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Wonderful thread. :) Does information on how a patient got to the stretcher make an impact on billing, and/or does information on how the patient got transferred to the hospital bed make an impact? In other words, is it helpful when I include statements such as "Transferred patient to EMS...

Are you a paramedic? We have a paramedic at our organization who totaled an ambulance. Since then, he has opted to "ride" every call (e.g. he's always with the patient in the back). As far as I know, he hasn't driven even 1/2 a mile in over six months. He's well-liked by his partners because he...

My own impression of the program is that it's a very good program -- the word on the street about it is very positive. I did not personally believe that admission was all that difficult, but I'm just relying on what I've heard. My big question would be: Will they accept a foreign EMT...

TransportJockey, have any particular venues been best for y'all to sell those memberships?

Hey all, Does your service sell EMS memberships, where people in the community can choose to pay an annual fee in exchange for a reduced/eliminated bill if they later use EMS? If so, how does your service best sell these memberships? Do any particular places (such as nursing homes) work well...

The checklist is helpful -- thanks! Do you have a larger version of the graphic? It won't zoom in without blurring.

Thanks. That last part is great. I have noticed that on the medication list (either from their own list or from the collection of medication bottles they provide), that often some patients are very inconsistent on certain medications. Your question about "Do you take any medications sometimes?"...

Thanks, everyone! I particularly like DEmedic's suggestion of asking questions about body parts as you go through the body systematically (e.g. heart, lungs, etc.).

I have been having some difficulty getting patients to provide me a full medical history as I go through SAMPLE. I've tried questions such as, "Do you have any medical conditions I should be aware of?", "What kind of medical history do you have?", etc. They will mention one or two things but not...

It's pretty well executed. I did think the motorcycle officer in the video exposed himself to more risk personally than necessary, though. Back in school, my textbook strongly advocated against police escorts under the notion that drivers would initially yield for the first emergency vehicle...

+1 for this. The NR skill sheets really do give you a solid foundation as you're learning and starting out.

I like your reply. Can you elaborate on what you personally would state as the risks of refusal in this instance, and what kind of workup you'd do? Hope you don't mind my question.

I would personally suggest steel or composite toe, yes. Not worth risking your toes.

That's very good advice. The advice in your first paragraph, especially, is great for any new person.

During my clinicals, I jumped in as much as I could. In hindsight, I probably jumped in too much. But I got some really good feedback about *not* being a wallflower. To get you started, begin to do vitals everytime as soon as you make patient contact. Then slip in some questions as you can.

Leaving lights on/off while on scene would depend (to me) on the nature of the call, time of day, traffic obstruction if present, PR concerns, etc. I tend to turn them off while on scene at residential areas (especially at night), while I usually leave them on when along the roadway.

I knew who I wanted to work for after I had completed my clinical rotations. Once I had my NREMT and state card, I applied for a job with that company (an application over the Internet). They then called me for an interview, and I got hired after that.

Our thermometers are very basic -- just cheap thermometers with a stack of sheaths available. I would like something better, but I'm leary to spend my own money.

Yeah, Training Division is a little bit controversial among some. There is an allegation that it doesn't really teach students as much, and some FTOs at various EMS agencies have criticized the program. 'Course, some people praise Training Division.

That seems to be the relative norm. The drug tests seem to pertain to clinicals, rather than being an actual school/course requirement.