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I’m sorry guys, sorry it takes so long to reply— no excuse this time, saw the emails and frankly just forgot. Sorry. I get what you’re saying remi and company. It’s disheartening. I mean hell in my state they’ve literally issued a memo saying “we know rsi is in your scope, yes a doctor...

I’m sorry guys just got to these. I appreciate all your inputs. Remi I get your points. I swear welfare has jaded me. But regardless we all pay taxes even if they won’t help themselves if we can find a way to make a $3000 Er call cost only $2000, they may not help themselves but we’re...

So if I’m reading this right (and please correct me if I’m misunderstanding!) hmos essentially say “here’s $10,000 for John Doe for this year” if JD only needs $5,000 then the healthcare group pockets the remaining $5k, but likewise if JD needs $20,000 worth of care then the healthcare group...

Thank you sir, I replied by pm hoping to get a little more info.

Sorry guys, had a busy shift on account of receiving a few inches... of snow that is Anyway thank you both, I’ll see if I can send him an email. What is “a full risk hmo”? And what’s an “aco”. I’m sorry I’m completely daft when it comes to types of insurance.

Im placing this under ALS because in my state it can only be done by ALS providers. However admin if you think there’s a better spot that’ll generate more opinions please move it! And I saw a bunch of notifications but it didn’t tell me what about, sorry I haven’t been active. I recently...

I decided to post this thread to see what the general consensus is amongst providers about the future of our field. As I'm sure many of you have, I myself have found myself wondering how long it is until the paycheck dries up and the job disappears. I'm looking to hear everyone's opinion from...

That's exactly it. I'll be honest as long as my paycheck clears that's as far as I'm concerned about the company. That said when they start playing with meds I get worried about a) it affecting my patients and b) the negative effects winding either my coworkers or I front of an OEMS...

Thank you! I appreciate it

I am not advertising for anybody so I do apologize if this is not allowed but I figured a picture could be helpful. Lord knows we all know the "doohickeywhatchamacallit" when we see it occasionally! Haha.

I was hoping to get some opinions here from those who have quite a bit more knowledge than me on this matter. The company I work for has been ordered by the state to put cardizem in all the ALS trucks. The formulary calls for 50mg prefilled vials. However since Dilt requires refrigeration...

Vent: The two goals are to compare my rationale and understanding with those who have more experience to ensure my train of thought is going down the right path. The INR was mentioned because someone mentioned labs-- that was the only lab available. And the 4 Sh*ts is because someone else...

Ok sorry again it took a bit to reply. Patient is an SNF special-- nurse is doing the "I just got here, the last nurse gave report, I never work this floor (in a one floor facility!)" DesertMedic is correct, I did the "no radial means below 90/80, carotid means its above 60, so split the...

And BP was confirmed by palp. No radial but present (weak) carotid pulse. So that ballparks it around 60-70.

no pressors because they're "optional" per oems ; if it's optional You don't have it. Lol. No temp although a few wounds. EKG sinus t-waves peaked but has a hx of hyperkalemia. A med list 10 pages long. Age around 90. DNR/dni. And INR elevated 5.9 or so-- only lab value available.

I'm throwing another scenario out here: You respond for an Altered MS-- on arrival RN states that patient has been lethargic and O2 Sats were low around 80 so they placed them on the customary 2L NC with 500 feet of tubing and gave them a Neb Treatment (straight albuterol). Denies having...

Sorry guys, I got busy and hadn't had a chance to reply. Thanks Doc for the input, its definitely helpful to hear the POV from the other side of the desk. Thank you all for your input. And yes I realize I threw a very convoluted scenario out there.

My line of thinking is what you guys are saying. And purely hypothetical. I figure it's better to be sanctioned for working the kid than to be sanctioned for not working them. I just wanted to see if my rational was "appropriate" or not.

Hyperthetical situation: You're at post in a park, nearby is a kid playing on a playground. Appears to be elementary school age. Suddenly he collapses. You run (ok ok scene safety so you fast walk) over, seeing no safety issues you go to the kids side. You notice he's not breathing and no...

Ill have to look into it. I assume you have to take NY Civil Service Exam?