Get "Ambulance Workers" to take you seriously

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VentMedic,

I did not now that a resolution adopted by the American Medical Association was a opinion of an anonymous wanna be doctor on the internet.
And like it or not, even an "intern" is an MD and can order an RRT to change his or her treatment.

http://www.acnpweb.org/files/public/AMA_Resolution_303_Use_of_Title_Doctor.pdf

RESOLVED, That our American Medical Association adopt that the title “Doctor,” in a medical
setting, apply only to physicians licensed to practice medicine in all its branches, dentists and podiatrists (New HOD Policy); and be it further

RESOLVED, That our AMA adopt policy that the title “Resident” apply only to individuals enrolled in physician, dentist or podiatrist training programs (New HOD Policy); and be it further
-AMA resolution 303

EDIT: I understand the DNP degree in its entirety. It is an online fluff degree similar to a medic mill, and has almost no clinical component and instead focuses on management and other useless BS not relevant to the practice of advanced nursing. And, as I stated in my original post, being called ambulance workers is our own fault but we cannot allow it to continue. I am not even sure how you can argue with that. And FYI, the internet is not a place to receive medical advice so the article being important to women is moot. It does not accomplish its purpose and instead perpetuates the use of the term "ambulance driver". If anyone wants to learn about their health, they can speak to their residency trained board certified physician or his/her designated PA/NP under a MDs supervision.
 
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You and daedalus just seem to be more concerned about what someone might call you than what issues the article is trying to address.
...

Pick and choose your battles carefully. Trying to over ride an international health issue because you don't like what you were called in the news may not be the appropriate time to gain points from the public.


The original quote of mine you went off on and tried being all high and mighty didn't have a single thing to do with the topic you went off about. So, as for your own advice, pick and choose your battles carefully.

I'm not about to get reprimanded for this thread, so I'm stopping here.
 
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And like it or not, even an "intern" is an MD and can order an RRT to change his or her treatment. The same goes for nursing.

NOT where I work since we do a lot of research and take orders only from the attendings running the show if we break protocol. The same goes for nursing orders and procedures. If they accompany us on transport, it is purely for observation. They are students still waiting to be trained on all the procedures that the RRTs and RNs have accomplished under the watchful eyes of the attendings. When they achieve the "nod" they too can be allowed to perform some skills and participate.

An "intern" can only shadow in some of our ICUs and can not participate until 2nd year. They are too learn under their "masters" and their delegates first to ensure a thorough understanding of fast paced critical care medicine.

I understand the DNP degree in its entirety. It is an online fluff degree similar to a medic mill, and has almost no clinical component and instead focuses on management and other useless BS not relevant to the practice of advanced nursing.
The Doctor in Nursing Practice is NOT an online fluff degree. You are trying to speak with authority about something you are clueless about with information you have obtained from your student doctor pals online.

http://www.aacn.nche.edu/DNP/DNPPositionStatement.htm

There are also other forms of doctorate degrees that nurses can obtain just like any other professional.

To compare it to a medic mill also demonstates that you are not even a Paramedic yet and have no experience in that area either.

This is what happens sometimes when one puts to much faith into the internet and anonymous forums. A lot of misinformation and heresay gets tossed around.

And FYI, the internet is not a place to receive medical advice so the article being important to women is moot.

Did you happen to notice where this article orginated from and what prompted the studies about women and cardiac disease? Please check the references and related links. Have you not taken a CPR class with similar links referring to these studies or was it just about the skills and not the education?

There are reasons why I tell people on the forums who read articles from magazines like JEMS to look up the original data in the medical journals listed at the end of each article.
 
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I am not sure how we got to this point, lots of tension on the internet I suppose. This debate should have not come this far, as it was originally about the public's obsession with ambulance response times which I have seen locally in the City of Ventura in Ventura County, and, now on CNN where it was mentioned as if it was vitally important. Additionally, I am not making a controversial statement to suggest that we could all benefit from having a nationally recognized title such as just EMR (generic for all levels) and Paramedic (only for paramedics), and educating the public that we do not throw them into a van and only take them seriously if they tell us there is an elephant on their chest. If we were recognized as trained professionals, and understood for our advanced abilities and limitations, we would probably no longer be called ambulance drivers. This one is of course, our own fault. The article I pointed out is merely an example that we have not done our job.

Additionally, the signs and symptoms of AMI in women and diabetics are understood, and education with prevention can be accomplished in the primary care setting.

