http://www.dmemsmd.org/sites/default/files/Quick Reference Guide.pdfProof please. I'm very agreeable to believing what I see.
Please remember that you are just in one state. EMS changes greatly based on the area. Take my area for example, EMTs can not use a King airway, intubate, start an IV, IO, or give Narcan. Now if we slide over to Texas there are medical directors who have given their EMTs protocols or better yet guidelines that include King Airway, intubation, IVs, IOs, and Narcan.Maybe if you're a paramedic but definitely not if you're an EMT. I once asked if we can use a Pulse Ox (not in our protocols) and was told by the state medical board that I'd be practicing medicine without a license. We can't do anything unless we have a law that permits it and a protocols that tells us.
Since you would LOVE to see protocols I am going to give them to you.I am reading very closely. I specifically asked about helping (aka assisting) someone in taking their own meds. The state EMS board said if we did anything other than ASA and NTG we'd lose our certifications. Thanks but no thanks. I don't know how anyone has protocols for that but I would LOVE to see them. Can you post a link?
Ah, but in Gabe's way of protocol-as-gospel way of thinking, getting the patient some of the patient's juice for mild hypoglycemia wouldn't be allowed. It'd be glucose paste or nothing.Since you would LOVE to see protocols I am going to give them to you.
Treatment Protocol: REMS 4101
Universal Pt. "Flow chart": REMS 4102
Chest Pain protocol that ALLOWS the EMT to ASSIT with administration on prescription of Nitro and other clinically indicated medication: REMS 4402
Respiratory protocol that ALLOS the EMT to ASSIST with administration of prescription MDI AND Nitro or other appropriate med: REMS 4408
Hypoglycemia protocol that is a STANDING ORDER which ALLOWS the EMT to give Oral Glucose PO: REMS 4501
Anaphylaxis protocol that ALLOWS the EMT to ASSIST with administration of prescription Epi Pen or other clinically indicated medication: REMS 4601
So you see, yes there are places which allow you to administer prescribed medication. Furthermore, your way of thinking that every place is like yours is absolutely driving me up the freaking wall. Every county and state is different and just because you can't do something does not mean that I can't also. Oh and for the record we can use SP02 AND tritrate 02 and still be within our scope of practice (REMS 4102).
How long have you been in EMS? Not long enough. Yes, there are lawyers who desire to scour everything and then sue. I'm on my third case now.Is this based on reality or fear mongering in EMT class? There aren't squadrons of vicious lawyers lurking in the shadows waiting to prey on minimum wage EMTs assisting patients with orange juice and Tylenol.
Regardless, perhaps Gabe could list the 4 elements of negligence. Of course standard of care needs to be considered in that.Is this based on reality or fear mongering in EMT class? There aren't squadrons of vicious lawyers lurking in the shadows waiting to prey on minimum wage EMTs assisting patients with orange juice and Tylenol.
Im pretty sure Chaz has been doing this job longer than you and may know a thing or two more than you. Just a thought, take it with a grain of salt.How long have you been in EMS? Not long enough. Yes, there are lawyers who desire to scour everything and then sue. I'm on my third case now.