Re: Call an Ambulance, Get a Taxi | NBC Dallas-Fort Worth

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.

> >

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.

> >

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.

> > > >

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.

> > > >

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.

> > > >

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.

>>>

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.

>>>

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.

>>>

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.

> > > >

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.

> > > >

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.

> > > >

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?

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?

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?

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!

> 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.

> > > >

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!

> 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.

> > > >

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!

> 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.

> > > >

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.

>

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.

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.

>

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.

>

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

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

>

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

>

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

>

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