BLSBoy
makes good girls go bad
- 733
- 2
- 16
Hmmm, I think I know where you worked and which medic unit you are talking about though I could be wrong. I worked in South Jersey and we had one truck that ran like said (though 30 would be an exaggeration). If you responded to 20 in a shift (which might be more characteristic of a day shift), you treated 4-6 on average and split that with your partner. Sure, on some days you treated more. In my experience, it was uncommon that night shift stayed later than 8 for charting, but pretty common for those on day shift, sure. Also, the equipment there was pretty good. It got beat-up, but that happens when the medic units run 3000-9000 calls in per year. I don't recall there being shady billing practices. After-all they don't bill for refusals (even diabetics that get treated) or for pronouncements (even if you worked them first). I'm sure we would agree on many things being wrong with NJ EMS and many problems with the hospital system in particular that I'm pretty sure you are talking about (the one over the bridge from Philly).
Anyhow, as far as union protection... The past year has shown that many workers are getting the axe despite "union protection". Though I believe in unions, the MICUs in NJ have not cut staffing anywhere. At most, I remember a few had hiring freezes for a period of time. The fire services and municipal EMS services in many places were cut or nearly cut.
Anyhow, I don't really blame you for choosing to move and get a union job at a place that is slower and that has more progressive protocols. But, your blanket statements about fire-based EMS being superior rings hollow when one considers all the different systems and the ones that have been shown to be successful. Also, if you just wanted to be a public worker protected by a union, why not just jump the bridge to Philadelphia and join PFD?
As far as DCFD vs. DCFEMS. I think a department should generally represent what it does in its name. The majority of large city fire departments primarily do EMS yet they do not include it in their name (I don't think "rescue" counts). They should change their names in my opinion. I'm glad DCFD did. They did the right thing. If they don't want to acknowledge that EMS is their primary job, then they should get out of the EMS business.
Medic 6 in AC, one random weekend, we got SPANKED. All weekend long. 20 was the minimum, 30 was the busiest. I left quarters at 1030, just catching up on charts.
Some nights were slow, others busier. All depends on how good your BLS is, and how restless the natives decide to get.
I don't say that fire based EMS is better, per se. I am lucky enough to be in a pretty progressive area, but the quality of the care all depends on the quality of the provider. PFD and DCFD are prime examples of how to do it wrong. They are also areas where you treat few human beings, and more animals. I challenge any dept, 3rd service, or a tack on to FD or PD to provide better care when you have hundreds of animals calling for all sorts of ailments that are non life threatening during peak service hours. It is nearly impossible to properly staff, fund, stock, and service that many units and still not tax the hell out of the citizens.
I enjoy having a representative with me when there is even so much as a threat of disciplinary action against me, who knows the laws, regulations, and contracts inside and out, so I won't be railroaded. Yes, this protects slugs, and it angers me to no end, but it HAS protected my hide against a very vindictive officer who does not like certain people. I also enjoy a bed at night and when I need a power nap, decent workout equipment so I can keep myself in shape, so I lessen my chances of injuring myself on duty, and stay healthy for my entire career.
I really would LOVE to engage in a NJ EMS debate with everyone who has a stake in it, but they usually turn into a paid vs volly, who is to blame fest, and people get spanked by admins, threads get locked, and feelings get hurt. If we can all try to behave, I think we can try again.