Pennsylvania EMS Providers

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Pennsylvania EMS Providers

Place for Pennsylvania EMS providers to meet and discuss issues important to the provider.

Location: Williamsport, Pennsylvania
Members: 267
Latest Activity: Jun 27, 2016

EMS Discussion Forum

QA/QI Process

Started by Kristin Burke Feb 7, 2011.

EMS RESOLUTION FOR 2011

Started by John W. Magyar Jan 6, 2011.

EMS Workplace Survey

Started by Brian Levinsky Jun 15, 2010.

new to philly 1 Reply

Last reply by Kevin Carey Apr 11, 2010.

10 Most Critical Problems Facing EMS Today 8 Replies

Last reply by Gayle Helton Apr 10, 2010.

Who Legally is Aloud to Make the Call? 7 Replies

Last reply by antonio craig Nov 1, 2009.

New Ambulance Service in York County Provides Better Care and Coverage 1 Reply

Last reply by blair4630 Oct 22, 2009.

The New EMSTAT 9 Replies

Last reply by Michael Hulsizer Jun 2, 2009.

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Comment Wall

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Comment by John W. Magyar on April 9, 2009 at 1:17pm
Hey, is everyone asleep out there? Whats on your mind? Whats new? Is Facebook
replacing Jem-connect?
I have a few things to share that you may not know.
1. Amb. Assn . of Pa. now has "Individual" memberships available. Go to www.aa-pa.org/ and check it out.
2. May is the deadline for "Red Flag Rule" to go into effect. If you are not prepared, go to http://www.pwwemslaw.com/content.aspx?id=384
3. Summer is just around the corner. Get your AC's checked so you're ready for some hot weather.
4. Does everyone have their new crew safety vests on board for highway incidents?
5. Are all your "summer" supplies & equipment up to date and functional? ie) eppi-pens, cold packs etc.
Have a safe spring and summer. John
Comment by John W. Magyar on March 29, 2009 at 4:33pm
John, I want everyone to be safe and go home at the end of their shift also. I just think the state and fed. govts. pass too many rules and regs. sometimes that goes way beyond the financial capabilities of most services. Most everyone has safety and infection control officers and if not, shame on them. But, when the feds and state pay 6% and 56% respectively less than cost to operate for EMS for Medicare and Medicaid pts., I have a big problem with that. Unfunded mandates just add to our problems. When our legislators passed the stimulus bill without even reading it and then voting on it several days later, I have to wonder about that, especially when there were almost 9,000 Pork projects included in the bill as "riders" to the legislation. I really don't trust our govts. to run or make rules, regs etc. for EMS after seeing their screwups with Fanny, Freddie, AIG, Madeoff etc. Where was the oversight, accountability and transperancy then and where is it now? Last year, the gov. of Pa. passed a law giving responsibility for EMS to local boroughs and twnpshps. Thats a huge responsibility to place on elected officials who for the most part know little to nothing about EMS. We provided a workshop in Dec. to advise our county elected officials of the laws and their new responsibilities. One comment was, "We have a hard enough time filling potholes in the roads much less deal with something we know nothing about". "What are we supposed to do now?" I guess that just about says it all. We in EMS are left with more compounded problems now as we have to guide the elected officials in their quest to fulfill their legal responsibilities. Its getting frustrating with no end in sight except more and more EMS people are leaving and our manpower problem is getting worse.
Comment by John Fekety on March 18, 2009 at 11:02am
In his post about the OSHA ALERT, John Magyar said, "The day is coming where all services/depts. will need a specialist to deal with all the legal compliance issues being forced upon our industry by state and federal governments. " This is something that has already been addressed by most industries - they have a safety officer. The volunteer fire departments with which I have been associated with have had safety officers. Why is it such a stretch of the imagination that EMS agencies should need a person to fulfill this role? I guess we could look at how well we take care of ourselves - nobody is overweight, we all eat wel balanced meals, exercise regularly - so I am sure that each of us are more than capable of ensuring our individual safety. I am glad that the days of the employer being satisfied with an "attempt" to comply with laws concerning my safety are gone. We only have to look around at other occupations to see the deaths and injuries that occur when employee safety dependent upon an employer's attempt to meet basic safety standards. Look at the line of duty deaths of our comrades in the fire service and you will see how many of those deaths can be attributed to failure to comply with safety measures. So, I will be greatful when there is a person in every agency who assigned to keep up with the various laws and regulations to make sure that at the end of the day I go home in the same condition that I was when I reported for duty.
Comment by John W. Magyar on March 13, 2009 at 4:20am
