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Home > Topics > Community Awareness

Minn. community medics trade ambulances for sedans

New program has paramedics paying housecalls; part of an effort towards preventing emergencies by providing in-home care and monitoring

By Maura Lerner
Star Tribune

MINNEAPOLIS — As a paramedic, Peter Carlson is used to racing to people's homes. But on his way to see 86-year-old Erika Bruvelis earlier this month, he stopped for coffee and parked outside her Minneapolis house for several minutes — reluctant to arrive too early.

In this case, no one had called 911, and with any luck, no one would go to the hospital.

Full story: Minn. community medics trade ambulances for sedans

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TIm Boyer TIm Boyer Tuesday, January 22, 2013 3:36:57 PM .
Greg Smith Greg Smith Tuesday, January 22, 2013 5:27:30 PM I can't wait until Texas adopts this. I make a lot of runs that could have been handled at home just as well as a hospital setting.
Grant Johnson Grant Johnson Tuesday, January 22, 2013 6:07:06 PM This is awesome. Hope we see more of this.
Morgan Young Morgan Young Tuesday, January 22, 2013 6:14:56 PM love the idea.
Alice Roberts Alice Roberts Tuesday, January 22, 2013 7:59:39 PM Excellant idea....When is it coming to Missouri?
Marilyn Fuller Marilyn Fuller Tuesday, January 22, 2013 9:57:20 PM We need this here in Missouri, so many people could save and ambulance services would be available for life threatening calls.
Aaron Mitton Aaron Mitton Tuesday, January 22, 2013 10:15:25 PM So he's a home health nurse?
Cheryl Daniel Cheryl Daniel Wednesday, January 23, 2013 1:27:24 AM I see this as different from a home health nurse or any other program that's been in place so far. Paramedics are trained to be aware of things that nurses are not, plus they are accustomed to being inside someone's home and notice things. To me that makes the training more effective, because they are already in the proper mindset. It's a mix of Paramedic, nursing, social service and safety skills. I would love to do this job, and I have the experience.
Daniel Katzenstein Daniel Katzenstein Wednesday, January 23, 2013 2:05:24 AM We've been doing it for about a year with very good results. Our original focus was on Holocaust victims who were leery about seeking help from the "authorities" but have since expanded it to include any at-risk lone elderly.
Timothy McCoole Timothy McCoole Wednesday, January 23, 2013 3:02:04 AM I would love to see that in San Antonio. Being a Paramedic myself I would be the first to sign up to do it.
Mark Buie Mark Buie Wednesday, January 23, 2013 5:07:43 AM This sounds like a great idea but isn't this the same thing as home health nursing?
Anthony Falzone Anthony Falzone Wednesday, January 23, 2013 7:15:47 AM This is what I have been waiting for to happen! I want to get this going in Tennessee!
Suson Hutcheson Pardew Suson Hutcheson Pardew Wednesday, January 23, 2013 7:17:25 AM Interesting, believe it or not in a small community near New Orleans, we used this concept about 20 years ago. We were able to give quality care, not bog down our own response times and build good relationships with our community. All while freeing up our call levels for 911 true emergencies.
Anthony Falzone Anthony Falzone Wednesday, January 23, 2013 7:26:42 AM This is the wave of the future for Paramedics!
Daniel Scanlon Daniel Scanlon Wednesday, January 23, 2013 9:39:03 AM I like this we can use this in Mass as well , soon I hope.
Jaime Lynn Harris Jaime Lynn Harris Wednesday, January 23, 2013 9:53:49 AM Wow! Wonderful ideas!!!
Steve Jacobi Steve Jacobi Wednesday, January 23, 2013 10:02:38 AM Nothing like diverting money away from the resouces which can make a positive change to help EMS get another weekend patch. A 2 week cert on top of a 6 month Paramedic cert should not be used to replace RNs, PTs, OTs, SLPs and RTs in homecare. This is a recipe for disaster especially since most Paramedics hate the routine stuff. It has never worked in the past and nothing has changed to see this will work any better now.
Brianna Beaver Brianna Beaver Wednesday, January 23, 2013 10:20:43 AM It has already started in Missouri. I know of two programs about to jump start any time now.
Rafael Bautista Rafael Bautista Wednesday, January 23, 2013 8:16:29 PM's about time!
Heath Stone Heath Stone Saturday, January 26, 2013 12:12:58 PM We have had this in Fort Worth for a while now. MedStar's APP(Advanced Practice Paramedics) and CHP (Community Health Program) has been up and running for a long time now.
Heath Stone Heath Stone Saturday, January 26, 2013 12:14:41 PM
Steve Jacobi Steve Jacobi Saturday, January 26, 2013 4:50:28 PM What exactly are your qualifications? Do you believe a "2 week" course on top of just a Paramedic cert is enough? Hell most Paramedics do not even have a college level A&P class. Very few can give you names of insulin or their differences. Ever managed a diabetic patient on a sliding scale or worked with many different types of diabetics and the meds or diet? What about COPD or Asthma? How many asthma meds do you know and what are the classifications? What about COPD meds? Do you know the different types? How many trachs have you changed? Do you know how to care for a stoma? Do you even care to notice long term things which might affect their health? What about decubitus ulcers? Texas already made it clear there will be no butt wiping and they probably just leave the patient sit in filth until an RN or LPN showed up. Are you really ready for dealing with chronic illnesses or do you believe this is just a social call to see if they "need a Paramedic" to intubate them?
Wayland Slater Wayland Slater Monday, January 28, 2013 8:23:01 AM I like the term "trouble-shooter". To me it sounds much like a visiting nurses program for those who don't need constant dailey treatments. I know it's more than that, but that seems to be the basis of the program.
Derrick Bonomo Derrick Bonomo Tuesday, March 26, 2013 8:10:55 PM Hope Illinois does this soon.

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