the 100% directionless thread

I guess tomorrow I'm going with another unit on an LD over state lines to pick up 2 pedis who have TBIs from not being belted in when they had an MVC.

Boss says he wants everything uniform, perfect, professional on this one. Small policies are going out the window (such as not allowing extra riders) and he's emphasizing customer service on this.

Pretty much going to get off shift, make dinner and make sure everything is ready for tomorrow so I'm at base early ready to go.

I'm going with my last FTO that cleared me for full duty as my partner. Seems a long time ago I was a trainee.
 
StCEMT said:
Side note, have any of y'all ever actually seen tracheal deviation not on a scan? I've seen plenty on a CXR, but that's further down. Even the extreme ones on CXR seem to be fairly midline by the time you get to the neck.
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Possibly once but the fractured larynx and subsequent expanding hematoma and subQ air might have been the cause on that one.

10 decompressions on three patients last year, I could not hear any rush of air but given the velocity that blood exited the chest on three of them, I think I would have had the environment been a little quieter.
 
DragonClaw said:
I guess tomorrow I'm going with another unit on an LD over state lines to pick up 2 pedis who have TBIs from not being belted in when they had an MVC.

Boss says he wants everything uniform, perfect, professional on this one. Small policies are going out the window (such as not allowing extra riders) and he's emphasizing customer service on this.

Pretty much going to get off shift, make dinner and make sure everything is ready for tomorrow so I'm at base early ready to go.

I'm going with my last FTO that cleared me for full duty as my partner. Seems a long time ago I was a trainee.
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Crossing state lines to pick up a patient from another facility? That starts to get into some sketchy legality issues.
 
CALEMT said:
Home for the next couple days
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Woke up to this view in my hammock yesterday. Three days of totally winging it backpacking in the desert in western Colorado.
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DragonClaw said:
It's not uncommon down here?
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Picking up a 911 call patient from another state is usually accepted as mutual aid agreements have usually been established. However picking up an IFT is not considered mutual aid.

For my area at least, the providers must have the license from the state they are picking up from and the company must be approved by that state/county to pick up patients from inside their area.

I am right on the border to AZ and we will respond in all day every day to 911 calls but decline IFTs since our company is not licensed in that area and the crew may not be licensed for that area.
 
DragonClaw said:
It's not uncommon down here?
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I did it a lot in the past. When I was in Connecticut and we went into Rhode Island, the crew had to be Dual Certified. For a while they wanted us to wear both state patches on our uniform. Dorky.

Each state has weird laws about it.
 
DesertMedic66 said:
Picking up a 911 call patient from another state is usually accepted as mutual aid agreements have usually been established. However picking up an IFT is not considered mutual aid.

For my area at least, the providers must have the license from the state they are picking up from and the company must be approved by that state/county to pick up patients from inside their area.

I am right on the border to AZ and we will respond in all day every day to 911 calls but decline IFTs since our company is not licensed in that area and the crew may not be licensed for that area.
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Acadian regularly does.

I only assume we have similar contracts or logistics.
 
E tank said:
different world...that'd be so nice.....
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Just lucky I guess. Of course there’s those places I go without service. That’ll be deer camp in the fall.
 
luke_31 said:
Typically it’s that the patient originated in your area and then is taken across state lines. Not normally done in reverse. But have fun and plan our your restroom breaks
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This is what is a lot more common. As long as the patient transport started in your state/area then it doesn’t matter where the transport ends. Picking up in a state that I do not have a license for and do not know the policies of is very sketchy in my mind. Maybe its just since I am in SoCal where you are only allowed to pick up patients in the county that you and your service are certified to operate in.
 
DesertMedic66 said:
This is what is a lot more common. As long as the patient transport started in your state/area then it doesn’t matter where the transport ends. Picking up in a state that I do not have a license for and do not know the policies of is very sketchy in my mind. Maybe its just since I am in SoCal where you are only allowed to pick up patients in the county that you and your service are certified to operate in.
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AMR is the largest private company. I'm sure they have a way to do this legally. Otherwise if anything happens they'll be sued and have no leg to stand on.
 
Mac n Cheese mountain house is where it’s at.
 
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