schooling, learns that it's HIS

RESPONSIBILITY, and nobody else's to remain current on changes in

practice and other affairs that affect him and his practice. <<<

Gene,

It seems the desert air is good for you!

I think some of the dinosaurs are evolving.

Kenny Navarro

Dallas

[Guest guest]

>>> My

students glare when I say " I'm not your Nanny. " <<<

Good for you, Gene.

If one continues to roll over and expose the teat, the paramedic

students will suckle long past the appropriate interval.

Educators must also stop being orally fixated on standardized

curricula. No one who self identifies as an EMS educator should

teach only the content in the NSC document (or the upcoming

Instructional Guidelines for the Education Standards). One should

not wait for the AHA to edit the books before encouraging students to

change resuscitation tactics.

Eight months ago, The Journal of Trauma, Injury, Infection, and

Critical Care published an article explaining the evidence for change

in the newest ATLS guidelines. It clearly states that pressure

points and elevation were on the way out and that healthcare

providers should move immediately to the use of a pneumatic

tourniquet if direct pressure fails to control hemorrhage in the

traumatized extremity. As Lee points out, the PHTLS book has been

emphasizing tourniquets for several years. Change has been in the

wind for some time now.

Your definition of a professional also applies to the educators on

this list. We are responsible for keeping ourselves up to date on

the latest medical literature in order to create a provider who is

truly capable of making a difference. In the limited exposure I have

had with your classes and teaching techniques, I know that you know

this.

If you keep this up, I am going to have to buy you a drink next time

our paths cross!

Sanctimoniously yours,

Kenny Navarro

Dallas

[Guest guest]

You are correct, but this talks about proposed changes. It did not say when they

were to take effect.

>>> " Bishop, Maxie " maxie.bishop@...> 2/9/2009 4:24 PM >>>

This Change was published in the Sept/Oct 2008 edition of the Texas EMS

Magazine, page 8.

Maxie Bishop, RN, LP

State EMS Director

Office of EMS and Trauma Systems

Phone: 512/834-6737

Mobile: 512/484-5470

Fax: 512/834-6736

e-mail: maxie.bishop@...

[Guest guest]

You are correct, Don. Maxie, that is the point. You guys at TDSHS gave us a

heads up - what YOU knew. But even YOU (Maxie) couldn't tell us when.

Unfortunately, when the skills sheets " sneak " onto the page without any warning

of the " when " , and when the questions " sneak " into the test without knowing

WHEN, it DOES affect the instructors. They are stuck with textbooks in the

classroom that have the old sheets and standards. They SHOULD and many of us DO

teach the NEW standards, but they are forced into telling their students that

they are not sure WHICH answer will be correct on the test or WHICH skills sheet

will be used when they test. Sometimes this DOES create a problem for students

- even the ones who strive to keep up by looking for the information and trying

to be abreast of the current stuff. It creates confusion that DOESN'T HAVE TO

BE THERE! To me, that is the point. It DOESN'T HAVE TO BE THIS WAY. It would

be very simple, as Gene pointed out, for NR to even use their own webpage to

focus everyone's attention on changes and when those changes have occurred in

the testing process - especially regarding skills sheets. I really don't think

it is too much to ask - especially from a state that has SO many people who take

the test. We are a HUGE source of their client base. SOOOOOO, why don't we

demand anything? Maxie?????

Jane Dinsmore

To: texasems-l@...: Don.Royder@...: Tue, 10

Feb 2009 07:39:36 -0600Subject: Re: National Registry Skills Sheet

You are correct, but this talks about proposed changes. It did not say when they

were to take effect. >>> " Bishop, Maxie " maxie.bishop@...>

2/9/2009 4:24 PM >>>This Change was published in the Sept/Oct 2008 edition of

the Texas EMSMagazine, page 8.Maxie Bishop, RN, LP State EMS DirectorOffice of

EMS and Trauma SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax:

512/834-6736e-mail: maxie.bishop@... [Non-text portions of this

message have been removed]

_________________________________________________________________

Windows Live™: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009

[Guest guest]

You're not supposed to be able to tell students which " answer will be

correct on the test " ...because you're not supposed to know the

questions. And I also remember when you didn't know what was on the NR

skills sheets...you were supposed to be ready to test whatever they

threw at you....so that students didn't come out of school with a set of

skills that did not match what they might actually see in the field.

