Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 I agree with you on this Henry Brett Coghlan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 I agree with you on this Henry Brett Coghlan Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 I understand that Texas has gone to NR as the initial test for certification. But why is it we have to pay for TX certificaions? If the State is useing NR then why do we still have to apply for and pay for a Texas certification. It seems like double dipping. And most places here in Texas still want you TX certified above and beyond NR. Does it seem weird to anyone besides me? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 It is all about MONEY. Texas should not have gone National Registry in the first place. Texas should have allocated resources to maintain and deliver our own testing system. National Registry simply causes more cost to EMS providers and personnel for no additional services or product. TDH has allowed this to happen knowing full well that the adversely affected will be the providers and personnel. What can be done about this. Nothing. Henry Barber turnbow31 wrote: > I understand that Texas has gone to NR as the initial test for > certification. But why is it we have to pay for TX certificaions? If > the State is useing NR then why do we still have to apply for and > pay for a Texas certification. It seems like double dipping. And > most places here in Texas still want you TX certified above and > beyond NR. Does it seem weird to anyone besides me? > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 It is all about MONEY. Texas should not have gone National Registry in the first place. Texas should have allocated resources to maintain and deliver our own testing system. National Registry simply causes more cost to EMS providers and personnel for no additional services or product. TDH has allowed this to happen knowing full well that the adversely affected will be the providers and personnel. What can be done about this. Nothing. Henry Barber turnbow31 wrote: > I understand that Texas has gone to NR as the initial test for > certification. But why is it we have to pay for TX certificaions? If > the State is useing NR then why do we still have to apply for and > pay for a Texas certification. It seems like double dipping. And > most places here in Texas still want you TX certified above and > beyond NR. Does it seem weird to anyone besides me? > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 It's about having a STANDARD body of knowledge, and having standard acceptance criteria for the level of certification. The feds got us part way there with the national standard curriculum. Now we need get on board with the standard certification process. A question for those that know. Is there a requirement that the State get involved in this? Is it legally and professionally acceptable for the State to just pass a law that says, in essence, " if you are Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P in Texas " , and not issue certs, patches, or any of the above? Then there'd be no need for a lot of the expensive duplication (you'd still need enforcement and management of those practicing I guess). And then, what would become of our LPs, who don't have a national equivalent? =Steve= Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 28, 2003 Report Share Posted May 28, 2003 There is a national equivalent to the " TxEMT-Licensed Paramedic " . It's called the " NREMT-Paramedic " . There is no occupational difference between the two and the " license " is also granted to certified paramedics in the State of Texas. The only differences are the patch and the fees. Being new to Texas, I never did understand the reason for doing this, but upon investigation, I found that it was to encourage EMS providers to finish a degree program so as to increase the " intellect " of our EMS community. I still don't understand it. I just don't see any difference in Schadone, B.S. EMT-P to Schadone, B.S. EMT-LP. But, it seemed to do something, I guess. But, being on the topic, I feel that we could do away with testing as a whole. Hold the National Registry as a Nationally Recognized Accrediting Agency. Then, with the EMS programs that are out there, declare them locally Accredited Training Agencies. If you pass a Paramedic course from a locally Accredited Training Agency, then you receive certification. You may present that certification to TDH for issuance of an occupational license (or, right to work). If the program that you received your paramedic with was non-accredited by TDH, then you must seek accreditation before being eligible for licensure. You may do this by passing a competency test from any Nationally Recognized Accrediting Agency or any locally Accredited Training Agency. Those are just my thoughts and are liable to exclusion of the brain if disinterested parties deem it to be so. Schadone, NREMT-Paramedic City of Austin Austin/ County EMS Medic 12 / Medic 24 @... Re: NR and State Cert It's about having a STANDARD body of knowledge, and having standard acceptance criteria for the level of certification. The feds got us part way there with the national standard curriculum. Now we need get on board with the standard certification process. A question for those that know. Is there a requirement that the State get involved in this? Is it legally and professionally acceptable for the State to just pass a law that says, in essence, " if you are Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P in Texas " , and not issue certs, patches, or any of the above? Then there'd be no need for a lot of the expensive duplication (you'd still need enforcement and management of those practicing I guess). And then, what would become of our LPs, who