OSHA ALERT !!! I just attened the Lycoming Cty. EMS Council mtg. this evening. It was reported that OSHA has been in our area recently inspecting EMS Services. A list of the most common violations found was provided to council members. Some of the violations discovered were minor and others were considered to be serious violations with significant fines. Although Pa. is not an OSHA state, we are still required to comply with federal OSHA laws. Gone are the days of just doing your best and being satisfied with your "attempt" to comply with the laws. One major issue is infection control. Make sure your dept./service has an infection control manual on site. If you do not have one, get one immediately. Another issue is record keeping and immunizations for your staff. Contact your local EMS Council for assistance. Another matter of concern is annual infection control training for your staff. Make sure you document all training. Has all of your staff been properly trained on the use of fire extingusihers? Is it documented? Do you have the required number of fire extinguishers on your trucks in proper locations with quick release brackets? Be proactive and don't get caught with your pants down. EMS is getting more complicated and regulated every day. The day is coming where all services/depts. will need a specialist to deal with all the legal compliance issues being forced upon our industry by state and federal governments. My question is, who is going to pay for it and how many services will go out of business because they just don't have the time, resources and manpower to keep up with all the buracracy? While govts. aspire to make laws and regulations for the good of the public, who suffers in the end when we don't have enough services and trained manpower to properly serve our communities?
Comment by Ken Roberts on March 4, 2009 at 12:36pm
That is a great point......... training is everything. Give an EMT-B the training that they require to utilize advanced airway equipment, monitoring devices, trouble shooting capabilities and the adequate A&P background and this will become a great idea. Maybe we can call them PARAMEDICS!
Comment by Sarah Tusing on March 4, 2009 at 11:01am
Well, I know quite a few medics I wouldn't let any where near me even for a taxi ride. Again, it comes down to training which I stated is the key to everything!
Comment by John W. Magyar on March 4, 2009 at 11:00am
Its good to see so many comments on our wall and I'm glad to see this information sharred between so many different sources. I sense alot of frustration about where we are and where EMS seems to be heading in the future. To think about all the problems we face in EMS for more than 5 minutes gives me a severe headache and retirement looks better every day. Oh wait, who's going to take care of me when I need EMS? Guess retirement isn't an option in the near future afterall.
Here's my final take on all this. Those of us who have made EMS a career need to rethink how we manage our problems and our stress. We can either become victims of the system that governs us or we can become actively involved in the solutions. Unfortunately, its a long and difficult trip. Major policies and laws don't change overnight. There is no immediate gratification like we sometimes get in the field. Our system has become complicated and difficult but it doesn't have to be overwhelming. When problems arise that we can't immediately fix, take a deep breath and figure out a way to solve it or think of something you can do to contribute to the solution. Become active in organizations to promote change and stay involved. If nothing else, do your best in your own little corner of the world to promote better EMS from the ground up. Change always has to start somewhere so why not with you? Keep yourself healthy mentally and physically and do your best. Nobody can ask for more.
Be safe out there and thank you for all you do. John
Comment by Matt MacGregor on March 4, 2009 at 9:13am
Ken, I have to agree with you. Way back when, my paramedic instructor told all of us at the beginning of class that he could teach monkies to start IV's, the difference with us was knowing when to use them. There are a few EMT's out there that I would have no problem with letting them use the King LT, however they are the minority. For those of you that remember the first "Emergency" episode, the good doctor Brackett made the comment "Gentlemen, this in no aspirin."
Comment by Ken Roberts on March 4, 2009 at 8:54am
You can train a monkey how to shove a king airway in someone. What you can't teach the sixth grader is how to look at 100 people and choose correctly the ones that should recieve it and the ones who should not and what problems to look for or how to properly trouble shoot them. I would like to know when BLS is going to get waveform capnography to go along with them so that they can be held to the same standards as Paramedics? I'm sorry but janitor one day and two weeks later you are going to want to blindly shove an airway down my esophagus and not have any real background as to what you are doing to my A&P or why.... I don't think so! I'll call a taxi. Goodby Paramedics, here comes W### and K#### SUPER EMT!
Comment by Sarah Tusing on March 3, 2009 at 9:41pm
A class of sixth graders was instructed in the use of King Airways and had a 100% success rate. I think EMT-B's can be trained also. In the suburbs of Pittsburgh, it's rare to have to wait more than 10 or 15 minutes for a medic assist. I hear that's not how it is in the middle of the state and should be especially benificial to them. Basic airway techniques tend to cause air in the belly. Personally having a small hand, I find one man BVM to be difficult to maintain a seal bouncing down our lovely Penn-DOt roads. I definately have better succes at IV's and intubations when moving with compressions being done than BVM sitting on scene! I think it is a great tool and see no problem with EMT-B's having that skill set so long as they are provided the training. Training is always the key for every skill at any level!!
 

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