Re: National

Registry Skills Sheet

You are correct, but this talks about proposed changes. It did not say

when they were to take effect. >>> " Bishop, Maxie "

maxie.bishop@...> 2/9/2009 4:24 PM >>>This Change was

published in the Sept/Oct 2008 edition of the Texas EMSMagazine, page

8.Maxie Bishop, RN, LP State EMS DirectorOffice of EMS and Trauma

SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax: 512/834-6736e-mail:

maxie.bishop@... [Non-text portions of this message have

been removed]

_________________________________________________________________

Windows Live: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009

[Guest guest]

You are not to know the answer but you do need to know what guidelines,

curriculum, etc. you are to be working with. We currently have to teach what is

required in the curriculum (until changes are approved) and now have to include

the guideline (that has not been approved and by the way many of us are already

doing this). I agree with Lee in the fact that while doing many

National Registry Exams I have found students who have not been taught to the

current standard. Either we have a standard to hold the students to or we don't.

I have a question that maybe Mr. Gandy can answer. If we required to hold a

student to a certain curriculum and we teach to that curriculum. Then the

certification body deviates from that curriculum and uses a guideline that has

not been approved by the State in which they are requesting certification, does

the student have any legal recourse?

>>> " Shaw, Kenny " kenny.shaw@...> 2/10/2009 8:34 AM >>>

You're not supposed to be able to tell students which " answer will be

correct on the test " ...because you're not supposed to know the

questions. And I also remember when you didn't know what was on the NR

skills sheets...you were supposed to be ready to test whatever they

threw at you....so that students didn't come out of school with a set of

skills that did not match what they might actually see in the field.

Re: National

Registry Skills Sheet

You are correct, but this talks about proposed changes. It did not say

when they were to take effect. >>> " Bishop, Maxie "

maxie.bishop@...> 2/9/2009 4:24 PM >>>This Change was

published in the Sept/Oct 2008 edition of the Texas EMSMagazine, page

8.Maxie Bishop, RN, LP State EMS DirectorOffice of EMS and Trauma

SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax: 512/834-6736e-mail:

maxie.bishop@... [Non-text portions of this message have

been removed]

_________________________________________________________________

Windows Live: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009

[Guest guest]

I think you missed the point, Kenny. I was saying that most of us are trying to

teach the newer standards of care as they come down the pike, but the test

questions and answers reflect OLD standards of care for a significant amount of

time. So we TEACH the updated standards but are faced with the dilemma of

trying to prepare our students for test questions or skills stations that may or

may not reflect those same standards. And as we ALL know, as more research

based interventions are coming into play in EMS, the questions on the test may

be TOTALLY different than what we are teaching. I have been teaching the

tourniquet thing as second line to direct pressure since it came out in 2007 in

PHTLS, but have been forced to intermingle it with old standards in lecture and

forced to prepare them to do the old standards on skills testing since the NR

had not caught up. And it took them almost a year and a half to CATCH up.