don't have a national equivalent? =Steve= Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 I totally disagree with the person that said the state finally did something intelligent--how in the world can it be " intelligent " with us having to jump through twice as many hoops backwards, holding our heart monitors on our heads and reciting the alphabet from z to a. How much more ridiculous is this gonna get?? We volunteer and are probably going to have to go to Dallas to take the test(which is about 4-5 hours away) now you tell me that is intelligent!!!! In a message dated 5/29/03 8:18:08 AM Central Daylight Time, jerry.findley@... writes: > > I agree with everything you say Mr. Sweeten. But lets not forget the State > benefits as well. Getting paid a cert fee from all who want to practice in > Texas. > > Jerry Findley > > Re: NR and State Cert > > > Guess now that I am retired, I can put in my 2 cents worth. There were > those of us who did not want to go to the National Registry Process. We > fought it long and hard but at then end it was the dollars that forced the > issue. Simply put, there was no money for the State to continue develop, > validate and maintain the exams. While the NR may be the national standard, > from what I have seen and heard, the questions are more subjective and vague > than the State's exam. Now the process is in place, who benefits? Why the > National Registry of course. It definitely does not benefit the local > volunteers. Just another hoop to jump thru and another nail in the coffin > of volunteer EMS in the rural and frontier areas of the state. Lee Sweeten > Henry Barber wrote:Well Corey my comments were more > in line with the impact National Registry is > having on already strapped providers and their employees. There is nothing > inexpensive or convenient to the above mentioned. I don't think Texas was or > is > as backwards as you suggest. Actually the National Registry test in itself > has > nothing to do with EMS in Texas being better educated. They are simply > giving the > test and being well paid for it. How intelligent is it if Volunteer > providers who > are already having a hard time recruiting have to fold because their > volunteers > do not want to jump through all the hoops. Who will move into that area and > where > will the funding come from? Do you really think that the National Registry > test > is that much better than one that the Educators in our state can write. > Vague not > clear questions. Rumor, Fiction or Truth. I hear these comments about > National > Registry. By the way where are the new EMS employees or volunteers going to > come > from? College programs are certainly not putting them out on the market > today. > All in all it is just my opinion. > > Henry > > corey manages wrote: > > >Henry do you even have a clue what you are talking > >about. Texas EMS education has been behind that > >Nation for the past 15 years. It is about time that > >the State finally did something INTELLIGENT. > > > >--- Henry Barber wrote: > >>It is all about MONEY. Texas should not have gone > >>National Registry in the first > >>place. Texas should have allocated resources to > >>maintain and deliver our own > >>testing system. National Registry simply causes more > >>cost to EMS providers and > >>personnel for no additional services or product. TDH > >>has allowed this to happen > >>knowing full well that the adversely affected will > >>be the providers and > >>personnel. What can be done about this. Nothing. > >> > >>Henry Barber > >> > >>turnbow31 wrote: > >> > >>>I understand that Texas has gone to NR as the > >>initial test for > >>>certification. But why is it we have to pay for TX > >>certificaions? If > >>>the State is useing NR then why do we still have > >>to apply for and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 I totally disagree with the person that said the state finally did something intelligent--how in the world can it be " intelligent " with us having to jump through twice as many hoops backwards, holding our heart monitors on our heads and reciting the alphabet from z to a. How much more ridiculous is this gonna get?? We volunteer and are probably going to have to go to Dallas to take the test(which is about 4-5 hours away) now you tell me that is intelligent!!!! In a message dated 5/29/03 8:18:08 AM Central Daylight Time, jerry.findley@... writes: > > I agree with everything you say Mr. Sweeten. But lets not forget the State > benefits as well. Getting paid a cert fee from all who want to practice in > Texas. > > Jerry Findley > > Re: NR and State Cert > > > Guess now that I am retired, I can put in my 2 cents worth. There were > those of us who did not want to go to the National Registry Process. We > fought it long and hard but at then end it was the dollars that forced the > issue. Simply put, there was no money for the State to continue develop, > validate and maintain the exams. While the NR may be the national standard, > from what I have seen and heard, the questions are more subjective and vague > than the State's exam. Now the process is in place, who benefits? Why the > National Registry of course. It definitely does not benefit the local > volunteers. Just another hoop to jump thru and another nail in the coffin > of volunteer EMS in the rural and frontier areas of the state. Lee Sweeten > Henry Barber wrote:Well Corey my comments were more > in line with the impact National Registry is > having on already strapped providers and their employees. There is nothing > inexpensive or convenient to the above mentioned. I don't think Texas was or > is > as backwards as you suggest. Actually the National Registry test in itself > has > nothing to do with EMS in Texas being better educated. They are simply > giving