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    Drug testing

    Do you have a pulse and an EMT cert? They will hire you on the Mexican border
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    Acadian Travel Paramedic

    ok you make 1750+1300 a week, that is pretty good. No I do not make that
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    Acadian Travel Paramedic

    Thats not very good I already make close to that on my fire job and I don't have to wear those ridiculous green pants
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    Trying to move up in EMS

    Getting your *** kicked is not always the best way to build good habits and also not the best way to learn a more advanced practice of EMS. Just try for a service that has advanced protocols including RSI. Rural EMS is my ****. I owuld not try to do community paramedic I don't know of a way that...
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    Do you have to follow your Agency's clinical protocols exactly as written?

    clinical safety should be taken as a priority over the coolness being a free thinking paramedic
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    Do you have to follow your Agency's clinical protocols exactly as written?

    How many months does it take for a new paramedic to feel like they can free think?
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    Diversity, Equity, and Inclusion

    Diversity that relates to skin color, religion, sexual orientation and gender is superficial. The diversity that is valuable is cultural perspective and experience in EMS and healthcare occupation specifically.
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    Stemi? or no?

    looks like it meets scarbosas criteria to me. definitely transmit the strip and make direct continuity with the receiving er md
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    Do you have to follow your Agency's clinical protocols exactly as written?

    Yes the best I can. If you have a disagreement with a protocol; the best rout is to contact medical direction. You can also talk to your medical director about changing things or you can go to medical school and become a medical director. The range of competency and proficiency in EMS is far to...
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    Heads Up CPR

    That seems interesting it just needs a cohort of research to support it. I always thought that mechanical CPR would be more advanced by now and providing negative chest recoil. I created a cohort of research on mechanical CPR a few semesters ago. Down time and early access to cpr and...
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    CMS rural billing rate

    And IF you really read....what requirements define somewhere as rural are listed too! I think it just says by zip code and population density but I don't know how they choose what zip code is rural and what is not? I dont care about the formula to find out rural vs super rural. One is worth...
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    Do we have a responsibility to share potential fees with patients?

    I never heard anyone say "the medic told me it was going to cost that much" If you do know the exact rate no harm in telling them that rate. I would just offer that there is a bill.
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    CMS rural billing rate

    My department always transports more than 30 min. Our area is very dense and wealthy. I worked at another service that was similar or shorter transport but does bill as rural EMS. How do you get classified as rural EMS and is it even a thing you can apply for with CMS?
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    Do we have a responsibility to share potential fees with patients?

    I dont think so. As far as responsibility, why can you not inform your patient?
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    Do we have a responsibility to share potential fees with patients?

    My experience is that they bill EVERYONE!!!!!!! I don't see a problem with offering that fact if the patient is concerned. I feel that is our responsibility and also patient centered healthcare to offer the patient options and inform the patient on the healthcare provided before they consent...
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    FTO instructed me to “make up” vital signs

    When will the EMS service learn that firing everyone is not the solution to problems. Welcome to urban EMS, now you will know that working in a high volume service is a great way to become a terrible paramedic. The truth is that it happens all the time. I would not recommend making up the...
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    AMR feedback? Positive or negative

    negative
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    Tell me I'm wrong. Tell me I was mistaken.

    Any time you are quitting a private ambulance, guaranteed you are in the right!
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    EMS grant database

    Thanks for really narrowing it down. I guess I'll follow these tips like I'm on blues clues or something and it will save me a lot of time.
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    EMS culture, your experience

    I started as a paramedic 11 years ago in a very urban environment and almost immediately worked as a critical care paramedic. I guess through cultural osmosis I became invested academically in progressive and critical care medicine. I also realized some of my old friends reacted to me...
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