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Well not sure where you guys are from but in good ole Texas .. Lol... Last time I checked you are suppose to carry you Texas dept of health card at all times when working .. Also I thought that the guy had a jump bag ... how far can first responders can go in treatment ? Outside and inside their jurisdiction ?
Well not sure where you guys are from but in good ole Texas .. Lol... Last time I checked you are suppose to carry you Texas dept of health card at all times when working .. Also I thought that the guy had a jump bag ... how far can first responders can go in treatment ? Outside and inside their jurisdiction ?
So no need to carry ems identification in TN?
If I am not mistaken, TN is one of the few states that automatically recognize out of state credentials in extraordinary situations.
I understand the law was specifically put in place for disaster situations, but is not specifically limited to such from various disaster related conversations I have had elsewhere.
Do you have more accurate insight on this?
How dare you question the almighty Gus!Why is it always a black guy eating popcorn?
BTW, call in an MVC here and/or just pass by and not stop will get you in some pretty deep water if DHEC finds out.
So you mean to tell me the state of Texas will penalize you if you are caught working an EMS shift without your card in your wallet even though your uniform, you showing up in the ambulance, your name tag, and your call number all identify you as an EMS provider?
omg, you have a county T-shirt? I have an FDNY T-shirt, doesn't make me an FDNY Firefighter.I had been at my EMS department most of the day getting ready for an upcoming event that I am working so I was in a county EMS t-shirt and my jump bag (issued by county with their logo) was on scene with me in plain view.
doesn't matter what you think, or what his training was. you are a civilian, he is the professional who is arriving in the AHJ's apparatus. it's still his scene.The vollie (according to the medic on the wagon) has been in the FD for a couple of months and is currently in FR training. (my opinion is he shouldn't be in a rescue unit if he is not trained)
interesting.... so if i show up to a building collapse with people trapped, in civilian clothes, because I heard it on the scanner, and I'm a paramedic, I'm in charge if no other paramedics are there? I can boss the fire and rescue crews around, as well as all the BLS crews? coolIn South Carolina according to DHEC who oversees EMS scene control goes to the highest ranking officer either on or off duty without regards to county as we are state certified.
who cares, the kid was a douche. it was still his scene, and if he asks you to leave, you should leave.Many of the rural FD's here have issues with EMS for a number of reasons. Mostly due to them being volunteer and we are paid. This kid knew full and well (as he admitted to others on the scene) that I was an EMT. His problem with me? I was from another county. BTW, call in an MVC here and/or just pass by and not stop will get you in some pretty deep water if DHEC finds out.
I don't really buy that, but it might be true. but the more important question, has anyone actually be punished by the DOH for not stopping?According to the meetings in both Feb and March at DHEC, EMT's and Paramedics are obligated to provide medical care regardless of county in an emergency situation even while off duty if the incident is life threatening. The question was asked how would you know if it is life threatening and DHEC stated that we are obligated to check. During a break someone asked what would happen if we don't stop. They were told that we need to remember this is an employ at will state and walked away.
I have heard of NJ DOH doing spot inspections at the hospital as well.I'm pretty sure MA and NY require you to carry them as well.
how much ALS equipment do you carry in your POV? I guess if the EMT-I has intubated the patient or started IVs with running fluids or pushed meds they should stay, but I'm pretty sure most 1) are smart enough not to do that 2) would get fired by their medical director for doing that and 3) don't carry enough equipment in their pov to do that. but in theory it could happen.Okay so doesnt all ems have some kind of identification they are supposed to carry at all times? Especially when your first responding? Also what if the emt- intermediate started some advanced skills and the volly firefighter responder shows up? In Texas most( 80%.. Seriously) volly fire Dept. Are emt- b's any how? I mean I would understand if you are on the same skill level or the responder was higher educated... but if a basic showed up and told anyone that took longer then a three month course to leave a scene, there is a serous flaw somewhere at the exspense of the people who we are trying to help.