the > test and being well paid for it. How intelligent is it if Volunteer > providers who > are already having a hard time recruiting have to fold because their > volunteers > do not want to jump through all the hoops. Who will move into that area and > where > will the funding come from? Do you really think that the National Registry > test > is that much better than one that the Educators in our state can write. > Vague not > clear questions. Rumor, Fiction or Truth. I hear these comments about > National > Registry. By the way where are the new EMS employees or volunteers going to > come > from? College programs are certainly not putting them out on the market > today. > All in all it is just my opinion. > > Henry > > corey manages wrote: > > >Henry do you even have a clue what you are talking > >about. Texas EMS education has been behind that > >Nation for the past 15 years. It is about time that > >the State finally did something INTELLIGENT. > > > >--- Henry Barber wrote: > >>It is all about MONEY. Texas should not have gone > >>National Registry in the first > >>place. Texas should have allocated resources to > >>maintain and deliver our own > >>testing system. National Registry simply causes more > >>cost to EMS providers and > >>personnel for no additional services or product. TDH > >>has allowed this to happen > >>knowing full well that the adversely affected will > >>be the providers and > >>personnel. What can be done about this. Nothing. > >> > >>Henry Barber > >> > >>turnbow31 wrote: > >> > >>>I understand that Texas has gone to NR as the > >>initial test for > >>>certification. But why is it we have to pay for TX > >>certificaions? If > >>>the State is useing NR then why do we still have > >>to apply for and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 I totally disagree with the person that said the state finally did something intelligent--how in the world can it be " intelligent " with us having to jump through twice as many hoops backwards, holding our heart monitors on our heads and reciting the alphabet from z to a. How much more ridiculous is this gonna get?? We volunteer and are probably going to have to go to Dallas to take the test(which is about 4-5 hours away) now you tell me that is intelligent!!!! In a message dated 5/29/03 8:18:08 AM Central Daylight Time, jerry.findley@... writes: > > I agree with everything you say Mr. Sweeten. But lets not forget the State > benefits as well. Getting paid a cert fee from all who want to practice in > Texas. > > Jerry Findley > > Re: NR and State Cert > > > Guess now that I am retired, I can put in my 2 cents worth. There were > those of us who did not want to go to the National Registry Process. We > fought it long and hard but at then end it was the dollars that forced the > issue. Simply put, there was no money for the State to continue develop, > validate and maintain the exams. While the NR may be the national standard, > from what I have seen and heard, the questions are more subjective and vague > than the State's exam. Now the process is in place, who benefits? Why the > National Registry of course. It definitely does not benefit the local > volunteers. Just another hoop to jump thru and another nail in the coffin > of volunteer EMS in the rural and frontier areas of the state. Lee Sweeten > Henry Barber wrote:Well Corey my comments were more > in line with the impact National Registry is > having on already strapped providers and their employees. There is nothing > inexpensive or convenient to the above mentioned. I don't think Texas was or > is > as backwards as you suggest. Actually the National Registry test in itself > has > nothing to do with EMS in Texas being better educated. They are simply > giving the > test and being well paid for it. How intelligent is it if Volunteer > providers who > are already having a hard time recruiting have to fold because their > volunteers > do not want to jump through all the hoops. Who will move into that area and > where > will the funding come from? Do you really think that the National Registry > test > is that much better than one that the Educators in our state can write. > Vague not > clear questions. Rumor, Fiction or Truth. I hear these comments about > National > Registry. By the way where are the new EMS employees or volunteers going to > come > from? College programs are certainly not putting them out on the market > today. > All in all it is just my opinion. > > Henry > > corey manages wrote: > > >Henry do you even have a clue what you are talking > >about. Texas EMS education has been behind that > >Nation for the past 15 years. It is about time that > >the State finally did something INTELLIGENT. > > > >--- Henry Barber wrote: > >>It is all about MONEY. Texas should not have gone > >>National Registry in the first > >>place. Texas should have allocated resources to > >>maintain and deliver our own > >>testing system. National Registry simply causes more > >>cost to EMS providers and > >>personnel for no additional services or product. TDH > >>has allowed this to happen > >>knowing full well that the adversely affected will > >>be the providers and > >>personnel. What can be done about this. Nothing. > >> > >>Henry Barber > >> > >>turnbow31 wrote: > >> > >>>I understand that Texas has gone to NR as the > >>initial test for > >>>certification. But why is it we have to pay for TX > >>certificaions? If > >>>the State is useing NR then why do we still have > >>to apply for and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 I remember Rocco V. Morando spoke at several conferences in Texas in the '80's, and salivated over the prospect of Texas becoming a NR state. The NR is smiling like a Cheshire cat, to have Texas. I was a NR test administrator in Louisiana