RE: Flightmed digest, Vol 1 #167 - 16 msgs

["Crista Lenk" <clenk@umbc.edu>]

Just an FYI - Pennsylvania allows RN's to challenge the state exam if they
sit through an approved EMT-B course and pass the EMT written and practical.



Director, Professional and Continuing Education
Emergency Health Services
1000 Hilltop Circle
Baltimore, Maryland 21250
410-455-3781   410-455-6713(FAX)
www.ehs.umbc.edu

-----Original Message-----
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[mailto:flightmed-admin@flightweb.com]On Behalf Of
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Sent: Friday, February 15, 2002 3:24 PM
To: flightmed@flightweb.com
Subject: Flightmed digest, Vol 1 #167 - 16 msgs


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Today's Topics:

   1. Flight Pay (Carriere, Brian)
   2. Re:peds transport (Deborah Hulchanski)
   3. Re:RN to Paramedic (ParkerTx1@aol.com)
   4. Re:peds transport (Tom Butler)
   5. computerized flight records (Bill Agudelo)
   6. RE:Flight Pay (Pickett, Debra L.)
   7. Lifeport (Ken Lawson-Williams)
   8. Re:peds transport (JECFRN@aol.com)
   9. Re:Flight Pay (Pete Limbacher)
  10. Re:computerized flight records (KReninger@aol.com)
  11. Re:peds transport (Wildmedic75@cs.com)
  12. Stats on Portable vents in the USA (PAUL FRAWLEY)
  13. Re:computerized flight records (Christy Foster)
  14. Oxygen Cascade System (Rick Patterson)
  15. (no subject) (Pantuso, Larry)
  16. Re:Re: peds transport (copterrn@bellsouth.net)

--__--__--

Message: 1
From: "Carriere, Brian" <bcarrier@provak.org>
To: "'flightmed@flightweb.com'" <flightmed@flightweb.com>
Subject: Flight Pay
Date: Thu, 14 Feb 2002 15:49:04 -0900
Reply-To: flightmed@flightweb.com


This is a question for all those hospital based programs.

How many of your programs off premium pay for Flight Duties?

If so how Much ?

We are preparing for contract negotiations and could really use this
information.

Thanks.
This message is intended for the sole use of the individual to whom it is
addressed, and may contain information that is privileged, confidential and
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to anyone the message or any information contained in the message. If you
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reply email and delete this message.


--__--__--

Message: 2
From: "Deborah Hulchanski" <wings4129@hotmail.com>
To: flightmed@flightweb.com
Subject: Re: peds transport
Date: Thu, 14 Feb 2002 19:59:02 -0500
Reply-To: flightmed@flightweb.com




As per CAMTS standards for safe transport of peds patients:

Standard 03.06.11 Part a reads
"Patients under 60 lbs (27 kg) shall be provided with an appropriately sized
restraining device (for patient's height and weight) which is further
secured by a locking device."

Of interest is also standard 03.06.11 Part b
"There must be some type of restraining device withing the isolette to
protect the infant in the event of air turbulence or poor road conditions."

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Message: 3
From: ParkerTx1@aol.com
Date: Thu, 14 Feb 2002 20:02:30 EST
Subject: Re: RN to Paramedic
To: flightmed@flightweb.com
Reply-To: flightmed@flightweb.com


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I am a little confused.  What is the purpose of having RNs with paramedic
certifications without them having the paramedic education/skills?

paul smith


In a message dated 2/12/02 7:41:29 PM Central Standard Time,
Nitrobsms@aol.com writes:


> Dear all,
>
>    We have quite a few RN's that need to obtain EMT-P for job
> security/advancement, we currently run RN and EMT-P teams, RN's are
helping
> EMT's with nursing school.  Everyone keeps talking about how RN's are
> allowed
> to challenge state EMT-P test's, but we have yet to find such a state,
> texas
> stopped last august, we are trying to help them find their way.  Does
> anyone
> know of a state that will let them challenge the test?  Thanks for your
> help.
>
>



