mycrofft
Still crazy but elsewhere
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- 48
- 48
I described the concept to my layperson wife. She asked if the paramedics or whatever could refuse to transport. I said yes if they decide it meets criteria.
She asked why do this, people call paramedics because they have emergencies. I said not always but she replied sometimes they do.
After 40 years she still makes me think.:wub:
What can be done to keep this concept from becoming perverted into "doc in a box for house calls, or as a means to "relieve" doctors from seeing emergency patients who in some cases really need to be seen?
Will rigs need to carry lab equipment and fluoroscopes? Will everyone get transported anyway? Will hospitals demand and be granted the pushback of the true "edge of decision" out from their doorway to the tech in the field? How about ordering prescriptions?
This is rooted in doing "nurse sick call" for years and years (institutional community medicine) where the nurse was the gatekeeper to the MD and had a thick binder of standardized procedures to follow. (I might add that with every mistake or alleged mistake, that book got thinner and the words "Refer to MD" became more and more prevalent).
Aussies, tell us how it has been for you!
And to pervert the words of the Greeks:
"Those whom you would make look stupid and dangerous, first make proud".
She asked why do this, people call paramedics because they have emergencies. I said not always but she replied sometimes they do.
After 40 years she still makes me think.:wub:
What can be done to keep this concept from becoming perverted into "doc in a box for house calls, or as a means to "relieve" doctors from seeing emergency patients who in some cases really need to be seen?
Will rigs need to carry lab equipment and fluoroscopes? Will everyone get transported anyway? Will hospitals demand and be granted the pushback of the true "edge of decision" out from their doorway to the tech in the field? How about ordering prescriptions?
This is rooted in doing "nurse sick call" for years and years (institutional community medicine) where the nurse was the gatekeeper to the MD and had a thick binder of standardized procedures to follow. (I might add that with every mistake or alleged mistake, that book got thinner and the words "Refer to MD" became more and more prevalent).
Aussies, tell us how it has been for you!
And to pervert the words of the Greeks:
"Those whom you would make look stupid and dangerous, first make proud".