Last On: 6:38AM, 19 Feb 13
Nicole Reino
  • Female
  • San Diego, CA
  • United States
  • Other
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Nicole Reino's Discussions

Patient Refusals
16 Replies

Does your agency review patient refusals?Continue

Started this discussion. Last reply by Nathan Stanaway Feb 26, 2013.

'I Want to Be Just Like You'
6 Replies

When kids approach you and say, "I want to be just like you when I grow up," what do you tell them about the EMS profession?Continue

Started this discussion. Last reply by Dana Neal May 3, 2013.

The Status of EMS
8 Replies

Will EMS ever hold nationwide status as a separate entity, but equal to law enforcement and fire/rescue?Continue

Started this discussion. Last reply by The Cannulator Jan 22, 2013.

The Most Difficult Call of Your Career

Recently a paramedic with Rural/Metro in Webster, N.Y., recalled what he considers to be the hardest call of his career: responding to two firefighters who were ambushed on Christmas Eve. Check out…Continue

Started Jan 14, 2013

 

Nicole Reino's Page

Latest Activity

Tyler Reinemann replied to Nicole Reino's discussion 'I Want to Be Just Like You'
"I tell them that it is one of the most rewarding jobs out there, but not that great of pay. If you are in it for the money, you are in the wrong profession. If you are a thrill seeker with a strong back, stomach, mind, and sense of humor, EMS is the…"
May 1, 2013
Nathan Stanaway replied to Nicole Reino's discussion Patient Refusals
" I dont usually realize it until I wonder why someone or something is unusually to annoying me!  :) http://youtu.be/0DxlOWVVQWE Im not advocating for reduction in work load!  Thats NOT in the future of EMS.   "
Feb 26, 2013
Chris Azevedo replied to Nicole Reino's discussion Patient Refusals
"It was your analogy, so I ran with it! .....Yeah!  We find ourselves discussing that one a lot, don't we?  LOL!  To get back to the thread, my jurisdiction reviews every refusal at the Field Supervisor level--every one of them.…"
Feb 25, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"I'm not sure the "combat soldier" analogy works for me.  Combat soldiers don't work shifts, and don't get days off.  There are very few EMS organizations where medics run from call to call with no down-time in…"
Feb 25, 2013
Chris Azevedo replied to Nicole Reino's discussion Patient Refusals
"You can.  It's called:  building a better machine that reduces the workload.   Even combat soldiers get fatigue and get pulled from the line.  During the battle, perhaps not.  But they do get pulled off the line and…"
Feb 24, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"Ones' mood surely can be influenced by lack of food.  But whether you're a medic on duty, or soldier in combat, or a cop on the beat, a pro will recognize when he or she is getting hypoglycemic and do something about it.  The…"
Feb 24, 2013
Nathan Stanaway replied to Nicole Reino's discussion Patient Refusals
"Im not saying that I think most people can be assumed to be generally lazy.  I do think many people are pretty lazy...  What I was getting at is that humans have feelings and emotions.  Some of those feeling will involve the desire to…"
Feb 23, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"I think probably both. There is something unique about some EMS providers.  Most people go to work, they expect to work through their shift, with perhaps a couple of breaks and a meal.  Some EMS folks seem to feel like "a call"…"
Feb 22, 2013
Nathan Stanaway replied to Nicole Reino's discussion Patient Refusals
"So are the errors made by those medics medical knowledge (training) failure or failure of compassion and moral / ethical values?  It seems what you're saying is that these cases come not from lack of education but from lack of good moral…"
Feb 22, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"Within reason, I agree with you.  The problem is that until the health-care system undergoes MAJOR changes, there is no alternative but the ED. What the research has shown is that medics do not make the right decisions when given the ability…"
Feb 21, 2013
Nathan Stanaway replied to Nicole Reino's discussion Patient Refusals
"I do agree that GEMS is in a unique position to provide this type of care.  I would also say that most agencies that are heavily supplemented by tax payer money, are also in a position to be able to provide this type of care.  I…"
Feb 21, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"The trick is "replicability."  You can do what Grady was doing when you own both the primary care capacity and the ambulance - but that is not the case most places.  The other questions that must be answered are…"
Feb 21, 2013
Nathan Stanaway replied to Nicole Reino's discussion Patient Refusals
"The model is already changing.  When I left GEMS in Atlanta we were already transporting some patients to clinics.   I can see this both ways.  Its good to have an example of an agency providing a model for improving care (like Wake…"
Feb 20, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"I don't disagree at all that the model needs to change.  However, we need to work in the current model, well, or nobody will trust us to do the new and better things going forward. Right now, as the system exists, there is NO ONE who must…"
Feb 20, 2013
Johnson Smithwood replied to Nicole Reino's discussion Patient Refusals
"Skip,  I'm surprised that you would not throw the caveat out there of "under the current model of care" in there, without exploring the opportunity for for EMS to better partner with heath care systems and payors to better access…"
Feb 19, 2013
Skip Kirkwood replied to Nicole Reino's discussion Patient Refusals
"More importantly - we have a philosophy and a policy that says that we will not discourage patients from being transported.  Any patient requesting transport will be transported."
Feb 19, 2013

Profile Information

Employer/Affiliation
Other
Primary Agency/Department Type
None
Primary Department/Agency Name
Elsevier Public Safety
Years in EMS/Public Safety
3

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Comment Wall (4 comments)

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At 11:41am on March 15, 2012, dharmendra kumar said…
the funniest symptom of a patient was ,he is having headache when he is in sleep..
At 3:03pm on March 10, 2012, Michael Lee Reisman Maj-Ret RNNP said…

Learn from my lesson. Esp about a handshake agreement covering a medical clinic in Las Vegas

Please check out my you tube it's only 5 mins long
At 5:18pm on March 9, 2012, Rob Lambert said…

Hello and welcome. I am a Paramedic from New York and would like to swap patches. Let me know if interested. Thanks, take care and be safe.
Rob

At 10:32pm on March 7, 2012, aaron said…

just came bye to say hi & be safe out there

 
 
 
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