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So with these new requirements it sounds like medics won’t be able to carry drugs across state lines . This seems like it would have a negative impact on patient care . For example no pain meds will be available to patients on the line .
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That’s a great info video. Can’t imagine for example sitting at the bottom of a river canyon on the Six Rivers or Klamath with a busted femur and having no pain meds to help with pain. Wouldn’t that be a fun trip out! Hope they find some solutions PDQ.
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So the DEA is federal, what is the basis for not taking narcotics across a state line by a licensed professional? The govt has lost its way.
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When you cross state lines, that brings anything under Federal jurisdiction. Intra-state is controlled by the individual state. When you cross state lines it becomes inter-state and a Federal responsibility because you couldn’t get all the states to agree on most anything.
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this is why we can’t have nice things. I just dont understand the risk, the problems?
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It isn’t always about risk or results, it can be about commonality, but most often it is power and control of everyone’s fiefdom. Logic does not always come into play.
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I agree about the commonality. Protocols and scope of practice are different everywhere. We could not get our LEMSA (local EMS agency) to agree to meet neighboring LEMSAs standards on some basic advanced life support issues. Our local medics scope of practice could not be met when they were sent of of county on mutual aids. Bump this up to state to state differences in standards and the federal govt trying to manage from above and its a cluster. A medic incurs a lot of liability when they leave their local area.
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In R5 I think we will see less out of state contract medics this season. More hoops to jump through , it will take time and money for contractors to get registered in multiple states.
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When working on Federal lands, state laws and regulations only apply when the Feds allow them to. The Supremacy Clause in the Federal Constitution says state and local guidance need not apply. My words. If the Forest Service, Interior Dept and National Parks allowed any licensed paramedic to operate on their lands, then the states could only complain, as usual.
Of course getting those agencies to agree on something of this importance would take forever to accomplish.
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Across county lines @B3420R ? Good grief one of our stations you head west two miles your in one county and north two miles in another. Nobody cares what county we are in or thinks twice about it. Crazy that there are archaic LEMSAs sweating this crap. A medic incurs liability everyday. You screw up and things dont turn out great I dont care where you are, your gonna have to answer for it.
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