IV starts

[Guest guest]

Hey Group,

 

Had an issue come up recently and apparently keeps coming up. One of the

companies I work for who also read the post on here has been asking it's

paramedics and intermediates to start ivs inside of nursing homes. We get called

to the facility only to start the iv and then leave. No report or any paperwork.

Our dispatch is calling this a " favor " .   To my knowledge and experience, if I'm

starting a line on someone....they're going to the er. Unless of course it's a

diabetic case who wakes up after D-50 and refuses despite your best efforts.

 

This does not seem right to me and seems to be an open invite to legal trouble.

If they are not qualified to initiate iv access, how are they qualified to

monitor it? What if something goes wrong with it? Who gets the blame? Yep, the

medic who was ONLY doing a " favor " .

 

Hopefully someone from TDHS is on this list and maybe can shed some light on

this please.   We also are contracted at a hospital and are NOT allowed to use

our skills there because we are not trained by the hospital and are not covered

by their insurance. I would think the same would apply.

 

Concerned for my certs

Steve

[Guest guest]

Youtube " Paramedic vs. nursing home " for the reasons this is a bad

idea!! BUT to answer your question your probably correct this could

open you up for legal issues if something went wrong with the line you

started. I couldn't see any medical director in his right mind

condoning this, but, I have seen stranger things too.

-chris

> Hey Group,

>

> Had an issue come up recently and apparently keeps coming up. One of

> the companies I work for who also read the post on here has been

> asking it's paramedics and intermediates to start ivs inside of

> nursing homes. We get called to the facility only to start the iv

> and then leave. No report or any paperwork. Our dispatch is calling

> this a " favor " . To my knowledge and experience, if I'm starting a

> line on someone....they're going to the er. Unless of course it's a

> diabetic case who wakes up after D-50 and refuses despite your best

> efforts.

>

> This does not seem right to me and seems to be an open invite to

> legal trouble. If they are not qualified to initiate iv access, how

> are they qualified to monitor it? What if something goes wrong with

> it? Who gets the blame? Yep, the medic who was ONLY doing a " favor " .

>

> Hopefully someone from TDHS is on this list and maybe can shed some

> light on this please. We also are contracted at a hospital and are

> NOT allowed to use our skills there because we are not trained by

> the hospital and are not covered by their insurance. I would think

> the same would apply.

>

> Concerned for my certs

> Steve

>

>

>

>

>

[Guest guest]

My guess is that your Medical Director could place a protocol, signed and in

writing, that allows you to do this for a nursing home. It would be make it

legal, probably. BUT, to start an IV and not do a patient report is just asking

for serious legal trouble, IMHO.

The real issue is how come the nursing home doesn't have the staff to start an

IV? You may wish to contact State Nursing Home Regulators to provide further

info. But I am not a DSHS employee and not a lawyer. Just my two cents.

Vance

IV starts

Hey Group,

 

Had an issue come up recently and apparently keeps coming up. One of the

companies I work for who also read the post on here has been asking it's

paramedics and intermediates to start ivs inside of nursing homes. We get called

to the facility only to start the iv and then leave. No report or any paperwork.

Our dispatch is calling this a " favor " .   To my knowledge and experience, if I'm

starting a line on someone....they're going to the er. Unless of course it's a

diabetic case who wakes up after D-50 and refuses despite your best efforts.

 

This does not seem right to me and seems to be an open invite to legal trouble.

If they are not qualified to initiate iv access, how are they qualified to

monitor it? What if something goes wrong with it? Who gets the blame? Yep, the

medic who was ONLY doing a " favor " .

 

Hopefully someone from TDHS is on this list and maybe can shed some light on

this please.   We also are contracted at a hospital and are NOT allowed to use

our skills there because we are not trained by the hospital and are not covered

by their insurance. I would think the same would apply.

 

Concerned for my certs

Steve

[Guest guest]

Is your EMS Director and Medical Director aware of the " Favor " ?  I would make

them aware of the favor and put the monkey on their back.

 

Peggy

> Hey Group,

>

> Had an issue come up recently and apparently keeps coming up. One of

> the companies I work for who also read the post on here has been

> asking it's paramedics and intermediates to start ivs inside of

> nursing homes. We get called to the facility only to start the iv

> and then leave. No report or any paperwork. Our dispatch is calling

> this a " favor " . To my knowledge and experience, if I'm starting a

> line on someone....they' re going to the er. Unless of course it's a

> diabetic case who wakes up after D-50 and refuses despite your best

> efforts.

>

> This does not seem right to me and seems to be an open invite to

> legal trouble. If they are not qualified to initiate iv access, how

> are they qualified to monitor it? What if something goes wrong with

> it? Who gets the blame? Yep, the medic who was ONLY doing a " favor " .

>

> Hopefully someone from TDHS is on this list and maybe can shed some

> light on this please. We also are contracted at a hospital and are

> NOT allowed to use our skills there because we are not trained by

> the hospital and are not covered by their insurance. I would think

> the same would apply.

>

> Concerned for my certs

> Steve

>

>

>

>

>