Search results

  1. Aprz

    Prior to administering nitroglycerin (NTG) to a patient, what vital signs must you know

    If you are giving it for chest pain and consider pain a vital sign, I would say pain. Blood pressure and pain level are always on my mind before and after administration on chest pain calls.
  2. Aprz

    Bay Area, Central CA, NorCal EMS

    I can't speak for Kern County, but in the Bay Area, it is extremely common for companies not to pay daily overtime (ie overtime after 8 hours in a day). They'll pay only weekly overtime (overtime after 40 hours in a week). San Mateo County did pay their paramedics daily overtime while I was...
  3. Aprz

    Bay Area, Central CA, NorCal EMS

    In Santa Clara County, a call can be BLS'ed. There isn't a protocol I am familiar with it for it. You and your partner just agree on it, and then they take it. Some EMTs will take any call, some will be difficult to give calls to. It depends on your partner. In San Mateo County, when I worked...
  4. Aprz

    Monterey County rejects AMR's bid, will issue new RFP.

    This already happened in Monterey!!! Haha, again?! By the way, this is happening in Santa Clara County as well and potentially sooner. I think in the couple of weeks, if the contract is extended, Santa Clara County will become non exclusive as well.
  5. Aprz

    Basics Give Tylenol and Zofran now?!

    Santa Clara County, CA does. Although it is consider an optional protocol, the 911/ALS does use it. It is not popular/commonly used. https://www.sccgov.org/sites/ems/Documents/pcm700/700-X/700-X06.pdf
  6. Aprz

    Alameda County, CA

    Yes, Santa Clara County uses King Vision. San Mateo County uses Vividtrac. Morale is pretty low at Santa Clara County.
  7. Aprz

    Alameda County, CA

    $63k/year (Santa Clara County 2016) is a hecka a lot better than $43k/year (Alameda County 2016). Do you mean the coast in general or literally able to respond to the coast/beach? AMR in Northern California is ironically usually one of the better places to work than other ambulance companies...
  8. Aprz

    Alameda County, CA

    You guys have more ambulances to deal with the overall higher call volume just like any other county. Unlike Santa Clara County and San Mateo County, you also do not go available until your patient care report for the calls is done and printed for the hospital. San Mateo County has a 30 minute...
  9. Aprz

    Alameda County, CA

    I get that the hospitals are close by and I am not suggesting that the protocol needs to be expanded more, but for what Alameda County's paramedics brag about, I don't really see what's so good about their protocol versus other counties "hands down"? I know from experience that they fail...
  10. Aprz

    Alameda County, CA

    I forgot to mention another difference which is Alameda County has Fentanyl 50-100 mcg while Santa Clara County still use Morphine up to 15 mg.
  11. Aprz

    Alameda County, CA

    @RocketMedic Have you looked at their protocols yet? I imagine you would be very bored out here. Here is Alameda County's protocols. http://ems.acgov.org/ems-assets/docs/Documents-Forms/ALCO_FM_2019%20FINAL.pdf Compared to other counties, Alameda County does have a more expanded scope of...
  12. Aprz

    Alameda County, CA

    Edit: I didn't like working there (Alameda County, CA). I wouldn't recommend it.
  13. Aprz

    ALS companies in the Bay Area

    The county pays them to be first response, have really strict response time standards and severe fines for the private ambulance company kind of making fire/first response useless in my opinion. Anyways, the county doesn't care if it is a fire engine, QRV, ambulance, etc.. They are paid for...
  14. Aprz

    Civil traffic infractions (Alameda County, CA EMT-Basic)

    I think you should be fine checking no. Usually there is a phone number or e-mail that you can use to contact the EMS agency if you really wang a definitive answer, but I am pretty sure no will ne okay.
  15. Aprz

    ALS companies in the Bay Area

    Oh, the fire ambulances here are a separate crew/schedule from the Engine. The Engine does not go down when the ambulance goes to call. Personally, I think fire to EMS calls is a 100% waste no matter what, so sending less people and a smaller vehicle is less of a waste in my eyes even if it did...
  16. Aprz

    ALS companies in the Bay Area

    That is correct. Two ALS ambulances are sent, one by the fire department and the other is the private contractor. The fire department does not transport unless last ditch effort. This is not the norm throughout the entire county, but only in certain cities/parts. To be fair, it is less of a...
  17. Aprz

    ALS companies in the Bay Area

    I am a little confused what you're asking. San Jose Fire Department and Santa Clara City Fire Departments have ambulances, but they do not transport unless it is "SDO11" (very rare, done usually with "ambulance query" when they pull in IFT/BLS ambulances into the 911 system at level 2 or...
  18. Aprz

    ALS companies in the Bay Area

    Alameda County - Paramedics Plus located in San Leandro. Falck Ambulance will be replacing them in a couple of months I think. Everywhere else (eg San Mateo County, Contra Costa County, Santa Clara County) - American Medical Response Some Fire Department do their own ambulance transport (eg...
  19. Aprz

    Documentation question

    I have no problem with it. My EMT partner has written a similar phrase in her narratives the few times I've read her narratives (when she ask me to review it or billing has us review it). Technically, if she takes the calls, both of us deemed it BLS. She shouldn't be taking calls that aren't...
  20. Aprz

    ALS companies in the Bay Area

    There are actually a lot of companies that offer advance life support (ALS) now. The obvious ones are your 911 providers. In Santa Clara County, it is AMR in San Jose. I believe Silicon Valley Ambulance, Falck Ambulance, and ProTransport-1 also have ALS units in Santa Clara County, but they do...
Top