Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 It'll all be " Free Federal Money " , no doubt! -Wes Re: Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth So not only do we lose the billiable transport we pay for the Taxi? Just where do we get this money? Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > Great idea. Should be policy at all times not just flu season. They > come do a proper exam. Advise patient what is needed which is not an > ambulance, if patient still insists, instead of saying no like they > should, they pay for the patient to get a real taxi ride rather than > an ambulance transport. Less money lost, as you will not collect > from insurance of any type as these are not emergency's, and you > have your units available to go to another call quicker. > > Below is part of the news report. > > " Paramedics would still respond to 911 calls and examine every > patient, but would not automatically take everyone to the hospital. > > " We'll actually advise them, 'Hey, you don't need to go to the > hospital. We're not going to take you by ambulance to the hospital, > because you don't need to be in the emergency room,' " Zavadsky said. > > Those who insist on going would still go -- but not in an expensive > ambulance. > > " We'll arrange for transportation for them either by taxi or sedan, " > he said. " We'll pay for that trip. " " > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > Ron > > > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html > > > > > > ---------------------------------------------------------- > > New Windows 7: Find the right PC for you. Learn more. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 It'll all be " Free Federal Money " , no doubt! -Wes Re: Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth So not only do we lose the billiable transport we pay for the Taxi? Just where do we get this money? Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > Great idea. Should be policy at all times not just flu season. They > come do a proper exam. Advise patient what is needed which is not an > ambulance, if patient still insists, instead of saying no like they > should, they pay for the patient to get a real taxi ride rather than > an ambulance transport. Less money lost, as you will not collect > from insurance of any type as these are not emergency's, and you > have your units available to go to another call quicker. > > Below is part of the news report. > > " Paramedics would still respond to 911 calls and examine every > patient, but would not automatically take everyone to the hospital. > > " We'll actually advise them, 'Hey, you don't need to go to the > hospital. We're not going to take you by ambulance to the hospital, > because you don't need to be in the emergency room,' " Zavadsky said. > > Those who insist on going would still go -- but not in an expensive > ambulance. > > " We'll arrange for transportation for them either by taxi or sedan, " > he said. " We'll pay for that trip. " " > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > Ron > > > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html > > > > > > ---------------------------------------------------------- > > New Windows 7: Find the right PC for you. Learn more. > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 I actually know a guy that owned a small Ambulance Service and sold out to The Borg (AKA AMR) when they moved into NJ. He had to sign a non compete agreement for 5 years. He opened a taxi company and now has 3 times the cabs as he did ambulance and even though his non compete is long expired he prefer the taxi business. Wonder why? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " 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) In a message dated 10/29/2009 12:36:12 P.M. Central Daylight Time, airmedic51@... writes: I got to thinking (which is DANGEROUS)-- watch some EMS company open up a TAXI SERVICE or make a SUPERVISOR'S UNIT take them to the hospital. It wouldn't surprise me one bit! > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > _http://www.nbcdfw._ (http://www.nbcdfw./) com/news/ local-beat/ Call-An-Ambulanc e-Get-a-Taxi- 66723887. html > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- - > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 I actually know a guy that owned a small Ambulance Service and sold out to The Borg (AKA AMR) when they moved into NJ. He had to sign a non compete agreement for 5 years. He opened a taxi company and now has 3 times the cabs as he did ambulance and even though his non compete is long expired he prefer the taxi business. Wonder why? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " 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) In a message dated 10/29/2009 12:36:12 P.M. Central Daylight Time, airmedic51@... writes: I got to thinking (which is DANGEROUS)-- watch some EMS company open up a TAXI SERVICE or make a SUPERVISOR'S UNIT take them to the hospital. It wouldn't surprise me one bit! > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > _http://www.nbcdfw._ (http://www.nbcdfw./) com/news/ local-beat/ Call-An-Ambulanc e-Get-a-Taxi- 66723887. html > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- - > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 I actually know a guy that owned a small Ambulance Service and sold out to The Borg (AKA AMR) when they moved into NJ. He had to sign a non compete agreement for 5 years. He opened a taxi company and now has 3 times the cabs as he did ambulance and even though his non compete is long expired he prefer the taxi business. Wonder why? Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " 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) In a message dated 10/29/2009 12:36:12 P.M. Central Daylight Time, airmedic51@... writes: I got to thinking (which is DANGEROUS)-- watch some EMS company open up a TAXI SERVICE or make a SUPERVISOR'S UNIT take them to the hospital. It wouldn't surprise me one bit! > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > _http://www.nbcdfw._ (http://www.nbcdfw./) com/news/ local-beat/ Call-An-Ambulanc e-Get-a-Taxi- 66723887. html > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- - > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 But don't we always, throughout the medical system, try to direct the patient to the proper resource? I mean, for every wound we don't necessarily schedule emergency surgery. And every ER visit doesn't result in an admit. So, should every EMS call result in a ride? We have a problem, and it's in how to direct potential patients to the proper parts of the healthcare system. And could that include not taking them to the hospital, or in arranging a less intense method than a 911 ambulance? I don't know the answer, but I think it's a question we should be able to answer, at any stage of the system. But of course I'm a radical. Heck, I'd even include EMS in healthcare reform! Silly me. Steve Bob Kellow wrote: > Yeah, a terrific idea! EMS Health Care Rationing! Sound familiar? > > When an EMS service is unable (or unwilling) to meet the EMS demand - simply > blame the consumer for squandering " precious " EMS resources. Who do they > think they are anyway? It's their tax dollars that are going to support > MedStar. Stupid taxpayers. Perhaps the fire departments should now hire > surrogates to extinguish dumpster fires, rather than tie up their " precious " > resources. > > >From what I've read before, MedStar can't possibly benefit from a > reduction billable claims, nor from the addition of a new cost line item, > " Taxi Fees. " > > Just wait until someone dies in the back of a Yellow Cab. > > Bob > > > > >> Great idea. Should be policy at all times not just flu season. They come do >> a proper exam. Advise patient what is needed which is not an ambulance, if >> patient still insists, instead of saying no like they should, they pay for >> the patient to get a real taxi ride rather than an ambulance transport. Less >> money lost, as you will not collect from insurance of any type as these are >> not emergency's, and you have your units available to go to another call >> quicker. >> >> Below is part of the news report. >> >> " Paramedics would still respond to 911 calls and examine every patient, but >> would not automatically take everyone to the hospital. >> >> " We'll actually advise them, 'Hey, you don't need to go to the hospital. >> We're not going to take you by ambulance to the hospital, because you don't >> need to be in the emergency room,' " Zavadsky said. >> >> Those who insist on going would still go -- but not in an expensive >> ambulance. >> >> " We'll arrange for transportation for them either by taxi or sedan, " he >> said. " We'll pay for that trip. " " >> >> >> >>> >>> >>> Sorry, but I fully disagree with doing this. >>> Ron >>> >>> >>> >> http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html >> >>> ---------------------------------------------------------- >>> New Windows 7: Find the right PC for you. Learn more. >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 But don't we always, throughout the medical system, try to direct the patient to the proper resource? I mean, for every wound we don't necessarily schedule emergency surgery. And every ER visit doesn't result in an admit. So, should every EMS call result in a ride? We have a problem, and it's in how to direct potential patients to the proper parts of the healthcare system. And could that include not taking them to the hospital, or in arranging a less intense method than a 911 ambulance? I don't know the answer, but I think it's a question we should be able to answer, at any stage of the system. But of course I'm a radical. Heck, I'd even include EMS in healthcare reform! Silly me. Steve Bob Kellow wrote: > Yeah, a terrific idea! EMS Health Care Rationing! Sound familiar? > > When an EMS service is unable (or unwilling) to meet the EMS demand - simply > blame the consumer for squandering " precious " EMS resources. Who do they > think they are anyway? It's their tax dollars that are going to support > MedStar. Stupid taxpayers. Perhaps the fire departments should now hire > surrogates to extinguish dumpster fires, rather than tie up their " precious " > resources. > > >From what I've read before, MedStar can't possibly benefit from a > reduction billable claims, nor from the addition of a new cost line item, > " Taxi Fees. " > > Just wait until someone dies in the back of a Yellow Cab. > > Bob > > > > >> Great idea. Should be policy at all times not just flu season. They come do >> a proper exam. Advise patient what is needed which is not an ambulance, if >> patient still insists, instead of saying no like they should, they pay for >> the patient to get a real taxi ride rather than an ambulance transport. Less >> money lost, as you will not collect from insurance of any type as these are >> not emergency's, and you have your units available to go to another call >> quicker. >> >> Below is part of the news report. >> >> " Paramedics would still respond to 911 calls and examine every patient, but >> would not automatically take everyone to the hospital. >> >> " We'll actually advise them, 'Hey, you don't need to go to the hospital. >> We're not going to take you by ambulance to the hospital, because you don't >> need to be in the emergency room,' " Zavadsky said. >> >> Those who insist on going would still go -- but not in an expensive >> ambulance. >> >> " We'll arrange for transportation for them either by taxi or sedan, " he >> said. " We'll pay for that trip. " " >> >> >> >>> >>> >>> Sorry, but I fully disagree with doing this. >>> Ron >>> >>> >>> >> http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html >> >>> ---------------------------------------------------------- >>> New Windows 7: Find the right PC for you. Learn more. >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 But don't we always, throughout the medical system, try to direct the patient to the proper resource? I mean, for every wound we don't necessarily schedule emergency surgery. And every ER visit doesn't result in an admit. So, should every EMS call result in a ride? We have a problem, and it's in how to direct potential patients to the proper parts of the healthcare system. And could that include not taking them to the hospital, or in arranging a less intense method than a 911 ambulance? I don't know the answer, but I think it's a question we should be able to answer, at any stage of the system. But of course I'm a radical. Heck, I'd even include EMS in healthcare reform! Silly me. Steve Bob Kellow wrote: > Yeah, a terrific idea! EMS Health Care Rationing! Sound familiar? > > When an EMS service is unable (or unwilling) to meet the EMS demand - simply > blame the consumer for squandering " precious " EMS resources. Who do they > think they are anyway? It's their tax dollars that are going to support > MedStar. Stupid taxpayers. Perhaps the fire departments should now hire > surrogates to extinguish dumpster fires, rather than tie up their " precious " > resources. > > >From what I've read before, MedStar can't possibly benefit from a > reduction billable claims, nor from the addition of a new cost line item, > " Taxi Fees. " > > Just wait until someone dies in the back of a Yellow Cab. > > Bob > > > > >> Great idea. Should be policy at all times not just flu season. They come do >> a proper exam. Advise patient what is needed which is not an ambulance, if >> patient still insists, instead of saying no like they should, they pay for >> the patient to get a real taxi ride rather than an ambulance transport. Less >> money lost, as you will not collect from insurance of any type as these are >> not emergency's, and you have your units available to go to another call >> quicker. >> >> Below is part of the news report. >> >> " Paramedics would still respond to 911 calls and examine every patient, but >> would not automatically take everyone to the hospital. >> >> " We'll actually advise them, 'Hey, you don't need to go to the hospital. >> We're not going to take you by ambulance to the hospital, because you don't >> need to be in the emergency room,' " Zavadsky said. >> >> Those who insist on going would still go -- but not in an expensive >> ambulance. >> >> " We'll arrange for transportation for them either by taxi or sedan, " he >> said. " We'll pay for that trip. " " >> >> >> >>> >>> >>> Sorry, but I fully disagree with doing this. >>> Ron >>> >>> >>> >> http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html >> >>> ---------------------------------------------------------- >>> New Windows 7: Find the right PC for you. Learn more. >>> >>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 Ok so if we run a box to them and don't transport 12 a day and do pay for the Taxi were out twice? If the cab rides are 10 bucks a pop that's 120 a day plus the costs to run to the job and not transport? Even in Aggieland we're losing more and more every day. I doubt these cab rides would be that cheap assuming they are on the meter. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html > > > > > > > > > > > > ---------------------------------------------------------- > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 Ok so if we run a box to them and don't transport 12 a day and do pay for the Taxi were out twice? If the cab rides are 10 bucks a pop that's 120 a day plus the costs to run to the job and not transport? Even in Aggieland we're losing more and more every day. I doubt these cab rides would be that cheap assuming they are on the meter. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html > > > > > > > > > > > > ---------------------------------------------------------- > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 Ok so if we run a box to them and don't transport 12 a day and do pay for the Taxi were out twice? If the cab rides are 10 bucks a pop that's 120 a day plus the costs to run to the job and not transport? Even in Aggieland we're losing more and more every day. I doubt these cab rides would be that cheap assuming they are on the meter. Louis N. Molino, Sr. CET FF/NREMT/FSI/EMSI Typed by my fingers on my iPhone. Please excuse any typos (Cell) LNMolino@... > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html > > > > > > > > > > > > ---------------------------------------------------------- > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 AS AGGRAVATING AS IT IS, the ambulance " cab rides " will still continue. People have it in their heads that as long as they are paying taxes, it's their money at work. Nothing bothers me more than to see a perfectly good running auto in the driveway, BUT THEY CALL US because they ran out of their NEXIUM two days ago and have HEARTBURN since then! Ok, I know,watch out for CHEST PAIN- but- then the family follows us in the car, after the patient has walked into the living room after taking a shower, since they are going to the ED.  " THE ABUSERS " know how to work the system. I WILL NOT put my patch on the line to save the company $$$$$$$$. I WILL TREAT MY PATIENTS AS NEEDED--PERIOD! I'll  just deal with the crappy calls as they come and do the best I can. IF and WHEN the time comes I choose not to------ I'll retire and do something else.    From: rob.davis@armynurse corps.com Subject: RE: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth To: texasems-l@yahoogro ups.com Date: Wednesday, October 28, 2009, 8:56 PM  On Wednesday, October 28, 2009 20:53, " Ron Haussecker " said: > Sorry, but I fully disagree with doing this. Specifically what? Do you disagree with providing them with alternative transportation? Or do you disagree with not providing them ambulance transportation? Or something else, maybe? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 AS AGGRAVATING AS IT IS, the ambulance " cab rides " will still continue. People have it in their heads that as long as they are paying taxes, it's their money at work. Nothing bothers me more than to see a perfectly good running auto in the driveway, BUT THEY CALL US because they ran out of their NEXIUM two days ago and have HEARTBURN since then! Ok, I know,watch out for CHEST PAIN- but- then the family follows us in the car, after the patient has walked into the living room after taking a shower, since they are going to the ED.  " THE ABUSERS " know how to work the system. I WILL NOT put my patch on the line to save the company $$$$$$$$. I WILL TREAT MY PATIENTS AS NEEDED--PERIOD! I'll  just deal with the crappy calls as they come and do the best I can. IF and WHEN the time comes I choose not to------ I'll retire and do something else.    From: rob.davis@armynurse corps.com Subject: RE: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth To: texasems-l@yahoogro ups.com Date: Wednesday, October 28, 2009, 8:56 PM  On Wednesday, October 28, 2009 20:53, " Ron Haussecker " said: > Sorry, but I fully disagree with doing this. Specifically what? Do you disagree with providing them with alternative transportation? Or do you disagree with not providing them ambulance transportation? Or something else, maybe? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 AS AGGRAVATING AS IT IS, the ambulance " cab rides " will still continue. People have it in their heads that as long as they are paying taxes, it's their money at work. Nothing bothers me more than to see a perfectly good running auto in the driveway, BUT THEY CALL US because they ran out of their NEXIUM two days ago and have HEARTBURN since then! Ok, I know,watch out for CHEST PAIN- but- then the family follows us in the car, after the patient has walked into the living room after taking a shower, since they are going to the ED.  " THE ABUSERS " know how to work the system. I WILL NOT put my patch on the line to save the company $$$$$$$$. I WILL TREAT MY PATIENTS AS NEEDED--PERIOD! I'll  just deal with the crappy calls as they come and do the best I can. IF and WHEN the time comes I choose not to------ I'll retire and do something else.    From: rob.davis@armynurse corps.com Subject: RE: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth To: texasems-l@yahoogro ups.com Date: Wednesday, October 28, 2009, 8:56 PM  On Wednesday, October 28, 2009 20:53, " Ron Haussecker " said: > Sorry, but I fully disagree with doing this. Specifically what? Do you disagree with providing them with alternative transportation? Or do you disagree with not providing them ambulance transportation? Or something else, maybe? