Confused..

[mp5dude]

So, I guess I'll dig right into it.
I volunteer with an IV tech service. I also volunteer with the paramedic service that intercepts with my IV tech service. Also brought into this is my paramedic service job job.

Here's my confusion etc.. When I run with my IV tech service everything is rammed down our throats that ALS is "bad" (or we don't need them to come- pain control is stupid etc). I personally love having ALS support to augment my BLS care. I would rather offer my patient the BEST care I possibly could right away rather than them be in pain or what have you.

I guess.. I'm at a loss here. I've been doing what's best for my patients and I keep getting talked to and yelled at. I hadn't planned on leaving but it's getting incredibly stressful to fulfill the needs of my patients (or even possible needs) and try to make the service happy...

Thanks,

I needed to vent a little bit..

 

[Arovetli]

While I'm a bit confused as to the particulars of your situation, usually when two different services are at odds it is over money. Likely the BLS services interests are being usurped by the ALS service.

While it may be better care, it is wise to remember that money is often the most prevalent driving factor.

Do what you think is in the best interest of the patient, and be politically wise.

Often conflicting advice to be sure.

 

[chaz90]

Firstly, what is an IV tech service? I'm assuming BLS that can start IVs and possibly do a couple meds.

Sounds like you're doing a good job right now with putting the needs of your patients first, but take out the attempt at balance. What's best for your patient should ALWAYS be first with complete disregard for agency politics. As has been written elsewhere, ALS isn't appropriate for all patients. Even critical ones can often be managed appropriately by rapid BLS transport to the hospital if ALS is farther out. In cases of pain control where you're ignoring close ALS resources or agency pride that you don't "need" ALS, screw the backward thinkers in your service. If medics can do something that will help your patient, call them.

 

[NomadicMedic]

It's an intermediate service or "ILS". (We called em IV techs in Connecticut back in the day.) if you needed iced, call for medics. If you can get to the hospital before medics arrive, do that.

No matter what any paramedic tells you, what most patients really need is a hospital. (And a meal tray and Sierra mist… But that's a story for another time)