vtach39680

Is it that they do not want to use greenburgh services or do they want the ability to have greater control of zoning laws in their area?

Trespassing? Unauthorized use of the emergency equipment / vehicles. Just guessing of course.

For the money being spent by Rye Brook they should just hire the 8 and staff 24 / 7

Sadly there is nothing in the NYS general municipal law that requires Emergency Medical Services. to persons in NYS for EMS to come out from behind the shroud of being the bastard 3rd service this is one of the first items that needs to be changed.

With the size of the building this would be housing more then just am-surg and administrative offices. I would bet they would be moving dr offices from 19 bradhurst to this new building

III) Vehicle Inspections: Inspections of emergency medical services vehicles may be conducted by representatives of the Department of Health anytime the vehicles are in service. For a vehicle to be considered Out of Service it should be in compliance with Department of Health Bureau of Emergency Medical Services Policy. a) Spot/Quick Check; Vehicle inspections may, at the discretion of the Department representative, consist of a Quick Check or a full vehicle inspection. The "Quick Check" attempts to verify twenty-four (24) items of the required equipment and supplies found in Part 800 of the State Health Code. These items are generally used to treat patients suffering from life threatening illness or injury. Any ambulance found missing these minimum standards may be removed from service, and a full vehicle inspection conducted. Complete Vehicle Inspection; Any vehicle operated by an ambulance service as an ambulance shall be required to be in complete compliance with the applicable sections of 10 NYCRR Part 800, unless otherwise authorized by the Commissioner pursuant to Part 800.25 or 800.27.

Is anyone actually positive that an inspection was being done? Is it possible that the DOH inspector stopped to offer assistance?

To be correct. Hatzohla, New Square, and Kiryas Joel all employee paid non Jewish staff for shabbos and the observed holidays

It would be very hard to write that policy. To many variables. Just some thoughts If you walk into a hospital are you automatically a patient? If the FD responds to an alarm is there automatically a fire? If the police respond to an accident is there automatically a summons? All documentation should clear and accurate but as with my first reply to this thread. Not every call we respond on yields a "Patient" rather just an individual or individuals

a individual is a patient when 1. the person requests medial assistance (direct request) 2. a 3rd party requests medical assistance for an individual at their request (informed request) 3. a 3rd party requests medical assistance for an individual who can not request on their own (unresponsive, altered,) (implied request)

Very good article on the subject http://m.jems.com/article/patient-care/nebulized-naloxone-safe-effective-treatm

This is in reference to the scenario listed above If a patient has spontaneous respirations narcan should be administered in Neb as it is a safe proven titrated dose that is easy to manage. In cases of the patient with no spontaneous respiration a a "rescue" dose of narcan should be delivered intranasal and ambu-bag As always good judgment should be used to decide if any medication should be given and what the effects any medications has both therapeutic and side effect And that is why if anything neb the narcan instead of intranasal it's proven to work, it's a titrated dose and easy to manage. But it is not protocol

No but the family of the person who is cardiac arrest might. And given that survival rates for cardiac arrest are not great (getting better). Looking and acting like a professional regardless of compensation goes along way in the overall delivery of care to both the patient and family

I feel it should be measured by the arrival of a certified crew and a transporting vechicle ambulance, speciality use ems vechicle

Right leg pocket 2 pair exam gloves, sm trauma shears in small of my back, note pad and pen in shirt pocket. Personal iphone front pant pocket work phone or radio on left hip