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  1. NomadicMedic

    Grad Degrees

    WGU is excellent. I did my M.Ed there and am planning on the Healthcare MBA program this spring.
  2. NomadicMedic

    PLSI?

    I think the bigger issue here is emergency departments transferring patients from smaller community hospitals to larger receiving facilities in the middle of the night without understanding the risks associated with a middle of the night transport. A local hospital will often send stable...
  3. NomadicMedic

    Grad Degrees

    I have a M.Ed. and a BS in EMS administration. I'm considering an MBA in Healthcare Management. I find that there were doors I could not open without a graduate degree and if you want to sit at the table, the post-nominals make a difference.
  4. NomadicMedic

    Newbie: What to do about feeling carsickness in back of ambulance?!

    I like ginger candy for this. I also have a script for PRN Zofran ODT. It’s been a long time since I’ve puked, but there are still plenty of days when riding in the back makes me nauseous.
  5. NomadicMedic

    Rochester AMR Call

    this is my point exactly. Why didn’t they treat the patient after the police arrived? At that point he seem to be relatively calm, and they could’ve just moved forward with treating him.
  6. NomadicMedic

    PCR/Billing question regarding consumables

    If you are billing Medicare, CMS doesn’t allow you to line item bill.All the supplies, drugs and staff charges are included in the level (ALS1, ALS2 or SCT) I know some agencies that are contracted for IFT or hospital based can wrap all that cost up into patient movement, but it feels like a...
  7. NomadicMedic

    What are your biggest pain points in the EMS industry software-wise?

    AI integration is coming. Expect it to be baked into every major vendor’s offerings within the next 18 months. Agencies will have the ability to fully customize what is included in each narrative and it’ll meet all the requirements to maximize the payments available.
  8. NomadicMedic

    PCR/Billing question regarding consumables

    We do not bill for consumables, and only use the tracking in ESO to help account for usage. I have never been at an agency that line item bill’s consumables.
  9. NomadicMedic

    What are your biggest pain points in the EMS industry software-wise?

    Do you understand the NEMSIS data set and the rationale behind all the data collected?
  10. NomadicMedic

    100% Directionless Thread

    Merry Christmas ya filthy animals.
  11. NomadicMedic

    Lifepak CR plus battery?

    You technically need a prescription, but most AED vendors will facilitate that for you. Nobody will jam you up over having an AED unless you try to use it and it malfunctions. Also, if you do use an AED that you personally own and you don’t successfully resuscitate a patient, expect to be...
  12. NomadicMedic

    Matthew Perry died of ketamine effects

    Well, I’m speaking specifically of legal drugs with high abuse potential that become politicized. But sure.
  13. NomadicMedic

    Matthew Perry died of ketamine effects

    He wouldn’t be the first person to use K recreationally and die from it. 🤷‍♂️ He had a long history of addiction. It’s a shame, but not unexpected. Sadly, it’s going to be one more black mark against Ketamine in the court of public opinion. When it’s used responsibly, it’s an excellent drug...
  14. NomadicMedic

    ASHI

    News to me. I just spoke with the rep and was told “no more PALS and we don’t know when or if ACLS will be available again.”
  15. NomadicMedic

    ASHI

    FYI, ASHI is not currently supporting ACLS and they’re not bringing back PALS. Only the BLS programs are currently available. No word on when ACLS will be available again. I am both an AHA and ASHI instructor. i love ASHI and abhor AHA.
  16. NomadicMedic

    Best ems vent right now?

    The LTV1200 is getting old, but still a very capable vent. I’m a fan.
  17. NomadicMedic

    Best ems vent right now?

    I agree, the Zoll vent is very nice. Or, if you’re ghetto like me, revel.
  18. NomadicMedic

    Chuck Norris of EMS

    I made all of those Johnny Gage memes.
  19. NomadicMedic

    ALS/BLS Handover

    We routinely run a medic in a chase truck with a transport unit that’s staffed by EMTs or AEMTs. There are downgrade protocols,but most of the time it’s a pretty obvious “not as reported” type of thing. Our medics have to write a chart for any downgrade that that give to a mutual aid agency...
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