Nicole Reino's Page

"I’ll tell them how to be a good human being not like me only. I’ll tell them the EMS profession is all about saving the lives of the people who are often depended upon the instant reaction and comprehensive care of emergency medical…"

"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…"

" 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.   "

"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.…"

"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…"

"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…"

"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…"

"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…"

"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"…"

"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…"

"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…"

"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…"

"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…"

"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…"

"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…"

"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…"