ehhh, that's a stretched, but other have discussed the whole duty to act thing.In all fairness to the OP, once he responded to the incident he had a duty to act, and as such he had an obligation to continue care and not turn over care until a provider of equal or higher level reported on scene.
hmmmm, one person climbs off the local fire truck, in gear, while the other is in a non-local county EMS t-shirt claiming to be an EMT....One could argue that just being a vollie FD is not sufficient to validate EMS credentials as many vollie FD's are not EMS trained.
wow. doesn't the fact that he pulled in a fire truck mean anything? or that he exited in uniform? this can be pretty funny: "officer, i just caught this man trying to rob the store, i'm off duty from the next county over in a t-shirt, before I turn him over to you, despite the fact that you have a police officers uniform and exited a police car, can I see your ID, to prove that you are in fact a police officer in this town"?One could further argue that if the OP just left his patient to the vollie after rendering care, that he failed in his duty to act if he did not ensure the vollie crew had the proper credentials.
no, the patient belongs to the first responder until the AHJ shows up. once the AHJ's representative shows up, the first responders job is done.The patient belongs to the first responder until he or she turns over care to a provider and that first responder is not obligated to leave just because someone has a set of Nomex.
The responder was a douche, this is there is no disagreement. however, once that douche shows up in a department vehicle it's his patient, and if he tells you to get lost, than you better get lost. it's his scene.The oncoming vollie FD crew member should have approached the scene in a way such that they identified themselves as EMT/P such and such and ask for a quick briefing, not "Hey, get lost".
Just to clarify some things. I got vitals when I first arrived on scene due to approximate age of patient and the fact he was wearing an emergency alert bracelet. The patient starting complaining of neck pain as I was finishing BP and that is when I put him in c spine. My POV was parked at a 45 degree angle with flashing strobes (gift from wife) approximately 300 ft from the scene. Patient vehicle was off roadway due to impact and in a safe area and I am trained (mandatory) in extrication. I had been at my EMS department most of the day getting ready for an upcoming event that I am working so I was in a county EMS t-shirt and my jump bag (issued by county with their logo) was on scene with me in plain view. The vollie (according to the medic on the wagon) has been in the FD for a couple of months and is currently in FR training. (my opinion is he shouldn't be in a rescue unit if he is not trained) In South Carolina according to DHEC who oversees EMS scene control goes to the highest ranking officer either on or off duty without regards to county as we are state certified. Many of the rural FD's here have issues with EMS for a number of reasons. Mostly due to them being volunteer and we are paid. This kid knew full and well (as he admitted to others on the scene) that I was an EMT. His problem with me? I was from another county. BTW, call in an MVC here and/or just pass by and not stop will get you in some pretty deep water if DHEC finds out.
omg, you have a county T-shirt? I have an FDNY T-shirt, doesn't make me an FDNY Firefighter.
What's AHJ?
AHJ = Agency Having Jurisdiction
My POV was parked at a 45 degree angle with flashing strobes (gift from wife) approximately 300 ft from the scene.
In South Carolina according to DHEC who oversees EMS scene control goes to the highest ranking officer either on or off duty without regards to county as we are state certified.
MVC that had just happened.
I immediately slid in behind him and manually brought his neck to neutral keeping him stabilized until further assistance arrived.
First on scene was a volunteer FF for the local FD, in a rescue unit informed him I was an EMT in the next county and gave him a quick rundown.
I asked for a c collar and spine board to secure the patient so we could begin trying to get his feet free from the brake pedal. (collapsed on top of feet trapping them).
The first thing this kid tells me is that I need to get away from his scene!
By doing either of these, I have placed myself into a potential legal or dangerous situation such as what Firetender has described. See how passionately you insist you will NOT release c-spine once taken.
I know most of you are in the south, but up here (NH), you have to stop. Duty to act. Esp since FD is neither (in this case) medically trained nor a jurisdictional agency (in the sense that leos are).