I am far from alone in my beliefs of the DNP programs. My opinions have formed not only from online discussion but also from speaking to real physicians in the area. Vent, you would not be too happy if someone with half your education was demanding your scope of practice.
 
EDIT: I understand the DNP degree in its entirety. It is an online fluff degree similar to a medic mill, and has almost no clinical component and instead focuses on management and other useless BS not relevant to the practice of advanced nursing.

WOW! I was pretty neutral on this debate until you had to step on something you obviously do not understand at all, never mind "in its entirety". As someone pursuing a BSN and eventually a DNP, I am actually somewhat offended for the first time on this forum. All of the DNP programs that I am aware of are intensive post-master's, doctoral programs. The link that Vent provided describes how the AACN has proposed that, by 2015, the DNP degree will be the level required to enter advanced practice nursing, and it is clear that NPs are becoming increasingly important in health care and will continue to do so.

Most DNP programs are based on clinical specialties and therefore involve a very large clinical focus. And while some programs allow DNPs to specialize in things like health policy, usually those interested in specializing in areas such as administration go for a PhD. And how on earth can you say that management is not relevant to advanced practice nursing?
 
Lucid, I invite you to check out the "other side" of the argument against DNP.

It actually does harm to your profession, and perhaps my own. Its a form of degree creep, and its going to turn midlevel providers into another Physical Therapy fiasco. Soon, the entry level requirement to practice midlevel medicine is going to be a doctorate degree. This takes the advantage that midlevels have away and puts us in a position where we might as well just go to medical school. And there is a growing concern about the DNP programs, and I am far from the first one to point that out. Most require less than 2,000 hours of clinical rotations. Physicians require receive around 15,000 over the course of residency and medical school.

NPs are very vital and their need will increase as no more med students choose to match into primary care. I believe we should keep them a masters level, with a notable exception for teaching, which usually requires a doctorate. But to practice, a masters should be all that is required. There is a vocal push to make the DNP a first professional degree required to practice.

Also, you should not be offended. You are going to take criticism all throughout your medical training. I myself hope to become a midlevel one day, so I assure you I am on your side. I just do not see midlevels as replacements for physicians and some believe, including the AMA, that DNP is a thinly veiled attempt to backdoor the process of becoming a physician. I stand behind the idea that only medical doctors should be called "doctor" in the clinical setting, even as I work to become a PA myself.

As you pointed out, doctorate level degrees will be required in the near future. I ask you, if you want to practice medicine as a "doctor", why not go to medical school? And, I do have a very solid grip on the nursing profession. The one person I respect the most in my life, my mother, just became an RN. She did this despite having put off school the last 20 years to raise myself and my sister and it took incredible discipline for her to go back to school that late in the game when she did not have to as my father has made a good retirement. I have seen first hand the making of a RN, and it was probably the hardest thing my mother had ever done. Now, my best friend is going through the same process and I have worked side by side with an NP at a community clinic for four years. I would wager I in fact do know a little about nursing and advanced practice nursing. And I know that NPs in my community afraid of degree creep up to the doctorate level, and view this as a bad thing.
 
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It actually does harm to your profession, and perhaps my own. Its a form of degree creep, and its going to turn midlevel providers into another Physical Therapy fiasco.

Where are you getting all of your misinformation from?

Do you work with PTs, DNPs or any type of medical professional holding an advanced degree?

I now find your posts very offensive as if blowing off a serious issue about women's health for your own insecure reasoning about working on an ambulance wasn't bad enough. Now you must bash other professions who have made themselves a solid presence in the healthcare industry through advancement of education.

Do you even understand how specialized and high tech some of these professions have become that now require higher levels of education?

Obviously not!

You are speaking with the education and experience of an EMT-B. 110 hours of training. But, of course, that and a log on to "student doctor", where probably over 60% have education levels no higher than you, believe you know more about everything. Students doctors would not be wasting hours posts on a mindless anonymous forum. Real student doctors belong to organizations on secure sites where they know who they are talking to. Even there they spend very little time chatting about the threats of nurses.

that DNP is a thinly veiled attempt to backdoor the process of becoming a physician. I stand behind the idea that only medical doctors should be called "doctor" in the clinical setting, even as I work to become a PA myself.
Again, more crap coming from some forum. There have been RNs at the doctorate level for several decades. Many of these higher educated RNs helped to establish the first degree programs for Paramedics.

As the link I posted stated the DNP has been around since 1979.

There are also professions of every type that have doctorate degrees.

