mycrofft
Still crazy but elsewhere
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Hear hear
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That's because N. Meningitidis is a relatively uncommon beast where you are. In South Auckland or the Sub-Saharan meningitis belt on the other hand... I gave some to a 15 month old the other day by the way.
Where does a paramedic with a Master's degree (in what?) fit into American EMS? Maybe an author or as an administrator, but no executive positions exist affecting care and profesisonal standards, at least not where they actually can do something.
What needs to be taken away from all but a few specialized practitioners? Endotracheal intubation
anti-dysrhythmics
thrombolysis
percadrial centisis
thoracostomy....the list goes on and on.
What as a Paramedic were you(anyone) unable to provide to your patient's, especially those that died??? What additional skills/knowledge do you think needs to be added to a Paramedics Scope of Practice?
I asked this question in a previous post but didn't get an answer.... But I feel its a good question, So I ask it again. Has anyone ever had a patient expire because you as a healthcare provider couldn't perform a specific procedure or just didn't have the knowledge base for something that could have saved a patient's life??? Example: Field Thoracotomy, Additional Drugs, etc.
percadrial centisis
USAFMedic45's Rule #1 of Treatment Decision Making: "Don't just do something, stand there!"Nailed it. EMS has a horrible tendency to overtreat. Sometimes, "benign neglect" as some medics call it is the best option.
USAFMedic45's Rule #1 of Protocol Development: "If they can't spell the procedure, they probably should not be allowed to perform it."
I know I'm always a little surprised when I hear of agencies or states not allowing it.
While the lowest denominator EMT in your service will make lots of mistakes, it takes a really brilliant one to make that one timeless, epic leap into the abyss.
1. Being predomionantly female, and victims of rampant sexism for generations, the civil rights movement helped. Also, the dawning of labor organization in medical settings.
2. Nurses with education and permission are cheaper than MD's in attendance of hospital pt's.
3. As nurses started getting degrees, they started getting into positions of influence. Since "nursing schools" had always been separate (used to be quasi-nunneries as late as the 1970's and early 1980's), they developed their own hierarchy, our most persuasive, intelligent and ambitious members started looking up from climbing upon each other's shoulders for advantage and started making requirements for nursing education the law (as did hospitals tired of getting nurses who were only good at wearing the little cap, doing laundry, and standing up when the MD walked in).
Where does a paramedic with a Master's degree (in what?) fit into American EMS? Maybe an author or as an administrator, but no executive positions exist affecting care and profesisonal standards, at least not where they actually can do something.
Other than maybe Osteopath versus MD.
Nurses need to hold the reins to the money and certification, and be able to withold their services on the grounds of professional and patient safety, workplace conditions, or pay/benefits. We are so used to throwing one another under the bus and bickering over every little thing (even to the point of changing countries to do so) that I do not see nursing as a profession ever gaining the sort of clout MD's have. As for paramedics, not even close.