Dicontent with EMS

joezeeger

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Hello,

I took an EMT B course at my local community college last fall and was extremely excited and motivated throughout the course. I thought that getting my Basic cert, working for a little with a private company, then attending a Paramedic program would open a whole lot of doors and finally give me an exciting career and money to support myself with. It took a few months to find my first job with a private ambulance company, but woah, after only a few weeks of working I am having major second thoughts.

For one, 80% of my job consists of filling out paperwork. It is pretty obvious that the company cares more that the billing info and a narrative that supports the need for ambulance transfer is more important than V/S. Ok, if we were not responsible for PT's safety and well being, such a job may be worth about minimum wage. However, many of our PT's can crap out on us at any time and we Basics do see our fair share of emergencies and have to transport lights and sirens. I have to ask, is the responsibility worth the poor pay?

Hourly pay for paramedics is only a few dollars above basics and they do a lot more. It seems that the younger medics or those currently in a paramedic program hope to get in to a fire department, whereas the older ones that never got in to a department are planning to go to nursing school or are pursuing some other profession in healthcare instead. And they are starting from scratch! (there are no bridge programs in Illinois) Their experience equals to about nothing when it comes to getting in to a nursing program. I unfortunately did not do my research before becoming an EMT, and now feel like I wish I did.

The hiring rates for fire departments suck and unfortunately the only way that I know of to really make ok money as a paramedic, without starting your own ambulance company, is to get into a department. I do not think going to paramedic school would be a wise investment of my time and money anymore. It seems to be too big of a gamble when it comes to employment opportunities and a paycheck one can live off of. I used to think that a Paramedic license would be a pass to a job in any emergency room or fire department, but it just is not the case.

It is a bummer of a situation. I think I should look elsewhere for a paying career and perhaps volunteer as an EMT with some service for the hell of it.
 
Private companies that don't do responses are just stepping stones to other places. Most IFTs are just in it for the money and don't have a good corporate culture. But you put in your time there, and work your way to something else.

If you like the EMS side of things, start applying to different departments to get hired there. A lot of them will pay for your paramedic cert once you get one. Heck, some of them are civil service based and pay for Fire, Basic, and Medic Certs!

If you enjoy the patient care aspect of the job, and don't mind too much the paperwork, then just keep going. But if you don't like the patient care aspect or can't put up with the paperwork (all EMS will have a ton of paperwork at times--some of my runs I do more paperwork for than I did for the privates, granted it's all patient care related and not billing related) then you probably should look for a new job that you do enjoy.
 
It is a bummer of a situation. I think I should look elsewhere for a paying career and perhaps volunteer as an EMT with some service for the hell of it.

Your best bet is to move somewhere that treats paramedics like clinicians (Texas, Washington, Oregon, and I'm partial to North Carolina; there are others).

But (drumroll please) you still won't get paid a lot. We've covered why elsewhere, but I won't rehash it here.

BLS Interfacility transfers are the money makers and it is the paperwork which makes the money. Critical care transfers are another story and open a big door into being a true clinician.

Paperwork got you down? I'm a lead software engineer ("hey that's a cool job, computers == $" ha ha ha) and a good half of what I do is paperwork. Everybody in medicine does paperwork. If Office Space can teach you anything, let it be that the road to a job without paperwork is paved by manual laborers who are the last bastion of work without paperwork.
 
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I'm in a somewhat similar situation as you, as I just finished my EMT-B certification in Chicago as well. Personally, I'm trying to get the :censored: out of Chicago because it seems like there are no opportunities here. I'm trying to go somewhere I can run 911 calls as a basic so that I can at least see what it's like before investing in paramedic school. I don't know if that's a good idea or not, but it seems to beat the Chicago IFT scene (in my head anyway).
 
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joezeeger, smart man. Make your life move forwards.
 
I'm in a somewhat similar situation as you, as I just finished my EMT-B certification in Chicago as well. Personally, I'm trying to get the :censored: out of Chicago because it seems like there are no opportunities here. I'm trying to go somewhere I can run 911 calls as a basic so that I can at least see what it's like before investing in paramedic school. I don't know if that's a good idea or not, but it seems to beat the Chicago IFT scene (in my head anyway).