NPs are very vital and their need will increase as no more med students choose to match into primary care. I believe we should keep them a masters level, with a notable exception for teaching, which usually requires a doctorate. But to practice, a masters should be all that is required. There is a vocal push to make the DNP a first professional degree required to practice.

It is not your profession to say what they should or should not do. Why do you want to keep their educational level down?

I have my Masters and am going for a doctorate degree. Are you saying I am wrong for getting more education?

And I know that NPs in my community afraid of degree creep up to the doctorate level, and view this as a bad thing.

Broad blanket statement. Maybe you only have 2 NPs in your community who have the same insecurities you do about education.

also from speaking to real physicians in the area.
How many and what specialty? How old?
How many have actually taken time to read about DNPs or know one? Or, were they just listening to your own version and politely nodding?

Vent, you would not be too happy if someone with half your education was demanding your scope of practice.
People with a lot less education can do the same "skills" and do have the same "scope of practice" as I do as a Paramedic. It is my education that opens up other opportunities for research, education and various clinical situations I wish to pursue.

You have a lot to learn about education and other professionals. You also have a long way to go before you have enough experience to call another degree or profession fluff, creepy, or a fiasco.

Enough with bashing professions you know too little about to be writing such inflammatory remarks.

I would say you have even more insecurities about the DNP as it might relate to the PA.

What would you mother say if she knew you have such a low opinion of nurses and higher education? Maybe you think that nurses are not smart enough to be "educated" at a higher level based on your own mother's struggles with school. Believe it or not, there are nurses who have what it takes to raise the bar for a profession.


Back to the article and OP:
quote by daedalus
It does not accomplish its purpose and instead perpetuates the use of the term "ambulance driver". If anyone wants to learn about their health, they can speak to their residency trained board certified physician or his/her designated PA/NP under a MDs supervision.

It said Ambulance worker. The term Ambulance is well recognized throughout the world. All the "American" titles aren't.

I think you stopped reading the article after you saw the title. Because of your own insecurites about who and what you are, it has prevented you from learning some interesting medical facts.

If we were to go with your logic, there would be no Awareness organizations for AIDS, Breast Cancer, Prostate Cancer, Heart Disease (AHA), or whatever.

Additionally, the signs and symptoms of AMI in women and diabetics are understood, and education with prevention can be accomplished in the primary care setting.

If you had read the originial articles, you would know the research and the autopsies on the dead women say otherwise. Cardiac disease in women has been and still is overlooked.

Get over your insecurities about working on an ambulance and read articles about medicine if you are in this profession for more than just a cute uniform and title to go with all that L/S stuff.

You might want to rethink some of your statements about education and other healthcare professionals. If you still feel others should not raise the bar on their education and advance professionalism, you might want to rethink your own future. Medicine is always advancing. As a PA you will have to work with people with various certifications/licensures and edcuation. Some will have more than you and some less. If you can not handle the thought of someone, "like a nurse", having more education than you, the medical profession probably is NOT for you.
 
WOW! I was pretty neutral on this debate until you had to step on something you obviously do not understand at all, never mind "in its entirety". As someone pursuing a BSN and eventually a DNP, I am actually somewhat offended for the first time on this forum. All of the DNP programs that I am aware of are intensive post-master's, doctoral programs. The link that Vent provided describes how the AACN has proposed that, by 2015, the DNP degree will be the level required to enter advanced practice nursing, and it is clear that NPs are becoming increasingly important in health care and will continue to do so.

Most DNP programs are based on clinical specialties and therefore involve a very large clinical focus. And while some programs allow DNPs to specialize in things like health policy, usually those interested in specializing in areas such as administration go for a PhD. And how on earth can you say that management is not relevant to advanced practice nursing?

LucidResq,
There will be people who will bash anyone and any profession because they have no knowledge of it or they are led to believe it infringes on their own turf in some way.

You have done your own homework well enough to know daedalus' comparisons with MDs and RNs are lacking as well as the intent of the DNP programs.

Go forth with your plans and let those who want to stop the advancement of medicine and the medical professions stay behind in the dust.
 
Try to talk them out of their anxiety? Paper bag or O2?

Amen, Vent. Saw this last week by bystanders... then the patient was in arrest 15 minutes later, during transport. Rattled my cage a little.


I also agree that all of us bring our own prejudices to the table, good or bad. We should be cognizant of them, and not allow them to influence our treatment plans.



