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  1. reaper

    National EMS Scope of Practice Model Revision

    Seen it happen in FL years ago. The state mandated ALS coverage in every county. Now, there were some rural counties that only had two ALS trucks and a few BLS trucks, but they still had Paramedic coverage when needed. Sent from my VS985 4G using Tapatalk
  2. reaper

    National EMS Scope of Practice Model Revision

    But, this comment shows why you need educated providers. None of the treatments you listed are "last resort". If they are needed, they are needed right away. This comes down to the old saying, just because you can do a skill, doesn't mean you know why you are doing it! Sent from my VS985 4G...
  3. reaper

    National EMS Scope of Practice Model Revision

    One of the best young medics I know, had his medic by 19. I watched him study and push himself. He now does fixed wing. Sent from my VS985 4G using Tapatalk
  4. reaper

    National EMS Scope of Practice Model Revision

    A lot of it comes down to the class. Why do AEMT, when you can do Paramedic with just two extra semesters. I think in out service we have two AEMTs out of 280 employees. Most EMT-Is upgraded to Paramedic and a few downgraded to Basic. If you are going to spend the time and money, do what is...
  5. reaper

    National EMS Scope of Practice Model Revision

    Yes, your system needs to be updated. But, unless you can make that happen, why not step back and ask yourself what can I do? You could become a medic, so your system would have one more available! You could research, learn and present a report to your director on changes that could help. You...
  6. reaper

    Off Duty but still concerned?

    Yeah, I hate being on my off weekend, watching live PD and seeing what happens at work! Haha Sent from my VS985 4G using Tapatalk
  7. reaper

    Off Duty but still concerned?

    When I clock out, I am off duty. You make this your life and you will burn out. Sent from my VS985 4G using Tapatalk
  8. reaper

    Do you think it is good practice to draw bloods in the field?

    My old service we did blood draws for LEO on DUIs. They carried kits and gave them to us as they needed it done. Really depends on state laws. Sent from my VS985 4G using Tapatalk
  9. reaper

    Do you think it is good practice to draw bloods in the field?

    Oh I agree. We know the benefit of early abx, we gathered most of the data. Out problem was both the hospital systems did not want to get on board with giving abx, without cultures drawn first. So we got stuck in that bit. Sent from my VS985 4G using Tapatalk
  10. reaper

    Do you think it is good practice to draw bloods in the field?

    Oh ok, my bad, I did remember that now. Sent from my VS985 4G using Tapatalk
  11. reaper

    Do you think it is good practice to draw bloods in the field?

    You are administering abx without culture draws? We won't do that. If you cannot draw cultures for some reason, then we do not administer the abx. Sent from my VS985 4G using Tapatalk
  12. reaper

    Left EMS for my mental health, anyone else?

    Has nothing to do with it. Compassion is there, but they still have a service to run and have to deal with their end too. They granted you two extra days off, to help you out. Yes, they could have explained it a little better to you. But honestly, how can we be sure they did not? Your emotions...
  13. reaper

    Left EMS for my mental health, anyone else?

    You have been through a tough time and maybe it is best to step away. I wouldn't say They don't care. They still have a job to do. Most employers only give time for imediate family. Unfortunately, cousins are not considered immediate family. Do what you need to do for yourself first. Sounds...
  14. reaper

    Armed EMT's

    Kansas has had this law for a while now. Is there anyone here from Kansas? I have not seen a single incident of anything going wrong from this state. So, I would like to see how it is going there. Sent from my VS985 4G using Tapatalk
  15. reaper

    Moving from NYC to Orlando FL

    I know Lee county is hiring right now. Sent from my VS985 4G using Tapatalk
  16. reaper

    Moving from NYC to Orlando FL

    Move farther North in FL. Mostly third service in the northern areas. Sent from my VS985 4G using Tapatalk
  17. reaper

    Do you think it is good practice to draw bloods in the field?

    We normally run around 3-5%, but have had several months at 0% before this. That is why the lab sent the email out. Sent from my VS985 4G using Tapatalk
  18. reaper

    Unapproving Parents?

    She wants you to be successful. But, that never comes if your not happy in a job. I tell my kids the opposite. Don't look for money, find a job that makes you happy. Nothing worse then hating a job that will be your life! Sent from my VS985 4G using Tapatalk
  19. reaper

    Physical Requirements?

    Since you mentioned BJU, I can guess what county you are looking at. PM me with questions and I can help you with it. Sent from my VS985 4G using Tapatalk
  20. reaper

    Stopping at an MVA out of response area?

    Our service does this and it came back to bite them with a complaint to the county. So now, when anyone non medical is driving an ambulance for any reason they must place a placard in the front window. It is a red sign that says "out of service". They are still required to stop and let all...
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