----- Original Message -----
Sent: Wednesday, April 03, 2002 9:58
Subject: Re: Turf battles
I was just going to sit back and watch this discussion go
on. But after a few days I decided to jump in as they say.
First of all I do think you need to separate the issue and
look at two components. I always think there is the procedural component
and the assessment component. I still believe that you can teach anybody
(even a monkey) to do procedural skills. I don't a professionally
trained provider. I mean anyone. With enough training anyone can
intubate, put in central lines, distinguish heart patterns, place IO
etc. Those things really don't take rocket science. It is about
learning landmarks, and then practice and currency.
The second and bigger issue is Assessment of your patient
and when to do those procedures. Now can anyone be taught to
assess. I am sure if you are smart enough anyone can be taught to assess
the things that are important for any type of transport no matter what is
behind your name if you carry the right IQ and if your in this business in the
first place you probably do.
I happen to carry a very High IQ (not bragging just stating
a fact) I am sure if I went to a few more classes, read a bit more on areas
that I am not familiar with I could be a physician, as it is many times I am
directing physicians in care anyway after all isn't that part of our
We don't fly RRT (unless it is a nitric run) but we run all
the ventilators on NICU runs but I am sure that again a year of study etc I
could be a RRT.
Anyway what I am trying to get at is that all of our jobs
have pieces of others jobs in it. The point being the law and state
regulatory boards usually regulates what each body does or doesn't do.
Doesn't have anything to do with who should, who could, who is smarter or
anything. So to the argument I always say. If you want to do
Doctor things, go back to school and be a doctor, If you want to be a
nurse go back to school Etc. I know it sounds like a scape goat but the
system does and has worked and we all compliment each other. We all
bring something to the table and to the transport environment. I have
know many a nursing assistants that have worked in many a unit that were
smarter than many a residents that came through and a lot of time saved
patients buts by alerting nurses saying you better stop him
because......... but that still doesn't give that person the license no
the authority to be apart of the team because of the law. The person was
the acceptation rather than the rule and this usually is the case
To the original question. I think orientation really
needs to be structured to the individuals learning needs. I would thing
that people would need classes in flight physiology, aircraft safety and
orientation, radio communication, ditching, etc, and then look at their
experience and go from their. Some of our people are done in a week,
some take longer. All really depends....
As far as qualifications when do NICU people make the time I
can't answer this as we have separate teams at a hospital and they are
independent of us.
(reading back now it sounds a little confusing. Sorry
about this. I just whelped a litter of puppies so am a bit
----- Original Message -----
Sent: Tuesday, April 02, 2002 9:24
Subject: Re: Turf