for a couple of years. With that experience, I'm here to say that there is NOTHING gained by going NR from our former TDH process. -mikey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 I remember Rocco V. Morando spoke at several conferences in Texas in the '80's, and salivated over the prospect of Texas becoming a NR state. The NR is smiling like a Cheshire cat, to have Texas. I was a NR test administrator in Louisiana for a couple of years. With that experience, I'm here to say that there is NOTHING gained by going NR from our former TDH process. -mikey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 I remember Rocco V. Morando spoke at several conferences in Texas in the '80's, and salivated over the prospect of Texas becoming a NR state. The NR is smiling like a Cheshire cat, to have Texas. I was a NR test administrator in Louisiana for a couple of years. With that experience, I'm here to say that there is NOTHING gained by going NR from our former TDH process. -mikey Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Mr. Schadone, On this issue, I must disagree with you. The NREMTP is not the TxLP equivalent and that is according to TDH. When I came he 4 years ago after being NR for 10+ yrs and a LP in the state of GA. FL. and AL. for the same amount of time, with an AAS in Prehospital medicine from UAB in Birmingham, AL. and a BS in Physics. All I was given was a certification because supposed the colleges I attended were not accredited in the state of Texas. I questioned the issue twice and got the same answer. Since there is no difference in pay I said why waist my time with the red tape and bureaucracy. " De Opressa Liber " JB Re: NR and State Cert It's about having a STANDARD body of knowledge, and having standard acceptance criteria for the level of certification. The feds got us part way there with the national standard curriculum. Now we need get on board with the standard certification process. A question for those that know. Is there a requirement that the State get involved in this? Is it legally and professionally acceptable for the State to just pass a law that says, in essence, " if you are Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P in Texas " , and not issue certs, patches, or any of the above? Then there'd be no need for a lot of the expensive duplication (you'd still need enforcement and management of those practicing I guess). And then, what would become of our LPs, who don't have a national equivalent? =Steve= Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Mr. Schadone, On this issue, I must disagree with you. The NREMTP is not the TxLP equivalent and that is according to TDH. When I came he 4 years ago after being NR for 10+ yrs and a LP in the state of GA. FL. and AL. for the same amount of time, with an AAS in Prehospital medicine from UAB in Birmingham, AL. and a BS in Physics. All I was given was a certification because supposed the colleges I attended were not accredited in the state of Texas. I questioned the issue twice and got the same answer. Since there is no difference in pay I said why waist my time with the red tape and bureaucracy. " De Opressa Liber " JB Re: NR and State Cert It's about having a STANDARD body of knowledge, and having standard acceptance criteria for the level of certification. The feds got us part way there with the national standard curriculum. Now we need get on board with the standard certification process. A question for those that know. Is there a requirement that the State get involved in this? Is it legally and professionally acceptable for the State to just pass a law that says, in essence, " if you are Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P in Texas " , and not issue certs, patches, or any of the above? Then there'd be no need for a lot of the expensive duplication (you'd still need enforcement and management of those practicing I guess). And then, what would become of our LPs, who don't have a national equivalent? =Steve= Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Mr. Schadone, On this issue, I must disagree with you. The NREMTP is not the TxLP equivalent and that is according to TDH. When I came he 4 years ago after being NR for 10+ yrs and a LP in the state of GA. FL. and AL. for the same amount of time, with an AAS in Prehospital medicine from UAB in Birmingham, AL. and a BS in Physics. All I was given was a certification because supposed the colleges I attended were not accredited in the state of Texas. I questioned the issue twice and got the same answer. Since there is no difference in pay I said why waist my time with the red tape and bureaucracy. " De Opressa Liber " JB Re: NR and State Cert It's about having a STANDARD body of knowledge, and having standard acceptance criteria for the level of certification. The feds got us part way there with the national standard curriculum. Now we need get on board with the standard certification process. A question for those that know. Is there a requirement that the State get involved in this? Is it legally and professionally acceptable for the State to just pass a law that says, in essence, " if you are Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P in Texas " , and not issue certs, patches, or any of the above? Then there'd be no need for a lot of the expensive duplication (you'd still need enforcement and management of those practicing I guess). And then, what would become of our LPs, who don't have a national equivalent? =Steve= Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Since you didn't bother to sign your name I will be nice this time. You are probably they same type of clinician who says " An MI is an MI and you treat them all the same " Just because you are not up to national standards I guess that