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I'm working at a place that was on a 36 one week, 48 the next schedule, and they announced back in December that it would be changing. Recently the 48 hour weeks went away, and we're now doing 3 x 12 shifts per week. No scheduled overtime anymore. Pay rate didn't change but I have a lot more...

we were just in Hawaii for a week (east Honolulu) and part of me thought it would be a lot of fun to work there. until we saw how busy the engine near our hotel was.... ;-)

my short follow up to the peculiar LEMSA situation. A meeting was had, things were explained, "that's how it's always been" was discussed and an agreement was made to not think that way because it hinders progress. Plus, a lot of things that were done were wrong, and evidence was shown to prove...

If I was younger, that's what I should have done. But instead, I was a complete immature idiot until I reached 35, only to find that there were age limits on a lot of things. lol. But that's awesome! I didn't know the USCG had such a thing.

in case anyone is curious, these are not the protocols that we are trying to use. :)

I think that's how we're trying to get them to treat us, and what you said makes sense. No state line issues at this one, fortunately, just a couple different receiving hospitals. Apparently someone at the LEMSA was trying to say that the hospitals will refuse to accept patients from here unless...

woah, this is actually *very* interesting to me and may be really helpful helpful. Could you please PM me more info?

They're splitting hairs with it. It's about using an off-facility resource (a local hospital) as medical control. The LEMSA is saying that the second an ambulance or provider leaves the wire, they have to be under *their* protocols and credentialing and so on. There's a whole list of reasons why...

That is how it's starting to sound. They leaned on this document: https://emsa.ca.gov/wp-content/uploads/sites/71/2017/10/Mutual-Aid2018.pdf but the way that reads, the mutual aid guidelines are for irregular/disaster operations and not a fixed base that's been there since WW2. It sounds like...

It shouldn't be an issue, true, but for some reason it is. California is ... different. There are very few facilities that could/would even have this issue, and the guidance from the state has been to defer to the local Ems authority. (California has a patchwork of systems.)

Are any of you *very* familiar with California's Title 22? Specifically, how it relates to Federal properties? Interesting situation. A friend at a DoD facility said that they want to use DoD protocols but the local LEMSA is telling them that they cannot, and they have to use *their* protocols...

This is what I noticed as well. I am honestly shocked that there's no such requirement for EMS that I can find anywhere.

Paramedic at a couple different places. :)

EMT & Paramedic renewals in California are pretty easy, fortunately. But I highly recommend keeping your National Registry. I think it makes it a WHOLE lot easier in the long run. Any hours that you used for your National Registry renewal can be applied to the state hour requirement.

I can empathize with you on this one. hopefully they get it resolved in a timely manner! You can also pull your own record on the DMV website but I think it costs like $3 each time you do. I had to do this in early 2021 to make sure that they cleared up an error ... from 1997....

How difficult was that process to get set up?

My old service in Oklahoma has a truck that is coming from there, and I think I saw that exact same US Army box in the background. :D nice!

Ahh.. interesting. Is there a branch specific guideline you are aware of? If there's one you can point me to, that would be awesome! I'm not active duty, I'm a contract human, but there's a military component here as well.

Are any of you aware of any specific FDA/DEA/etc guidelines on how the vials should be stored on the ambulance? We have "either a biometric safe or behind 2 locks" but that's about it. I'm trying to find specific information about tamper proof seals/tags. We have employees that are complaining...

Sounds like smaller clear containers of some sort with tamper proof tags inside of the larger padlocked case is going to be the way to go. LogRx looks pretty interesting too. I'd love to see us go that direction in the future. cheers!