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 I got to thinking (which is DANGEROUS)-- watch some EMS company open up a TAXI SERVICE or make a SUPERVISOR'S UNIT take them to the hospital. It wouldn't surprise me one bit! Â > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > http://www.nbcdfw. com/news/ local-beat/ Call-An-Ambulanc e-Get-a-Taxi- 66723887. html > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- - > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 I got to thinking (which is DANGEROUS)-- watch some EMS company open up a TAXI SERVICE or make a SUPERVISOR'S UNIT take them to the hospital. It wouldn't surprise me one bit! Â > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > http://www.nbcdfw. com/news/ local-beat/ Call-An-Ambulanc e-Get-a-Taxi- 66723887. html > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- - > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 29, 2009 Report Share Posted October 29, 2009 I got to thinking (which is DANGEROUS)-- watch some EMS company open up a TAXI SERVICE or make a SUPERVISOR'S UNIT take them to the hospital. It wouldn't surprise me one bit! Â > If they do not need transport you can bill but medicaid will deny. > > > > > > > > > > > > > > > > > > > > > > Sorry, but I fully disagree with doing this. > > > > Ron > > > > > > > > http://www.nbcdfw. com/news/ local-beat/ Call-An-Ambulanc e-Get-a-Taxi- 66723887. html > > > > > > > > > > > > ------------ --------- --------- --------- --------- --------- - > > > > New Windows 7: Find the right PC for you. Learn more. > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2009 Report Share Posted October 30, 2009 Yep, and a fleur de lis, too. As of yet, I have successfully resisted full assimilation into the hive mind. But they're light years better to work for than the folks with the red and blue stripe. krin135@... wrote: > > so the company you now work for has a green stripe rather than red and > blue? > ck > > > In a message dated 10/29/2009 14:25:39 Central Standard Time, > Grayson902@... writes: > > Point of order, sir: > > AMR are the Ferengi . They are are not a hive mind like The Borg. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 30, 2009 Report Share Posted October 30, 2009 If you read the article past the headline, this is a potential plan they are looking at for handling an influx of flu patients. These discussions are being had all over the US and Canada. There are agencies looking at using " flu cars " that will send a medic out to assess a patient that is triaged as a possible flu patient without any priority systems. They will evaluate and if they are having any problems other than the flu, then an ambulance would be called and the patient transported. If the patient doesn't these agencies are looking at providing flu education material and OTC med advice and then leaving them at home to help decrease the huge volume at ED's all over the country. This is flu specific...and I would bet never happens because the severity of H1N1 is not what all the Pan Flu folks planned for...but look at the pan flu plans out there. If this flu was a higher mortality (50% or higher) you would see hospitals refusing to allow these patients into the ED's EMS agencies not responding to them and only using resources for the sickest of the sick.... Just be grateful our pandemic isn't any worse than it is from a disease perspective. Dudley Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth Sorry, but I fully disagree with doing this. Ron http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887.html ---------------------------------------------------------- New Windows 7: Find the right PC for you. Learn more. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 31, 2009 Report Share Posted October 31, 2009 Isn't that exactly what we are trained to do? We all complain about being a " taxi service " , but if we were to kick the sprain/strain/flu/stomace ace due to too many chili dogs, we would relieve a significant numbed of BS calls that we run each day. One could go even further and partner with a taxi co.; and law makers could arrange to give tax deductions to those co.'s who partner with services. It is exactly this type of " out of the box " thinking that we can build on to improve the state of our society. Just a thought? L. Gaines M.Ed. A. T., C.\L.A.T. NREMT-P jlgatc@... To: texasems-l From: jimmnn@... Date: Thu, 29 Oct 2009 06:37:49 -0600 Subject: RE: Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth Do you really think EMT's and Paramedics have the training and experience to conduct these types of screening exams and triage?? Wow I'm with Ron and completely disagree. Jim< Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth Great idea. Should be policy at all times not just flu season. They come do a proper exam. Advise patient what is needed which is not an ambulance, if patient still insists, instead of saying no like they should, they pay for the patient to get a real taxi ride rather than an ambulance transport. Less money lost, as you will not collect from insurance of any type as these are not emergency's, and you have your units available to go to another call quicker. Below is part of the news report. " Paramedics would still respond to 911 calls and examine every patient, but would not automatically take everyone to the hospital. " We'll actually advise them, 'Hey, you don't need to go to the hospital. We're not going to take you by ambulance to the hospital, because you don't need to be in the emergency room,' " Zavadsky said. Those who insist on going would still go -- but not in an expensive ambulance. " We'll arrange for transportation for them either by taxi or sedan, " he said. " We'll pay for that trip. " " > > > > > Sorry, but I fully disagree with doing this. > Ron > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887. html > > > ---------------------------------------------------------- ---- > New Windows 7: Find the right PC for you. Learn more. