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Your description above is pretty close to how it normally runs now. The issue we are trying to address is to have the ability to put ranking people into the IC roles and functions when the incident calls for it. Outside of seniority, how do we get the "right" or "most appropriate" people into...

That is why you have a professional billing company do your ambulance billing. They are fully insured and liable for their services.

I agree with Crazycajun....... I too read but seldom post because of that same reasoning. Unlike the probies though, I am not new to EMS, having been in it for 17 years this July. Though I am "just an EMT-IT", I come in here to gather information to help better myself and my...

Spot on. All our nursing home transports are initiated by a 911 call from the nursing home. They almost always have a prescription for transport by ambulance. The medical necessity should fall on the nursing home and the patient's physician and not the transporting agency. As a 911...

Excellent feedback so far. I really appreciate it. Just to clarify.....MABAS stands for Mutual Aid Box Alarm System. It is preplanned mutual aid that was designed as a structured/tiered fire response for multiple alarm incidents. You can google it for more info. We as EMS are basically...

I have been searching old threads and haven't really found what I am looking for regarding EMS rank structure. Our volunteer/paid on call EMS only department does not have a rank structure in place for the operational side of our service. We have member elected officers (Pres., V.P, Sec...

Welcome from balmy Wisconsin.

Never be in a hurry with a cot!! If a crew member is wheeling, handling, or loading incorrectly or inappropriately, tell them after the call. If their behavior is detrimental to the patient, tell them immediately but discretely.

This really sums it up a lot. Good post. Your frustrations have largely been seen as aimed at EMS when really deep down, the "real medical societies" and such have been your problem the whole time. Personally in my experiences at home, physician oversight is intertwined and the backbone of...

With what sounds like a very admirable and commendable background, how did you end up being a journalist?? Interesting transition. However, I can't say thanks enough to any man or woman who has protected my freedoms. Thanks! I think your interpretation is flawed above. The fact that the...

This is spot on. Unfortunately, pulling the race card has become more of the norm lately and somewhat of an accepted excuse depending where you are from. It is like a socially acceptable "cry wolf" to some extent. When it legitimately happens, all recourse should be taken, but throwing it...

We are considering going back to Epi injections because of the cost of Epi pens. We tend to throw too many away in the cold weather months because of expiration. We do try to rotate them based on expiration but it doesn't always mean they get used up. As far as injecting fellow department...

A sub-forum under EMS Humor possibly?

That is true but they are significantly heavier than the conventional. They also would be the best thing since slice bread if in and out of the ambulance was the only lifting you had to do. The real killers are porches (especially the old wood ones) and shorter steps that you may not get a...

I think it would be fine to take it, especially if it is free. Plus, 100 calls per month on average is very good experience in my opinion. That call volume for one person is nothing to sneeze at. There are rural DEPARTMENTS that don't run 600 calls in 2 or 3 years. You personally, in 6...

I believe ACLS certification is for Paramedics and up. Levels below Paramedic don't generally carry enough meds or have medical protocols accepting ACLS care.

Welcome to the forum. EMT-B is generally a volunteer career in smaller ems settings or the door opener to working your way up the ems ladder. You won't get rich in ems, but you will be fulfilled in many ways other people will never know. FYI.....I dread kid calls too so don't feel bad...

The National Registry test is different now than as in previous years. It grades you in each discipline so if you fail one discipline by one point and ace the rest of the test, you fail the whole test. Your instructor can't possibly cover every inch of what is expected of you so know your book...

Likely it is a Knox Box where mutual aid departments can gain access to the station in times of shuffling back-up crews/apparatus around communities. I personally have never seen a ghost, but my wife's grandparents have one that lives in their house with them. Various family members have...

We do not have anything in Wisconsin like that. I think there are a ton of pros and cons to legislation like that. Liability could become an issue. Documentation in those instances will become paramount!!!!!!!!