EMT-B, From California to Texas

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kawz1

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Hey EMTLife, this is my first post, so please be kind

I am currently taking EMT-B classes in the Bay Area, CA and I'm due to finish up at the end of June. A few business opportunities have come up and it looks like I might be moving out to Austin, TX in July and I've been looking up some info on the rules of reciprocity between the two states.

It looks like I will have to receive additional certification for:

Alternative Airway Devices
IV Therapy
PASG

I would like to get these classes/certs out of the way before making the move to TX. Is this advisable? Would it be better to take the classes in Texas?

If anyone has made the move from CA to TX, it would be greatly appreciated if you can share your experience.

Thanks in advance!
 
The PASG is still taught in Texas EMT class, but is hardly ever used. It takes all of 10 minutes to learn the device.

IV's and alternative airways aside from OPA and NPA are not basic skills in Texas unless MC dictates otherwise.

If you take the National Registry, then don't worry about reciprocity, Texas certifies it's EMS personnel by the NR. Just send the proper paperwork to the DSHS and wait what feels like an eternity, and you'll get your license.
 
Yeah, the very first time I used a PASG was in a test... passed easily. As long as you remember to close the valves after you're done, you're golden!
 
Why do we even teach new students about that stupid device now in days? (PASG)
 
Don't expect to ever see MAST come back into vogue in the world of evidence based medicine. If it is in vogue in your system, your system sucks. I know of no place in Texas that still actually utilizes them, even if they carry them.

Not sure what you expect to use your EMT cert for though. Austin-Travis County does not use basics. Your only choices would be to be a volunteer fire first responder, or to move to a different county, unless you just like running non-emergency transfers.

Anyhow, the previously given info is correct. You will have reciprocity without testing. And you won't find any systems around there with basics starting IVs or applying MAST pants. If anyone is letting their basics sink Combi-Tubes, they will be happy to take the whole fifteen minutes it takes to teach you. Don't worry about any of this.
 
Right, but that is not using them as anti-shock garments. That's just using them as air splints.
 
AJ Hidell said:
Don't expect to ever see MAST come back into vogue in the world of evidence based medicine. If it is in vogue in your system, your system sucks. I know of no place in Texas that still actually utilizes them, even if they carry them.

Not sure what you expect to use your EMT cert for though. Austin-Travis County does not use basics. Your only choices would be to be a volunteer fire first responder, or to move to a different county, unless you just like running non-emergency transfers.

Anyhow, the previously given info is correct. You will have reciprocity without testing. And you won't find any systems around there with basics starting IVs or applying MAST pants. If anyone is letting their basics sink Combi-Tubes, they will be happy to take the whole fifteen minutes it takes to teach you. Don't worry about any of this.
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Ha ha, no, I think our system (a rural volunteer fire dept.) only has one, and it's broken. My EMT-B instructor said that her Medical Director had recently told them to put them back on all their ambulances...and she's in an urban system. :wacko: Her opinion of them (though she did say they were useful to stabilize a hip and/or fractured pelvis if you had a long transport time over a bumpy road) was much the same as yours.

In Oregon, the PASG is part of the Bleeding/Wounds/Shock treatment practical skill station. And it is WHACKED. You are presented with a patient in shock WITH an unstable pelvis (to prompt you to inflate the PASG all the way). And in the skill sheet you are supposed to lift this pts. feet up...with their unstable pelvis. No mention of a back board (and then how do you get the PASG on if you have them on a back board?)

The Combitube is also a required skill station (Apneic Pt./BVM/PEAD) here in Oregon. But yeah- it's really easy to do...at least on a manikin. Haven't had to do one on a real person yet. (I got my cert last month.):ph34r:
 
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