the 100% directionless thread

RocketMedic said:
For what it's worth, a Rocketmedic ems system would literally outperform any other service in every metric except time and cost. But patients and employees would love it.
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I would like a custom recliner in my station, unlimited pain management protocols and a never ending bacon buffet.

And by the way, it's Sussex, not Suffolk... but I appreciate the mention.
 
triemal04 said:
You shouldn't stay; if a place is not where you want to make a career, dear god move on and find something better. There are plenty of less than desirable places to work; maybe rocketmedic has just has the bad luck to only end up there. Maybe the problem is more of an internal one with him. The simple fact is that, when looking for work, or deciding what is right/wrong with something, or why something didn't work out, you need to ask if you yourself may not be part of the problem. You might not be, but the question should be asked.
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Few of the places I've worked (to include the Army) were great for what they were, but offered nil or not enough in the way of advancement, professional development, family living, financial reward, etc to justify staying. EMSA was decent in the mid-term, but it still wasn't a career place. Honestly, I don't know if EMS is even a viable career for me; it may well end up being a long on-ramp to some other field. And that's OK.

When people like you come on and start passing judgement on character, opining that people like me are shady, unreliable or otherwise undesirable because we desperately want to make something we like into something we can love, that's fine. It serves to mark the places I don't need to waste time, money and fuel exploring, it highlights organizational cultures and personalities that I would not thrive around. It serves to show me where I shouldn't even consider working at and who I ought not to work with, because it wouldn't be positive for either of us.
 
DEmedic said:
I would like a custom recliner in my station, unlimited pain management protocols and a never ending bacon buffet.

And by the way, it's Sussex, not Suffolk... but I appreciate the mention.
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Canadian or real bacon?
 
Oh, my system would be amazing.

It would be divided at dispatch into three tiers- transport, ambulance and Team Kia. Transport would be wheelchairs, the dialysis derby, etc. Lump in a few BLS transfer trucks with EMTs for stable interfacility work. Overtime would be as manual labor for various image-building events and company work like cleaning the building or whatever.

Ambulance would be entirely emergent IFT, patients who actually need medical supervision for whatever and my pride and joy, a large 911 ALS/CCT section staffed at 1 truck per 5-10,000 people, station-based, with multiple trucks per station. This would be an epic 911 system with a lot of amazing tools, drugs to make an ED jealous and such, but it would functionally resemble what we do today, just better. Protocols would be outstandingly awesome.

Team Kia would be a single medic, EMT or potentially an MA, in a car, with a telemed suite connected ted to an on-call physician. Some meds, basic tools, and prescription pad/digital prescriptions. Essentially a mobile urgent care.

All calls and requests for service are screened at dispatch. Calls that need an ambulance get an ambulance, transfer calls get the right vehicle. Calls that don't seem to need an ambulance get Team Kia. They show up, assess, do a telemed remote assessment and consult, see if they can fix the problem and bill it as primary care to insurance or cash at service. Patients who can't pay get appropriate EMS care but won't get to enjoy Team Kia's awesome service. Team Kia basically offers the sniffles some basic primary care.

A physician or PA or NP would be on duty at dispatch for telemed.

Pay would be extravagant, deliberately more than any other area private service in the area, often more than fire.

The catch? I'd only hire people who could identify a flaw and present a solution.
 
DEmedic said:
I would like a custom recliner in my station, unlimited pain management protocols and a never ending bacon buffet.

And by the way, it's Sussex, not Suffolk... but I appreciate the mention.
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Median wage in area +$10/hour, courtesy dilaudid, ketamine, free primary care and 100% college tuition offered for 2x years commitment, station-based ALS 911 ambulances on rotating 3x12, 4x12 hour shifts with beds, recliners and TV?

Also, free daycare in every city, because we'll buy a charter school and suck up some student waiver payments.

Thoughts?
 
Yup, amazing how hollywood can turn an epic **** up of an operation into a blockbuster hit.
 
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Yeah movie was cool, obviously very sad for the personnel involved...but still a screw up
 
ViolynEMT said:
Moral of the story: Stay away from goats.
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And have communications with your commander, don't travel in 6 man teams with minimal equipment and comms gear...don't operate without qrf stoodby...
don't send in helos into a hot LS...
 
Mission itself wasn't a screw up. It was just one of those if it can go wrong it did. Mission planning accounted for most of the actions and training dictated what to do for the non-mission planning situations
 
irishboxer384 said:
And have communications with your commander, don't travel in 6 man teams with minimal equipment and comms gear...don't operate without qrf stoodby...
don't send in helos into a hot LS...
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A friend of mine read the book, and said that after the incident the Navy changed the way the Seals do recon. Like going from 4 man teams to 6, and I believe upgrades to communication and response forces as well. Also apparently the movie left things out thats in the book, to bad I can't find it near me as I would like to read it.
 
ViolynEMT said:
Just watched Lone Survivor. Pretty intense.
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In all honesty, I'd have been a lot less enthusiastic about witnesses in their shoes.
 
Yeesh, I leave for a measly 12 hour shift and I come back to 3 whole pages...like someone said a couple pages back, time to grab some popcorn
michael jackson popcorn meme blank.jpg
 
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