I've had a few variations on this happen. All patients were clinically sober and had decision-making capacity. One was a few minutes from the hospital and I convinced him to talk to someone at the hospital and see if he wanted to be seen. They talked to the charge nurse, then left without...
We check narcs in/out of a Pyxis at the beginning and end of shifts. Each narc box is a small clear-top Pelican case with a numbered red seal. If the red seal is broken, it gets re-sealed with a blue seal before return. During shift they're locked in a box with a code in the ambulance.
Use and...
Just an FYI for anyone that sees this, DFD is currently hiring for the med unit. BUT, their last hiring class of EMTs did not have their applications for firefighting positions accepted this year due to the staffing needs of the med unit.
Grand County EMS used to do that- they’d intercept with a Front Range service in Empire. Pridemark used to do it, then Rural/Metro did it. I’m not certain if they’re still doing it or not.
As was alluded to, you'll need your IV certification for most services. Denver Health does 911 in Denver, Platte Valley does 911 in the northeast suburbs, Falck does 911 injuries Aurora, AMR does 911 in Boulder and Longmont, Stadium Medical has a small 911 operation in Golden, and UCHealth does...
Our base schedule is 40 hours, 4x10. We have some 44 hour picks (2x10, 2x12). I paid the bills fine on a 40 hour week, working 44 gives me some nice extra money. That sort of question depends entirely on where you live, though.
EMS, PD, and fire can all request detox. Patients can also call 911 and request detox, but that doesn’t happen very often.
Police can also transport directly to detox, but that generally only happens if the van is unavailable.
Our detox transport protocol is different than the Denver Metro protocols. We’re the only agency with the ability to have someone transported directly to detox.
I can’t copy and paste the flowchart, but these are the exclusions to transport by the Detox Van- so anyone intoxicated that doesn’t...
Does that work better in your area than in the Denver area? At the start of our current divert crisis, we were calling zone master hospitals and nobody on the hospital end (other than Denver Health) had any idea what we were talking about. We recently started a protocol where if more than 4...
We don't get signatures for transfer of care. If the patient is unable to sign, we'll have a nurse sign for billing purposes. If the patient/family/parent is able to sign, I don't have to have anyone sign for transfer of care.