Oh, and as a side note - it seems we've gotten a little
offtopic1.gif
. Per Wikipedia, the field of NP begain in 1965 - that means they've been around about as long as EMS. Like us, they are still a growing and developing profession with many growning pains to endure. Lets just leave the topic at that for now.
 
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Won't work. In Texas a Paramedic is either EMT-Paramedic or Licensed Paramedic, not EMT Licensed Paramedic. Sorry to correct you.

OK... 1 level, in 1 state.

A proof as to why you should NEVER use absolute words like Always, Never, All, or None... without the "Almost" qualifier. It is too easy for someone to find 1 example against the statement, then your whole argument is called into question.



OK... regarding the article title: Has NAEMT complained yet? They have in the past when "Ambulance Driver" has been used.
 
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OK... 1 level, in 1 state.

A proof as to why you should NEVER use absolute words like Always, Never, All, or None... without the "Almost" qualifier. It is too easy for someone to find 1 example against the statement, then your whole argument is called into question.


Has NAEMT complained yet?

LOL. Not aware of any complaints. We've had licensed Paramedics for a long time.
 
Where are you getting all of your misinformation from?

Do you work with PTs, DNPs or any type of medical professional holding an advanced degree?

I now find your posts very offensive as if blowing off a serious issue about women's health for your own insecure reasoning about working on an ambulance wasn't bad enough. Now you must bash other professions who have made themselves a solid presence in the healthcare industry through advancement of education.

Do you even understand how specialized and high tech some of these professions have become that now require higher levels of education?

Obviously not!

You are speaking with the education and experience of an EMT-B. 110 hours of training. But, of course, that and a log on to "student doctor", where probably over 60% have education levels no higher than you, believe you know more about everything. Students doctors would not be wasting hours posts on a mindless anonymous forum. Real student doctors belong to organizations on secure sites where they know who they are talking to. Even there they spend very little time chatting about the threats of nurses.


Again, more crap coming from some forum. There have been RNs at the doctorate level for several decades. Many of these higher educated RNs helped to establish the first degree programs for Paramedics.

As the link I posted stated the DNP has been around since 1979.

There are also professions of every type that have doctorate degrees.



It is not your profession to say what they should or should not do. Why do you want to keep their educational level down?

I have my Masters and am going for a doctorate degree. Are you saying I am wrong for getting more education?



Broad blanket statement. Maybe you only have 2 NPs in your community who have the same insecurities you do about education.


How many and what specialty? How old?
How many have actually taken time to read about DNPs or know one? Or, were they just listening to your own version and politely nodding?


People with a lot less education can do the same "skills" and do have the same "scope of practice" as I do as a Paramedic. It is my education that opens up other opportunities for research, education and various clinical situations I wish to pursue.

You have a lot to learn about education and other professionals. You also have a long way to go before you have enough experience to call another degree or profession fluff, creepy, or a fiasco.

Enough with bashing professions you know too little about to be writing such inflammatory remarks.

I would say you have even more insecurities about the DNP as it might relate to the PA.

What would you mother say if she knew you have such a low opinion of nurses and higher education? Maybe you think that nurses are not smart enough to be "educated" at a higher level based on your own mother's struggles with school. Believe it or not, there are nurses who have what it takes to raise the bar for a profession.


Back to the article and OP:
quote by daedalus


It said Ambulance worker. The term Ambulance is well recognized throughout the world. All the "American" titles aren't.

I think you stopped reading the article after you saw the title. Because of your own insecurites about who and what you are, it has prevented you from learning some interesting medical facts.

If we were to go with your logic, there would be no Awareness organizations for AIDS, Breast Cancer, Prostate Cancer, Heart Disease (AHA), or whatever.



If you had read the originial articles, you would know the research and the autopsies on the dead women say otherwise. Cardiac disease in women has been and still is overlooked.

Get over your insecurities about working on an ambulance and read articles about medicine if you are in this profession for more than just a cute uniform and title to go with all that L/S stuff.

You might want to rethink some of your statements about education and other healthcare professionals. If you still feel others should not raise the bar on their education and advance professionalism, you might want to rethink your own future. Medicine is always advancing. As a PA you will have to work with people with various certifications/licensures and edcuation. Some will have more than you and some less. If you can not handle the thought of someone, "like a nurse", having more education than you, the medical profession probably is NOT for you.

I have the utmost respect for you but I do not believe that you are correct. In fact I strongly disagree with you. I have no insecurities with my job and resent the suggestion. You have read my posts before and you know I strongly encourage more education, and dismiss anyone in this for whackerism, ambulance glory, lights sirens, etc.

