WAS967

What if the originating facility is an ER where the doc IS your OLMC physician? And originating facility MD orders DO have bearing in some cases. DNR is the perfect example. Are not the OMH rules mental health law or am I confusing the two?

Now as far as the cuffs, the protocols and mental health laws don't seem to allow the use of handcuffs as restraint. As PEMO3 mentioned, can they be used if the patient is placed in police custody/arrest (not sure of the LEO procedures for this). I personally would like to see better local protocols for the treatment of the emotionally disturbed. Nasal versed could be an option, but could also be complicated in someone who is toxicologically impaired. Haldol might be an option but I'm wary of going near a combative person (restrained or otherwise) with a needle for obvious reasons.

I'm talking about interfacility transports specifically getting a written prescription for PRN restraints. (See my original post). It is my belief and what I have been taught going back to my days at Abbey, that PRN restraint orders are "technically" illegal. Like I said, if I'm wrong, let's discuss it. That quote is from the Office of Mental Health, my bad. I'll go back and edit in the reference properly. I quoted that because as someone quoted from the DOH BLS protocols, restrains must be consistent with OMH guidelines.

Explanation on my statement is simple. Order for "PRN" restrains I believe is illegal. Either they are restrained or they are not. Hospitals who restrain patients have to renew the order on (I believe) a daily basis. Correct me if I am wrong as this has been my understanding for years and is the basis of a developing protocol/SOP in Westchester. EDIT: Found the following. It's a far shorter time frame than I thought. 2 Hours.

Here's a question for everyone. How many times have you been called for an EDP transport from a hospital to psychiatric facility and been given an Rx for Restraints PRN. Did you know that's illegal?

http://www.jems.com/article/news/private-equity-firm-buy-emerge

My employer I believe is in the process of remounting one of their Type III Modulars onto a new chassis. It's been out and in the process for several months however, so it doesn't seem like the process is very short time-wise. Tho I'm not akin the background process so who knows, maybe there is some atypical technicality that is holding it up at the factory.

Reminds me of CMTi.

Barry beat me to it. So what he said. Also classically, ambulance providers don't hold 911 contracts to make money off the 911 side, they make money off the transports out of the facilities in the 911 catchment area (nursing facilities, hospitals, etc). Any money made off the emergencies is usually a bonus. Link to RFP: http://www.cityofnewburgh-ny.gov/hom/docs/RFPforEmergencyGroundAmbulanceServices.pdf

Video in OP was pulled. Here's the original: http://www.wcnc.com/news/CMS-to-discuss-concerns-Monday-over-brawl-at-basketball-game-114867644.html

Talk to your instructor. They usually get a printout from the state with results well before you get results in the mail. Or at least they did years ago.

How does the Lucas interface with the LP15? Ie....what cabling does it use (or is wireless) and where does it attach/how does one control via the screen menus?

A few tips to keep in mind folks: 1) Turn on the heat in the back of your rig on the way to the call. I've been getting in a lot of ambulances lately and it's been almost as cold in the patient compartment as it is outside. The warmer it is in there, the quicker people will warm up when they come in from the cold. 2) When dealing with the elderly, make yourself sweat. Peel off your layers and keep the heat kicking. While you are sweating, they are most likely still only borderline comfortable. Especially after just being out in the frigid cold. 3) For the love of GOD - put blankets on your stretchers/stairchairs. PLEASE. A sheet ain't cutting it. Got one of the wool jammies? Great. If not, toss a few hospital blankets on there and don't be afraid to double up. 4) Cover feet and heads. A lot of people loose heat through their head. Give em the "Mother Theresa" look. 5) Consider storing a liter of fluid over the heater/blower in the front of the truck. I've felt fluids that were stored inside for a period of time still feel quite cold. Nothing makes a person's temperature drop like cold IV fluids. 6) Stock heat packs. Yeah a lot of people carry ice packs, but they don't do much good in the winter. Got a hypothermic patient? Pack the major arterial points and work on getting core temp back up. (Groin, armpits, neck, back of knees, inside elbows, etc - any places where arteries are close to the surface of the skin). You'd be surprised how quickly someone (especially the elderly) can drop their core body temperature one or two degrees, which can make a HUGE difference in different situations. Plan ahead, be proactive, protect your patient (and yourself). Stay warm out there.

According to the one link I saw, the ballots for the Transcare vote were due December 27th. Does anyone know he results? I'm guessing they weren't in favor of the union since IAEP didn't mention anything about it like they did after the last vote down?

Nice job/save. Stupid question tho. They said they were just approved by the region to carry the epi-pens? Haven't epi-pens been required equipment on ambulances and first response vehicles for some time now?

I like the wedding favor/centerpiece idea. Simple yet doesn't get too cheesy. The cake topper is always a nice touch as well. Any word on what the OP ended up doing for their wedding?

Dawn taught me my first CPR class shortly after I joined PCVAC back in late 1991. Chucky Booth was one of the other students in the class with me (I think we may have been the only two in fact). Her spirit will always live on in that corp. RIP Dawn.

Thank GOD they're only projections. 38k is only $18 an hour (based on a 40 hour work week). Now if that's for an EMT, that's pretty good for a lot of people outside of NYC. But for medics, that's awful.

The Excelsior program is the largest nursing program in the country. There are plenty of people that have taken it graduated to good jobs and it (the curriculum) has stood up to criticism in various states including Georgia. It's a good route for an experienced medic to take to become an RN. A brand new medic out of school might find the transition difficult to RN, but it's still doable. I'm currently taking my A&P through Excelsior (wanted to redo it anyways since it's been a while and they didn't accept my A&P from WCC for credit) and my one beef with it is that you kinda feel like you are on your own. They give you a course outline which basically boils down to "read the while book, do the workbook, take the test". The nice thing is it is completely self paced and you can work at your own speed for a lot of classes (I've been doing the A&P slowly over the course of the last year - been busy with a lot of stuff). If I were going to do ANY online class, it would be the excelsior one. TCN uses the Excelsior tests but I'm not sure what advantages they offer over Excelsior alone. Sounds annoying that they hound you so much however.

Date: 11/25/2010 Time: ???? Location: ???? Frequency: Units Operating: MFD, West Harrison FAST Weather Conditions: Clear & Cool Description Of Incident: Working structure fire. Reporters: WAS967 Writer: WAS967 60 Control dispatching West Harrison FAST to respond to Town of Mamaroneck for a working structure fire. PM with more details.

Date: 11/25/2010 Time: Today Location: 510 North State Road, Briarcliff Manor, NY - Billy's Auto Repair MAP Frequency: 46.26, Trunked Fire 12 Units Operating: Briarcliff FD, Ossining FD, Croton FAST, Briarcliff PD, Ossining Town PD, Con Ed, Weather Conditions: Clear & Cool Description Of Incident: Structure Fire in a commercial structure - auto repair shop. Reporters: WAS967 Writer: WAS967 PM with details and I'll add em. 0433 - Pleasantville and Archville requested for 1 engine each to standby in their own quarters.

http://www.firerescue1.com/fire-news/244700-hows-this-for-a-hess-truck/

It's called the Electronic Freedom Foundation. EMTCity should look into contacting them.

It was about the MLSS station in Poughkeepsie. Article in Pojo. Pretty sure it posted.

This is why I doubt the Sloper one still exists. My understanding of the CON process is that it's a "use it or loose" it situation. I assume that since the Sloper one was never transferred that it was either dissolved or revoked by the state. As someone mentioned, they weren't really intended to be used as a commodity, and even moreso, I doubt the state would allow an avenue to exist whereas an entity could buy/possess EVERY commercial CON for an area thus creating a monopoly.