Reputation from Dinosaur - Page 4

x635 liked a post in a topic by Dinosaur in Village Of Port Chester Disbands Career FD May 3, 2016

Not a policy. Civil service law covers this. Don't know the particulars anymore though.

Dinosaur liked a post in a topic by sympathomedic in Assisted Living Facilities And Falls May 3, 2016

Oh- and one more thing: Please don't make it anyone's fault but our own that these calls tie up the medic. YOU can solve that one with priority dispatch and common sense. Stop sending ALS on calls for falls with no LOC. (Seth covered that in an earlier thread) If that is asking too much, then send medics NO lights, NO siren, in an in-service status until cancelled or the call is triaged to BLS.

Dinosaur liked a post in a topic by antiquefirelt in Assisted Living Facilities And Falls May 3, 2016

I think and hope a lot of people are missing the issue. We shouldn't be complaining about doing EMS calls for anyone anywhere. Now comes the BUT. But, facilities that market and charge for care in addition to housing should not use EMS to reduce their WC costs by having "No Lift" policies for their employees. This means every time someone is on the floor, EMS is sent to pick them up. This is a relatively new policy stance that seems to be effecting all areas of the country. In my 'burg these calls result in needless transports more than 75% of the time as the patient has ceded all rights to the facility to make decisions and they will not sign a refusal of care or transport form after hours when the actual medical staff has gone home. This results int eh pt. and family being billed for a transport and ER visit when it was a simple fall or even in some cases, the pt. just sat down or laid on the floor and cannot answer "why".

So I can see a growing frustration in EMS for tying up units to respond to calls that rarely have actual injuries, but result in increased health costs for the patients while tying up resources. The answer is a higher level than the providers. Good bosses need to work on this problem so providers can continue to treat every patient with care and compassion regardless. We are starting to see many places up our way bill these facilities. We're looking into how they accomplish this ourselves.

x635 liked a post in a topic by Dinosaur in Proper PPE for Firefighting May 3, 2016

A new thread talks about a $2500 face mask equipped with built-in TIC and people are lining up to demo it. I'm willing to bet there will be dozens in the Hudson Valley before the end of the year.

Meanwhile the OFPC allowed firefighters to go out in jeans and t-shirts to fight the wildfire in the Shawangunk Mountains this past week to work alongside forest rangers and parks crews wearing Nomex and carrying fire shelters. Did the local FD crews have fire shelters? Nope.

We have to get our priorities straight!

http://www.recordonline.com/photogallery/TH/20160428/PHOTOGALLERY/428009998/PH/1

Dinosaur liked a post in a topic by dwcfireman in Proper PPE for Firefighting April 24, 2016

What if...stay with me on this one...departments purchased a bunch of sets of wildland gear for the department, but not for everyone? I think it's a nominal idea that a department could at least buy 5 or 6 sets (at a minimum) of wildland gear that would fit a majority of the personnel for brush fires. What do the masses think about having wildland gear around for personnel to use WHEN they need to, and FOR the personnel that are there? (Think similarly to water rescue suits)