Yeah, LA and Orange Counties are by far the worse, about 30 years behind the rest of the country (and I'm serious too), and Ventura County is not far behind them. VERY limited scope of practice, and if you can believe it, they're still required to make contact and speak with an MICN for further orders/report. ICEMA and Riverside aren't bad (very limited MICN communication), their scope is fairly greaer than LA/Orange counties, but as compared to most parts of the country, they too are not as progressive. If you ever attend an EMS convention/seminar I'd keep it to yourself that you work in CA.
Ventura medic: the fact that you still are REQUIRED to make contact and speak with a nurse says it all. You still have no peds intubation, you don't have a hypothermic protocol, and you are still required in most cases to ask for an order for pain meds, in which a NURSE can deny you the order. Your county just recently designated 2 trauma centers. Up to the last few years you guys didn't even have a one. Do you even have a designated pediatric receiving yet? Even LA County has pediatric specific facilities.