mycrofft
Still crazy but elsewhere
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Vent, We're once again posting past one another.
The title of the post is about CODE 3 driving. My point was that, by and large, your response time to emergencies will not be improved by code three driving enough to save the most critical pts. Not to mention the cases where you pull up at Warp Four and the pt is waiting with a suitcase and reading the National Enquirer while sipping Southern Comfort.
The driver is legally, morally and ethically responsible for vehicle ops. Period.
As a driver (not on a NICU etc run) I have refused to start the vehicle until I felt the care compartment was safe, people strapped, door closed all the way, cot latched, etc. The driver is, by the same token, not usually responsible for the practice occuring in the back because he is driving.
Now if the driver is just a driver and not a "reasonable practitioner" (which would make him a very expensive driver), he cannot reasonably refuse or alter directions except for vehicle safety. If he's a crappy driver then he gets fired. In fact, send him for coffee and leave without.
Speaking strictly about NICU and other delicate patients, ideally the transport ought to be just like taking the pt down the hall to another room, smooth but not too long and dependent upon the caregivers and not speed to preserve the pt. The driver takes the smoothest route offering the shortest time and listens for feedback from in back.
NICU and such are relatively rare, unless that's what you are talented and lucky enough to do as a living. The rest need to be good, safe and smooth, but you guys are held to an even higher standard.
The title of the post is about CODE 3 driving. My point was that, by and large, your response time to emergencies will not be improved by code three driving enough to save the most critical pts. Not to mention the cases where you pull up at Warp Four and the pt is waiting with a suitcase and reading the National Enquirer while sipping Southern Comfort.
The driver is legally, morally and ethically responsible for vehicle ops. Period.
As a driver (not on a NICU etc run) I have refused to start the vehicle until I felt the care compartment was safe, people strapped, door closed all the way, cot latched, etc. The driver is, by the same token, not usually responsible for the practice occuring in the back because he is driving.
Now if the driver is just a driver and not a "reasonable practitioner" (which would make him a very expensive driver), he cannot reasonably refuse or alter directions except for vehicle safety. If he's a crappy driver then he gets fired. In fact, send him for coffee and leave without.
Speaking strictly about NICU and other delicate patients, ideally the transport ought to be just like taking the pt down the hall to another room, smooth but not too long and dependent upon the caregivers and not speed to preserve the pt. The driver takes the smoothest route offering the shortest time and listens for feedback from in back.
NICU and such are relatively rare, unless that's what you are talented and lucky enough to do as a living. The rest need to be good, safe and smooth, but you guys are held to an even higher standard.
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Problem with the city is getting anywhere with the traffic and lights. Without l/s we would never get anywhere, its a necessary evil, at least to get to the call. Also, by regulation lights at the very least are required when transporting.