THAT is the point, Kenny. It has nothing to do with trying to teach them

" the test. "

Jane Dinsmore

To: texasems-l@...: kenny.shaw@...: Tue, 10

Feb 2009 08:34:27 -0600Subject: RE: National Registry Skills Sheet

You're not supposed to be able to tell students which " answer will becorrect on

the test " ...because you're not supposed to know thequestions. And I also

remember when you didn't know what was on the NRskills sheets...you were

supposed to be ready to test whatever theythrew at you....so that students

didn't come out of school with a set ofskills that did not match what they might

actually see in the field. Re:

NationalRegistry Skills SheetYou are correct, but this talks about

proposed changes. It did not saywhen they were to take effect. >>> " Bishop,

Maxie " maxie.bishop@...> 2/9/2009 4:24 PM >>>This Change

waspublished in the Sept/Oct 2008 edition of the Texas EMSMagazine, page8.Maxie

Bishop, RN, LP State EMS DirectorOffice of EMS and TraumaSystemsPhone:

512/834-6737Mobile: 512/484-5470 Fax:

512/834-6736e-mail:maxie.bishop@... [Non-text portions of this

message havebeen

removed]__________________________________________________________Windows

Live: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009[Non-tex\

t portions of this message have been

removed]------------------------------------

[Guest guest]

Short answer: Nope.

Long answer: The NR builds its fences almost impenetrably legally. They

have considered all the possibilities. Since the State of Texas does not have

a formal agreement with NR, it's the NR's ballgame all the way.

BTW, how many of you knew that there is no formal agreement or contract

between the State of Texas and the NR?

Now, theoretically, one can sue anybody for anything so long as they have

enough money to pay the filing fee. See, for example, Dennis Maringo v. a

J. McGuirk, " The Ghost of a J. McGuirk, who is the reincarnated Jezebel

Princess of Evil, " United States District Court for the Southern District of

Texas, No. 4:07-CV-403.

However, few would have the money to challenge an organization such as the

NR. Such a suit would probably cost a minimum of $100,000.00 and possibly $1

Million or more to pursue, since it would probably go to appeal.

I don't know any paramedic candidates who have that kind of money to spend.

So practically, there's no recourse, and legally, probably not either.

If it wanted to, Texas could enter into a contract with NR in which it

stipulated that NR would only test to certain stated standards, but that's not

going

to happen, since NR would never agree.

Sorry, but, THAT'S THE WAY IT IS this the 10th day of February, A. D. 2009.

Gene G.

>

> You are not to know the answer but you do need to know what guidelines,

> curriculum, etc. you are to be working with. We currently have to teach what

is

> required in the curriculum (until changes are approved) and now have to

> include the guideline (that has not been approved and by the way many of us

are

> already doing this). I agree with Lee in the fact that while doing

> many National Registry Exams I have found students who have not been taught to

> the current standard. Either we have a standard to hold the students to or we

> don't. I have a question that maybe Mr. Gandy can answer. If we required to

> hold a student to a certain curriculum and we teach to that curriculum. Then

> the certification body deviates from that curriculum and uses a guideline

> that has not been approved by the State in which they are requesting

> certification, does the student have any legal recourse?

>

> >>> " Shaw, Kenny " kenny.shaw@...> 2/10/2009 8:34 AM >>>

>

> You're not supposed to be able to tell students which " answer will be

> correct on the test " ...because you're not supposed to know the

> questions. And I also remember when you didn't know what was on the NR

> skills sheets...you were supposed to be ready to test whatever they

> threw at you....so that students didn't come out of school with a set of

> skills that did not match what they might actually see in the field.

>

> Re: National

> Registry Skills Sheet

>

> You are correct, but this talks about proposed changes. It did not say

> when they were to take effect. >>> " Bishop, Maxie "

> maxie.bishop@...> 2/9/2009 4:24 PM >>>This Change was

> published in the Sept/Oct 2008 edition of the Texas EMSMagazine, page

> 8.Maxie Bishop, RN, LP State EMS DirectorOffice of EMS and Trauma

> SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax: 512/834-6736e- Syst

> maxie.bishop@... [Non-text portions of this message have

> been removed]

>

> ____________ ________ ________ ________ ________ ________

> Windows Live: E-mail. Chat. Share. Get more ways to connect.