makes the national standards wrong? Lee Re: NR and State Cert > > > Guess now that I am retired, I can put in my 2 cents worth. There were > those of us who did not want to go to the National Registry Process. We > fought it long and hard but at then end it was the dollars that forced the > issue. Simply put, there was no money for the State to continue develop, > validate and maintain the exams. While the NR may be the national standard, > from what I have seen and heard, the questions are more subjective and vague > than the State's exam. Now the process is in place, who benefits? Why the > National Registry of course. It definitely does not benefit the local > volunteers. Just another hoop to jump thru and another nail in the coffin > of volunteer EMS in the rural and frontier areas of the state. Lee Sweeten > Henry Barber wrote:Well Corey my comments were more > in line with the impact National Registry is > having on already strapped providers and their employees. There is nothing > inexpensive or convenient to the above mentioned. I don't think Texas was or > is > as backwards as you suggest. Actually the National Registry test in itself > has > nothing to do with EMS in Texas being better educated. They are simply > giving the > test and being well paid for it. How intelligent is it if Volunteer > providers who > are already having a hard time recruiting have to fold because their > volunteers > do not want to jump through all the hoops. Who will move into that area and > where > will the funding come from? Do you really think that the National Registry > test > is that much better than one that the Educators in our state can write. > Vague not > clear questions. Rumor, Fiction or Truth. I hear these comments about > National > Registry. By the way where are the new EMS employees or volunteers going to > come > from? College programs are certainly not putting them out on the market > today. > All in all it is just my opinion. > > Henry > > corey manages wrote: > > >Henry do you even have a clue what you are talking > >about. Texas EMS education has been behind that > >Nation for the past 15 years. It is about time that > >the State finally did something INTELLIGENT. > > > >--- Henry Barber wrote: > >>It is all about MONEY. Texas should not have gone > >>National Registry in the first > >>place. Texas should have allocated resources to > >>maintain and deliver our own > >>testing system. National Registry simply causes more > >>cost to EMS providers and > >>personnel for no additional services or product. TDH > >>has allowed this to happen > >>knowing full well that the adversely affected will > >>be the providers and > >>personnel. What can be done about this. Nothing. > >> > >>Henry Barber > >> > >>turnbow31 wrote: > >> > >>>I understand that Texas has gone to NR as the > >>initial test for > >>>certification. But why is it we have to pay for TX > >>certificaions? If > >>>the State is useing NR then why do we still have > >>to apply for and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Since you didn't bother to sign your name I will be nice this time. You are probably they same type of clinician who says " An MI is an MI and you treat them all the same " Just because you are not up to national standards I guess that makes the national standards wrong? Lee Re: NR and State Cert > > > Guess now that I am retired, I can put in my 2 cents worth. There were > those of us who did not want to go to the National Registry Process. We > fought it long and hard but at then end it was the dollars that forced the > issue. Simply put, there was no money for the State to continue develop, > validate and maintain the exams. While the NR may be the national standard, > from what I have seen and heard, the questions are more subjective and vague > than the State's exam. Now the process is in place, who benefits? Why the > National Registry of course. It definitely does not benefit the local > volunteers. Just another hoop to jump thru and another nail in the coffin > of volunteer EMS in the rural and frontier areas of the state. Lee Sweeten > Henry Barber wrote:Well Corey my comments were more > in line with the impact National Registry is > having on already strapped providers and their employees. There is nothing > inexpensive or convenient to the above mentioned. I don't think Texas was or > is > as backwards as you suggest. Actually the National Registry test in itself > has > nothing to do with EMS in Texas being better educated. They are simply > giving the > test and being well paid for it. How intelligent is it if Volunteer > providers who > are already having a hard time recruiting have to fold because their > volunteers > do not want to jump through all the hoops. Who will move into that area and > where > will the funding come from? Do you really think that the National Registry > test > is that much better than one that the Educators in our state can write. > Vague not > clear questions. Rumor, Fiction or Truth. I hear these comments about > National > Registry. By the way where are the new EMS employees or volunteers going to > come > from? College programs are certainly not putting them out on the market > today. > All in all it is just my opinion. > > Henry > > corey manages wrote: > > >Henry do you even have a clue what you are talking > >about. Texas EMS education has been behind that > >Nation for the past 15 years. It is about time that > >the State finally did something INTELLIGENT. > > > >--- Henry Barber wrote: > >>It is all about MONEY. Texas should not have gone > >>National Registry in the first > >>place. Texas should have allocated resources to > >>maintain and deliver our own > >>testing system. National Registry simply causes more > >>cost to EMS providers and > >>personnel