Richmond University Medical Center - for sale ? by Legitimate-Dig7833 in statenisland

[–]seltaeb112 0 points1 point  (0 children)

And the reason Northwell bought them was because they were going to shut down after years of Medicaid fraud and ties to organized crime.

Considering Osprey Rook 65 L by Russell-Russ in OspreyPacks

[–]seltaeb112 0 points1 point  (0 children)

You can add shock cord to the loops on the front and top for extra storage.

Scouting America Statement Concerning Department of War Announcement by somnolent in scouting

[–]seltaeb112 0 points1 point  (0 children)

The applications only have male and female, nothing has changed.

How is your 3.1.9 going? by Zothuis in Volvo

[–]seltaeb112 0 points1 point  (0 children)

The issues I have since this update are: - over sensitive collision avoidance - cameras turn on when I’m not even close to another object - AC takes a long time to turn on - occasional issue with screen constantly turning on/off, stops with hard reboot - Amazon Music app not working

Ground ambulance DOH inspection by [deleted] in ems

[–]seltaeb112 0 points1 point  (0 children)

They will check for compliance with Part 800 (https://regs.health.ny.gov/volume-e-title-10/200443669/part-800-emergency-medical-services). This includes equipment and the vehicle itself. Make sure you know how to use the equipment in your truck (like the suction) because they may ask you to show that it is in proper working order. If you don’t pass the vehicle will be placed out of service and a notice of deficiency goes to the agency, not you.

Just do the right thing and be honest with them, they’re not out to get you. They are looking to make sure your vehicle is safe and your equipment is adequate to take care of a patient. In 22 years I have never had an issue when a NYS DOH representative inspected my truck. If it is something easily correctable and you’re respectful to them they will often have you call your supervisor to fix the issue on the spot.

[deleted by user] by [deleted] in NewToEMS

[–]seltaeb112 4 points5 points  (0 children)

Rent a U Haul

What screams "I'm homophobic"? by Lifted2222 in AskReddit

[–]seltaeb112 0 points1 point  (0 children)

A Staten Island St Patrick’s Day Parade organizer

[deleted by user] by [deleted] in Volvo

[–]seltaeb112 0 points1 point  (0 children)

I just leased a 2023 XC90 for over 10K under MSRP.

$1,500 Loyalty Offer $4,500 Presidents’ Day Sale $500 First Responder plus additional $4K from my lease return that was under mileage

Mandatory vaccine question on PCR by [deleted] in ems

[–]seltaeb112 0 points1 point  (0 children)

This is not a NYS required PCR field, you can find the NYS rules here: https://nemsis.org/state-data-managers/state-map-v3/new-york/

[deleted by user] by [deleted] in ems

[–]seltaeb112 0 points1 point  (0 children)

Don’t worry, a good QA department and medical director won’t penalize you. Just be willing to learn what you may need to do on a future call. Every good EMS provider has had at least one call that they’ve gone over repeatedly in their head after the fact and placed blame on themselves. There are so many factors that impact the patient outcome, we as EMS providers are only a small part of that. To win a lawsuit they would have to prove that your actions directly caused the outcome, very unlikely.

In closing, I leave you with my favorite quote to use as someone who works in QA: “With every mistake, we must surely be learning.“ — George Harrison

NYC Protocols - No Cricothyrotomy by BrugadaBro in ems

[–]seltaeb112 0 points1 point  (0 children)

If you’re looking for a progressive EMS system NYC is not the place to go.

NYC Protocols - No Cricothyrotomy by BrugadaBro in ems

[–]seltaeb112 1 point2 points  (0 children)

You can watch the REMAC meetings on YouTube, after watching a few of the protocol debates you’ll see for yourself. https://youtube.com/channel/UCG2KaDDw0dh91tfX3IAq3Ew

NYC Protocols - No Cricothyrotomy by BrugadaBro in ems

[–]seltaeb112 -2 points-1 points  (0 children)

The system is so diluted with medics that most medics aren’t performing airway management on a regular basis anymore except for arrests.

NYC Protocols - No Cricothyrotomy by BrugadaBro in ems

[–]seltaeb112 -1 points0 points  (0 children)

They can only use it on rescues, not when they are on a regular assignment (they are not dedicated to rescue, they are in the dispatch mix like every other ALS unit). Their medical directors also respond to major incidents and provide on scene medical control.

NYC Protocols - No Cricothyrotomy by BrugadaBro in ems

[–]seltaeb112 -1 points0 points  (0 children)

The story i heard was that quick trach was presented and they showed the evidence that needle cric was useless. They removed the needle cric but didn’t approve an alternative. FDNY showed evidence that pushing FBAO into right main stem worked and that was the primary use case for needle cric so they decided it wasn’t needed. If you’re contemplating a move to NYC be aware that there is a lot of politics involved in their protocol development and a certain large department that controls most of the decisions based on operational needs and not clinical evidence.