[ResQ80]

Originally Posted by emsteach124

Flycar responds and the bus can respond as soon as they get a driver


Just make sure the driver is at least an EMT or higher. State law requires one EMT w/ the pt, so if the non-EMT driver gets flagged for a job en route to the original call, it's going to be a problem. The state has said the law can be widely interpreted that even though there's technically no pt on board while en route to the job, if you get flagged now you have a pt w/ no tech on board.

this is not true....the state requires either an EMT or higher to be on board or en route to meet the bus on scene:

1. If a voluntary ambulance service has a written response policy in place in which an EMT is allowed to respond directly to the scene from home or work, the ambulance may respond to the scene of the emergency even if an EMT is not on board.
2. If the EMT responding directly to the scene is delayed and the only other ambulance crew available are Certified First Responders (CFR), the CFR may begin care. It is acceptable to have a CFR as a part of an ambulance crew. The EMT assumes responsibility for care upon arriving at the scene.
3. If the EMT does not arrive at the scene and another service is immediately available with appropriate staffing, the patient should be transported by that service. If no other service is immediately available the patient should be transported. An intercept with an appropriately staffed ambulance or first response service should be sought while en route to the hospital.

EMT Staffing Standard for Voluntary Ambulance Services

[Dygear]

Originally Posted by ResQ80

EMT Staffing Standard for Voluntary Ambulance Services

And he provides a link to back up his information, I like this guy!

[emsteach124]

Not to get into a pissing match, but ResqQ80 does not address, nor does the state EMT Staffing Standard address, the point I raised in my last email.

Resq80 is correct in what he stated, and thanks for the link to the DOH policy. However, what I referred to was if/when the non-EMT staffed ambulance gets flagged on the way to an assignment. At that point, you have a patient. At that point, you then have NO EMT w/ the pt. That's what I was referring to, and that's where the state will take a broad approach to its interpretation of the Staffing Standard.

[emsteach124]

To take my point one step further...

Let's say you take a deparment vehicle to fire / EMT school. The vehicle has a Star of Life on it and a DOH sticker. You're not yet certified as an EMT. You get flagged for a job on your way to/from school. Techically, you're screwed. You're representing your 'employer', and you're in a marked vehicle. There is a belief in the public eye that you're a trained technician. You're not.

Again, you leave yourself and your department wide open for scrutiny and possible legal action.

[ResQ80]

Originally Posted by emsteach124

To take my point one step further...

Let's say you take a deparment vehicle to fire / EMT school. The vehicle has a Star of Life on it and a DOH sticker. You're not yet certified as an EMT. You get flagged for a job on your way to/from school. Techically, you're screwed. You're representing your 'employer', and you're in a marked vehicle. There is a belief in the public eye that you're a trained technician. You're not.

Again, you leave yourself and your department wide open for scrutiny and possible legal action.

if you are a CFR then begin care...if you aren't certified then you aren't screwed...just call it in and wait for certified medical personnel...there isn't anything wrong if you hold C-Spine and wait....just don't start any other care...

plus if you aren't in your district according to protocols you do not have a duty to act unless requested specifically by the department whose district you are in


if you are that worried about liability regarding driving DOH certified vehicles when you aren't certified I have two answers...either don't drive them or when flagged down call it in and wait for certified personnel to show up

[ResQ80]

Originally Posted by emsteach124

Not to get into a pissing match, but ResqQ80 does not address, nor does the state EMT Staffing Standard address, the point I raised in my last email.

Resq80 is correct in what he stated, and thanks for the link to the DOH policy. However, what I referred to was if/when the non-EMT staffed ambulance gets flagged on the way to an assignment. At that point, you have a patient. At that point, you then have NO EMT w/ the pt. That's what I was referring to, and that's where the state will take a broad approach to its interpretation of the Staffing Standard.

and to add to this scenario...then have your EMT responding to the first scene divert to the one you are flagged down at and M/A the original assignment...the DOH policy explains that if you don't have a certified person available then request it from another agency with one available or have a fully staffed ambulance respond in to transport one or both patients from either scene....

it really just wants you to roll the bus if you are allowed to by dept policies...if for some reason the EMT becomes unavailable request M/A and work off of that...

[PIKEPOLE454]

Getting back to the fly-car..I think the fly car is great idea especially in the winter. I live in a hilly district and since our fly car is a 4x4 rapid medical treatment can go a long way during a snow storm.

[Brian]

Quick Reply. If you are using a State Certified Vehicle and you are not a certified technician then put an OOS sign in the window