Their are options to being in an ambulance for many medics, in my mind the ideal location is any hospital emergency room. The issue in my area, (new Orleans) and surrounding areas seem to be in finding a balance of responsibilities within the Paramedic scope of practice. I have heard and seen in both directions extremes that put medics and RN's up against each other instead of side by side as a team. For instance, I recently had a conversation with a RN who just transferred from Texas and she stated she was board out of her mind because the Paramedics did everything, she had to sneak and do IV's. In my experiences here its the exact opposite, RN's seem to look down there nose at medics and the few hospitals that do have Paramedics on staff in their ER belittle them and have them doing task that could be performed by any EMT-Basic.
To combat this I have been volunteering a a local non-profit hospitals ER and in deep discussion with their ER director and nursing manager to bring medics in. They surprisingly stated its been a topic of discussion for a long time and I am happy to report a job description and salary range package is being presented soon.
I will update this forum with any further progress when it becomes available.
Thank you for taking the time to read this post.
Well put Michele, as a team in the ER will be most beneficial to all. Education of all involved as well as a healthy dose of respect between the staff and the incoming medic is vital. In the field I have served my community as a critical care transport medic for the last 4 years and have become very confident in my abilities. I have found it important to really go into this with an open mind and a lot of patients. There is a great difference between pre hospital care by one medic and in hospital performed by a team of people. I just hope there are other medics willing to swallow some pride and take advantage of the learning opportunity. I have learned so much in the last two months all of witch will help me in the field.
I must admit, i plan on going full time in the ER but I have to pick up a few shifts on a unit, I do miss it.
As I said before as soon as I have more details here I will publish it. Thank you for your insightful reply.
Had a productive meeting yesterday with the medical director, he agreed to start a pilot program for Paramedics in this ER, all of my hours volunteering is about to pay off for myself and a few medics in the future. The most exciting part about this is the duties of this position. The Paramedic is going to be working side by side with both the nursing staff and the doctors performing some of each duties withing the Paramedic scope of practice, such as, IV starts, blood draws for labs, and splinting, along with common ER stuff like moving patients.
The next few months will get all the specific details worked out so future medics can come in and know exactly what is expected of them.
It has taken some time and effort along with a positive attitude to pull this off, it is going to be of great benefit to patient care and the entire ER team. Hopefully soon this facility will be a model of how well medics in the er can work and it will open up more opportunities nation wide.
I'd like to hear from others that have experience with medics in their ER departments as to what there duties are and how things are going, add in what improvements you think could be made to get things to work better.
As always thank you for reading and I look forward to getting some responses that can help benefit everyone involved.
Chad, thank you very much for your reply, that is exactly the info I am looking for while putting this all together. Full scope Paramedic is the ultimate goal, cudo's to that facility for stepping up. I am sure they quickly saw benefits by having them staffed. As for others around the ER slacking off I can see that will have to be kept in check, I've already heard the comment " great you can do all my IV's". Thank you again and I may be In touch in the future.
Chad M Morey said:
Allen, I worked as a Medic in the ED at Cape Fear Valley Hospital in Fayetteville, NC. It was quite the adventure to say the least. However, there were a lot of downfalls to it. There was some good things though. I did get to learn a lot more on treatments for patients. To me it was a clinical experience that I got paid for rather than doing it for free. The pros first then I will go into the cons. Pros: Constant learning, IV skill proficiency, Intubation skill proficiency, Cardiac Arrest codes, traumatic codes, Stroke treatments. The biggest pro is the constant learning. The Cons that I encountered there were not the greatest. Cons: Nursing administration kept dragging their feet about expanding the ED Paramedic scope of practice. The ED Medics were only limited to ACLS and PALS drug use only in Code situations in the Resus room(trauma bay). If we were on the regular floor then we could not administer ANY drugs! Not even something as simple as tylenol. The nurses got really lazy when it came to a lot of things that they did not want to do. Thats where the IV skill proficiency came in. Sometimes there would only be 2-3 medics per shift and we had to cover a 72 bed ED, including triage and the resus room. We would do all the monitored transports to the floor except ICU patient. We could not mess with critical drips, blood, or anything that had to be hung(but yet we know how to and are used to it from the field). New Hanover ER in Wilmington, NC has medics in the ED as well and they actually give them a patient load and allow them full scope, with a nurse to back them of course but they are fairly independent. I think that if medics are going to work in the ED then allow them to go to full scope and do what they are trained to do. They(we) are very useful and can be a huge asset if used correctly. I will be glad to give you anymore details, or even come to where you are and speak with your organization to help sell it more. If you have any questions you can email me email@example.com
I would try to find some people in Florida to ask about this. I just toured 6 ER's throughout the state and they all had a large complement of Paramedics. I'm not sure what their scope is but they seem to be all over the place.
Hello my name is Taylor Houben. I am a grade 12 I am very interested in the Ambulance Service. I am currently doing a school project on the Ambulance Service and I am wondering if by any chance if you had a spare or extra Ambulance Service Uniform Patch or something from the Ambulance Service Possibly?
Please Message me Back On Here Or at me Email: Hospitalems@hotmail.com
Respectfully yours Taylor Houben