Homepage / Uncategorized / BLS Fire Officer or Paramedic - Who Makes Scene Decisions?
I Heard You, She Heard You, the Baby Heard You Is there a Doctor on board? the Crossover Podcast – Ep 111 – Paramedic Perv Reporter Unclear of Aircraft EMS Operations The new rigs are here! the Crossover Show – Ep 110 – Do You Poop Where You Eat? What to do for an allergic reaction…or not The Last Shift of the Lost Cause The Crossover Show – ep 109 – Is that Cocaine or Anthrax? How to respond when your spouse tells you to be safe at work Always, In Service – EMS Week 2017 Lost Cause gets cocky FDIC 2017 – Structural Response to Aviation Incidents: Engine Company Operations I Got Lost Going to a Call – So I made sure everyone knew about it Crossover Podcast Ep 102 Mrs Happy Medic and Mike the Cop Arby’s Roast Beef Ad angers EMTs, not sure why Strippers and Cocaine watch – 2017 Seizures! Seizures Everywhere! Nothing is certain except death and taxes. I can help you with both What to do when the powers that be – just can’t. Episode 99 the Crossover Ep 98 – Off Duty and Fancy Free NO is Never Easy to Hear Ohio Cop vs Ambulance Crew Member on Video – Crossover Show Investigates! An MCI With Wings: Aviation Incidents EMS Today 2017 First in Ambulance MCI at EMS Today 2017 Crossover Show Learns How to Take a Joke To Haul or Not to Haul – Should the Complexity of a Refusal Influence Transport? Crossover Show – Ep 91 – ACLU cameras Tip of the Helmet – Bj’s Brewhouse the Crossover Show – Episode Eighty Eight Eminence Based Medicine If You Don’t Give Him Insulin He’s Going to Die Lost Cause Strikes Again the Crossover Podcast – Ep 85 – Florida Cry Baby “I Can’t Breathe!” you keep using those words… the Crossover Show – 84 – TN Bus Crash Happy 150th Anniversary San Francisco Fire Department! Thank You For Your Service? A Complete Secondary Assessment the Crossover Episode 81 – Let’s Talk Politics! Aircraft skids off runway, rescue task force ill equipped Crossover Show – Ep 79 – Do we need so much active shooter training? How to Ignore Everyone in the Room: Be an Intern Your Meme is Bad and You’re Not One of Us Anymore Goodbye tarps, I never loved you The Crossover Episode 76 – Flashback to the Beginning You found me how? Less CSI, More Columbo EMS Festival Standby – You can’t just park a car there the Crossover Show Ep 72 – Florida EMT photo game A&O vs able to make decisions Kilted to Kick Cancer Cops vs Firemen Writer calls for Medics to risk more in shootings, misses the target What’s with the French? the Crossover – Ep 69 – Twelve Ninety Désolé the Crossover Show – Ep 67 – Traffic Stops and Profiling Actually, Officer, No. It Really isn’t that hard to try When Patients Don’t Play by the Old Rules Letters in the File – Oklaloosa Selfies the Crossover Podcast – Ep 64 – Turning Passion into Retirement Why Pokemon GO is so much like EMS Us Against Us Apathy is worse than absence So Now I’m Back! Changes are a-comin’ The Sounds of Silence I know that feel, Bro TCS – Ep 59 – SHOOT HIM! CISD with OK GO part VI the Crossover – Ep 56 – Rooms for Shooting the Ballad of Big Dave the Crossover Episode 55 – Text me Bro Why vs How and Book vs Street A Mother’s Day Crossover Show Dear Valencia County Fire Chiefs Dear Random Township Fire Department at FDIC the Crossover Show – ep 50 – Revenge of the Vine Stars Strippers and Cocaine need your help Educational Standards in EMS Engine Company First Strike MCI – FDIC 2016 the Crossover Show – Ep 48 – What’s in your feed? Washing the Chief’s Car What Should I Do With This Knife? – The Crossover Ep 46 Firefighter Jokes Medical/Legal Advice, Google Style the Crossover Show – Episode 45 – Cop Vines and the Cajun John Wayne You Make the Call ebook Now Available To the Intern Who Froze the Crossover Show – Episode 44 – Day of Remembrance New at Uniform Stories – Raising Revenue BLS Fire Officer or Paramedic – Who Makes Scene Decisions? the Crossover Show – Episode 43 – Viewer Questions Why Budgeting Matters – Our Plumbing Nightmare the Crossover Show – Episode 42 – Protesting a Rally with a March DC FEMS MD Quits, calls FD Leadership “Toxic” the Crossover Show – Episode 41 – America Ball The more things change…

Uncategorized

BLS Fire Officer or Paramedic – Who Makes Scene Decisions?

The answer to this is quite simple, really, so long as you are on the 99 of 100 EMS runs being tended to by a BLS Engine (That’s for stopping the clock and bringing an AED to an asthma call) and an ALS ambulance.  In those unrare and remarkably common cases the Paramedic, the highest license there, is responsible for assessment, treatment, reassessment and the decision to transport or seek alternate methods of conclusion.

 

All too often, as you and I know, the BLS Fire Officer likes to get involved and use their rank at the scene to try to force a conclusion.  This is usually in the case of a patient who the BLS team thinks needs a hospital (They are most notably horrible at this determination) yet the ALS team seems to be leaning towards a referral or refusal.

In the BLS team’s defense, the ALS team is not very good at determining patients who will be ADMITTED to hospital, but as the responsibility of care falls onto the shoulders of the Paramedic at the scene, it should be no surprise when said Paramedic chooses to defend the patient from the BLS Fire Officer.

This is when voices get raised and patient care suffers.

 

I was asked by an EMT in my system if any patient care scenarios or MCI questions were on the Fire Officer exam in our Department.  After I wiped the tears from my eyes and stopped laughing hysterically, I had to wonder:

If 80% of what they do isn’t even considered a skill to be tested for promotion, where do our priorities lie?

Perhaps that is part of the reason for the rift?  We train our officers to be managers of engine companies, then forget to train them up on EMS runs, I guess assuming that their experience watching Paramedics make decisions will serve well enough.

Well, friends, we all know that sure isn’t happening.

So what’s the solution?  We can’t shout “Third Service” in the living room of Mrs Fishbuscuit when the BLS team is telling her to goto the ER “to get checked out, it could be a stroke” because a scary dream woke her up.

We need to bring these events to the attention of the administration.  Not as a “write up” or “complaint” but as a concern.  If the BLS team makes a mistake and I try to tell the state “But the Fire Officer out ranks me, HE made the decision!” they’ll take my license just as quickly.

 

Ask the training folks what training officers receive regarding EMS or MCI response.  Ask that they offer a course and, if they hesitate, offer to teach it.  Be part of the solution or get used to dealing with the problem.

And the best way to handle a BLS team not co-operating?  Cancel them on the radio.  While they’re in the room.

Related posts:

Post a Comment

Your email address will not be published. Required fields are marked *

*