May 21, 2012

Oh, so do you drive?

Ever heard that phrase? If you work in EMS then you probably hear it every time to tell someone that you are an EMT or Paramedic. If you are anything like me, then you probably used to respond by explaining exactly what you do. After answering that question enough times, you have probably broken down and just say “yep” with hopes that the conversation doesn’t go the “what’s the worst thing you have ever seen?” route.

To this day, I am absolutely amazed at how everyone in the world seems to be completely clueless as to what we as EMS professionals do. It’s so bad that people who have been transported by ambulance still think that we just drive. While getting my hair cut a little while back, the lady cutting my hair told me that she had been transported to the hospital twice. She then went on to ask if we “just drive the ambulance”. Of course I asked her if the crew just showed up and gave her a ride, or if they treated her injuries.

Perhaps TV is to blame for this problem. It’s rare to flip through the channels and not see a show about cops. Shows and movies about firefighting are not as common, but still out there.  Shows that focus on EMS are far and few between and they typically flop. Hollywood hasn’t exactly done us any favors either. Sure, “Mother, Jugs and Speed” was a hit, but what else do we have? “Bringing out the Dead” just made us look like a bunch of burned out, delusional drug addicts. OK……maybe not far from the truth.

So how do we improve public awareness? I would hate to think that the only way to gain respect from the public is to make a TV drama series. I really wish I could end this post with some intelligent solution to the problem. Instead I’m asking for ideas. We really need to make the general public aware of what we do. We provide a valuable service to the community that deserves recognition. But more importantly, we need to make the elected officials that are making decisions truly aware of what we do. Perhaps doing so might change the way our legislators think when it comes time to cut funding for programs and reimbursement.

Any comments or suggestions would be greatly appreciated.


Consider yourself lucky

During times of a recession, it’s a wonder how any ambulance service can survive. With more and more people becoming unemployed, reimbursement for emergency services is at an all time low. This also means that less people are paying taxes to provide services like fire, police and EMS. Medicaid and Medicare programs have always had a history of cutting reimbursement during tough times. It’s now to the point where ambulance providers are only getting pennies on the dollar for what they bill.

All over the country, private ambulance services are going out of business or selling to larger providers. EMS jobs are not as abundant as they used to be. I happen to be fortunate as I work for a private ambulance service that remains financially stable right now. This of course has given me an opportunity to see what some people are willing to do get a job. We have paramedics not only moving from out of town, but out of state to work for us. It is unlike anything we have ever seen.

Now you would think that people working a secure EMS job would appreciate it, being that they can see whats going on around them. That isn’t exactly the case with everyone. I still hear attitude with crews when they are dispatched on a call for a skilled nursing facility or an inter-facility transfer. Sure, nobody enjoys those calls, but they are keeping services like us alive. While the 911 call for a stabbing is certainly exciting, it doesn’t pay the bills. As a matter of fact, 911 calls for the most part are a money loser.

If you are fortunate enough to be employed right now, remember that the calls you are running is the very thing keeping you in a job. When your employer cuts overtime, remember that it’s better than getting laid off. It’s far better to take a small hit now to ensure that you still have job in a year.

For those who are interested, I have another article I wrote a little while back about how a recession affects EMS.