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Mike brings an important point to light.....sometimes the
closest isn't best for the patient. Closest hosp, closest Doc, or Air
Ambulance. However keeping a trauma patient waiting for 11/2
hours in an ER, isn't cool either.
I have seen receiving hospitals request a patient to wait for
their transport team for 2-3 hours to arrive when another (actually better
credentialed program is 12 minutes away) and the patient could have been at a
Level 1 center before their choice for transport even arrived at the patient
bedside, then had another 1-2 hour transport time back to the facility.
They do this regularly, and even suggest that by waiting for them the liability
for Patient care is on them.... Our citizens deserve
better treatment. I also believe we need stronger regulation in what
qualifies me to be an Air Ambulance!
Michele Moore,RRT,EMT-P
flight crew
>>> Fltrt@aol.com 06/25/02 09:47AM >>> I find this thread very interesting and I think it is a needed area to discuss and more importantly research. I have heard some states use a CON (certificate of need) system to regulate air and ground services and others have no regulation at all. Some require CAMTS accreditation others have no regulation at all. I also know that some programs have very extensive initial training programs for their new hires (8-12 40 hour weeks) and others have a 2-3 day quickie orientation. Who do you want taking care of your patients or for that matter your family, and what type of system will create an improved environment? I truly hope this discussion continues and elicits some real research. Mike |