Guest guest Posted October 22, 2008 Report Share Posted October 22, 2008 Debbie's descriptions of issues with her local protocols and ER doctors is, in my opinion, part of a larger issue facing EMS. According to my research, Texas law and administrative rules provide no requirements for?training or certification?of either an EMS service's medical director or for physicians who provide online medical control.??Additionally, the law and regulations seem very vague about requiring a medical director's active involvment in an EMS organization. To me, placing some training, educational, or certification requirements on these physicians might address some of the problems with ignorance of EMS systems' capabilities as well as with poorly written protocols.? It also seems to me that requiring some active involvement in EMS would prevent some of the issues with medical directors who are merely paid yearly to sign protocols. What would you all think about GETAC looking at this issue?? Would it improve the capabilities of rural EMS?? Would it improve the situation with " absentee " medical directors for some of the transfer/non-emergency services? ? Just my $0.02 worth. ? -Wes Ogilvie, MPA, JD, LP -Attorney/Licensed Paramedic -Austin, Texas Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 Danny, I suspect you will receive many responses. From the EMS liaison at a level one facility, and an RN, an uninvolved medical director is a nightmare for all. I see this changing and this is a great thing for EMS as well as for critically ill and injured patients. I have had the pleasure of working with many great medical directors like, Roy Yamada, Marshal Isaacs, and Ray Fowler. They are constantly assessing the educational needs of their EMS, meeting with them, assuring best, updated guidelines as well as staying in contact with the facilities that receive their patients. I have also experienced the other side of this such as the medical director that will not call back regarding QI issues. This isn't just bad...it's a liability for EMS and for patients. Lanie Lanie St.Claire R.N NREMT- P EMS Liaison/ ED Disaster Coord. Childrens Medical Center of Dallas, ED page /18407 </pre> <span style= " font-weight: bold; " >Please consider the environment before printing this e-mail</span><br /> <br /> <span style= " font-size: 8pt; " >This e-mail, facsimile, or letter and any files or attachments transmitted with it contains<br /> information that is confidential and privileged. This information is intended only for the use of the <br /> individual(s) and entity(ies) to whom it is addressed. If you are the intended recipient, further <br /> disclosures are prohibited without proper authorization. If you are not the intended recipient, any <br /> disclosure, copying, printing, or use of this information is strictly prohibited and possibly a <br /> violation of federal or state law and regulations. If you have received this information in error, <br /> please notify Children's Medical Center Dallas immediately at or via e-mail at <br /> privacy@.... Children's Medical Center Dallas and its affiliates hereby claim all <br /> applicable privileges related to this information.</span><br /> <br /> </html> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 The problem for many services is that they cannot afford a Roy Yamada, Marshall Isaacs, or Ray Fowler. They have to find local physicians who are willing to take the risks. Until the State of Texas does something about this from a state level, problems will continue. I understand that the GETAC Medical Directors Committee is working on it, so we'll see what happens. There are good medical directors available, and they don't necessarily have to live in your town. And yes, administration bears the legal and ethical responsibility for maintaining a competent medical director. GG In a message dated 10/27/08 12:27:40 PM, lanie.st.claire@... writes: > > Danny, > I suspect you will receive many responses. From the EMS liaison at a level > one facility, and an RN, an uninvolved medical director is a nightmare for > all. I see this changing and this is a great thing for EMS as well as for > critically ill and injured patients. I have had the pleasure of working with many > great medical directors like, Roy Yamada, Marshal Isaacs, and Ray Fowler. They > are constantly assessing the educational needs of their EMS, meeting with > them, assuring best, updated guidelines as well as staying in contact with the > facilities that receive their patients. I have also experienced the other > side of this such as the medical director that will not call back regarding QI > issues. This isn't just bad...it's a liability for EMS and for patients. Lanie > > > Lanie St.Claire R.N NREMT- P > EMS Liaison/ ED Disaster Coord. > Childrens Medical Center of Dallas, ED > > > page / page > </pre> <span style= " font-span style= " fo>Please consider the environment > before printing this e-mail</span><br /> > <br /> > > <span style= " font-span style=>This e-mail, facsimile, or letter and any > files or attachments transmitted with it contains<br /> > information that is confidential and privileged. This information is > intended only for the use of the <br /> > individual(s) and entity(ies) to whom it is addressed. If you are the > intended recipient, further <br /> > > disclosures are prohibited without proper authorization. If you are not the > intended recipient, any <br /> > disclosure, copying, printing, or use of this information is strictly > prohibited and possibly a <br /> > violation of federal or state law and regulations. If you have received this > information in error, <br /> > please notify Children's Medical Center Dallas immediately at > or via e-mail at <br /> > privacy@.... Children's Medical Center Dallas and its affiliates > hereby claim all <br /> > applicable privileges related to this information.</span><br /> > > <br /> > </html> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 27, 2008 Report Share Posted October 27, 2008 Really, that is a component that had not occured to me. Thank you for enlightening me, Celina/ Prosper found a great one, Reese Brockman, he's a newbie but impressive. Even if they cannot afford many of the medical director's pay there is a course that is being put on by the NCTTRAC for medical directors that could help any medical director in any town. I believe this may be part of the new requirements that GETAC wants in place. >>> 10/27/08 7:01 PM >>> The problem for many services is that they cannot afford a Roy Yamada, Marshall Isaacs, or Ray Fowler. They have to find local physicians who are willing to take the risks. Until the State of Texas does something about this from a state level, problems will continue. I understand that the GETAC Medical Directors Committee is working on it, so we'll see what happens. There are good medical directors available, and they don't necessarily have to live in your town. And yes, administration bears the legal and ethical responsibility for maintaining a competent medical director. GG In a message dated 10/27/08 12:27:40 PM, lanie.st.claire@... writes: > > Danny, > I suspect you will receive many responses. From the EMS liaison at a level > one facility, and an RN, an uninvolved medical director is a nightmare for > all. I see this changing and this is a great thing for EMS as well as for > critically ill and injured patients. I have had the pleasure of working with many > great medical directors like, Roy Yamada, Marshal Isaacs, and Ray Fowler. They > are constantly assessing the educational needs of their EMS, meeting with > them, assuring best, updated guidelines as well as staying in contact with the > facilities that receive their patients. I have also experienced the other > side of this such as the medical director that will not call back regarding QI > issues. This isn't just bad...it's a liability for EMS and for patients. Lanie > > > Lanie St.Claire R.N NREMT- P > EMS Liaison/ ED Disaster Coord. > Childrens Medical Center of Dallas, ED > > > page / page > </pre> <span style= " font-span style= " fo>Please consider the environment > before printing this e-mail</span><br /> > <br /> > > <span style= " font-span style=>This e-mail, facsimile, or letter and any > files or attachments transmitted with it contains<br /> > information that is confidential and privileged. This information is > intended only for the use of the <br /> > individual(s) and entity(ies) to whom it is addressed. If you are the > intended recipient, further <br /> > > disclosures are prohibited without proper authorization. If you are not the > intended recipient, any <br /> > disclosure, copying, printing, or use of this information is strictly > prohibited and possibly a <br /> > violation of federal or state law and regulations. If you have received this > information in error, <br /> > please notify Children's Medical Center Dallas immediately at > or via e-mail at <br /> > privacy@.... Children's Medical Center Dallas and its affiliates > hereby claim all <br /> > applicable privileges related to this information.</span><br /> > > <br /> > </html> > > Quote Link to comment Share on other sites More sharing options...
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