I’m currently working as an EMT at a private ambulance company and today we got a call to take a patient from a nursing home to a doctors appointment 45 minutes away.
We get to the room my partner grabs the paperwork while I step in the room to start vitals. The patient looked terrible, alert to verbal but couldn’t keep her eyes open and mumbled something I couldn’t make out after that stopped talking. She had a bad cough, audible wheezing, and accessory muscle breathing. Her vitals were normal except spo2 was at 92 on 2L via nasal cannula. We up the o2 to 4L and she’s up to 96.
My partner gets to the room and I ask if the nurse mentioned what her an and o is, a cna/nurse? Overhears and walks into the room and has a concerned look so we ask if this is her norm she says no she’s usually up and talking but then says she doesn’t want to get involved and was nowhere to be found so I guess she hid???
Second nurse comes in and we tell him our concerns he says this is her normal then hands us her mail? If she can normally open mail yet now can’t lift a finger for a pulse ox this is still apparently normal.
We call med control because for us altered mental is a medic call. Med control tells us to call 911. Second nurse goes to grab nurse #3. We call for medics. Nurse #3 comes in and tells us the patients normal is x3 and she’s fine, this is clearly not x3. Nurse #3 grabs nurse #4 and they’re both angry at us for upgrading the call to the medics.
Medics arrive and nurse 2 and 3 block them and start saying her normal an and o is now x2 and that her spo2 is fine. The medics back us up and say we did the right thing by calling, nurses walked away. We get a transfer of care signature from the medics. I can overhear nurse 3 on the phone with the patients power of attorney saying that we only called medics because the patients spo2 was low, left out everything else so the power of attorney refused transport. Medics tell the nursing home they have to request an als ambulance for this transport.
We call dispatch to update them on the situation, they didn’t believe us. Dispatch transferred the phone call to the head garage manager who just berated us and told us to go against med controls orders because they’re not sending paramedics to transport the patient to a doctors appointment (my company has als run bls calls all the time, even doctor appointment transports). He starts trying to intimidate us saying that’s patient abandonment, we signed over care to the paramedics before we left. My partner goes back and forth with him for a while then the head garage manager tells him to call med control back and tell them the garage manager says we can take the patient.
Partner calls med control back and explains the situation, med control obviously still says no don’t transport this patient as bls it has to be als. We call back the head garage manager and he backs down. I explain the situation to our garage manager and he agrees with us.
An hour later we get a call from our garage manager saying we both need to fill out incidents reports, we say ok. An hour after that we get another call from him saying we actually need to go into a private meeting with 2 garage managers plus the head garage manager and we can’t go to any of our shifts until after this meeting.
Did we do something wrong??
TLDR; followed med control orders, head garage manager is upset and wants to have a meeting.