Our private company provides ALS transport units (in house) to many surrounding fire/primary response districts. This particular one was a large retirement community. We responded in the early morning for an abdominal pain. The patient wanted to go to an ER 1.5 hours away, by-passing two perfectly good ERs because "that's where all my records are." Halfway there, her nausea and generalised abd pain shifts towards CP but nothing is really showing on the EKG. I give her a NTG and her BP plummets. I put her on her head, IVWO, Dopamine, and "oh-my-goodness-I-am-so-sorry-it-was-an-inferior-MI." We divert to the closest facility.
You know you were for a private company when even though your call went to the Medical Director and he said you were perfect, but you still get moved to another truck because the PR person wants to placate the people in the district who are upset because in the midst of all of that, you didn't have time to call and say you were diverting to a closer hospital.
You also know you were for a private company when they screw you so badly, eight of you call off 'sick' (We were sick, sick of the BS) halfway through a shift (something we ate, I'm sure) so you can go to a drag show at a club that evening....and you see ten people from the local PICU there, too.
You know you were for a private company when even though your call went to the Medical Director and he said you were perfect, but you still get moved to another truck because the PR person wants to placate the people in the district who are upset because in the midst of all of that, you didn't have time to call and say you were diverting to a closer hospital.
You also know you were for a private company when they screw you so badly, eight of you call off 'sick' (We were sick, sick of the BS) halfway through a shift (something we ate, I'm sure) so you can go to a drag show at a club that evening....and you see ten people from the local PICU there, too.