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Do the hospitals in the portland oregon area that hire medics as Emergency Room Techs allow them to start IVs? Are they just stocking shelves and pushing patients to rooms? Providence, Legacy, etc.

I know Grady EMS does the 911 in Atlanta and Atlanta Fire Rescue has ALS engines. My question is how is the relationship between Grady and Atlanta fire? on ALS calls who is in charge Fire or Grady? In some communities in my area that have hospital based ambulances, the fire department usually...