don't walkI had no idea that walking patients to the ambulance was such a risque thing to do.

Since the debut of Chronicles of EMS I have been seeing posts and getting emails about how folks are glad they saw me walking patients to the ambulance because it proves I’m willing to show the cameras what’s really happening.

Well, news flash – I walk patients to the ambulance all the time.

When their condition permits, of course.

But when Bubba Fishbiscuit calls because he is out of “brain pills” again, or sprains his wrist guess what folks, he walks if he wants to.

I have even been known to walk patients INTO the ER! AAAAAAAHHHHHHHHH!

My question to you is, why aren’t you?

If your patient doesn’t need the cot, or want it, why are you “required” to use it? And the stair chair too?

I dug through my County Guidelines, Department Protocols and even Department rules and regulations and found nothign about folks not being able to use their good legs when they want to.

Forcing people to make you carry them is insulting.

“No Ma’am, we have to for liability reasons” is the exact opposite of what you’re doing. By letting them walk they are responsible for their actions. When you carry and drop them, well, that was your call.

So why is it that so many Paramedics and EMTs were taken aback when I allowed people who were walking around when they called me and walking still when I arrived to walk into the ambulance?

can't billIs it billing?

Is it?

Is the ability to be reimbursed for the transport more important than the patient? If you are required to carry or cot everyone no matter what, then yes.

Ask your Medical Director about walking patients to the rig who have non life threatening injuries or who are stable per their history and protocols and request to walk on their own, watch what they say.

Now go ask your billing department how hard it is to get Medicare to reimburse when you start your narrative with “Pt ambulated without assistance to Medic99.” Watch their eyes catch fire.

Your protocols should outweigh your policies because your policies cover you and your protocols your patients and we’ve covered more than once in this forum that this thing isn’t about us, it’s about them.

If Bubba’s had a few too many, he gets carried. If he’s going to reach out on the stairwell and twist in the chair causing my knee to go out, who’s fault is that? Bubba’s for reaching out or mine for not helping him down the stairs in the first place.

Have a serious talk with your system administrators if you are not permitted to let your patients walk to the ambulance. Show them the Chronicles episode and show them that I do it all the time and, gasp, no one dies.

But, and I hate that I have to add this, follow your established policies and protocols until otherwise advised by those who have the power to change things.

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