Guest guest Posted June 26, 2010 Report Share Posted June 26, 2010 Austin, The Medics and EMTs operating during the spill are under medical direction of their agency's MD and licensed in Louisiana. The reciprocity provided by Jindal's order is a temporary, valid license to operate in Louisiana, under the terms of the order. NREMTs that are going out to work are being approved in a emergency fashion in much the same way, but with no requirement of supervision. I'm not sure how legality applies 3 miles or more offshore. That's US Federal Waters and all operations there are being directed by the Coast Guard, with the vessels paid for by BP, and medics provided by the major carriers. Anyone know previous law on that? Since there is no Federal standard for EMT, you are operating as an extension of the medical director... if I remember right, that's borrowed servant, right legal beagles? -Brad > > > An attorney friend of mine has a technical term for > someone practicing > > without a license, especially medics who work > offshore. The term is > > " payday " . > > > > If you know of anyone who is practicing without a > license I encourage you to > > report it to the proper authorities. > > > > ------------------------------------ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2010 Report Share Posted June 27, 2010 Jim, That's an excellent description of how it is. Much more clinic work than emergencies. However, real emergencies do happen and are challenging, since you're not 10 minutes from a level 1 trauma center, weather is bad and the birds can't fly, and swells are running 30 feet and the wind is gusting at 72 mph.. Gene Re: FW: Oil Spill Operations very good points, gene. i don't do that contract stuff. that is a mess, i agree. i work for a company (BTW we don't drill-we do other stuff) my actual job title is EHS advisor (Environmental, health, safety advisor) some companies call it HSE (same thing, different acronymal order-i just made up a word!) well over 90% of my work is preventative so i don't HAVE to do paramedic stuff, i make general safety inspections, make sure people are wearing appropriate PPE, inspect such things as fire extinguishers/ladder/fall protection systems, food sanitation , water testing,etc. it's more of an occupational health environmental than EMS. I've had to treat such diverse stuff as athlete's foot, skin infections, pink eye, bronchitis, sinusitis, tonsillitis, dental absesses (sp?) if there are saturation divers on board there are very complex neuro exams pre and post saturation to do and having to assess them through a TV camera which is inside the chamber. they can only get PO meds, if something really bad happens to them it's 3 hours to get pressed down the their pressure and 72-120 hours to get you and them decompressed back to atmospheric pressure. in general for everyone on board the good side is that i know a) their history/meds/allergies i have some normal medical equipment and some stuff that would be considered off the wall from what i've been used to: woods' lamp/fluorscein dye, reflex hammer, tuning fork, steri-strips. i can't suture in the gulf of mexico but we do in SE asia, etc. I have no pedi/neonatal equipment. i have 36 OTC and 86 prescription meds and several abx, meds for gout, IBS. it's a whole different world. most of them time i'm myself (no EMT,FF,etc to help) our medical control isn't an ED doc but i have internal medicine, occupational med doc and a dive physician. you can have epidemics of stuff like MRSA and GI illness. it's like a cruise ship but the gumbo is better and there is no karoake. jim davis EHS Advisor > An attorney friend of mine has a technical term for someone practicing > without a license, especially medics who work offshore. The term is > " payday " . > > If you know of anyone who is practicing without a license I encourage you to > report it to the proper authorities. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2010 Report Share Posted June 27, 2010 Good thoughts, Austin. To clarify, I wasn't really talking about the established contractors. I had in mind those ambulance operators asking for medics to work FEMA contracts and stuff like that. That's where the broken promises come in. I never found the oilfield operators to be sleazy at all. It's the private ambulance companies who are trying to get in on this where the sleaze comes in. As far as salaries go, 30 years ago I was making $2,150 per week (for 84 hours) and often had 20-30 hours on top of that. That was very good money in those days since my only expenses were transportation to and from the jumping off place. I expect that today's medics are probably not paid as much when adjusted for inflation and so forth. GG Re: FW: Oil Spill Operations > > > > > > i work offshore. the ship's master has nothing to do with delegation of medial care. > a physician delegates medical care to us and we have protocols/standing orders just like medics on land have..... > > jim davis > > > >> An attorney friend of mine has a technical term for someone practicing > >> without a license, especially medics who work offshore. The term is > >> " payday " . > >> > >> If you know of anyone who is practicing without a license I encourage you to > >> report it to the proper authorities. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2010 Report Share Posted June 28, 2010 Understand completely. Gene Re: FW: Oil Spill Operations we have a small helideck so the IFR (2 pilot choppers) are so large they cannot land on it at night. it's 24 x 24. if we get above 8-10 foot seas we got towed outta there (i'm on a barge-no engines) push comes to shove i can have the USCG winch someone off the helideck in a stokes (maybe) jim > An attorney friend of mine has a technical term for someone practicing > without a license, especially medics who work offshore. The term is > " payday " . > > If you know of anyone who is practicing without a license I encourage you to > report it to the proper authorities. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2010 Report Share Posted June 28, 2010 Understand completely. Gene Re: FW: Oil Spill Operations we have a small helideck so the IFR (2 pilot choppers) are so large they cannot land on it at night. it's 24 x 24. if we get above 8-10 foot seas we got towed outta there (i'm on a barge-no engines) push comes to shove i can have the USCG winch someone off the helideck in a stokes (maybe) jim > An attorney friend of mine has a technical term for someone practicing > without a license, especially medics who work offshore. The term is > " payday " . > > If you know of anyone who is practicing without a license I encourage you to > report it to the proper authorities. Quote Link to comment Share on other sites More sharing options...
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