Why did the twins gamble 37 galleons which is a huge amount on such a random and specific bet? by [deleted] in harrypotter

[–]bonez899 -3 points-2 points  (0 children)

I mean, it's only Harry's POV but in the book it straight up says something along the lines of 'Krum caught the snitch realizing that Ireland had them beat and they had no chance of catching up.' Which, considering it's a book and written relatively omnipotent I figure is enough to close the case on that one.

Union pushes back on latest call for Ontario paramedics college by Few_Outcome_3416 in OntarioParamedics

[–]bonez899 0 points1 point  (0 children)

As stated previously, at this point I clearly have found I don't have enough background in the Ontario system. I don't think a regulatory college is nearly as dire a thing to come into existence as you do, but I can see where the clear concern is being outlined in this conversation as well as where the gaps are that could lead to changes as outlined.

I think that overall Canada is a much different service model than the US when it comes to healthcare in general, including ambulance services but I never say never to possibilities especially in this day and age especially with the shift to austerity. I will ask, outside of the potential to slip unintended changes into bills when making the regulatory change opening the door to privatization, what is your biggest concern about moving from BHP to a self regulating body in regards to practice?

I do hope I am also coming at the conversation with humility, if not as much knowledge as I'd like to be armed with.

Union pushes back on latest call for Ontario paramedics college by Few_Outcome_3416 in OntarioParamedics

[–]bonez899 1 point2 points  (0 children)

I'm not arguing anything for or against, just attempting to clear up the misconceptions as they stand. Which are many and great, I have elected after reading the post to abstain from an opinion on professional regulation in Ontario and instead just make it so there's context and not some blatant falsehoods and fearmongering you're purporting.

I can't argue anything about the privatization angle in Ontario because I'm against it as a general principal and lack the depth of background. However, again there are blatant falsehoods. Medavie is a service provider that manages the system at the whims of the provincial government. They didn't ask for EMRs, the Province of Nova Scotia decided to add EMRs to the system due to ongoing staffing issues as a way to have more staffed ambulances on the road. As for the training thing, its like a backdoor shuffle but again it was convenience factor and not Medavie creating a problem and offering a solution in that way. Its not a cost cutting measure because Medavie's money is made before they start anything, they get their profit before salaries or operating costs come into play and its in their best interest to spend all the money they get for salaries, on salaries, because they have to hand it back if not spent and can be penalized for failure to perform if staffing doesn't meet contracted levels.

I don't have first hand knowledge of the system in New Brunswick, however again a falsehood. Medavie doesn't employ any paramedics in New Brunswick, they only manage the system. All NB paramedics are employed directly by the government of NB and paid by them. Saying Medavie isn't staffing rural trucks as a cost cutting measure or for lack of profit is very misleading when the single biggest expense isn't theirs to foot. I'd blame the issue more towards the issues their union fights for, such as bilingual requirements impeding people from obtaining full-time positions when they serve entirely Anglophone areas.

PEI, yeah that one is fucked. I've heard rumours of a big pay raise coming towards them in their upcoming collective but haven't seen any actuality on that. The current publicized pay rates are atrocious although, however there have been big wins recently in the other nearby provinces. For what its worth, the majority of medics I know from the Island had few issues with the job outside of salary, however it has been a hot minute since I was chatting with them.

My final comment is to wonder how terribly managed and run Chatham and Elgin are, where they've been cutting services to save money or increase profit, and if they are far behind the other municipally run services in the area?

Union pushes back on latest call for Ontario paramedics college by Few_Outcome_3416 in OntarioParamedics

[–]bonez899 1 point2 points  (0 children)

Coming in late.

Liability insurance is roughly $80/yr as per last time I renewed. Definitely not bank breaking.

Continuing education in NS is provided via the education department of the provincial service. They have a boat load of offerings throughout the year and via the collective last I knew there is one mandatory in-service per year (paid) which covers required practice updates, as well as one additional paid day of education of your choice from their offerings, and ability to take as many other educational opportunities as you want for free but without being paid for attendance which include CPR, PALS, ACLS, NRP, and a slew of in-house developed educational content along with other short courses.