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<HTML><FONT FACE=arial,helvetica><FONT  SIZE=2>I am a little confused.
&nbsp;What is the purpose of having RNs with paramedic certifications
without them having the paramedic education/skills?
<BR>
<BR>paul smith
<BR>
<BR>
<BR>In a message dated 2/12/02 7:41:29 PM Central Standard Time,
Nitrobsms@aol.com writes:
<BR>
<BR>
<BR><BLOCKQUOTE TYPE=CITE style="BORDER-LEFT: #0000ff 2px solid;
MARGIN-LEFT: 5px; MARGIN-RIGHT: 0px; PADDING-LEFT: 5px">Dear all,
<BR>
<BR> &nbsp;&nbsp;We have quite a few RN's that need to obtain EMT-P for job
<BR>security/advancement, we currently run RN and EMT-P teams, RN's are
helping
<BR>EMT's with nursing school. &nbsp;Everyone keeps talking about how RN's
are allowed
<BR>to challenge state EMT-P test's, but we have yet to find such a state,
texas
<BR>stopped last august, we are trying to help them find their way.
&nbsp;Does anyone
<BR>know of a state that will let them challenge the test? &nbsp;Thanks for
your help.
<BR>
<BR></FONT><FONT  COLOR="#000000" SIZE=3 FAMILY="SANSSERIF" FACE="Arial"
LANG="0"></BLOCKQUOTE>
<BR></FONT><FONT  COLOR="#000000" SIZE=2 FAMILY="SANSSERIF" FACE="Arial"
LANG="0">
<BR></FONT></HTML>

--part1_c.231dd6de.299db826_boundary--


--__--__--

Message: 4
Date: Thu, 14 Feb 2002 21:41:09 -0600
From: "Tom Butler" <TButler@tulsatech.org>
To: flightmed@flightweb.com
Subject: Re: peds transport
Reply-To: flightmed@flightweb.com

I would encourage you to look into FAR Part 135 which is the FAR that =
applies to this area.  I do agree that the safe tranportation of all of =
our patients should be a priority.  If a rule, regulation, or standard is =
set, there is nothing stating you can not go above that level to insure a =
safe environment for your patient.



>>> "Deborah Hulchanski" <wings4129@hotmail.com> 02/14/02 06:59PM >>>



As per CAMTS standards for safe transport of peds patients:

Standard 03.06.11 Part a reads
"Patients under 60 lbs (27 kg) shall be provided with an appropriately =
sized=20
restraining device (for patient's height and weight) which is further=20
secured by a locking device."

Of interest is also standard 03.06.11 Part b
"There must be some type of restraining device withing the isolette to=20
protect the infant in the event of air turbulence or poor road conditions."=


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Flightmed mailing list
To unsubscribe or change your email address, go to http://www.pairlist.net/=
mailman/listinfo/flightmed=20




--__--__--

Message: 5
Date: Mon, 11 Feb 2002 06:34:15 -0800 (PST)
From: Bill Agudelo <bkagudelo@yahoo.com>
Subject: computerized flight records
To: flightmed@flightweb.com
Reply-To: flightmed@flightweb.com

Thanks in advance for any input on this matter.

Our program is looking at computerized flight records.
Has anyone tried making their own on Access or any
other programs.


Bill


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--__--__--

Message: 6
From: "Pickett, Debra L." <DPickett@mc.utmck.edu>
To: "'flightmed@flightweb.com'" <flightmed@flightweb.com>
Subject: RE: Flight Pay
Date: Fri, 15 Feb 2002 11:03:03 -0500
Reply-To: flightmed@flightweb.com

We are hospital based but I'm not sure what information you are trying to
obtain.  What do you mean by off flight pay?  Are you talking about time off
if the aircraft is down?
Debbie Pickett, R.N., C.E.N.
Chief Flight Nurse
UT Lifestar Aeromedical Services
Phone: (865) 544-8992
Fax:     (865) 544-8868
E-mail:  dpickett@mc.utmck.edu




--__--__--

Message: 7
Date: Fri, 15 Feb 2002 07:49:01 -0800 (PST)
From: Ken Lawson-Williams <Macgyver@FlightMedicMail.com>
To: flightmed@flightweb.com
Subject:  Lifeport
Reply-To: flightmed@flightweb.com

Has anyone heard of a recent BE-200 crash where allegedly the Lifeport broke
free? Not sure if sled off base, or base off floor. Looking for date and
program or NTSB/TSB report (if available) so can research and maybe prevent
in our 3x200's.