Another feather in NC's cap: if you're volunteering/working for an EMS service, your Fire/EMS education is largely free. Even if you're not...

EMT-B? $65 registration, $120 books, $62 insurance.
EMT-P? $65 registration x 5, $250 books, $62 x 3 insurance.

All in total my EMS education was about $1000. If I'd have worked for an EMS agency, I would have only paid for my insurance.
 
Another feather in NC's cap: if you're volunteering/working for an EMS service, your Fire/EMS education is largely free. Even if you're not...

EMT-B? $65 registration, $120 books, $62 insurance.
EMT-P? $65 registration x 5, $250 books, $62 x 3 insurance.

All in total my EMS education was about $1000. If I'd have worked for an EMS agency, I would have only paid for my insurance.

Yeah but it's NC man!

I kid I kid. Beautiful state lots of trees and such, rich historical heritage ect.
 
Yeah but it's NC man!

I kid I kid. Beautiful state lots of trees and such, rich historical heritage ect.

Beaches and progressive EMS, what more could I ask for! I think if TX weren't so landlocked I'd consider moving that way for EMS.
 
I think if TX weren't so landlocked I'd consider moving that way for EMS.
:rofl:

We have around 350 miles of coastline. NC only has 300 or so :D.
 
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Plus plenty of lakes :D Love my trips to central Texas for a few days of water fun :P
 
Hello,

after only a few weeks of working I am having major second thoughts.

paperwork
is the responsibility worth the poor pay?
I unfortunately did not do my research before becoming an EMT, and now feel like I wish I did.
I do not think going to paramedic school would be a wise investment of my time and money anymore.
It seems to be too big of a gamble when it comes to employment opportunities and a paycheck one can live off of.
I think I should look elsewhere for a paying career and...

What stands out most to me is this:

perhaps volunteer as an EMT with some service for the hell of it.

All of the challenges and hurdles you identified are things that you would adjust to, but not if you'd volunteer as an EMT for "the hell of it".

I'm happy you're listening to yourself. The reality of EMS today is -- within most services -- you do it because you really want to, or worse, have to;)! It's not a casual thing because the rewards are not really in this life if you know what I mean. Therefore, as a career today I'd have to say it's not a rational choice; too much downside.

That is, of course, unless you are motivated by the challenge, the work, the people, and/or the slice of people's lives that you are privileged to be a part of.

If it doesn't grab you even a little bit by the heartstrings, you're much, much better off seeking something more personally meaningful.

Best of luck, whatever you choose!
 
Thanks to all responses!

Been a while since I wrote the post and I appreciate everyone's response. I have still been working for the same company. I do not regret becoming and EMT and taking on the job as it has enabled me to learn so much more about the field than I was able to by probing my EMT instructors' minds when I was enrolled in my EMT B course.

I have come to like a lot of aspects of the job but still am deciding whether or not EMS or healthcare in general is the right career path for me. I am trying to figure out what it is about EMS that I like. If it is helping people (and I sure hope I do, as I hope I am not a selfish :censored::censored::censored::censored::censored::censored::censored:), I can always volunteer somewhere, in EMS or not. If it is the adrenaline, then that is probably not an adequate motivator to pursue EMS, as I can easily do many other things during the weekend for an adrenaline fix.

Since I wrote my post, I connected a few dots in regards to billing and why we are asked to include certain things in our narratives and am even more discontent with my current job. Hehe. At first I was kind of naive and oblivious as to why we had to document a few specific things in our run sheets; words and phrases that some of you may refer to "magic words". Now it is obvious that we are pushed to do it in order to meet Medicare's requirements for ambulance transport.

Now if a PT clearly meets Medicare requirements for ambulance transport, of course I would be doing both the PT and the ambulance company a big disservice by not documenting the reasons for necessity; the PT could end up being stuck with the bill, or even more likely the ambulance company not getting compensated. However, a hefty portion of the PTs that are transported by us do not seem to meet those requirements and it is pretty much up to us to make up a reason or risk being disciplined for in proper paper work. Medicare fraud is what it is and I see it to some extent almost every shift. I know it is a big problem in private EMS, however I wonder how prevalent it is in other companies in the area and country.
 
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