BLS Skills -- What Should We Add?

NYMedic828 said:
The great city of New York still does not allow EMT level providers in its borders to perform a blood glucose check. The state of new york allows it, but the largest EMS organization in the country prefers that almost every call be turfed to a medic when it has anything more involved than a taxi ride.
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In my county, EMTs are allowed to do BGLs and so are ED techs who have no certification whatsoever, but it's ironic that licensed CNAs can't because it's "invasive" :unsure:
 
VA Transport EMT said:
Wow your cnas must rock. everytime we ask for help it just so happena that its not their job. :/
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They're lazy & even if they were able to check BGL's I'm sure they'd make the same excuse. lol
 
EpiEMS said:
Every area's got it's issues. I still have to board penetrating trauma -- and every medic is absolutely convinced that we need to board them (not for moving them, which is fine by me, that's what a board is good for) because of the potential for spinal involvement :rolleyes: (http://www.ncbi.nlm.nih.gov/pubmed/20065766)
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You dont follow PHTLS guidelines?
 
Bullets said:
You dont follow PHTLS guidelines?
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Protocol monkey says: "Follow your state and local protocols." :P

PHTLS guidelines aren't in protocols -- now, technically, yes, I have no requirement to board the patient, but the RNs and MDs don't typically know that, they expect patients to be fully immobilized for some reason.

Usually, I'm with a medic, and they are old-school (not always in good ways).
 
Woow, is about all I can say. That and I'm glad I'm not a basic(though no offense to those who are). I suppose my state, while it uses the EMT-I'85 as the minimum to work on an ambulance is a bit more willing in its state scope of practice. This is what my state allows all providers at all the levels that the state recognizes. Keep in mind that the EMT listed on their(the yellow block) is an EMT-B and the CT or Cardiac Tech(light blue) is the I'99.

http://www.ems.ga.gov/programs/ems/... - Updated 7-1-2011 - ALL LEVELS (no EMR).pdf
 
NVRob said:
I have yet to meet a CNA that I liked.
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Or LVN :ph34r: I love the "I am a nurse!" Oh your a RN? "Uh no LVN" ohhhh that explains a lot -_-
 
Chase said:
Or LVN :ph34r: I love the "I am a nurse!" Oh your a RN? "Uh no LVN" ohhhh that explains a lot -_-
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Yes!!! Every LVN I know only introduces themselves as a nurse, and you have to pry it out if they're an LVN and not an RN!
 
PoeticInjustice said:
Yes!!! Every LVN I know only introduces themselves as a nurse, and you have to pry it out if they're an LVN and not an RN!
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Quoted for truth.

Pissed one off the other day when I was dropping a vented patient off at a long term care facility.

"Where's the nurse."
"I'm right here!!"
"I meant the RN....."
" :angry: "
 
Christopher said:
Your deference to kilts is acknowledged, but my hyperbole for effect was intended.

There is a difference between calling for permission for procedures and specious limitations in scope.
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How is specious limitations in scope without special permission any different than any other specious limitation in scope of practice? Seriously, what the heck kind of "real medical provider" relies on a machine interpretation for a STEMI AND online permission to transport to a STEMI center (orthopedic surgeons excluded)?
 
PoeticInjustice said:
Yes!!! Every LVN I know only introduces themselves as a nurse, and you have to pry it out if they're an LVN and not an RN!
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I have had "off duty" CNA's try to do this on scenes. First introduce themselves as a nurse, then once its established an off duty RN holds no authority on an EMS call we dig further to find there not an RN but a CNA. This has happened to me 2 or 3 times over the years.
 
schulz said:
I have had "off duty" CNA's try to do this on scenes. First introduce themselves as a nurse, then once its established an off duty RN holds no authority on an EMS call we dig further to find there not an RN but a CNA. This has happened to me 2 or 3 times over the years.
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Seems to happen a lot at nursing homes.
 
in my system i can do bgl.

however we cant do humidified oxygen...:huh: id like to see humidified oxygen added to my scope. i agree as well thought that Basics need more A&P, more pharmacology (I mean come on I had to learn on my own why I was giving the meds..the teacher only told us when to give the med, not why we were giving it or what it was actually doing in the body) and maybe some organic chem.

To be honest, i think after you get passed all the medicolegal stuff in the beginning of the course you should have 20h of A&P and 20h of organic chem before you start the medical unit.
 
EMT B said:
in my system i can do bgl.

however we cant do humidified oxygen...:huh: id like to see humidified oxygen added to my scope. i agree as well thought that Basics need more A&P, more pharmacology (I mean come on I had to learn on my own why I was giving the meds..the teacher only told us when to give the med, not why we were giving it or what it was actually doing in the body) and maybe some organic chem.

To be honest, i think after you get passed all the medicolegal stuff in the beginning of the course you should have 20h of A&P and 20h of organic chem before you start the medical unit.
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What do you actually need humidified oxygen for? Odds are the patient doesn't need as much oxygen as the providers want to give them anyway. It may be beneficial for a trach'd patient but its really not necessary in our setting.

EMT classes don't teach pharmacology, thats why you had to learn it on your own... It is not part of curriculum in 95% of the programs out there. The reason the teacher told you only when to give the med and not why, is because he/she most likely has no idea of their own. This is why the title is EMTechnician (Mycrofft 2012), technician being the key word.

20 hours of A&P is enough to learn basic, macro anatomy. It is not enough to learn any aspect of physiology to a worthwhile degree. Organic chemistry? Forget it. Many of the "career" EMS folks I know can't comprehend the basics of regular chemistry.
 
yes it is. spelling is not my forte.

also i think the pathophysiology of the interventions we take would be helpful so that we can obtain some critical thinking skills. thankfully my preceptors helped me with that.
 
EMT B said:
yes it is. spelling is not my forte.

also i think the pathophysiology of the interventions we take would be helpful so that we can obtain some critical thinking skills. thankfully my preceptors helped me with that.
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Give us some examples...
 
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