KLW
Medflight (Yellowknife)


--__--__--

Message: 8
From: JECFRN@aol.com
Date: Fri, 15 Feb 2002 11:27:08 EST
Subject: Re: peds transport
To: flightmed@flightweb.com
Reply-To: flightmed@flightweb.com


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In a perfect world of "cooperative" pediatric patients, there is no question
that practice supports and regulation requires securing the little tyke
(infant, toddler or child). However, given the choice of a screaming,
hysterical, flailing tyke with respiratory distress in a car seat with
increased oxygen demand and exacerbation of bronchospasm, vs. a quiet tyke
sitting in moms lap with a nebulizer. It all depends on the specific case,
circumstances, risks and benefits. Hypoxic? Retractions? Crowing? Trauma?
Oncology? Oh dark thirty with a rough takeoff/landing in a storm? Clear and
smooth? Blizzard with snow/ice covered roads? Parental attitude? Rotor?
Fixed
wing? Pilot input? There are always options that experience and judgment
will
reveal.
Have seen more than one case of an infant riding in mom's lap on a Part 121
flight.
In advance, thanks for your consideration.

John Engdahl, RN, CFRN
Reno, Nevada

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<HTML><FONT FACE=arial,helvetica><FONT  COLOR="#0000ff" SIZE=3
FAMILY="SANSSERIF" FACE="Eurostile" LANG="0">In a perfect world of
"cooperative" pediatric patients, there is no question that practice
supports and regulation requires securing the little tyke (infant, toddler
or child). However, given the choice of a screaming, hysterical, flailing
tyke with respiratory distress in a car seat with increased oxygen demand
and exacerbation of bronchospasm, vs. a quiet tyke sitting in moms lap with
a nebulizer. It all depends on the specific case, circumstances, risks and
benefits. Hypoxic? Retractions? Crowing? Trauma? Oncology? Oh dark thirty
with a rough takeoff/landing in a storm? Clear and smooth? Blizzard with
snow/ice covered roads? Parental attitude? Rotor? Fixed wing? Pilot input?
There are always options that experience and judgment will reveal.
<BR>Have seen more than one case of an infant riding in mom's lap on a Part
121 flight.
<BR>In advance, thanks for your consideration.
<BR>
<BR>John Engdahl, RN, CFRN
<BR>Reno, Nevada</FONT></HTML>

--part1_2d.1889b0b1.299e90dc_boundary--


--__--__--

Message: 9
From: "Pete Limbacher" <pistol40@hotmail.com>
To: flightmed@flightweb.com
Subject: Re: Flight Pay
Date: Fri, 15 Feb 2002 16:44:47
Reply-To: flightmed@flightweb.com

No premium pay offered in Seattle. We receive the same wage scales as our
counterparts in the hospital.

Pete


>From: "Carriere, Brian" <bcarrier@provak.org>
>Reply-To: flightmed@flightweb.com
>To: "'flightmed@flightweb.com'" <flightmed@flightweb.com>
>Subject: Flight Pay
>Date: Thu, 14 Feb 2002 15:49:04 -0900
>
>
>This is a question for all those hospital based programs.
>
>How many of your programs off premium pay for Flight Duties?
>
>If so how Much ?
>
>We are preparing for contract negotiations and could really use this
>information.
>
>Thanks.
>This message is intended for the sole use of the individual to whom it is
>addressed, and may contain information that is privileged, confidential and
>exempt from disclosure under applicable law. If you are not the addressee
>you are hereby notified that you may not use, copy, disclose, or distribute
>to anyone the message or any information contained in the message. If you
>have received this message in error, please immediately advise the sender
>by
>reply email and delete this message.
>
>_______________________________________________
>Flightmed mailing list
>To unsubscribe or change your email address, go to
>http://www.pairlist.net/mailman/listinfo/flightmed
>




Pete Limbacher RN CCRN


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--__--__--

Message: 10
From: KReninger@aol.com
Date: Fri, 15 Feb 2002 12:08:39 EST
Subject: Re: computerized flight records
To: flightmed@flightweb.com
Reply-To: flightmed@flightweb.com

I am also looking into the possibility of creating a computer based charting
system for our program. Please include me in any direct responses. I have
already had several helpful responses in regard to commercially available
charting and data collection programs.  As before, I greatly appreciate
anyone's input. Thanks.


