medic417
The Truth Provider
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If there's not an emergency there will be no issue as I will not transport them. Love having the right to treat and release along with the right to refuse transport.
the 100% directionless thread
- Thread starter KEVD18
- Start date
If there's not an emergency there will be no issue as I will not transport them. Love having the right to treat and release along with the right to refuse transport.
This isn't a 911 call... Good luck denying in IFT.
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"Do you have the statement of medical necessity for this transport? No? Okay, call back when you do."
Shishkabob
Forum Chief
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THat is one of my favorite things to ask nurses at facilities when called for silly things:
"What is the reason for ambulance transport today?"
They often respond "To go to the hospital" while glaring at me like I'm an idiot.
"I understand that, but taxis and wheelchair vans can take people to hospitals too. Medicare requires a medical necessity as to why they have to go by ambulance as opposed to some other form of transportation. And fear of an MVC isn't one of them."
I can be such a jerk when I'm passive aggressive. ^_^
bigbaldguy
Former medic seven years 911 service in houston
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Got my first b12 shot today. Still waiting to shoot into the sky like a rocket as advertised.
I guess I'm lucky that our dispatch handles medical necessity paperwork. It's not in our job description to determine if the call actually required our level of care. Isn't that the EMD / Dispatchers job? They want to go to the hospital, they go, and they can choose which one they go to.
Sasha
Forum Chief
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Mileage, ER saturation, available services and the time you will be out of service if your company either backs up 911 or you handle emergent transfers.
Sasha
Forum Chief
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We do the med necs here unfortunately. I love when the same nurse I took from a few days ago goes "OMG I'VE NEVER SEEN THIS BEFORE WE DON'T DO THIS OMG!"
ORLY? Because that's the same thing you said two days ago when I walked you through this same little sheet of paper.
Sasha
Forum Chief
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They develop retard strength at 65. I swear. It's in the textbooks.
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I'm not saying it's our job to determine if the "call actually required our level of care". Technically, that is between the dispatch and the sending facility. What I meant to say was that the sending facility must sign an official document about why the patient must be transported by ambulance and not some other method. IIRC it must be either a MD or RN to sign the form. There are supposed to be penalties for the robo-signers that insist every patient needs an ambulance transport, but they are rarely enforced.
The private I worked for would not be paid by Medicare/Medicaid if we did not have a signed copy of the necessity statement, so our owner stated "no paperwork, no transport."
Anjel
Forum Angel
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Worked 40 hours of overtime this week. time for bed.
adamjh3
Forum Culinary Powerhouse
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I'm up in Santa Clarita/Stevenson Ranch if one of y'all northerners want to grab some grub tomorrow night
DesertMedic66
Forum Troll
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Gotta admit being an aggressive and combative patient and getting forcibly restrained by the EMT students was a lot of fun. I am gonna be sore tomorrow from all the fighting haha.
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Finally to the point of running calls without any help whatsoever from my preceptor. He just stands around in the background and talks with the fire chief. All I really ask is for narcs or meds and give him a reason why I'm doing what I'm doing.
Feels pretty good, let me tell you!
Still a little rough around the edges with pedis, just need to run a few more calls with them to get it ironed out. The one today wanted nothing to do with me or anyone else on scene for that matter. Sugar of 52 may have had something to do with that though. Gave him some juice and he perked right up lol. Never seen a little kid so excited to drink juice.
Feels pretty good, let me tell you!
Still a little rough around the edges with pedis, just need to run a few more calls with them to get it ironed out. The one today wanted nothing to do with me or anyone else on scene for that matter. Sugar of 52 may have had something to do with that though. Gave him some juice and he perked right up lol. Never seen a little kid so excited to drink juice.
Aidey
Community Leader Emeritus
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Shishkabob
Forum Chief
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Right... "accidentally".
My last pedi call last shift was smacked by a car. Luckily all he had wrong was an abrasion on his eye. He, too, wanted nothing to do with any of us.
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Ouch.
I'm fine once they get above 5. Below 5 is where I start getting uncomfortable. Needless to say my preceptor doesn't help the matter by trying to jump any pediatric call that comes out.
"Trial by fire, I'm going to make you a premier pediatric paramedic! Oh and the candyman."
According to the supe I've already given more narcs in my internship than some of the street medics have since january... works for me, if I ever hurt myself bad enough to call an ambulance they better freakin snow me!
EpiEMS
Forum Deputy Chief
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Right... "accidentally".
My last pedi call last shift was smacked by a car. Luckily all he had wrong was an abrasion on his eye. He, too, wanted nothing to do with any of us.
Ooof. Ouchies! First (technically) pedi call today: clavicle. Then a car vs bike. Thankfully neither kid was too badly hurt. I would've been so scared otherwise!
TheLocalMedic
Grumpy Badger
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Cough... cough... said the paranoid stoner, I think I'm dying...
No dude, it's 420 and you're just high and paranoid.
Cough... cough... But I can't feel my arms!
You're high. Here, close your eyes and tell me which finger I grab.
I have fingers? Wait... what? I that my car?
No, that's an ambulance. Now what finger did I grab?
Finger? Why would I have fingers?
Exactly
No dude, it's 420 and you're just high and paranoid.
Cough... cough... But I can't feel my arms!
You're high. Here, close your eyes and tell me which finger I grab.
I have fingers? Wait... what? I that my car?
No, that's an ambulance. Now what finger did I grab?
Finger? Why would I have fingers?
Exactly
EpiEMS
Forum Deputy Chief
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I'm actually kinda jealous - I didn't get any 4/20 calls 