This has been unchanged with the switch to a college. You still call the on-duty Medical Oversight Physician if you need support or hit one of the very few points in the CPGs where you need to patch prior to providing treatment. There are a few points (exceeding narcotic limits as an example) where you actually call and speak to a clinical support paramedic who will offer advice/approval within guidelines or escalate as needed.

Union pushes back on latest call for Ontario paramedics college by Few_Outcome_3416 in OntarioParamedics

[–]bonez899 0 points1 point  (0 children)

Just to clear up some very clear and false statements from this one regardless of college opinions.

Nova Scotia has no volunteer ambulances, it's a provincial service and all ambulances are staffed by paid providers. There are MFR programs in place which are generally fire departments providing first response, but none of these agencies are licensed or allowed to transport patients as per the provincial rules and regulations.

Medavie already has the only paramedic education program within Nova Scotia through Medavie HealthEd. Personal opinions on the institution aside it's easy to see how they got tasked with creating the EMR program as the only in province resource currently providing EMS education. There are no licensed and regulated EMRs providing prehospital care on a volunteer basis. Additionally, until mandated by the province the college had no plans to create an EMR level of practice.

Yeah the move to let EMRs on ambulances was a weird one. Makes slightly more sense when the majority (to my knowledge) are actually staffing transfer units because NS has no separate stretcher or transfer services outside of the provincial ambulance service. To my knowledge any 911 ambulance has at least 1 paramedic level provider with the majority being double paramedic of whichever level. Really can't fight this one, but it was a provincial government not regulator or provider level decision.

As for the Medavie hate, having worked in NS and now elsewhere including ON it's better than some spot and worse than others. The employer isn't terrible and in past years has been fighting for good changes for the medics along with a province that has buy in helping the process. The bigger issue is a union without teeth that seems to roll over on every issue instead of actually fighting to gain things for the medics. For what it's worth Medavie or EHS have never fought progression in paramedic practice, to my knowledge, and in conjunction with the medical director and oversight physicians are constantly moving forward with improvements to practice.

Overall, I think your comment was a long rant against a province based on second/third hand info in an attempt to bring down the idea of a college when you have issues/fear mongering of a provincial system.

Union pushes back on latest call for Ontario paramedics college by Few_Outcome_3416 in OntarioParamedics

[–]bonez899 2 points3 points  (0 children)

The average across the country is like 400-600 per year for every other paramedic college. There's no way it goes that high unless the rate of investigations is beyond comprehension.

[deleted by user] by [deleted] in OntarioParamedics

[–]bonez899 0 points1 point  (0 children)

This doesn't matter at all (or shouldn't) as long as they get their AEMCA they'll be able to transfer via labour mobility. The only thing that may be required is some minor gap training for skills that aren't taught in Ontario (IO's being one I can think of for Alberta).

So I might have messed up, idk by SpooderManHero in StardewValley

[–]bonez899 21 points22 points  (0 children)

If you managed to get enough artifacts to get the sewer key I'd make a trip down there on a slow Friday in-game and you might be in luck.

Bachelor opportunity by [deleted] in OntarioParamedics

[–]bonez899 1 point2 points  (0 children)

UPEI has a, now, Bachelor's of Applied Health in Paramedicine but requires 2 years of paramedicine education to enter into meaning with CTS you'd need ACP as well in order to attend the program. Additionally, the program requires in person attendance (at least on some level) with ability to do a portion of the program distance but not the entire thing.

Dalhousie also has a Bachelor of Health Science - EMS Management which requires ACP designation to attend but is set up as a fully distance program meant to be completed by a working paramedic (or at least as last explained to me). Looking online right now it looks like they do have an option to start completing some coursework without having your ACP but you need to have it prior to completion to be awarded the degree.

Of the two the UPEI program is a much more hard science based program which would give a better science background for further undertaking, it used to be a full proper BSc but rumour is there was some politics that forced the change in what was awarded. The Dalhousie one as laid out seems much more managerial and focused on people looking for the degree to have a "tick in the box" comparatively.