I support furthering education. I support RNs pursing doctorates, but not as entry level. I do not support degrees that have not yet proved they are necessary. It is called degree creep, and numerous people that have mentored me in the past disagree with it. Masters degrees are prestigious enough and have been found to be effective for mid level providers.

If this continues, and once the ball starts rolling it will, PAs will require a DSC to practice, eliminating the advantages it has over medical school. The US army has already developed a DSC-PA school and will be graduating them soon. Numerous civilian schools are looking into this. I in fact believe a masters degree is adequate for practice. If one wants to go from there, wonderful.

I do in fact have well informed opinions. I believe that a doctorate degree in physical therapy as an entry level degree is excessive.

Of the accredited programs, 43 offered master’s degrees and 166 offered doctoral degrees.
- BLS.GOV

In the United States, training in physical therapy culminates in a doctor of physical therapy (DPT) degree. A few programs still offer a Masters degree. (MSPT, MPT) All US programs are now transitioning to grant the DPT degree nationwide.
-wikipedia

There is to much of a chance that this is going to deter some people who would have become amazing PTs, all in the name of advancing a profession to a doctorate level when there is no evidence that this was ever needed. There should be Doctorate level degrees in PT, but for teaching and research, not mandatory entry level.
 
I support furthering education. I support RNs pursing doctorates, but not as entry level.

The doctorate is NOT for entry level RN but for the advanced practice nurse. Since most are already Masters, it isn't that far of a leap to develop their area of specialty or further their expertise.

If this continues, and once the ball starts rolling it will, PAs will require a DSC to practice, eliminating the advantages it has over medical school. The US army has already developed a DSC-PA school and will be graduating them soon. Numerous civilian schools are looking into this. I in fact believe a masters degree is adequate for practice. If one wants to go from there, wonderful.
PA should be no less than a Masters. A specialty rotation can take another 18 months. The 2 year programs are no longer qualifying for script writing in many if not most states.

I do in fact have well informed opinions. I believe that a doctorate degree in physical therapy as an entry level degree is excessive.


-wikipedia (??)

There is to much of a chance that this is going to deter some people who would have become amazing PTs, all in the name of advancing a profession to a doctorate level when there is no evidence that this was ever needed. There should be Doctorate level degrees in PT, but for teaching and research, not mandatory entry level
.

The Masters has already been PT's entry level for a long time. Medicine moves forward and requires more expertise. Your agruments can be applied to the EMT and Paramedic. 110 and 700 hours have been just fine so why go up a step?

I don't think you do know what PTs do or what they are responsible for. Where did you get your opinions? Have you ever worked in a progressive Rehab for SCIs and TBIs? Do you know what goes into working with these individuals besides "stretching and walking"? Do you know the amount of complex care and expertise a rehab patient takes?

I DO WORK with these highly educated and trained professionals. Those with a specialty doctorate are PRICELESS to the patients who benefit from their expertise.

Please do not confuse all PTs with those that just walk grandma down the hall. Although, if you ever read their notes, nothing is missed in their thorough assessments. I definitely don't down play those that work in NHs or with geriatric stoke patients. Often, these patients do gain more independence with a good PT at their side. To give someone their basic functions back is again PRICELESS.

I really don't know where you get your attitude toward PTs or why you are making it your mission to speak against education for these professionals when it is not your concern. This profession has maintained high standards for several decades and has been rewarded for its efforts. They know where their benefits lie and how to market their education to benefit both the patient and the Therapist.

I guess you also have some opinions about the Respiratory Therapist going to Bachelors with a Masters recommended. RT is already way behind where it should be but then, it is half the age of EMS and younger than PT. OT, SLP, SLT and Dieticians all have raised to Bachelors and Masters. They too are looking more toward the Doctorate to compliment their areas of specialty.

Even with a Masters degree I realize there is so much more I still have to learn even if I just continued to specialize in one area. A professional doctorate would enable someone to explore their specialty indepth.

Yes, I do know your other posts which is why I am puzzled by your negativity toward other professions and their education. Just because a profession stays at one degree level doesn't mean medicine no longer requires higher levels of expertise. EMS providers should have realized this long ago.

Do you want others to continue to use this same logic as you when assessing whether EMTs and Paramedics should at least require one college level prerequisite if the Associates in not to be obtainable in even your lifetime?
 
Closed since it didn't get back on topic.
 
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