A Matter of Integrity - Patient Care - @ JEMS.com


A Matter of Integrity


 
 

From the September 2010 Issue | Tuesday, August 31, 2010


Matters of Common sense?
This month, Gregg Lord’s JEMS.com article on the recent suspensions of Massachusetts EMS providers over falsifying recertification documentation (“Massachusetts EMS Providers Violated Public’s Trust by Falsifying Credentials”) stirred a lot of discussion on personal integrity and continuing education (CE) programs. Also, many readers responded to a July 2010 JEMS panel discussion (“Experts Debate Paramedic Intubation: Should paramedics continue to intubate?”) that delved into whether paramedics should perform endotracheal intubation (ETI) in the field.

When I first became a paramedic in the 1980s, there was no recertification by continuing education. You had to pass a written and practical exam every three years. At the time, I felt it was unfair, as other professions (such as nursing) didn’t have the same requirement. Now, with the CE program (we follow NREMT, 72 hours every two years), I think it’s a fair system—if you honestly complete the requirements.

If you don’t think you’re getting anything out of CE, you’re either attending the wrong classes or you’re not taking your job seriously.
User Wvfdc640
Via JEMS.com

Not everything is black and white, but honesty and integrity are everything in EMS. I was once “asked” by billing at the ambulance service I worked for
to change a run sheet on a transfer to make the patient “unconscious” when he was sitting up and talking to me because insurance wouldn’t pay the $2,000 bill otherwise.

I refused and threatened to go to the state bureau of EMS. I know tons of people who renew their CPR card by getting an instructor to “sign off” on it.
User Mike Grill
Via JEMS.com

Airway Analysis
Thank you for that insightful and provocative discussion. Once again, JEMS proves itself to be at the forefront of bringing great information to the table. As a paramedic of 22 years with few ETI experiences, I’ve become a firm believer that, in urban settings, it’s a waste of valuable time to spend 20 minutes on scene trying to perform ETI when you’re five minutes to the closest ED. If the airway is patent, then use the bag-valve mask (BVM). If you can’t get the endotracheal tube in two tries, then go to a Combitube or King Airway. Common sense should tell you to stop wasting time and not let your patient suffer from anoxia; get to the hospital using the BVM to assist.

Thanks again for the intelligent discussion. I think you’re correct in stating that airway management will look very different in five years in EMS. I welcome the changes.
User EMSwife
Via JEMS.com

 This article originally appeared in the September 2010 issue of JEMS as “Letters.”

Read award winning articles in JEMS. Subscribe now!

Link Subscribe Now! to:
https://subscribe.jems.com/subnew.aspx?PC=JE
 




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Patient Care, Airway and Respiratory, RSI, Letters, King Airway, intubation, Gregg Lord, CE, Jems Letters

What's Your Take? Comment Now ...

Buyer's Guide Featured Companies

Featured Careers & Jobs in EMS

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Improving Survival from Cardiac Arrest Using ACD-CPR + ITD

Using active compression-decompression CPR with an ITD has been shown to improve 1-year survival from cardiac arrest by 33%.
More >

Multimedia Thumb

Philadelphia Fire Department Apologizes for Medic’s Jab at Police

Union head calls photos a slap in the face of officers.
Watch It >


Multimedia Thumb

D.C. Fire and EMS Crews Blame New Technology for Patient’s Death

Delayed response blamed on recurring dispatch problems.
Watch It >


Multimedia Thumb

Suspect Steals, Crashes Maryland Ambulance

One killed, others injured in Prince George’s County crash.
Watch It >


Multimedia Thumb

Tennessee Trench Rescue

Worker pulled from Roane County worksite.
More >


Multimedia Thumb

Time’s Ebola Firefighters

Doctors, nurses and others saluted for fighting virus.
More >


Multimedia Thumb

Car Strikes Manhattan Pedestrians

Seven people hurt when car jumps curb.
More >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


Multimedia Thumb

The AmbuBus®, Bus Stretcher Conversion Kit - EMS Today 2013

AmbuBus®, Bus Stretcher all-hazards preparedness & response tool
Watch It >


Multimedia Thumb

Braun Ambulances' EZ Door Forward

Helps to create a safer ambulance module.
Watch It >


More Product Videos >