TIP: Click on subject to list as thread! ANSI
echo: ems
to: ALL
from: CHRIS NOLD
date: 1996-11-04 01:14:00
subject: AMAs

What would ya'll think if your company said you cannot clear "no sick or
injured" on a scene you've been on, even if the patient(s) have NO
complaint and NO damage to vehicle (in MVAs..)? This recently was put
into play where I work, and I can't get over it. I haven't had a chance
to speak with my clinical supervisor, but my questions about it are:
what am I supposed to write as my assessment on a person without
complaints and without injury? I was told by another employee that "on
any MVA, even without vehicular damage, you can ALWAYS rule out Cspine
injury". I say: BS! If I don't suspect it, why say I do? If I assess
possible Cspine injury, then I have to fully inform pt. of possible
outcomes, risks, etc. of not being transported, then have him sign my
AMA, even if he never wanted an ambulance, just because some guy driving
down the road called 911 while driving past a minor MVA.
I'm totally aware of the "CYA" concept...and the other messages
elsewhere on here that is covering CYAing, but what if a company TELLS
you to do as I've stated above. Am I just blowing this out of
proportion? I have been known to argue for the heck of it...
Chris
--- WILDMAIL!/WC v4.12 
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* Origin: Rowlett PD CrimeStoppers BBS (214)412-6262 (1:124/3152.0)

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