Kukho ingxoxo ekhuphayo kwiinkonzo zonyango lwezonyango. Iziko malunga nokuba ingaba iipededics kunye neengcali zezonyango zongxamisekileyo (EMT's) zivumelekile okanye ziqinisekisiwe. Abahlengikazi ababhalisiweyo kunye namagqirha ngokuqinisekileyo balayisenisi. Abaqhubi balayisenisi. Abaqhubi baqhubi balayisenisi. Abaqeshisi balayisenisi. Kuthiwani ngee-paramedics?
Kuxhomekeke kwilizwe.
Mhlawumbi impendulo yalo mbuzo mayibe yiyo: Ngubani okhathalelayo?
Ilayisenisi ayifumanekanga umahluko xa kufikelele kwiinkonzo zonyango eziphuthumayo zangaphambili. Abaqeqeshi kuphela bezonyango abangenokwenza imichiza ngokwenene ngamagqirha. Wonk 'ubani uyenzela ukwenza i-bidding yegqirha ngokulandela imiyalelo yesigqirha. Uhlobo olulodwa kuphela kulo mgaqo ngumongikazi obhalisiwe (RNP), kwaye ilayisenisi ayikho yonke indawo kuwo onke amazwe.
Kukho imbambano yokuba nayiphi na indlela yokuvunyelwa yi-arhente karhulumente yilayisensi ye-facto. Ndiya kubhalisa kule nkcazo, kodwa kwakhona, ngubani okhathalelayo? Ukuba i-state ithi unokuba yi-paramedic okanye i-EMT, ngoko unako. Ingaba imvume leyo ilayisenisi okanye nje ukuba uqinisekiswe nguRhulumente ukuba wenze umsebenzi awuguquli ukuba unikwe igunya lokuphatha izigulane ngokuhambelana nemimiselo yendawo osebenza kuyo. Yibize imvume okanye ilayisenisi; kungakhathaliseki, yindlela yombutho karhulumente ukuxhasa ubuchule bakho kwintsimi ethile okanye ukusetyenziswa.
Ngubani okhupha isatifikethi?
Ngoko, kuthekani ukuba ukuvuma akuveli kwi-arhente karhulumente? Kwimeko apho, ngokuqinisekileyo isatifikethi. Kukho imizekelo emininzi yeziqinisekiso kwiinkonzo zempilo. CPR mhlawumbi ixhaphakileyo. E-California, wonke umntu kufuneka ukuba abe nguCPR oqinisekisiweyo ukwenzela ukuba enze njenge-paramedic okanye i-EMT.
Nangona kunjalo, iCalifornia ayinikezeli isitifiketi seCPR okanye ilayisenisi. Awudingi imvume yokukwenza iCPR. Akufani nokushayela imoto. Isizathu sokuba isatifikethi seCPR sibonise ukuba i-paramedic okanye i-EMT isesikolweni kuzo zonke iinkqubo ze-CPR zangoku.
Kuya kwiiofisi ze-EMS zendawo ukuba zichonge ukuba yeyiphi iqela aza kwamkela isatifikethi seCPR. Iinqununu eziqhelekileyo zokuqinisekisa i-CPR yi-American Heart Association kunye ne-American Red Cross. Akunabo urhulumente kwaye abanalo igunya lokuvumela ilayisenisi nabani na, kodwa iindawo ezihloniphekileyo.
I-Registry kaZwelonke ye-EMT (i-NREMT) iqinisekisa ii-EMT kunye nee-paramedics . Ngethuba i-NREMT inganiki bani na amandla ukuba abe yi-paramedic, abaninzi basebenzisa isitifiketi se-NREMT njengommeli ukuqinisekisa ukuba umntu ufanelekile ukuba abe yimpilisi yelayisenisi. ICalifornia isebenza ngale ndlela. Xa i-paramedic inelayisenisi ye-paramedic ye-California, akumele ihlale iqinisekiswe yi-NREMT.
Ekugqibeleni, zonke iingxabano malunga neelayisensi okanye izatifikethi ayinandaba. I-paramedic okanye i-EMT iya kulondoloza ubomi bakho xa kufika ixesha. Basenokuba basebenzisa izakhono ezifanayo kwimeko apho baqinisekisiwe njengoko babeya kuba karhulumente apho banemvume.
Ngeendlela ezininzi, kungumcimbi wentlonelo, kwaye umntu akafanelekanga kakhulu.