the 100% directionless thread
- Thread starter KEVD18
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I work what is frankly a cush 48/96 suburban firemedic gig. But also going on 7+ years of working part time at a very busy AMR operation with no stations. Working AMR is a nice reality check and the extra 10 bucks an hour doesn’t hurt.
CALEMT
The Other Guy/ Paramaybe?
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Cries in rotating 72/96.
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*quietly pukes*
Really want a four platoon schedule like they do on the east coast, but that ain't ever happening and well, what would I do with all that time?
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CALEMT
The Other Guy/ Paramaybe?
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I just want adequate staffing for our current scheduling module. A 48/96 will happen once hell freezes over. We can’t maintain our current numbers let alone a whole third platoon.
Is the fire/medic gig transport or not transport?
I wish our firefighters out here actually worked on the ambulance to get feedback from hospitals. I think we'd have a lot less head butting and negative interactions if firefighters saw the overall picture rather than just get the patient into the ambulance and load and go. Some worked on the ambulance before, I've worked with them, but like the culture or something changes them or they forget. It's weird. I think the system is against them too. They usually only have seconds to minutes before we show up so they don't get the chance to do a lot unless they retain care, and they very rarely retain care (even if it is code 3 return to the hospital doesn't mean they have to retain care). I feel like they get rusty because of how infrequently they complete an assessment or perform an intervention.
We only have 10/40 and 12/42 shifts here.
We are allowed to pick up shifts for 8 hours right now because they are trying to get people to pickup extra shifts.Nope. Its gotten the job done plenty of times.
I've dropped an application in to a place creating a 4th shift. If they offer the right pay (and a job), I am about to have a lot more time off.
Jim37F
Forum Deputy Chief
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Argh, the sensor in my phones charging port has been convinced there's water in there for the past couple of days...
DragonClaw
Emergency Medical Texan
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If a service runs double medics, can they bill for 2 medics available for the call?
It depends, but usually not. I think Medicare bills based on the amount of ALS interventions performed making it an ALS 1 or ALS 2. Something like that? It always comes back to me when I have to do annual compliance training, haha. Most places follow in Medicare's foot steps. The ambulance company can have contracts with counties, cities, or hospitals and negotiate how much they charge per transport, they might take into account having dual paramedic units or charge specifically for those, but I haven't personally seen it.
@BillingSpecialist Says they were last active in 2018, but maybe they can be summoned? I know sometimes I pop in because I get e-mail notifications. Good luck!
Old thread they created https://emtlife.com/threads/got-a-billing-question-ask-away.45893/
Jim37F
Forum Deputy Chief
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I remember that thread! Doesn't seem like yesterday, but sure doesn't seem like it was 2 years ago either!
PotatoMedic
Has no idea what I'm doing.
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That is what I thought when I was going through some old posts and saw HandsomeRob's and it was two years since he was here.
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Does not assist with billing and even charging for an extra attendant of any level is difficult I am told.
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We have our own ambulances. More than half of our paramedics do not have interior firefighter certifications and will not be made to any time soon. If you want to work the ambulance, there is a spot for you and going to the fire academy does not get you a raise. Our “EMS Medics” get paid to get instructor certs and provide much of our CE, among other duties. Everyone is sworn/pensioned, on the same pay scale, and in the firehouse not as second class citizens. I’m the “boss” on my ambulance and the truck Lt. respects that as I do for him.Is the fire/medic gig transport or not transport?
I wish our firefighters out here actually worked on the ambulance to get feedback from hospitals. I think we'd have a lot less head butting and negative interactions if firefighters saw the overall picture rather than just get the patient into the ambulance and load and go. Some worked on the ambulance before, I've worked with them, but like the culture or something changes them or they forget. It's weird. I think the system is against them too. They usually only have seconds to minutes before we show up so they don't get the chance to do a lot unless they retain care, and they very rarely retain care (even if it is code 3 return to the hospital doesn't mean they have to retain care). I feel like they get rusty because of how infrequently they complete an assessment or perform an intervention.
We only have 10/40 and 12/42 shifts here.
I think we do it right, for fire.
Fezman92
NJ and PA EMT
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So I’m on the wheelchair van until my reciprocity arrives and my FTO calls non first responders as civilians. Feels kind of cringe and reminds me of my 100% ****ty partner from my first IFT job.
DragonClaw
Emergency Medical Texan
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Are you no longer in your same state?
Fezman92
NJ and PA EMT
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My job is in a different state.
Airlinepilotmedic
Forum Probie
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I technically work 48/96 which is much better then my old airline pilot schedule of being gone >25 days a month. I am a sucka for OT though and work more like 72/72 most weeks.