WAS967

Because an RMA is for patients. If they don't meet any of the aforementioned criteria of being a "patient" then there is no RMA to be done, plain and simple. If your agency has a policy that you do an RMA on everyone regardless, then so be it....RMA everyone. And the resulting report with names and DOBs is hardly half-assed. If it goes to court and they ask why I didn't assess their client I have documentation saying I made contact with them and they denied injury. Fact of the matter is, you can get sued for anything now-a-days. But I'm not going to start forcing people with no injuries to go through a long drawn out process (often in the cold because no ambulance can get there in a reasonable time) of an RMA when none is needed. If you pull up to a fender bender and everyone says they are okay and just need a police report, are they now patients? My report would show the same and just shows that an effort was made to ensure that everyone was okay and that medical care was offered and they declined. Unlike some providers I have seen who don't even bother to get out of the truck.

The policy of your primary agency stipulates that a person is a patient if any of these three items are met: 1) The person requested medical assistance. (Either directly or indirectly) 2) The person appears ill or injured (subject to good clinical judgement). 3) There is a mechanism of injury that raises enough suspicion in the providers mind that injury could result (this obviously is open to large amount of interpretation). Out of sheer CYA, if I roll up on an MVC that involves 6 parties and all of them state they are okay, I grab names and DOBs so that if later on down the road someone turns around and claims I never offered them assistance I have it documented that I made contact with all involved and they denied injury at that time.

It was also mentioned in Mike's recent SEMO/SEMAC notes that Intubation is STILL in the NYS AEMT curriculum. "While not included in the National EMS Educational Standards, ET was included in the NY AEMT curriculum, apparently a holdover from the EMT-Intermediate level of care. This revelation both surprised and perplexed those at the meeting. Several regions have not include intubation in their AEMT protocols; the Bureau maintains that material in a curriculum must be taught and tested, regardless of regional authorizations of practice."

IF you read the NY Post article it says at the end that the patient was transported by an ambulette. The luxury ambulance wasnt even involved.

Kinda makes you wonder.....if YOUR local dispatch center is disabled, what backups can you failover to?

I actually got your point. I was being a smart ass. Note the winkey. Wasn't there legislation in the works in Albany to fix that?

Company I used to work for was based in CT. Had a CON for NY. Sent an ambulance to NY with a CT plate. Someone complained. NYS DOH told them to go squat and that if the company wanted to, they could sue. So no, you don't have to be NY Registered/Tagged to be NYS DOH certified. Reverse case however I think is not correct. For CT as an example. NY Based agency operates several units in CT. I believe in order for them to get their CT trucks certed in CT they had to get CT registrations/tags. The CT certification process is far more annoying than NY IMHO. You not only have to prove need (similar to a CON) on an agency basis, but on a per UNIT basis. Said agency only had one truck certified for CT and was regularly pulling the NY truck from over into CT for 911 jobs. Someone in CT got their panties in a pinch and complained so the agency had to petition for an additional certified CT truck with CT EMS. Gotta love those political hoops.

Actually, they don't have to carry band-aids. It's not part 800.

So nobody here knows why MLSS was there. Got it.

Wedge nailed it. Charlie will be sorely missed by all who EVER worked with him.

So I was watching news 12 just now and either they were using old news footage and making it look like it was live or my eyes doth did just see a MLSS box ambulance in New Rochelle as part of the Presidential motorcade. Yes/No/Maybe/None-of-the-above?

Too bad Physio doesn't have a monitor the size of the LP20 that we can use in the field. The LP12/15 is heavy compared to what I would expect in this day of electronic miniaturization.

There are agencies still using LP10s? Can they be retrofitted to be biphasic? I'd love to play with a Zoll X series. I've heard so many good things. The idea of something lighter than the boat anchor of an LP15 seems a huge plus.

To the best of my knowledge: WEMS IS a private ambulance service but unlike MLSS/Transcare/etc WEMS is a not-for-profit organization. Just like any of the hospitals that participate in the Stellaris Network (also not-for-profit), WEMS can accept donations (tax deductible for the donor) of equipment, funds, and (wo)manpower. Regardless, there is nothing that says you can't give money or equipment to a FOR PROFIT company. It's just not as advantageous however since it's not generally tax deductible.

Date: 12/3/2013 Time: Now Incident Type: Chimney Fire with Extension into the structure Location: 386 Dogtail Corners Rd, Dover, NY MAP District: Dover (Dutchess County), NY Units: 36-12, 36-13, 36-45, 36-71, 54-14, 54-31, Wassaic 31, Gaylordsville and Sherman Tankers, Description: Initially reported as a chimney fire. Upgraded to second alarm of fire. 0434 - Fire appears to be knocked down. 0435 - Cutting exterior, checking for extension.