for no additional services or product. TDH > >>has allowed this to happen > >>knowing full well that the adversely affected will > >>be the providers and > >>personnel. What can be done about this. Nothing. > >> > >>Henry Barber > >> > >>turnbow31 wrote: > >> > >>>I understand that Texas has gone to NR as the > >>initial test for > >>>certification. But why is it we have to pay for TX > >>certificaions? If > >>>the State is useing NR then why do we still have > >>to apply for and Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 ** Routed Mail. Please reply when completed ** It is a very difficult argument to win in saying that we have finally done something intelligent by going to NR. The obvious truth is that the state could no longer manage the testing process and had to choose another process. It was not in any way due to selecting a more " intelligent " process. I've been around NR examinations for a lot of years and say (my opinion of course) based on experience that the NR process is just another process. I do not find it to be an absolute and totally comprehensive way to measure competence. But I didn't always find the state's process to be exactly that either. I can say that I thought the state's exams of several years ago were fairly well-written exams and I believed them to be more thorough measuring stick for competence than the NR's exams. We (ETMC-EMS) chose to do NR about 15 years ago as an interest and something that served to measure our staff in a different way. It also gave them the opportunity to have NR on their resume. This pays off when located near three other states that use the NR of EMT's. It was optional thing for our staff. I wish I could believe in the NR process being a elevation of our state's EMS industry and being a better measuring tool for competence but I think all we are seeing is just another process - one that is not all bad and one that's not necessarily the best either. It has some drawbacks but it has also been accepted by many states and many people as a valid process. And has been defended in courts. That earns some respect. What should not sit well for very long with any of us is having to pay multiple fees and bearing the inconvenience of a lot of people in the state who now have to make very long drives to find test sites (and retest sites). This is a huge rural volunteer state and this IS causing problems. As always...one person's opinions only. Don Elbert, LP Education Coordinator ETMC-EMS ********************************************************************** This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. Thank you. <<<<GWIASIG 0.07>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 ** Routed Mail. Please reply when completed ** It is a very difficult argument to win in saying that we have finally done something intelligent by going to NR. The obvious truth is that the state could no longer manage the testing process and had to choose another process. It was not in any way due to selecting a more " intelligent " process. I've been around NR examinations for a lot of years and say (my opinion of course) based on experience that the NR process is just another process. I do not find it to be an absolute and totally comprehensive way to measure competence. But I didn't always find the state's process to be exactly that either. I can say that I thought the state's exams of several years ago were fairly well-written exams and I believed them to be more thorough measuring stick for competence than the NR's exams. We (ETMC-EMS) chose to do NR about 15 years ago as an interest and something that served to measure our staff in a different way. It also gave them the opportunity to have NR on their resume. This pays off when located near three other states that use the NR of EMT's. It was optional thing for our staff. I wish I could believe in the NR process being a elevation of our state's EMS industry and being a better measuring tool for competence but I think all we are seeing is just another process - one that is not all bad and one that's not necessarily the best either. It has some drawbacks but it has also been accepted by many states and many people as a valid process. And has been defended in courts. That earns some respect. What should not sit well for very long with any of us is having to pay multiple fees and bearing the inconvenience of a lot of people in the state who now have to make very long drives to find test sites (and retest sites). This is a huge rural volunteer state and this IS causing problems. As always...one person's opinions only. Don Elbert, LP Education Coordinator ETMC-EMS ********************************************************************** This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. Thank you. <<<<GWIASIG 0.07>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 ** Routed Mail. Please reply when completed ** It is a very difficult argument to win in saying that we have finally done something intelligent by going to NR. The obvious truth is that the state could no longer manage the testing process and had to choose another process. It was not in any way due to selecting a more " intelligent " process. I've been around NR examinations for a lot of years and say (my opinion of course) based on experience that the NR process is just another process. I do not find it to be an absolute and totally comprehensive way to measure competence. But I didn't always find the state's process to be exactly that either. I can say that I thought the state's exams of several years ago were fairly well-written exams and I believed them to be more thorough measuring stick for competence than the NR's exams. We (ETMC-EMS) chose to do NR about 15 years ago as an interest and something that served to measure