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2009 Report Share Posted November 2, 2009 Out of the Box is right. People that think like this need to be off the box. It is only your opinion that it is BS. What about your patient? Henry Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth Great idea. Should be policy at all times not just flu season. They come do a proper exam. Advise patient what is needed which is not an ambulance, if patient still insists, instead of saying no like they should, they pay for the patient to get a real taxi ride rather than an ambulance transport. Less money lost, as you will not collect from insurance of any type as these are not emergency's, and you have your units available to go to another call quicker. Below is part of the news report. " Paramedics would still respond to 911 calls and examine every patient, but would not automatically take everyone to the hospital. " We'll actually advise them, 'Hey, you don't need to go to the hospital. We're not going to take you by ambulance to the hospital, because you don't need to be in the emergency room,' " Zavadsky said. Those who insist on going would still go -- but not in an expensive ambulance. " We'll arrange for transportation for them either by taxi or sedan, " he said. " We'll pay for that trip. " " > > > > > Sorry, but I fully disagree with doing this. > Ron > > http://www.nbcdfw.com/news/local-beat/Call-An-Ambulance-Get-a-Taxi-66723887. html > > > ---------------------------------------------------------- ---- > New Windows 7: Find the right PC for you. Learn more. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2009 Report Share Posted November 2, 2009 Well I have stayed out of this discussion as everyone knows my side, but here I go again. Many if not most 911 callers would suffer no harm not going by ambulance. Some would not suffer any harm not even ever going to the doctor about their present complaint. In fact my 13 year old with no medical education could determine many of the ones I have suggested not transporting. If the people working for a service do not have enough common sense to be able to safely examine then assist patients to get where they really need to go perhaps the service should hire better people. Everyone keeps throwing out that standards have lowered, well those that hire are the reason lowered standards have become the norm. If services refused to hire those warm body's with a pulse standards could rise, so perhaps we need to re-look at where the real problem is. Again you would still transport 95% of all callers that want to go but for some you would do them more benefit helping them find a way to get the care they actually need. We are not saying they are not sick and yes they may even need to spend time in the hospital but that does not make it an emergency ( immediate life threat ). Helping educate patients improves customer relations and in the future helps ambulances be available to respond to immediate life threats. I could go on and on as can those that oppose so I will stop now. My main point in my rant is just because you disagree with someones opinion does not mean you have a right to belittle them. Perhaps if everyone got off the only opinion that is right is mine attitude maybe we could move EMS forward. No disrespect meant in my frustrated response. Have a great day. Renny Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2009 Report Share Posted November 2, 2009 Well based on that response I guess it is obvious common sense has no place in EMS. > > > **DISCLAIMER -- SARCASM THROUGHOUT THIS REPLY** > > Renny -- > > Your posts no longer require my reply as a paramedic and a lawyer. You'd be much better off talking to an ECA who's watched a couple of episodes of Boston Legal. I'll send you their direction instead. > > -Wes Ogilvie > > > Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth > > > > > > > Well I have stayed out of this discussion as everyone knows my side, but here I go again. Many if not most 911 callers would suffer no harm not going by ambulance. Some would not suffer any harm not even ever going to the doctor about their present complaint. In fact my 13 year old with no medical education could determine many of the ones I have suggested not transporting. > > If the people working for a service do not have enough common sense to be able to safely examine then assist patients to get where they really need to go perhaps the service should hire better people. Everyone keeps throwing out that standards have lowered, well those that hire are the reason lowered standards have become the norm. If services refused to hire those warm body's with a pulse standards could rise, so perhaps we need to re-look at where the real problem is. > > Again you would still transport 95% of all callers that want to go but for some you would do them more benefit helping them find a way to get the care they actually need. We are not saying they are not sick