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Yes. These transports should definitely be done with two CCT clinicians. Transport RRT's are great for these (I worked in a HEMS program that used a RN / RRT staffing model and I quickly learned to really appreciate them for these types of transports), but RNs and EMTPs can learn to do these...

Presumably, your CCT RNs are competent and comfortable managing sick, vented patients in the transport setting. For someone who already has a solid degree of competence in general critical care and ventilator management, a couple hour inservice on NO and the related equipment should suffice in...

Assuming legal and scope-of-practice issues are ironed out, why would the RN's uncomfortable with it? Is it just unfamiliarity with the equipment or the NO itself, or the severity of illness? I presume the are adult transports and not neonatal? Are you using dedicated transport equipment or...

You sound like a really reasonable, self-aware guy with a great attitude. I'm sure you'll do well. Good luck to you.

The NREMT is not "holding your eligibility hostage" or "wielding power and authority in deciding your fate". The NREMT requires everyone to maintain an unrestricted state certification. It is a foundational policy which has nothing to do with you or your situation. Your issue is with the state...

I read the headline and thought "surely this must be Florida"

My thoughts exactly. I don't know why scalpels are even an option.

I hope so too, but that's the crux of the whole issue. I doubt anyone really cares about her gender or sexual orientation at all, but given the current climate of DEI and the new mayor's radically progressive political agenda and the fact that Bonsignore is such a non-traditional candidate for...

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I’m not raging about anything, but to your point, I did say if it were up to me I’d end the entire federal student loan system.

Personally I think the entire federal student loan system should be scrapped, but that isn't going to happen and the entire higher ed system is built around it. With that being the reality, the idea of arbitrarily classifying degree programs as "professional" or not and basing their student loan...

I believe the EMTALA verbiage is "a medical screening exam" which can be a RN following established protocols. In the L&D world where primips show up all day long just because they are having sensations they've never felt before, it's pretty common to be seen by just a RN. In this case...

It may not have technically been an EMTALA violation, but I can't really envision a defensible scenario where a G4P3 had been displaying increasingly strong and regular contractions over six hours and was still discharged without even briefly seeing a provider.

I'm not sure how I'm jumping to conclusions; all we have to go on is what these articles say was in the incident reports filed by the EMS crew. Federal agents wouldn't allow an ambulance to leave the scene, and an individual agent nearly acorn'd the ambulance driver because he completely...

Presumably, the ambulance was in drive and moving (or about to start moving) before they were detained by the officer, and the driver then kept his foot on the brake rather than putting it in park because he thought that the any moment the issue would be resolved and they'd be able to leave. At...

This is a very real concern with AI. I would argue (and there is some evidence to support the idea) that despite all it's value and usefulness, the internet has already made us dumber in some important ways, and avoiding over-reliance on AI both in education and in practice will become...

I get how these things generally work, I just think it's absurd, at least as described in the linked article. The article says that "wilderness paramedics" can administer it, so it exists in the paramedic scope for the state, a "wilderness paramedic" just being a regular paramedic with a...

So they gave a drug that was 1) clearly indicated, 2) within the paramedic scope of practice, 3) which a physician authorized, and 4) produced the desired outcome, quite possibly saving a life. And for that they are being threatened with having their credentials revoked? There's got to be...

This really should not be the case at all. If the igel is properly sized and seated, no sort of pressure should be required to keep it in place. Some tape is probably a good idea to minimize the chance of dislodging (just like an ETT), but that's about it.

Once again, this is completely untrue. Every time you repeat the same lie, you reinforce the fact that you really have no idea what you are talking about.