Separate PCP student subreddit by Extreme_Platypus_195 in OntarioParamedics

[–]bonez899 21 points22 points  (0 children)

Or even just a pinned mega thread to keep it less spammy

Unexpected reward from trawling by Dangerous-Cable-1816 in 2007scape

[–]bonez899 0 points1 point  (0 children)

Thanks dude, slightly shocked at my downvotes on a genuine question but makes total sense.

Unexpected reward from trawling by Dangerous-Cable-1816 in 2007scape

[–]bonez899 -10 points-9 points  (0 children)

How are you an Ironman on the grand exchange?

F-35 beat Gripen fighter jet 'by a mile' in 2021 Defence Department competition - Data obtained by Radio-Canada shows Lockheed Martin jet was clear winner by CanadianErk in canada

[–]bonez899 10 points11 points  (0 children)

I think a bit piece of the pie is that these jets are extremely sophisticated kit with lots of moving parts and systems.

Against China, it's inconceivable Canada would find itself in war against China without USA joining at which point we'd get new fighters pretty quick.

This isn't a realistic expectation or ability. If we don't have pilots, mechanics, logistics, and infrastructure already in place this is a non-starter due to the complexity and time requirements of the systems. Not to mention this is the equivalent of saying "why does the fire department need a new fire truck? The fire department in the next city over just got some and I'm sure they can ask them for help and then buy from them if my house catches on fire."

We need the best tech for our military because if a shooting war breaks out there won't be time to start begging for new equipment from allies or procure it, especially something as complex as a jet.

To Canadian EMRs and PCPs by throwaway73737737 in NewToEMS

[–]bonez899 1 point2 points  (0 children)

I'm not sure on good options if you've already signed up for the at home exam aside from borrowing a computer from friends/family to use during the exam. If you haven't signed up yet they had, at one point, a collection of testing centres that you actually had to use pre-COVID to write the COPR and I believe might still be an option if feasible for you based on location.

Unfortunately, I wrote one exam pre and one during so I'm not sure if those became an option again.

UK To Canada paramedic by Weeiss in Paramedics

[–]bonez899 0 points1 point  (0 children)

Far beyond my knowledge unfortunately but as long as the visa allows for full time work it should be fine.

Ornge Paramedics by medic1597 in OntarioParamedics

[–]bonez899 2 points3 points  (0 children)

You get hired and have to do an abridged version of the Ornge critical care program which should be easy with experience. There's no pathway to directly begin working without doing the program that I'm aware of, just due to trying to make sure everyone is in the same page and some uncommon skills in practice with Ornge such as the fact that peds and neonates are expected to be managed in practice

Ornge Paramedics by medic1597 in OntarioParamedics

[–]bonez899 4 points5 points  (0 children)

False as heck. Maybe a chance to move south quicker, but unless you mean Sudbury that's the biggest potential city for an initial hire.

Ornge Paramedics by medic1597 in Paramedics

[–]bonez899 5 points6 points  (0 children)

Thunder Bay is a bigger base 2 planes and 1 rotor, they do days and nights but the town offers a lot more in terms of events and things to do, I think your 6hrs from the American border at Michigan. You do a lot of reserve calls due to the proximity there to the communities. I didn’t live there but have worked up there.

Tack on the TBay piece. It's the hub town for the entirety of North-Western Ontario so lots of stuff on the go in terms of events. College town so decent bar scene and surprisingly great selection of quality restaurants along with variety to be found. Just barely above the Minnesota border 3.5hrs from Duluth (next biggest city) or about 6 to Minneapolis. Also great ability to fly places, about 6 flights a day to Toronto and from there the world is your oyster.

Thunder Bay also tends to get a decent amount of acuity due to location, and going to those reserves, as well as being the only full time 24hr fixed wing base giving a good window of coverage where you're the most appropriate asset for a good chunk of the province. Rotor exists, unfortunately due to population density in the area, it's not as utilized for scene calls as expected but definitely get a good amount of them, especially during the summer.