> http://windowslive.http://windohttp://wihttp://wihttp://wihttp://windows

>

>

[Guest guest]

Kenny,

Excellent point.? I took my National Registry in Florida in 1993...the skill

sheets were identical to the Texas skill sheets at the time.? I had just

re-certed in Texas the year before (remember when we HAD to test skills and take

the test every 4 years).? Folks from Florida were having issues because they

didn't test skills prior to becoming certified.?

This whole thing really confounds me...can someone list out the specific issues

with National Registry this skill sheet thing has?created?

Dudley

Re: National

Registry Skills Sheet

You are correct, but this talks about proposed changes. It did not say

when they were to take effect. >>> " Bishop, Maxie "

maxie.bishop@...> 2/9/2009 4:24 PM >>>This Change was

published in the Sept/Oct 2008 edition of the Texas EMSMagazine, page

8.Maxie Bishop, RN, LP State EMS DirectorOffice of EMS and Trauma

SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax: 512/834-6736e-mail:

maxie.bishop@... [Non-text portions of this message have

been removed]

__________________________________________________________

Windows Live: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009

[Guest guest]

I agree. National Registry is a service that the State subscribes to...they

don't set the State's rules. However, they do provide a pretty strong national

" standard " that is not out there otherwise. And they are usually well

communicative (that's a word I learnt in collidge)....so this whole thing is a

mystery....they don't benefit at all to lay out a new skill sheet out of the

blue. Let's see where it all goes and where it lands.

________________________________________

From: texasems-l [mailto:texasems-l ] On Behalf

Of THEDUDMAN@...

Sent: Tuesday, February 10, 2009 10:15 PM

To: texasems-l

Subject: Re: National Registry Skills Sheet

Kenny,

Excellent point.? I took my National Registry in Florida in 1993...the skill

sheets were identical to the Texas skill sheets at the time.? I had just

re-certed in Texas the year before (remember when we HAD to test skills and take

the test every 4 years).? Folks from Florida were having issues because they

didn't test skills prior to becoming certified.?

This whole thing really confounds me...can someone list out the specific issues

with National Registry this skill sheet thing has?created?

Dudley

Re: National

Registry Skills Sheet

You are correct, but this talks about proposed changes. It did not say

when they were to take effect. >>> " Bishop, Maxie "

maxie.bishop@...> 2/9/2009 4:24 PM >>>This Change was

published in the Sept/Oct 2008 edition of the Texas EMSMagazine, page

8.Maxie Bishop, RN, LP State EMS DirectorOffice of EMS and Trauma

SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax: 512/834-6736e-mail:

maxie.bishop@... [Non-text portions of this message have

been removed]

__________________________________________________________

Windows Live: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009

[Guest guest]

>

> ...the certification body deviates from that curriculum and uses a guideline

> that has not been approved by the State in which they are requesting

> certification, does the student have any legal recourse?

I guess I am not familiar with the arrangement between the State and the

National Registry. How would there be a guideline recognised by the NR that is

not recognised by the State of Texas, if the State of Texas leaves it to the NR

to set the current standards? I would think that whatever the current NR

standards are would automatically be the standard approved by the state, no? I

can see this being an issue in the more anal states, that institute statewide

protocols and such, but can't see it being an issue in Texas.

Rob

[Guest guest]

The arrangement between NREMT and the individual states that use its

exam are variable. Louisiana has been a National Registry state for all

levels for at least fifteen years. However, the NREMT skill sheets we

use in Louisiana are state-specific. They have NREMT printed at the top

and they look just like all the other skill sheets, but we list

additional " critical criteria " at the bottom, with NREMT's blessing.

rob.davis@... wrote:

>

> In a message dated 2/10/09 7:52:38 AM, Don.Royder@...

> writes:

>

> >

> > ...the certification body deviates from that curriculum and uses a

> guideline

> > that has not been approved by the State in which they are requesting

> > certification, does the student have any legal recourse?