Kristian Reninger
RN, BSN, CEN, NREMT-P
Flight Nurse
Mercy Flight Central

Kristian Reninger
8189 Honeysuckle Dr
Liverpool, NY 13090
315-652-6814
KReninger@aol.com


--__--__--

Message: 11
From: Wildmedic75@cs.com
Date: Fri, 15 Feb 2002 12:20:56 EST
Subject: Re: peds transport
To: flightmed@flightweb.com
Reply-To: flightmed@flightweb.com

I couldn't agree more. While I agree that safety is always of paramount
importance, I think it is a bit naive to think that we will NEVER, EVER find
ourselves in situations where the patient would benefit from us bending the
rules a little.

If you all would allow me to make an analogy, the scenario described below
reminds me of a call I had when I was a full-time ambulance medic....5 y/o
male, struck by a car  doing 20-30 MPH...femur deformity and some
superficial
bleeding, but no other obvious injuries. The poor kid was so scared and in
so
much pain that he was ABSOLUTELY HYSTERICAL. No parents around to comfort
him
(they left him him alone while they ran to make a score...); for some
reason,
they ONLY person he would let even touch him was me. No firemen, no cops,
not
my partner....the only way I could keep him calm and minimize movement of
his
femur and spinal column was to hold him in my arms, tight to my chest.

Now, could I have wrestled this poor, screaming, flailing kid onto a
backboard, strapped him down, gotten a full set of VS, done a detailed
assessment, started two lines, etc..etc...? Sure I could have. Heck, I
probably could have tubed him with a number 7 and a Mac 4, too....but would
I
have been helping him or potentially causing even more harm?

Did the ER staff at the pediatric trauma center (only about 5 minutes from
the accident scene) see it my way? Of course not....they took turns giving
me
more than an earful.....but I don't expect any different from people who
only
see the scene from their ivory tower....

Just some food for thought.

Allan

<< a perfect world of "cooperative" pediatric patients, there is no question
 that practice supports and regulation requires securing the little tyke
 (infant, toddler or child). However, given the choice of a screaming,
 hysterical, flailing tyke with respiratory distress in a car seat with
 increased oxygen demand and exacerbation of bronchospasm, vs. a quiet tyke
 sitting in moms lap with a nebulizer. It all depends on the specific case,
 circumstances, risks and benefits. >>


--__--__--

Message: 12
Date: Fri, 15 Feb 2002 07:24:18 -0500
From: "PAUL FRAWLEY" <pfrawley@umm.edu>
To: <flightmed@flightweb.com>
Subject: Stats on Portable vents in the USA
Reply-To: flightmed@flightweb.com

Hello:

I am looking for suggestions/directions on where I can find accurate and =
up todate stats on the number of transport vents in the USA; their life =
expectancy; and who holds the market share.

Thanks.

Paul


--__--__--

Message: 13
Date: Fri, 15 Feb 2002 11:13:09 -0800 (PST)
From: Christy Foster <floridaflightgal@yahoo.com>
Subject: Re: computerized flight records
To: flightmed@flightweb.com
Reply-To: flightmed@flightweb.com

I can definitely NOT recommend AMS charting.  I have
used it at two different flight programs and they
really are redundant and out-dated.  Everyone hates
it.

Christy Foster


--- KReninger@aol.com wrote:
> I am also looking into the possibility of creating a
> computer based charting
> system for our program. Please include me in any
> direct responses. I have
> already had several helpful responses in regard to
> commercially available
> charting and data collection programs.  As before, I
> greatly appreciate
> anyone's input. Thanks.
>
>
> Kristian Reninger
> RN, BSN, CEN, NREMT-P
> Flight Nurse
> Mercy Flight Central
>
> Kristian Reninger
> 8189 Honeysuckle Dr
> Liverpool, NY 13090
> 315-652-6814
> KReninger@aol.com
>
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to
> http://www.pairlist.net/mailman/listinfo/flightmed
>


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Message: 14
Date: Fri, 15 Feb 2002 09:45:17 -0800 (PST)
From: Rick Patterson <RPatterson@FlightMedicMail.com>
To: Flightweb <flightmed@flightweb.com>
Subject: Oxygen Cascade System
Reply-To: flightmed@flightweb.com

Hello all fellow AMP,

We are in the process of completing our CAMTS accredidation and I am looking
for a policy on the Cascade System and proper administration of such. We all
know how to fill our ship's and portable tanks, but I would like to see if
there is a policy on such topic. Any help will be greatly appreciated.