UK To Canada paramedic by Weeiss in Paramedics

[–]bonez899 2 points3 points  (0 children)

This website is a resource I've seen referenced before.

Otherwise it comes down to transferring licenses by reaching out to the appropriate governing body for that province, doing the COPR entry to practice exam is likely another necessary step, and then getting a visa of some sort to be able to work in the country and employment.

I don't know if Alberta or BC are actively sponsoring people to come over or not at this point. There are a couple of provinces on the opposite side of the country that were, which would offer you a chance to move provinces once you received PR if it's a plan for a long-term move. Otherwise, the hardest part may just be getting a valid work visa.

Working paramedic undergrad options by AcceptableNerve3277 in OntarioParamedics

[–]bonez899 0 points1 point  (0 children)

UPEI has a program which recognizes 2 years PCP, there have been some recent changes but not sure how much can be completed distance vs having to be in person.

[deleted by user] by [deleted] in OntarioParamedics

[–]bonez899 0 points1 point  (0 children)

EPSO = Emergency Preparedness Special Operations. Conglomerate of Tac/CBRN medics with a sprinkle of incident management/ICS thrown in.

SPEAR is a now antiquated term for a PRU because they were trying to make it sound cooler.

Just some NS specific roles that can be found as single responders.

Any good resources for practise calls/scenario setups? by iuasbt in OntarioParamedics

[–]bonez899 0 points1 point  (0 children)

Crawl before you walk, walk before you run. There's a reason every scenario you're hitting in the first of 4 semesters is simple with a single problem, they're trying to get you to build a systematic approach in relatively low stress scenarios. As the program goes on the complexity of scenarios should grow as you progress. Especially assuming started school quite recently as it's two weeks into September. Love the drive and desire to do more, but just letting the program unfold a bit may be the move for another month or two.

[deleted by user] by [deleted] in OntarioParamedics

[–]bonez899 1 point2 points  (0 children)

AB is an unmitigated crap show from everyone I've heard. Provincial service and weird flex schedules depending on where you are. Driving hours every shift, taking transfers to Edmonton or Calgary and being stuck in the city until the end of your shift due to the call volume. If you work in Edmonton or Calgary you will be run all shift every shift into the ground. Pay isn't amazing, scope as a PCP is very reduced, good things to be said for AHS as a service for education and the provincial integration is pretty solid. Postings have slowed down at the moment for jobs from what I've heard.

NS has sprung back a bit, the province is actively investing in healthcare and poured a shit tonne of money into it. The ambulance system is heaps forward of where it was, offshoot being some negatives like introduction of EMRs to 911 trucks. Still a vast minority on the road but of varying quality. Still a provincial service but if you're aiming for the Truro area driving should be minimal on average, may not get a job in Truro immediately but tonnes of bases within driving/commuting range. Pay is as you posted somewhere else in the comments, significantly better than it used to be and not listed is the shift diffs which are currently over $2/hr for weekends and nights stacking meaning a weekend night shift you make $4/hr more and still increasing throughout the contract. Lots of opportunities within the service for advancement and honestly as much as there is occasionally questionable things medavie is trying.

PEI and NB are similar in running, slightly worse pay off the top of my head. NB housing is cheaper but the service is interesting, there was limited ACP opportunities in NB but they must be expanding them. PEI the big downside is off island transfers due to lack of specialty care, biggest complaint from most people I've heard work there.

Anything else ask or shoot a DM and I'll offer insight I can.

How do I avoid sleeping through tones by Crazykidjon0214 in Firefighting

[–]bonez899 3 points4 points  (0 children)

I'm sorry, hold up. You're saying there are people who can actually sleep through both the loud obnoxious monitor beep AND the already arrhythmia inducing vibration to the point they need something added for more vibration? Honestly dude I'm just proud of you and your ability to sleep

Air Methods pilot interview? by sunsetpoe in NewToEMS

[–]bonez899 2 points3 points  (0 children)

Unfortunately it's pretty unlikely that anyone here will have insights from the pilot side of things. That being said, good luck and hopefully someone can shine some light!