our staff in a different way. It also gave them the opportunity to have NR on their resume. This pays off when located near three other states that use the NR of EMT's. It was optional thing for our staff. I wish I could believe in the NR process being a elevation of our state's EMS industry and being a better measuring tool for competence but I think all we are seeing is just another process - one that is not all bad and one that's not necessarily the best either. It has some drawbacks but it has also been accepted by many states and many people as a valid process. And has been defended in courts. That earns some respect. What should not sit well for very long with any of us is having to pay multiple fees and bearing the inconvenience of a lot of people in the state who now have to make very long drives to find test sites (and retest sites). This is a huge rural volunteer state and this IS causing problems. As always...one person's opinions only. Don Elbert, LP Education Coordinator ETMC-EMS ********************************************************************** This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. Thank you. <<<<GWIASIG 0.07>>>> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 This is incorrect, sort of. NREMT-P is equivalent to the certified EMT-P. There is no national equivalent to the LPs. And it won't increase the intellect. It will increase EDUCATION of medics. As just about the most uneducated folks in the medical profession, we need to be better educated, so this is a good thing. As for differences, give it time. Right now, the difference is the LP is probably more educated than the EMT-P. As an employer, I'd have to think that's a good thing. Of course, it's the individual performance that really counts. And not just how good we are at starting IVs, or doing the skills. It's everything; skills, reasoning ability, judgement, communications ability, writing skills, appearance, the whole package. It ALL counts. But, like I said, more education is a good thing. =Steve= Schadone wrote: >There is a national equivalent to the " TxEMT-Licensed Paramedic " . It's >called the " NREMT-Paramedic " . There is no occupational difference >between the two and the " license " is also granted to certified >paramedics in the State of Texas. The only differences are the patch >and the fees. > > > >Being new to Texas, I never did understand the reason for doing this, >but upon investigation, I found that it was to encourage EMS providers >to finish a degree program so as to increase the " intellect " of our EMS >community. I still don't understand it. > > > >I just don't see any difference in Schadone, B.S. EMT-P to > Schadone, B.S. EMT-LP. But, it seemed to do something, I guess. > > > >But, being on the topic, I feel that we could do away with testing as a >whole. Hold the National Registry as a Nationally Recognized >Accrediting Agency. Then, with the EMS programs that are out there, >declare them locally Accredited Training Agencies. If you pass a >Paramedic course from a locally Accredited Training Agency, then you >receive certification. You may present that certification to TDH for >issuance of an occupational license (or, right to work). If the program >that you received your paramedic with was non-accredited by TDH, then >you must seek accreditation before being eligible for licensure. You >may do this by passing a competency test from any Nationally Recognized >Accrediting Agency or any locally Accredited Training Agency. > > > >Those are just my thoughts and are liable to exclusion of the brain if >disinterested parties deem it to be so. > > > > Schadone, NREMT-Paramedic >City of Austin >Austin/ County EMS >Medic 12 / Medic 24 > @... > > > > Re: NR and State Cert > > > >It's about having a STANDARD body of knowledge, and having standard >acceptance criteria for the level of certification. The feds got us >part way there with the national standard curriculum. Now we need get >on board with the standard certification process. > >A question for those that know. Is there a requirement that the State >get involved in this? Is it legally and professionally acceptable for >the State to just pass a law that says, in essence, " if you are >Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P > >in Texas " , and not issue certs, patches, or any of the above? Then >there'd be no need for a lot of the expensive duplication (you'd still >need enforcement and management of those practicing I guess). And then, > >what would become of our LPs, who don't have a national equivalent? > >=Steve= > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 This is incorrect, sort of. NREMT-P is equivalent to the certified EMT-P. There is no national equivalent to the LPs. And it won't increase the intellect. It will increase EDUCATION of medics. As just about the most uneducated folks in the medical profession, we need to be better educated, so this is a good thing. As for differences, give it time. Right now, the difference is the LP is probably more educated than the EMT-P. As an employer, I'd have to think that's a good thing. Of course, it's the individual performance that really counts. And not just how good we are at starting IVs, or doing the skills. It's everything; skills, reasoning ability, judgement, communications ability, writing skills, appearance, the whole package. It ALL counts. But, like I said, more education is a good thing. =Steve= Schadone wrote: >There is a national equivalent to the " TxEMT-Licensed Paramedic " . It's >called the " NREMT-Paramedic " . There is no occupational difference >between the two and the " license " is also granted to certified >paramedics in the State of Texas. The only differences are the patch >and the fees. > > > >Being new to Texas, I never