Looks like PA is finally getting on the AEMT bandwagon.

RescueRider724

RescueRider724

Forum Crew Member
Messages
66
Reaction score
0
Points
6
I was just reading the new EMS update from October, 2013 - Final. View Looks like PA DOH has made the rule changes to acknowledge AEMT in the State and has set up scope of practice as well.
 
a friend of mine who works for the local EMS council (Eastern PA EMS Council) was talking about it the other day. He said to put it frank it could take years for it to finally be set into place. You still will have to transistion all the EMT'Bs to AEMT and a lot of services I could see going under.
 
Basic EMTs will be in demand to staff interfacility transfers etc. The industry will demand the continuance of EMT-Bs, just as LPNs/LVNs have been, as cheap labor. They will try to use AEMTs to replace paramedics.
crystalballc.jpg
 
mycrofft said:
Basic EMTs will be in demand to staff interfacility transfers etc. The industry will demand the continuance of EMT-Bs, just as LPNs/LVNs have been, as cheap labor. They will try to use AEMTs to replace paramedics.
Click to expand...


True, a lot of Private EMS services offer employment at bottom of the barrel rates. To pay a AEMT to do a EMT-B job will be Ludacris. But I am believing for all 911 services they are aiming for the AEMT/ILS for minimum standard staffing. This is where a problem runs into

There are still areas where Services are running less than 500 calls a year. They are strictly volunteer simply due to the fact that 500 calls couldn't possibly justify paying for a full time staff. There are also areas that are very rural. Like Juniata, Snyder and Potter Counties where you could wait up to an hour for a EMS unit. and another 50 minutes for a hospital transport. ILS would be beneficial here since last I checked there was only one ALS unit in that region and they're response times to some scenes will be up to an hour. But the "cost effectiveness" is just not there.
 
Was talking with a friend that is a Supervisory Medic and her take on it was it is never going to happen until they figure out the insurance billing. Medicare has to make a decision on if they are going to pay ALS rates for a crew that only has an AEMT on crew with an EMT. Once that is decided then all the private companies will jump on board with their decision. In her estimation if it happens in the next 5-10 years it would amazing...Also feels that the cost savings of using the vials of epi would then be seen as PA will never allow EMT to do injections...so PA will keep paying for the auto-injectors in to the foreseeable future.

I have no issue taking the training, but I do not want to take it then never be able to use it, slow process here...:glare:
 
The first class I know of starts this spring.

I think you're gonna see 2 things when this goes live:

1) ALS services running some AEMT/medic trucks over medic/medic or medic/EMT.
2) BLS services going to the AEMT level (especially volunteer agencies) with a majority of their "AEMT-level" providers being medics/HP's operating at the AEMT level (vs BLS level).
 
Once AEMT is accepted and the baseline and EMT-B is dwindled, they will be paid the same as EMT-Bs are now. And EMT-B will earn less, have less full time hours.

If they are paid more, their rate of pay increase will slow to eventually reflect what EMT-Bs make somewhere else.

It will be that your basic employee benefit plan will be these:

VT_Newton_Hylton.jpg
+
shack.jpg
 
Jon said:
The first class I know of starts this spring.

I think you're gonna see 2 things when this goes live:

1) ALS services running some AEMT/medic trucks over medic/medic or medic/EMT.
2) BLS services going to the AEMT level (especially volunteer agencies) with a majority of their "AEMT-level" providers being medics/HP's operating at the AEMT level (vs BLS level).
Click to expand...

Where's the first class being hosted at?? I would've thought LVH-EMI would have their hands all into it.

I could see the AEMT/Medic truck as it will relieve a paramedic of certain duties and have a EMT assist with a larger scope of practice..

As far as Medics and HP's operating as AEMT's for a volley agency, I think that will be hit or miss, A lot of the medics I know don't want anything to do with volunteer EMS. Other than to ride their trucks when they are on duty.
 
mycrofft said:
Once AEMT is accepted and the baseline and EMT-B is dwindled, they will be paid the same as EMT-Bs are now. And EMT-B will earn less, have less full time hours.

If they are paid more, their rate of pay increase will slow to eventually reflect what EMT-Bs make somewhere else.

It will be that your basic employee benefit plan will be these:

VT_Newton_Hylton.jpg
+
shack.jpg
Click to expand...

Ne nuh nah ner nuh ner nuh nuwwww.............
 
mycrofft said:
Basic EMTs will be in demand to staff interfacility transfers etc. The industry will demand the continuance of EMT-Bs, just as LPNs/LVNs have been, as cheap labor. They will try to use AEMTs to replace paramedics.
crystalballc.jpg
Click to expand...

I agree. The issue is that the majority of transfers do not require any ALS intervention, and a good number of 911 calls are entirely BLS (psych, minor trauma, etc. as EMD has demonstrated to us) I wonder how Georgia (no EMT level, AEMT minimum certification) can justify it, or whether they pay their AEMTSa s other states pay their EMTs.
I agree that the AEMT level is necessary, and a great move, but I question how it will be implemented, and whether the funding will justify it.
 
You must log in or register to reply here.
Back
Top