Edwin Roberts

Behavior

The Economy effects Emergency Medical Services Crews

As a NYC 9-1-1 paramedic for 20 years i've noticed staffing changes that could be linked to the economy.

In the past I had one paramedic partner who worked 8 hours a day 5 days a week on my shift; we were a team and the treatment routine and roles were well established and rehearsed.

Money is tight. To make ends meet paramedics are compressing their work schedules so that they can work at many institutions within the same week.

For example, a paramedic may complete his/her shift obligation in 3 days at one employer only to work the same compressed schedule later in the week elsewhere - equivalent to almost 2 full-time jobs.

Why is this a problem? Double shifts on a busy day are exhausting and mistakes can happen. Also, positive patient care outcomes work better when the team members are rested and have a regular working relationship.

Chaos is the unwanted "third partner" when you really dont know your partner and can't predict his/her intentions on serious jobs.