Re: Re: The Most Fundamental Problem

[Guest guest]

Dr. Bledsoe;

 Would you care to voice your opinion on the Future Scope Of Practice. I believe

you have before but I can't remember your thoughts. Why would it not work and

what is the downside?

Danny L.

Owner/NREMT-P

PETSAR INC.

(Panhandle Emergency Training Services And Response)

Office

Fax

>

> From: rob.davis@armynurse corps.com

> >

> Subject: Re: Re: The Most Fundamental Problem

> To: texasems-l@yahoogro ups.com

> Date: Sunday, August 30, 2009, 7:01 PM

>

>  

>

> On Sunday, August 30, 2009 15:29, " Danny "

> said:

>

>> > So my question is this: Why not implement in Texas what the National

>> Formula for

>> > EMS was stating?  Place a protocol whereby the Paramedic can evaluate,

>> write

>> > prescriptions if necessary, and refer to a private dr. those pt.s that do

>> not meet

>> > the requsites for transport? A fee could still be charged for the call. 

>> What

>> > would be the downside?

>

> The practice of medicine is not about protocols. And protocols don't replace

> education. The greater percentage of our paramedics are currently not well

> enough educated to do even the emergency portion of their job competently.

> There is not the slightest chance that I or any sane medical director would

> send them out into the community to practise family practice medicine with

> nothing more than a ten-week paramedic patch and a protocol book.

>

> Downside? I fail to see the upside.

>

> Rob

>

>

[Guest guest]

Dr. Bledsoe;

 Would you care to voice your opinion on the Future Scope Of Practice. I believe

you have before but I can't remember your thoughts. Why would it not work and

what is the downside?

Danny L.

Owner/NREMT-P

PETSAR INC.

(Panhandle Emergency Training Services And Response)

Office

Fax

>

> From: rob.davis@armynurse corps.com

> >

> Subject: Re: Re: The Most Fundamental Problem

> To: texasems-l@yahoogro ups.com

> Date: Sunday, August 30, 2009, 7:01 PM

>

>  

>

> On Sunday, August 30, 2009 15:29, " Danny "

> said:

>

>> > So my question is this: Why not implement in Texas what the National

>> Formula for

>> > EMS was stating?  Place a protocol whereby the Paramedic can evaluate,

>> write

>> > prescriptions if necessary, and refer to a private dr. those pt.s that do

>> not meet

>> > the requsites for transport? A fee could still be charged for the call. 

>> What

>> > would be the downside?

>

> The practice of medicine is not about protocols. And protocols don't replace

> education. The greater percentage of our paramedics are currently not well

> enough educated to do even the emergency portion of their job competently.

> There is not the slightest chance that I or any sane medical director would

> send them out into the community to practise family practice medicine with

> nothing more than a ten-week paramedic patch and a protocol book.

>

> Downside? I fail to see the upside.

>

> Rob

>

>

[Guest guest]

Ok. After going back through my endless e-mails I noticed the comment by Dr.

Bledsoe. Forgive my ingnorant request from an earlier e-mail

Danny L.

Owner/NREMT-P

PETSAR INC.

(Panhandle Emergency Training Services And Response)

Office

Fax

>>> Perhaps no one read the Future of

>> > EMS ( I am not sure of what heading actually was given at that time) but >>

the

>> > gist was for two levels of Paramedic. <<<

>> >

>> > Danny,

>> >

>> > The document was called the EMS Agenda for the Future (written in 1997)and

>> > the companion document that outlined exactly what the two paramedics would

>> > do was called the National EMS Scope of Practice (which is now called the

>> > Scope of Practice Model).

>> >

>> > Both are available on EMS.gov, I think.

>> >

>> > By the way, as I remember, there was a ground swell of oposition to the

>> > concept of two levels of practice; primarily, in my opinion, because there

>> > was no grandfather clause.

>> >

>> > Kenny Navarro

>> > Dallas

>> >

>> >

>

>

>

>

[Guest guest]

Ok. After going back through my endless e-mails I noticed the comment by Dr.

Bledsoe. Forgive my ingnorant request from an earlier e-mail

Danny L.

Owner/NREMT-P

PETSAR INC.

(Panhandle Emergency Training Services And Response)

Office

Fax

>>> Perhaps no one read the Future of

>> > EMS ( I am not sure of what heading actually was given at that time) but >>

the

>> > gist was for two levels of Paramedic. <<<

>> >

>> > Danny,

>> >

>> > The document was called the EMS Agenda for the Future (written in 1997)and

>> > the companion document that outlined exactly what the two paramedics would

>> > do was called the National EMS Scope of Practice (which is now called the

>> > Scope of Practice Model).

>> >

>> > Both are available on EMS.gov, I think.

>> >

>> > By the way, as I remember, there was a ground swell of oposition to the

>> > concept of two levels of practice; primarily, in my opinion, because there

>> > was no grandfather clause.

>> >

>> > Kenny Navarro

>> > Dallas

>> >

>> >

>

>

>

>