Imagine if you will, an ambulance service decides to make every “patient contact” require either a refusal signature, or a transport. Imagine there is no more “false call,” or “no patient found,” or “no EMS needed” options for call disposition, only a patient refusal or a transport to an emergency room.
Imagine that the service ignored their definition of a patient, which used to be “a person who is ill or injured who requests, or would request, emergency medical attention.” Imagine if that new definition included:
- People sleeping in cars
- Accidental medical alarm activations
- People in car crashes who didn’t request EMS
- A guy changing a flat tire
- Passengers on a school bus which struck a mailbox
Imagine being told by dispatch to chase down a guy in a grocery store who was sleeping in his car, waiting for the store to open.
Now, imagine if you will, the ambulance service issues “report cards” to their employees, and one of the categories in which they are evaluated is their “Transport/Refusal Rate.”
Imagine that your yearly raise is directly tied to your “Transport/Refusal Rate.”
Imagine how angry you might be.