Thanks and Safe flying.

Rick Patterson, NREMT-P, CCEMT-P
Critical Care Flight Paramedic
Base Supervisor

Bus. Ph. 716-396-0584
Home Ph. 716-396-1716
Pager #  716-214-3395
www.mercyflightcentral.org

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--__--__--

Message: 15
From: "Pantuso, Larry" <LPantuso@statmedevac.com>
To: "'flightmed@flightweb.com'" <flightmed@flightweb.com>
Date: Fri, 15 Feb 2002 14:37:47 -0500
Subject:  (no subject)
Reply-To: flightmed@flightweb.com

We at STAT MedEvac have a computer programmer in house who has developed an
excellent computerized patient record system.  As far as I know there is no
comparable program on the market. You contact me for further information.


--__--__--

Message: 16
From: <copterrn@bellsouth.net>
To: flightmed@flightweb.com
Subject: Re: Re: peds transport
Date: Fri, 15 Feb 2002 15:17:54 -0500
Reply-To: flightmed@flightweb.com

The key here is what is best for the patient in the long run. Does anyone
care to see a child suffer? No, but what service would be served with this
child being emotionally soothed for his journey to the Trauma Center if his
subtle Cervical spine fracture then subluxated while in your arms?  How
often are ground EMS units involved in collisions?
Hysterical to me means an open airway and cognitive thought.

Buckle them everytime.

David Summers RN, etc
Pediatric Trauma Nurse Coordinator
West Palm Beach, FL

>
> From: Wildmedic75@cs.com
> Date: 2002/02/15 Fri PM 12:20:56 EST
> To: flightmed@flightweb.com
> Subject: Re: peds transport
>
> I couldn't agree more. While I agree that safety is always of paramount
> importance, I think it is a bit naive to think that we will NEVER, EVER
find
> ourselves in situations where the patient would benefit from us bending
the
> rules a little.
>
> If you all would allow me to make an analogy, the scenario described below
> reminds me of a call I had when I was a full-time ambulance medic....5 y/o
> male, struck by a car  doing 20-30 MPH...femur deformity and some
superficial
> bleeding, but no other obvious injuries. The poor kid was so scared and in
so
> much pain that he was ABSOLUTELY HYSTERICAL. No parents around to comfort
him
> (they left him him alone while they ran to make a score...); for some
reason,
> they ONLY person he would let even touch him was me. No firemen, no cops,
not
> my partner....the only way I could keep him calm and minimize movement of
his
> femur and spinal column was to hold him in my arms, tight to my chest.
>
> Now, could I have wrestled this poor, screaming, flailing kid onto a
> backboard, strapped him down, gotten a full set of VS, done a detailed
> assessment, started two lines, etc..etc...? Sure I could have. Heck, I
> probably could have tubed him with a number 7 and a Mac 4, too....but
would I
> have been helping him or potentially causing even more harm?
>
> Did the ER staff at the pediatric trauma center (only about 5 minutes from
> the accident scene) see it my way? Of course not....they took turns giving
me
> more than an earful.....but I don't expect any different from people who
only
> see the scene from their ivory tower....
>
> Just some food for thought.
>
> Allan
>
> << a perfect world of "cooperative" pediatric patients, there is no
question
>  that practice supports and regulation requires securing the little tyke
>  (infant, toddler or child). However, given the choice of a screaming,
>  hysterical, flailing tyke with respiratory distress in a car seat with
>  increased oxygen demand and exacerbation of bronchospasm, vs. a quiet
tyke
>  sitting in moms lap with a nebulizer. It all depends on the specific
case,
>  circumstances, risks and benefits. >>
>
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to
http://www.pairlist.net/mailman/listinfo/flightmed
>
>





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