and yes they may even need to spend time in the hospital but that does not make it an emergency ( immediate life threat ). Helping educate patients improves customer relations and in the future helps ambulances be available to respond to immediate life threats. > > I could go on and on as can those that oppose so I will stop now. My main point in my rant is just because you disagree with someones opinion does not mean you have a right to belittle them. Perhaps if everyone got off the only opinion that is right is mine attitude maybe we could move EMS forward. > > No disrespect meant in my frustrated response. Have a great day. > > Renny > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2009 Report Share Posted November 2, 2009 Well based on that response I guess it is obvious common sense has no place in EMS. > > > **DISCLAIMER -- SARCASM THROUGHOUT THIS REPLY** > > Renny -- > > Your posts no longer require my reply as a paramedic and a lawyer. You'd be much better off talking to an ECA who's watched a couple of episodes of Boston Legal. I'll send you their direction instead. > > -Wes Ogilvie > > > Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth > > > > > > > Well I have stayed out of this discussion as everyone knows my side, but here I go again. Many if not most 911 callers would suffer no harm not going by ambulance. Some would not suffer any harm not even ever going to the doctor about their present complaint. In fact my 13 year old with no medical education could determine many of the ones I have suggested not transporting. > > If the people working for a service do not have enough common sense to be able to safely examine then assist patients to get where they really need to go perhaps the service should hire better people. Everyone keeps throwing out that standards have lowered, well those that hire are the reason lowered standards have become the norm. If services refused to hire those warm body's with a pulse standards could rise, so perhaps we need to re-look at where the real problem is. > > Again you would still transport 95% of all callers that want to go but for some you would do them more benefit helping them find a way to get the care they actually need. We are not saying they are not sick and yes they may even need to spend time in the hospital but that does not make it an emergency ( immediate life threat ). Helping educate patients improves customer relations and in the future helps ambulances be available to respond to immediate life threats. > > I could go on and on as can those that oppose so I will stop now. My main point in my rant is just because you disagree with someones opinion does not mean you have a right to belittle them. Perhaps if everyone got off the only opinion that is right is mine attitude maybe we could move EMS forward. > > No disrespect meant in my frustrated response. Have a great day. > > Renny > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 2, 2009 Report Share Posted November 2, 2009 Well based on that response I guess it is obvious common sense has no place in EMS. > > > **DISCLAIMER -- SARCASM THROUGHOUT THIS REPLY** > > Renny -- > > Your posts no longer require my reply as a paramedic and a lawyer. You'd be much better off talking to an ECA who's watched a couple of episodes of Boston Legal. I'll send you their direction instead. > > -Wes Ogilvie > > > Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth > > > > > > > Well I have stayed out of this discussion as everyone knows my side, but here I go again. Many if not most 911 callers would suffer no harm not going by ambulance. Some would not suffer any harm not even ever going to the doctor about their present complaint. In fact my 13 year old with no medical education could determine many of the ones I have suggested not transporting. > > If the people working for a service do not have enough common sense to be able to safely examine then assist patients to get where they really need to go perhaps the service should hire better people. Everyone keeps throwing out that standards have lowered, well those that hire are the reason lowered standards have become the norm. If services refused to hire those warm body's with a pulse standards could rise, so perhaps we need to re-look at where the real problem is. > > Again you would still transport 95% of all callers that want to go but for some you would do them more benefit helping them find a way to get the care they actually need. We are not saying they are not sick and yes they may even need to spend time in the hospital but that does not make it an emergency ( immediate life threat ). Helping educate patients improves customer relations and in the future helps ambulances be available to respond to immediate life threats. > > I could go on and on as can those that oppose so I will stop now. My main point in my rant is just because you disagree with someones opinion does not mean you have a right to belittle them. Perhaps if everyone got off the only opinion that is right is mine attitude maybe we could move EMS forward. > > No disrespect meant in my frustrated response. Have a great day. > > Renny > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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