At what point can I rightfully consider myself an EMT-B?

Do you think that the current level of education provides enough fo a foundation to offer independent care?

Do you carry your own malpractice insurance?

What sort of access do you have to adjust your practice to evaluate and incorporate new evidence based practices?

If you want to provide care off duty, are you prepared to maintain documentation of all care provided past basic first aid? Afterall, physician can't just write a prescription and be done with it.
 
AtlantaEMT said:
This has always bothered me and maybe I'm looking at it wrong. But it feels that despite I paid for schooling, put this knowledge into my head, and have aquired these skills that my skills belong to someone else (being the medical director). A doctor can operate "off-duty" and for example hop on an ambulance and mix drugs and even use a scapal. But I can't stick a simple adjuct down a non breathing person's throat (not that I would) without a doctor basically saying it is okay.

Maybe I'm looking at it wrong but that just bugs me.
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A doctor has a medical license. They have the liberty to practice "off-duty." You may see a PA in their office for primary care, or at the ED, but they are still under the direction of a physician. My understanding is that the same goes for a NP, but I'm not 100% sure. Bottom line, stay in your lane.
 
jjesusfreak01 said:
2 years of class, 2 years of rotations, then 3 in the residency...sign me up!



Lets make this more complicated. In my county, you aren't really an EMT until you have passed an EMT class, passed a state exam, and been cleared to work in the county. Until you get cleared, you are little more than a trunk monkey sitting in the captain's seat.
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thats after 4 years of undergrad classes.
 
46Young said:
A doctor has a medical license. They have the liberty to practice "off-duty." You may see a PA in their office for primary care, or at the ED, but they are still under the direction of a physician. My understanding is that the same goes for a NP, but I'm not 100% sure. Bottom line, stay in your lane.
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NPs have a nursing license they can operate under. Hence they can work somewhat independantly.

EMT-B off duty is doing first aid. There is no reason why they can't do this off duty. I can't see anyone having a problem with first aid. Is someone really going to have a problem if you bandage an actively bleeding wound? Probably not,

Who is carrying adhjuncts with them off duty? Thats ridiculous.

A paramedic would get into to alot trouble doing ALS off duty. Off course if carrying BLS adjuncts off duty is ridiculous, carrying ALS equip is even more ridiculous.
 
firecoins said:
NPs have a nursing license they can operate under. Hence they can work somewhat independantly.

EMT-B off duty is doing first aid. There is no reason why they can't do this off duty. I can't see anyone having a problem with first aid. Is someone really going to have a problem if you bandage an actively bleeding wound? Probably not,

Who is carrying adhjuncts with them off duty? Thats ridiculous.

A paramedic would get into to alot trouble doing ALS off duty. Off course if carrying BLS adjuncts off duty is ridiculous, carrying ALS equip is even more ridiculous.
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Haven't you ever been off duty and ran up on a collapsed patient to high-five them out of cardiac arrest or to beat the brakes off a bundle branch block?
 
medicRob said:
Haven't you ever been off duty and ran up on a collapsed patient to high-five them out of cardiac arrest
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[YOUTUBE]http://www.youtube.com/watch?v=5uqsPuQPmsI[/YOUTUBE]
 
firecoins said:
thats after 4 years of undergrad classes.
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Well, if you want to be technical about it, thats after 12 years of primary and secondary school. I left out college since I have already finished that part. I try to be a forward looking person.
 
jjesusfreak01 said:
2 years of class, 2 years of rotations, then 3 in the residency...sign me up!
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Health science first year (1)
Two non clinical years (3)
Two clinical years (5)
Trainee Intern (6)
House Officer year (7)
Two years of basic anaesthesia training (9)
Three years of advanced anaesthesia training (12)

Where do I enrol?
 
firecoins said:
NPs have a nursing license they can operate under. Hence they can work somewhat independantly.
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"Somewhat" independantly still implies some form of medical oversight, no?
 
46Young said:
"Somewhat" independantly still implies some form of medical oversight, no?
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yes but it varies on the state and by how much. PAs aren't licensed and must have oversite. Not true for NPs. NPs can open a clinic without an MD. PAs can too if they hire an MD to oversee them.

In the Hudson Valley, NY MAC, MDs and PAs in the ER are allowed to give paramedics orders but NPs aren't. This is done on the basis that the PA has to do what the MD tells him but the NPs are independant.
 
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JPINFV said:
Once you get licensed.
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x2

Id say once you get your patch your "technically" an EMT-B. But being competent and being certified are two different things from what I am learning! Some people always feel like they have much to learn while it seems other feel they knew everything half way through class. Id want the first group as my partner or EMT at my door.
 
jjesusfreak01 said:
2 years of class, 2 years of rotations, then 3 in the residency...sign me up!



Lets make this more complicated. In my county, you aren't really an EMT until you have passed an EMT class, passed a state exam, and been cleared to work in the county. Until you get cleared, you are little more than a trunk monkey sitting in the captain's seat.
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I'm doing 5,5 - 6 years in Poland of medical school after summer of 2011. That's no pre-med. It's straight up medical school for 6 years. Why? Well, Sweden pays for my college in Europe :D
 
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