Pay ranges for CNAs with an EMT-B in Ca?

[Akulahawk]

The other issue here is the recognition of each. The CNA had a strict application process in place in CA before the EMT.

Also, with EMS always using the excuse of being so young, the Phlebotomist has established a national exam and is not in the process of getting the states to establish a certification process using this exam as a standard. This has actually occurred over just the past few years.

The changing rules and laboratory regulations also affect the Paramedic who have been doing lab draws in the field.

There is a lot to be learned from other professions.

Not in California, as long as the blood draw is done in the field, the California Department of Public Health can't regulate it, as it's in the Paramedic's Scope of Practice to do field draws. Once in hospital/clinic, a Paramedic must have a CPT-1 to do Phlebotomy. The California DPH also doesn't require Phlebotomist certification for other licensed medical personnel who have phlebotomy in their scope of practice. Simply specify that a Paramedic can function as a Paramedic inside or outside the clinical setting, and the CPT-1 requirement for Paramedics to have a CPT-1 certification in the clinical setting disappears.

 

[VentMedic]

Not in California, as long as the blood draw is done in the field, the California Department of Public Health can't regulate it, as it's in the Paramedic's Scope of Practice to do field draws. Once in hospital/clinic, a Paramedic must have a CPT-1 to do Phlebotomy. The California DPH also doesn't require Phlebotomist certification for other licensed medical personnel who have phlebotomy in their scope of practice. Simply specify that a Paramedic can function as a Paramedic inside or outside the clinical setting, and the CPT-1 requirement for Paramedics to have a CPT-1 certification in the clinical setting disappears.

Keep an eye open. It will be coming soon to you in CA also. This is national lab requirement that is being implemented. This is to prevent medical errors as that is a very weak area in EMS. Other licensed health care professionals already have this as part of their education. Why should the Paramedic be granted something they are not trained and educated in? Why should a nurse put her/his signature on your draws and face the penalties for your goofs since few paramedics do their own labeling?

 

[Akulahawk]

Keep an eye open. It will be coming soon to you in CA also. This is national lab requirement that is being implemented. This is to prevent medical errors as that is a very weak area in EMS. Other licensed health care professionals already have this as part of their education. Why should the Paramedic be granted something they are not trained and educated in? Why should a nurse put her/his signature on your draws and face the penalties for your goofs since few paramedics do their own labeling?

They shouldn't face those penalties... I was taught (by my Paramedic Program) that if I do the draw, I label it... Just as an example.

Who is doing the "requiring?" A national certifying body (that has no actual regulatory authority)? A federal agency or program? I actually do want to know the impetus for this.

 

[daedalus]

I was taught to draw blood in my program, and it will be part of my scope of practice as a licensed paramedic so no one but State/ County EMS can regulate my ability to do so.

Not like I care any ways, because it just is not done around here.

 

[Akulahawk]

Phlebotomy was also a part of my Paramedic Education and Training... I've noticed that hospital labs do not "trust" any draws done by ANY personnel that aren't part of that hospital... Nevermind that often the field personnel would not label the tubes... the lab would routinely simply discard those samples, even if properly documented/labeled.

 

[VentMedic]

Phlebotomy was also a part of my Paramedic Education and Training... I've noticed that hospital labs do not "trust" any draws done by ANY personnel that aren't part of that hospital... Nevermind that often the field personnel would not label the tubes... the lab would routinely simply discard those samples, even if properly documented/labeled.

Exactly. CLIA and JCAHO will require documentation of training and education of all of those handing in specimens. Hospitals will take credit for their own mistakes with quality but don't want to assume responsibility for others they do not know.

Your training? Was it lab specific with the CLIA/JCAHO recommendations?

I was taught to draw blood in my program, and it will be part of my scope of practice as a licensed paramedic so no one but State/ County EMS can regulate my ability to do so.

Not like I care any ways, because it just is not done around here.

It doesn't matter what your training is if CLIA and JCAHO have their own mandates for training which may be different than Paramedic school. I'm trained (and educated) for alot of things also but unless it is in my job description at that particular facility, I don't do it. I also respect the reasons from a QA/QC point of view.

We have this issue when some CCTs and Flight teams have wanted our lab to manage their iSTAT program. I have to say that is a royal pain and rarely will we oversee anyone but our own teams.