>

> I guess I am not familiar with the arrangement between the State and

> the National Registry. How would there be a guideline recognised by

> the NR that is not recognised by the State of Texas, if the State of

> Texas leaves it to the NR to set the current standards? I would think

> that whatever the current NR standards are would automatically be the

> standard approved by the state, no? I can see this being an issue in

> the more anal states, that institute statewide protocols and such, but

> can't see it being an issue in Texas.

>

> Rob

>

>

--

Grayson

www.kellygrayson.com

[Guest guest]

Anytime I write for the British or Australians, I usually put a bunch of

letters at the start of the document and tell them to put them where they

please (a,o,i,e,a,u,o,s,m,t,m). Usually works

" Or perhaps he prefers to use the other, equally correct, European

spelling of the word.

In any case, that was kinda petty, don't you think? "

[Guest guest]

yep'er dis wuz

________________________________

To: texasems-l

Sent: Wednesday, February 11, 2009 10:52:02 AM

Subject: RE: National Registry Skills Sheet

Anytime I write for the British or Australians, I usually put a bunch of

letters at the start of the document and tell them to put them where they

please (a,o,i,e,a,u, o,s,m,t,m) . Usually works

" Or perhaps he prefers to use the other, equally correct, European

spelling of the word.

In any case, that was kinda petty, don't you think? "

[Guest guest]

My specific issue is that I had to reteach/retest 4 classes on this skill. I

guess I'll be checking the skill sheets on-line weekly for changes, instead of

monthly. The NR refuses to answer e-mails and does not count anymore than 10%

of CE by distance/computerized learning(which every other healthcare profession

else has converted to for CE). But the NR counts on US to use scant electronic

communication and rumor to get everything from them.

The NR should have sent notification out to each program concerning

implementation date, rather than back door it like they do most things.

Granted, in our trauma sections we had discussed on-going research of TKs, but

did not put a whole lot of transfer learning to it. We also discuss CCR

concepts in cardiology with transfer learning plus a mass of other topics not in

the current curriculum. But we still test what is required......because it is

required.

-MH

________________________________

From: texasems-l [texasems-l ] On Behalf Of

THEDUDMAN@... [THEDUDMAN@...]

Sent: Tuesday, February 10, 2009 10:15 PM

To: texasems-l

Subject: Re: National Registry Skills Sheet

Kenny,

Excellent point.? I took my National Registry in Florida in 1993...the skill

sheets were identical to the Texas skill sheets at the time.? I had just

re-certed in Texas the year before (remember when we HAD to test skills and take

the test every 4 years).? Folks from Florida were having issues because they

didn't test skills prior to becoming certified.?

This whole thing really confounds me...can someone list out the specific issues

with National Registry this skill sheet thing has?created?

Dudley

Re: National

Registry Skills Sheet

You are correct, but this talks about proposed changes. It did not say

when they were to take effect. >>> " Bishop, Maxie "

maxie.bishop@...> 2/9/2009

4:24 PM >>>This Change was

published in the Sept/Oct 2008 edition of the Texas EMSMagazine, page

8.Maxie Bishop, RN, LP State EMS DirectorOffice of EMS and Trauma

SystemsPhone: 512/834-6737Mobile: 512/484-5470 Fax: 512/834-6736e-mail:

maxie.bishop@... [Non-text

portions of this message have

been removed]

__________________________________________________________

Windows Live: E-mail. Chat. Share. Get more ways to connect.

http://windowslive.com/explore?ocid=TXT_TAGLM_WL_t2_allup_explore_022009

[Guest guest]

On Wednesday, February 11, 2009 10:43, " , Rick "

rick.moore@...> said:

> I am guessing that Rob was out sick the day they taught how to spell the

> word " recognize "

I have not at any time made this discussion about me. Unfortunately, some

people seem intent on doing this. Consequently, just for clarification, I

should explain that, growing up in a bilingual, African-American household, I

have a tendency to speak English instead of American. Therefore, you will often

see me spelling words differently than most here spell them. If this leads to

any inability to understand what I am saying, please feel free to ask for

clarification, and I promise that I will take no offence. I do, however, take

offence to the suggestion that I am illiterate.

