So without naming any names, I'm currently on a 24 hour shift today on a private bls rig. I just cleared a call, but felt extremely worried and uneasy about the whole thing. And its got to do with balancing job protection and patient advocacy. And I fear it also delves into legal aspects of both sides. So here's the sitrep: Dispatched call for nursing home, going to a doctors appointment. Routine at first, get pt, bus them to the doc. When I get there I already know what's going to go down. Pt is bed ridden so wheelchair transferring and leaving them with family is out of the question. But here's the thing. The insurance company will not pay for our crew to sit around waiting for the patient any longer than 15 minutes so what the company has decided is that we are to transfer the patient onto the exam table and then transfer care and leave. But as any normal person and expecially private EMS EMTs in such should know is that exam tables in doctors offices are not acceptable to leave a bedridden patient on they have no rails and they are unattended. Especially here, the exam tables are actually chairs that recline slightly. So transferring the patient onto there is out of the picture. But the patient has to be seen for their appointment but they can't leave the gurney and the doctor's office will not allow us to transfer the patient on to the chair nor will I do that anyways because that's just not safe for the patient. But the company is giving us an ultimatum saying that we either transfer the patient onto the chair or we leave without the patient being seen all because the company won't get paid while we wait but they're doing it under the guise that they'll be held liable if something were to go wrong during the examination on the company's gurney. So while I have the facility call my dispatch the doctor sneaks into the patient's room and start going about the examination with the patient, at this point we've already been at this place for over an hour just waiting to be seen. And I can hear the head clerk/office rn tell my dispatcher the pt is already being examined by the doc. At this point the rn just tells dispatch that it'll be less than 15 till the exam is over. They accept this and hang up. The unethical part here is that the company would have me drive the pt FROM an exam room, waiting for the doc to see them, and have the pt miss an extremely important appointment thats been set up a long time in advance. Just ignoring the pt needs. Placing company profits above the pt they agreed to help by taking and dispatching their call. So what do I do. I feel like I have ethics morality on my side, but I also fear backlash from the company for letting the exam to take place. This isn't the first time they've done this. They do this all the f'ing time. And its the same situation almost every time. And yet THEY JUST CONTINUE TO ACCEPT These CALLS. it makes Us, emt's look HORRIBLE, the company even WORSE, and as far as I know, this is the only company that does it. What do I do? Should I legitimately consult with legal help? I've been in this situation many times before, and it always goes this way. But every time I feel sick to my stomach that this is even a situation that could come out of ems. I feel like I compromise my moral and ethical ideals every time it happens. Help. Me. I can't be the only one.