Most EMTs and paramedics are trained to 'disregard' physicians on scene (notwithstanding common sense - am I going to listen to a trauma doc? Am I going to listen to a podiatrist?) - this is somewhat different.
When Call9 has a private transport arranged by the ambulance service, whose medical license do the EMTs and paramedics operate under? The county/hospital associated therewith? The ambulance service? Your physicians? And depending on the answer to that, what does the County MD have to say about that? Or the DOH EMS section for that matter?
If your ambulance service's EMS personnel are operating under county auspices, and that county has a medical protocol, how does that mesh in with instructions from your physician? What happens if your physician's instructions differ from the county protocol?
Because that could and will be an issue. An instruction from your physician could lead to a paramedic losing their job (and has happened, when physicians have instructed the on-scene medic to do procedure X when the paramedic is not authorized to do so). Do you have a clear policy for this?
"Right now, when EMTs get to the site, they don't know anything about the patient. With Call9, EMTs can begin work right away upon arrival."
This is, as someone else noted, a very hand wavy, dismissive and inaccurate description. You have access to patient history from facilities, and that is a fantastic resource.
But to say that when I roll up on scene that all I know is "Go to address X for sick person" is not remotely true.
"You'll be seeing a 65 year old male with sudden onset left arm numbness, shortness of breath, shoulder pain with no known cause, and no relief. Pt has a previous cardiac history and has taken prescribed nitro with no relief. Pt caregiver states that they have been in good health with no recent illness." is a sample 'short report' I might get en route. There's a good amount of detail there.
What's happening on the back end?
Two 911 operators listen to the call, the Call Receiver works through a flowchart to determine base complaint and appropriate response. In tandem, the Dispatcher begins assigning unit(s) and dispatching them over the air. After the initial tones to get the units rolling, whilst the call receiver continues to gather more information, the dispatcher is preparing a short report to give more detailed information to the responding units.
When Call9 has a private transport arranged by the ambulance service, whose medical license do the EMTs and paramedics operate under? The county/hospital associated therewith? The ambulance service? Your physicians? And depending on the answer to that, what does the County MD have to say about that? Or the DOH EMS section for that matter?
If your ambulance service's EMS personnel are operating under county auspices, and that county has a medical protocol, how does that mesh in with instructions from your physician? What happens if your physician's instructions differ from the county protocol?
Because that could and will be an issue. An instruction from your physician could lead to a paramedic losing their job (and has happened, when physicians have instructed the on-scene medic to do procedure X when the paramedic is not authorized to do so). Do you have a clear policy for this?
"Right now, when EMTs get to the site, they don't know anything about the patient. With Call9, EMTs can begin work right away upon arrival."
This is, as someone else noted, a very hand wavy, dismissive and inaccurate description. You have access to patient history from facilities, and that is a fantastic resource.
But to say that when I roll up on scene that all I know is "Go to address X for sick person" is not remotely true.
"You'll be seeing a 65 year old male with sudden onset left arm numbness, shortness of breath, shoulder pain with no known cause, and no relief. Pt has a previous cardiac history and has taken prescribed nitro with no relief. Pt caregiver states that they have been in good health with no recent illness." is a sample 'short report' I might get en route. There's a good amount of detail there.
What's happening on the back end?
Two 911 operators listen to the call, the Call Receiver works through a flowchart to determine base complaint and appropriate response. In tandem, the Dispatcher begins assigning unit(s) and dispatching them over the air. After the initial tones to get the units rolling, whilst the call receiver continues to gather more information, the dispatcher is preparing a short report to give more detailed information to the responding units.