Back to the debate, which is indeed a good one!

Rob

[Guest guest]

" Hudson " mhudson@...> said:

> The NR refuses to answer e-mails and does not count anymore than 10% of

> CE by distance/computerized learning(which every other healthcare profession

else

> has converted to for CE). But the NR counts on US to use scant electronic

> communication and rumor to get everything from them.

,

I just want to mention that this problem is not unique to the NR. I have had

the same problem with TDH for the last three decades. Phone calls not returned.

Getting three different answers to the same question from three different

representatives. This is certainly not anything new since the NR came to Texas.

And, having experience with Canadian EMS, I can assure you that the Alberta

College of Paramedics (their regulatory body) is even worse. You have not seen

real contempt for an organisation until you talk to an Alberta paramedic!

Rob

[Guest guest]

On Wednesday, February 11, 2009 11:30, " medic4319 " s.robinson@...>

said:

> And I'm being told that I don't have " the education or critical

> thinking skills necessary to intelligently comment on the topic. "

Sir, your name was never once mentioned in my post. In no way was it aimed at

you personally. Not knowing you, I would have no way of knowing whether it

applies to you or not. But, if you took it personally, it would appear to have

struck a nerve. Instead of getting mad about it, you could take it as a

positive motivator to continue your education so that you will no longer be

" that guy " .

Regardless of your personal protestations, the point stands. If you (in the

generic sense) do not have the education we are speaking of, then you are not

qualified to comment on its value. I have yet to hear a medic with advanced

education claim that it was not valuable.

Rob

[Guest guest]

On Thursday, February 12, 2009 00:33, wegandy1938@... said:

> Do you remember the " rockers " that we got when we went through all the

> Special Skills training?

Rockers are for n00bs. The real dinosaurs remember light blue patches!

Rob

[Guest guest]

Interestingly enough I received in the mail yesterday a newsletter from

NR with all manner of new information (including complete on-line

recertification). But no notice was made about the new skills sheet. I

suppose they figure since I'm already certified I should not be

concerned about the skill sheet changes.

Jon Lee EMT-B

>

>

>

>

>

> This Change was published in the Sept/Oct 2008 edition of the Texas

EMS

> Magazine, page 8.

>

>

>

>

>

>

>

> Maxie Bishop, RN, LP

>

> State EMS Director

>

> Office of EMS and Trauma Systems

>

> Phone: 512/834-6737

>

> Mobile: 512/484-5470

>

> Fax: 512/834-6736

>

> e-mail: maxie.bishop@...

>

>

>

>

>

>

[Guest guest]

Kinda gathered that about Alberta....I listen to the mighty CKUA

www.ckua.comhttp://www.ckua.com/> (play a lot of rockin' Celtic Music) The

Alberta College of Paramedics advertises for recruiting, I suppose. THEY let

all listeners know THEY call the shots for EMS in Alberta...

________________________________

From: texasems-l [mailto:texasems-l ] On Behalf

Of rob.davis@...

Sent: Wednesday, February 11, 2009 4:37 PM

To: texasems-l

Subject: RE: National Registry Skills Sheet

" Hudson " mhudson@...>

said:

> The NR refuses to answer e-mails and does not count anymore than 10% of

> CE by distance/computerized learning(which every other healthcare profession

else

> has converted to for CE). But the NR counts on US to use scant electronic

> communication and rumor to get everything from them.

,

I just want to mention that this problem is not unique to the NR. I have had the

same problem with TDH for the last three decades. Phone calls not returned.

Getting three different answers to the same question from three different

representatives. This is certainly not anything new since the NR came to Texas.

And, having experience with Canadian EMS, I can assure you that the Alberta

College of Paramedics (their regulatory body) is even worse. You have not seen

real contempt for an organisation until you talk to an Alberta paramedic!

Rob