I think that this has struck a nerve with the Ada County Paramedics. Funny how all their comments are laced with acid for the Fire Department Unions. Nemo has a funny way of diverting the truth by painting the Unions as the bad guys for everything. Guess maybe it is Union envy...he wishes he too had some say in his future. The Union is just a bunch of hard-workers reminding the politicians that there are real people working in the trenches for the towns that they live in.
Don't let all this jabber from the Ada County 'hit squad' divert the subject. They just look for every chance to make everyone else the bad guy with this issue of EMS. Just read some of the comments on the guardian and you can see that they aren't studying EMS over there, they are surfing the internet looking for all the negetive ammunition they can find to try and defend their position.
EMS for the Ada County area is in a transitionary time. There is change on the horizon and it is coming reguardless of the pitiful arguments and the petty pissing matches. Those that will accept the transition will enjoy the new and better services and those that don't will just go on living their sad, angry little lives. I don't think that anybody has the right answers for this area. It is going to be a consolidation of some sort that is going to improve QRU response times, improve ALS provider care, improve transport costs, but mostly, the citizens of Ada County will see an increase in true customer care on scene instead of petty arguments over who is "in charge" on scene.
If you look throughout the country, there is a tradition that the first on scene is in charge of patient care. Now, this can be an EMT-Basic or a Paramedic. This assures that this patient gets the best quality, seamless care available. Currently, if the first on-scene is a Fire-Medic or EMT-Basic, Ada County simply ignores their presence and pushes them(literally in some cases) out of the way to "take-over" care of the patient - until they need someone to retrieve their equipment (like the gurney that they should have brought with them to begin with), or lift the patient, or manipulate their stair-chair (that some ACP have no clue how to operate) or carry the patient down stairs or load them in the ambulance. This isn't to get the most experienced provider 'in charge' (most of their name tags say "serving since 2008 or 2009"). These petty arguments only delay patient care and cause huge amount of animosity between crews. If Ada County was truly the customer-centered organization that they claim to be, they wouldn't be so concerned about the fire departments adding paramedics to speed the start of ALS care on scene, they would be looking for ways to work with the cities and the crews.
As for those of the 'hit squad' that pose the idea that a dumb firefighter can't possibly be both a paramedic and a firefighter, wake-up and look around at our neighboring states - Washington, Oregon, California, Nevada, and more all have had combined services for many, many years, and their EMS systems far exceed ours (by about 20 years!)
The citizens of Ada County need to know this...the quality of EMS protection that they have been used too is not going to decrease, reguardless of the changes that are made to the system. All organizations are committed to providing the best care that they can, and will continue to do so. All this petty bickering is simply the 'closed-minded' being brought-up-to-speed. Like an old house that is getting a face-lift, it is going to squeek, moan and complain, but in the end, all it is, is noise!
It sounds like Ada County Paramedics is more concerned with sole control of Ada County and the cities seem to be concerned about the best, quickest and most efficient service. You would think that it would be most beneficial to patients if Ada County Paramedics would work WITH the cities not against them. note: how can placement of ambulance stations effect the transport time from the patient's residence TO the hospital?
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