did understand the reason for doing this, >but upon investigation, I found that it was to encourage EMS providers >to finish a degree program so as to increase the " intellect " of our EMS >community. I still don't understand it. > > > >I just don't see any difference in Schadone, B.S. EMT-P to > Schadone, B.S. EMT-LP. But, it seemed to do something, I guess. > > > >But, being on the topic, I feel that we could do away with testing as a >whole. Hold the National Registry as a Nationally Recognized >Accrediting Agency. Then, with the EMS programs that are out there, >declare them locally Accredited Training Agencies. If you pass a >Paramedic course from a locally Accredited Training Agency, then you >receive certification. You may present that certification to TDH for >issuance of an occupational license (or, right to work). If the program >that you received your paramedic with was non-accredited by TDH, then >you must seek accreditation before being eligible for licensure. You >may do this by passing a competency test from any Nationally Recognized >Accrediting Agency or any locally Accredited Training Agency. > > > >Those are just my thoughts and are liable to exclusion of the brain if >disinterested parties deem it to be so. > > > > Schadone, NREMT-Paramedic >City of Austin >Austin/ County EMS >Medic 12 / Medic 24 > @... > > > > Re: NR and State Cert > > > >It's about having a STANDARD body of knowledge, and having standard >acceptance criteria for the level of certification. The feds got us >part way there with the national standard curriculum. Now we need get >on board with the standard certification process. > >A question for those that know. Is there a requirement that the State >get involved in this? Is it legally and professionally acceptable for >the State to just pass a law that says, in essence, " if you are >Nationally Registered, you meet the standards for an EMT-B, EMT-I, EMT-P > >in Texas " , and not issue certs, patches, or any of the above? Then >there'd be no need for a lot of the expensive duplication (you'd still >need enforcement and management of those practicing I guess). And then, > >what would become of our LPs, who don't have a national equivalent? > >=Steve= > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Why should Texas be any different than any other state. Want a Louisiana certification? Present them with a copy of your NREMT card (and a modest fee of $100.00) and presto you are certified by the State Board of Medical Examiners to go forth and practice your skills on the population of their state. A National Registry certification offers a person more opportunity to relocate to another state without having to " jump through the hoops " there. I won't say that this " evolution " of our state's EMS is the best thing since sliced bread, but there are just as many benefits as detriments. I have held a NREMT certification for the last 16 years, and have had no problem in obtaining local certifications while traveling to other states and countries for work. I find it sad that some type of compromise could not be reached in retaining the Texas EMT certifications, especially for the volunteers of our state, but this is the progressive movement of EMS that I have heard everyone spout for the last 20+ years. If you don't like it, petition your state representatives to change it. But don't just sit back on your haunches and bitch about it. Take an active step and let your UNITED wishes be heard (It would be kinda different to hear a united voice of EMS for a change. Don't blame TDH, their budget has continuously been slashed year after year. Blame your elected officials....change your elected officials. Last time I checked, we still live in a democracy (thanks to our armed forces). Sorry, no simple answers here. Just a lot of work on everyone's part to effect the changes we need. So..........go to work! -Thom Seeber Quote Link to comment Share on other sites More sharing options...
Guest guest Posted May 29, 2003 Report Share Posted May 29, 2003 Why should Texas be any different than any other state. Want a Louisiana certification? Present them with a copy of your NREMT card (and a modest fee of $100.00) and presto you are certified by the State Board of Medical Examiners to go forth and practice your skills on the population of their state. A National Registry certification offers a person more opportunity to relocate to another state without having to " jump through the hoops " there. I won't say that this " evolution " of our state's EMS is the best thing since sliced bread, but there are just as many benefits as detriments. I have held a NREMT certification for the last 16 years, and have had no problem in obtaining local certifications while traveling to other states and countries for work. I find it sad that some type of compromise could not be reached in retaining the Texas EMT certifications, especially for the volunteers of our state, but this is the progressive movement of EMS that I have heard everyone spout for the last 20+ years. If you don't like it, petition your state representatives to change it. But don't just sit back on your haunches and bitch about it. Take an active step and let your UNITED wishes be heard (It would be kinda different to hear a united voice of EMS for a change. Don't blame TDH, their budget has continuously been slashed year after year. Blame your elected officials....change your elected officials. Last time I checked, we still live in a democracy (thanks to our armed forces). Sorry, no simple answers here. Just a lot of work on everyone's part to effect the changes we need. So..........go to work! -Thom Seeber Quote Link to comment Share on other sites More sharing options...
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