RE: working in the ER

["Paul M. Wright, Jr." <pmwright@home.com>]

Gary -

You share an interesting thought but what is driving the issue of working in
the ED is cost-sharing of otherwise non-productive hours (from a revenue
perspective) rather than education.

I would make the observation that one significant risk factor for aviation
accidents is a non-viable financial model for the program.  Programs that do
not have a financial model with an adequate return on investment will not
invest in safety initiatives (including CRM)and further, in ways subtle and
non-subtle, will adversely influence fly/no-fly decisions.

>From a paramedic perspective, I'm aware that time spent in an ED while not
flying will not likely be personally rewarding in terms of skills practiced
or accolades received, but if the cost-sharing of my position puts the
program in a position to invest more heavily in safety initiatives on the
aviation side then I would argue I've done more to ensure my survival that
way than by embracing your Theory B.



regards!

paul


Paul M. Wright, Jr.
Mesa, AZ









> >
> >
> >My 2 cents, direct and simple:
> >
> >Theory A- Working in the hospital along side doctors and nurses
> >might give
> >you a bit of a clinical/medical edge as part of an AMC.
> >
> >Theory B- Working out-based along side your pilots and maintenance techs
> >might give you a bit of an aviation/CRM edge as part of an AMC.
> >
> >Test A&B- Worst case scenario's applied to this comparison:
> >
> >Result A- If your have a bad day clinically, your pt may die.
> >Result B- If you have a bad day aviation/CRM wise, you, your
> >crew AND the pt
> >may die.
> >
> >Conclusion- I'll put my extra eggs in the latter basket any day.
> >So will my
> >wife and two kids.
> >
> >Respectfully,
> >Gary Cims
> >
> >
> >_______________________________________________
> >Flightmed mailing list
> >
> >
> >_______________________________________________
> >Flightmed mailing list
> >


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