CentralCalEMT
Forum Captain
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I realize this may offend people. This is not my intention. I want to get people thinking, especially new paramedics looking for their first job.
Especially in SoCal, we all know IFT companies pay more for medics and are closer to the population centers. A lot of new medics will take jobs that pay, say $17 an hour as a medic running transfers all day that has a short commute rather than the $14 an hour job that runs first in 911 calls but requires a longer commute or relocation and is not located in as cosmopolitan of an area. While the money and convenience may seem great, there is not a lot of opportunity to develop your paramedic skills running solely IFTs. Now it that is what you want as a new medic, that is completely your choice. But I am tired of hearing IFT medics put down rural 911 providers because we make less money and work in the middle of nowhere.
Now before someone jumps all over me, I do realize that you can learn something on ANY call and IFTs are no exception. Those patients often do have serious and unique disease processes going on. However you are mainly assessing a patient in an acute care setting, where they have been reasonably stabilized and their history, allergies, meds etc. are in the paperwork, they all ready have IV access, and you have a reasonable idea of what is going on. Yes there are critical care transports of life and death patients, but the truth is most ALS transfers are patients who require someone to take vitals and stare at the cardiac monitor during the transport and nothing else.
There has never and will never be a substitute for real life emergency calls. You can do CE units all you want and reread your book every day. However there is no substitute for the calls that stretch you as a medic and as a person. The calls that cause you to develop into a thinking paramedic and a competent care provider. For instance, there is the 0200 call where the patient is in respiratory distress, you can hear wheezing from outside the house, does not know their own medical history, can't find their meds, has crappy veins that can barely take a 22 on a good day, who is cyonatic and crashing in the living room of their pack rat home. There is no substitute for actually setting up in line albuterol with CPAP or a mag drip or any other ALS procedure. With IFT companies, you can attend MCI training or even be on your company's "strike team" all you want, but there is no substitute for being first on of a MCI with multiple red tags and your next in unit at least 15 minutes out and have to manage it with limited resources.
In conclusion, personally, I believe that as a new medic, you should try and get into a system that truly lets you develop your paramedic skills, assessment skills, and critical thinking skills. Yes the pay might be less and the scenery not as good, but as a new medic you are in danger of losing your knowledge and skill set if you do not practice what you just learned. Do not be one of those medics who all they talk about is the calls they ran during internship since they haven't run a real emergency since then. Remember, it is a lot easier to go from running 911 to running IFTs than vice versa. Especially several years out of school. I personally have worked with some medics who did the IFT route for several years and then decided to work 911 and it was an uphill battle for them from the start because they lost their skill set. Anyway, this is just my opinion for those seeking employment as a new paramedic.
Especially in SoCal, we all know IFT companies pay more for medics and are closer to the population centers. A lot of new medics will take jobs that pay, say $17 an hour as a medic running transfers all day that has a short commute rather than the $14 an hour job that runs first in 911 calls but requires a longer commute or relocation and is not located in as cosmopolitan of an area. While the money and convenience may seem great, there is not a lot of opportunity to develop your paramedic skills running solely IFTs. Now it that is what you want as a new medic, that is completely your choice. But I am tired of hearing IFT medics put down rural 911 providers because we make less money and work in the middle of nowhere.
Now before someone jumps all over me, I do realize that you can learn something on ANY call and IFTs are no exception. Those patients often do have serious and unique disease processes going on. However you are mainly assessing a patient in an acute care setting, where they have been reasonably stabilized and their history, allergies, meds etc. are in the paperwork, they all ready have IV access, and you have a reasonable idea of what is going on. Yes there are critical care transports of life and death patients, but the truth is most ALS transfers are patients who require someone to take vitals and stare at the cardiac monitor during the transport and nothing else.
There has never and will never be a substitute for real life emergency calls. You can do CE units all you want and reread your book every day. However there is no substitute for the calls that stretch you as a medic and as a person. The calls that cause you to develop into a thinking paramedic and a competent care provider. For instance, there is the 0200 call where the patient is in respiratory distress, you can hear wheezing from outside the house, does not know their own medical history, can't find their meds, has crappy veins that can barely take a 22 on a good day, who is cyonatic and crashing in the living room of their pack rat home. There is no substitute for actually setting up in line albuterol with CPAP or a mag drip or any other ALS procedure. With IFT companies, you can attend MCI training or even be on your company's "strike team" all you want, but there is no substitute for being first on of a MCI with multiple red tags and your next in unit at least 15 minutes out and have to manage it with limited resources.
In conclusion, personally, I believe that as a new medic, you should try and get into a system that truly lets you develop your paramedic skills, assessment skills, and critical thinking skills. Yes the pay might be less and the scenery not as good, but as a new medic you are in danger of losing your knowledge and skill set if you do not practice what you just learned. Do not be one of those medics who all they talk about is the calls they ran during internship since they haven't run a real emergency since then. Remember, it is a lot easier to go from running 911 to running IFTs than vice versa. Especially several years out of school. I personally have worked with some medics who did the IFT route for several years and then decided to work 911 and it was an uphill battle for them from the start because they lost their skill set. Anyway, this is just my opinion for those seeking employment as a new paramedic.
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