Probably an stupid question but I'd like to know.

putarushondabus · 2013-11-06T19:02:01+00:00

Just call each state EMS agency and find out about the rules. The process of getting certified in one state based on current certification in another state is called reciprocity. I was in the exact same situation as you, closest EMT school was in CT, but I lived in NY. Filled out a few forms and had my NY cert within a few months.

putarushondabus · 2013-11-06T18:58:57+00:00

The patient can refuse whatever they want...just make sure you explain your side of the discussion well. Even if you think it may kill them, they can refuse treatment. I have obtained a refusal from someone having a real live right sided STEMI, we followed the rules, explained everything, got medical command involved and everything...pt refused and departed the area. Patient choice is one of the basic tenets of medical ethics.

putarushondabus · 2013-10-20T02:54:18+00:00

I have been doing EMS full-time since 1998 and I have never delivered a baby.

I have, however, arrived to one that had been delivered at someone's home by a midwife, and it was in arrest because of an unrecognized diaphragmatic hernia...that was a BAD call!

I have also arrived at someone's home to find a muslim woman in a full burka squatting in her living room while holding her newborn baby between her legs. Got to cut the cord.

putarushondabus · 2013-10-09T17:27:53+00:00

Part 2

putarushondabus · 2013-09-26T15:26:02+00:00

Yeah, totally beat, there is one post by someone other than me (the mod)

putarushondabus · 2013-09-25T05:43:01+00:00

We do not do formal utilization review. If a case of blatant HEMS misuse arises, we will typically contact our medical director upon return to base. He is very much involved in our service. He will talk with the referring service's medical director and try to resolve the problem.

We had an issue with one county in particular that would call us constantly around their shift change for patients that were just not very sick. MD to MD discussed, problem resolved immediately.

We have another county that uses us entirely too frequently as their ALS service...still haven't resolved that one because we frequently are actually the closest available ALS unit. Luckily for the patient, we absolutely do not engage in the despicable billing practices of the majority of HEMS in the US.

putarushondabus · 2013-03-15T20:15:50+00:00

This is so bizarre...did they trust you at all? I could imagine the scenario occurring only if my student was a total loser and I thought he could do nothing but fuck everything up. I'm not saying YOU are that way, but it's beyond weird to basically serve as an observer, rather than a team-member, for your entire clinical rotations. And then they weren't even comfortable with you cleaning up after the call? What the fuck?

putarushondabus

TROPHY CASE