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He is a State of Florida licensed Paramedic! I don't see how it could be a liability to wear a patch on his sleeve.
Also, I was not speaking to the use of lights or sirens, but using uncertified security guards or van pool drivers to respond to the scene of an emergency, which in California, is illegal in almost all instances. There is a difference in using an EMT (however long their class is) vs a driver to the scene of an emergency. The difference is that it is against the law. However, this is not the case in Vent's situation, as she is doing transfers.
Vent, I just looked into it. You must have an EMT card to get an ambulance Driver Certificate in California, however there is one exception. A volunteer may, if approved by his chief and the DMV on a case by case basis, obtain a volunteer only ambulance certificate. This is restricted to non-commercial volunteer organizations and the individual may only drive. There must also be an EMT on board. I think this is a poor arrangement in California because there are enough EMTs in the state to put two on a rig. So I suppose there is a similarity to Florida here.In Florida, as in many other states, the driver of an ambulance can be anyone who meets the emergency driving requirements which does not have to include an EMT-B cert. Also, BLS trucks in these area only need 1 EMT and 1 driver. This is extremely popular for volunteer agencies where this is very common but it can 911 or IFT. So NO, it is not against the law in may states.
I haven't checked CA's laws lately but I do get a giggle (and frown from disappointment) when their CCTs must call a second RN for a ventilator patient and both EMTs ride up front.
CCT provides the EMT(P) with the opportunity to see inside an ICU and critical care medicine in action. Many who call themselves CCEMT-P may have never had that opportunity before getting the CCT job and are a little more than surprised when they see a real ICU patient and not one from tele that just needed a monitor and a KVO IV. Yet, many prefer to ride up front if they are not needed.
BTW, I had a gung ho CCT RN who was what he called in his own words "Vent Certified" and would take on CCT-RN-RRT calls by himself.
I dont know if anyone has mentioned this or not yet, but Im guessing that the liability could fall on the fact that, if you are currently "restricted" as a paramedic, have not been through the training, or not yet in paramedic status with your service, regardless of what the state says, your not yet trained on those specific protocols and guidelines to be able to practice as a paramedic for that particular service. I would think that the decision to have you wear that patch on, technically, the "services' shirt", would be dependant on your medical director saying that he now gives you the right to function as a paramedic under HIS license. Just a thought.
so can this thread die now?
if you're a registered paramedic, then youre a paramedic.
By registered, do you mean that you have passed the National Registry exam?
The only thing that means is you have passed a test. You are not legal to represent yourself in most states as a Paramedic until you obtain a license or certification with that state. If you move to another state, regardless of what you were call in the other state, you must obtain another license in that state also to be recognized.
If you move to Oregon as a Paramedic from a state of 500 hour medic milsl, regardless of what you were called in your home state and may even be Nationally Registered, you will not be recognized by license in Oregon.
The state with the higher education requirements may allow you to work as an EMT, provided you meet those requirements, until you meet the qualifications to gain licensure in that state.
Oh well I was just assuming the training was the same for the two states good point