r/Firefighting Jun 22 '25

Photos “Firefighting”- 90% E.M.S.

Post image
766 Upvotes

97 comments sorted by

273

u/WittyClerk Jun 22 '25

The private nursing homes ought to be held accountable for the endless lift-assist calls, and start hiring competent staff, and paying their staff livable wages to do their jobs. Such a waste of resources. I've heard some fire departments have started charging for lift calls. Sounds like a swell idea.

158

u/Vprbite I Lift Assist What You Fear Jun 22 '25

I don't know. I just came on. This isn't even my patient

67

u/MuscularShlong Jun 22 '25

We had a nurse say “I just got on shift” and the patients supplemental oxygen tank was completely empty.

19

u/WittyClerk Jun 22 '25

That's awful...

27

u/MuscularShlong Jun 22 '25

Yea they were at like 55-60% on the pulse ox for who knows how long.

21

u/WittyClerk Jun 22 '25

Someone needs to do something about these "nursing" homes, for real.

15

u/reddaddiction Jun 22 '25

Those things are big money and all types get into that business purely for profit.

12

u/KGBspy Career FF/Lt and adult babysitter. Jun 22 '25

Yes fuck Athena Healthcare and you’re “award winning” facility in my city that we go to 3-5 calls a day, the award must be for the least urine smelling and most useless staff.

5

u/Vprbite I Lift Assist What You Fear Jun 23 '25

Least urine. But not urine free.

3

u/KGBspy Career FF/Lt and adult babysitter. Jun 23 '25

I honestly feel for the residents there, my uncle had my grandfather in there when he started going and I was like…get him TF out of there, my father in law was in there too for a time before he passed and he was a retired FF from the same department. Back when I got on it was a nursing home, now it’s an anyone with $$ facility of all ages. I’ve even had a guy I went to high school with as a patient. The place sucks so bad.

5

u/Ok_Buddy_9087 Edit to create your own flair Jun 22 '25

To be fair, I find the oncoming shift frequently finds shit that the off-going shift neglected.

8

u/MuscularShlong Jun 22 '25

Right but they had to notice something wrong when they called us. I think this one was tachycardia. And they didnt think AS A NURSE to check if their oxygen tank was empty or not.

1

u/Natural-Apartment-51 Jun 24 '25

Everyone who works at these places either just started there or just got on shift and doesn't have any clue what's going on with the patient.

31

u/WittyClerk Jun 22 '25

The private nursing homes abuse the fire departments to get "free" aid. They are supposed to have their own lifting equipment, and their own trained staff to perform the task.

But they are for-profit companies, and look for ways to cut corners, such as underpaying staff, understaffing the places to begin with, and calling the fire department for shit they should be doing themselves.

Some fire departments have gotten so fed up with this bullshit, they now charge an exorbitant fee to any nursing home that calls for a lift. And, surprise! Those nursing homes stopped calling those FDs.

6

u/AnonymousCelery Jun 22 '25

I’m curious about this. I’d expect the nursing home just to pass the charge onto the patient or family. I brought up my frustration with getting calls to nursing homes to start an IV. Using taxpayer resources to provide services to a for profit company irked me. Turns out we do charge them, very minimally, and the Chief fully expects that charge gets passed onto the patient.

10

u/WittyClerk Jun 22 '25

Nursing homes charge an all-inclusive rent per month for residents for all services. Fire/rescue BS calls - like lifts, IVs, etc- if they are not taken to hospital, are charged to the business, because that is supposed to be their job; they are in the legal care of the patients/customers. Transport to a hospital is different. Convince your chief to charge $500 per bullshit call, and see if anything changes. Suggest it just as a test, to see what happens.

11

u/sum_gamer Jun 22 '25

“Last normal just 30 min ago…”

Every CPR after midnight in a care facility ever.

7

u/hockeyjerseyaccount Jun 22 '25

But ma'am, it's 2:57 in the morning.

7

u/gunmedic15 Jun 22 '25

"Yes, our swing shift is 02:57 to 14:57 now."

7

u/reddaddiction Jun 22 '25

"Not my patient," is the most infuriating thing that you hear literally EVERY SINGLE TIME. Luckily we don't get hammered by these lift assist calls that I read about on here, but obviously sometimes people do seriously need transport and that's perfectly fine, but how are all these people in here nobody's patient?

5

u/Vprbite I Lift Assist What You Fear Jun 23 '25

It's like in Oh brother where art thought. "Ain't this place a geographical oddity! 2 weeks from everywhere on earth"

Ain't this patient a medical oddity! Clearly admitted and receiving treatment, yet is nobody's patient

3

u/reddaddiction Jun 23 '25

Solid reference

5

u/xyzzoom15 Jun 22 '25

Didn’t realize shift change was at 2:30am

4

u/Vprbite I Lift Assist What You Fear Jun 23 '25

Sometimes it's at 309am, apparently

5

u/ComparisonRegular736 Jun 23 '25

“Abnormal labs” at 0300

4

u/boron32 Jun 23 '25

When it’s 3am and my snark comes out sometimes. Rarely. I say “huh. 3am is a weird time for shift change”.

24

u/purrnoid Jun 22 '25

The crazy part is that 90% of those calls are handled by private EMS agencies imagine if it wasn’t for those poor bastards

22

u/Huge_Monk8722 FF/Paramedic 42 yrs and counting. Jun 22 '25

We don’t have a private service in our coverage area, we are the poor bastards.

3

u/purrnoid Jun 22 '25

Oh fuck god bless you and thank you for your service lmaoo

16

u/TheOtherAkGuy Jun 22 '25

My neighboring department is in a high crime, low income city and they Charge a huge premium for facility transfers. They also take people who do not pay their transport bills to collections. My department will send a few notices that you haven’t paid and then not even bother. We have a ton of regulars that know this.

4

u/WittyClerk Jun 22 '25

Is the neighboring place billing low income individuals or the nursing homes in that neighborhood? For your place, sounds like they ought to start following through with the fines.

5

u/TheOtherAkGuy Jun 22 '25

They are billing the nursing homes if they call 911. And I agree my city has a mix of very low income and very high income so I guess they are still profitable even if some people just don’t pay. The neighboring city has a long history of corruption in the city council and an extremely underpaid and understaffed department so they have to find any means to offset their expenses.

13

u/hicklander Jun 22 '25

Just call in APS. Say I have concerns about their fall risk program. Then call the licensing board and say apparently they have a continuity of care issue because these people are giving bad shift relief. They will know who called and that will stop their BS.

8

u/Voodoo338 Jun 22 '25

I have also heard of this and I’ve heard it both reduced lift assist volume and some departments are back in the black

-1

u/[deleted] Jun 22 '25

[deleted]

4

u/Voodoo338 Jun 22 '25

More specifically ambulance agencies typically operate in a financial deficit because insurance reimbursements are never the full bill so they eat the additional cost and then people without insurance obviously don’t usually pay the bill. Billing facilities for lift assists has allowed some to recuperate enough cost to turn a profit.

6

u/Patriae8182 Jun 22 '25

The company I worked for call EMS for any unwitnessed fall, and we weren’t allowed to pick them up after those.

They made fire/EMS get them for liability reasons, and I always thought it was asinine cause those residents are paying $8k/mo for you to handle such liabilities. Pushing that off on fire/EMS is just greedy.

6

u/WittyClerk Jun 22 '25

"not allowed to pick them up" is not a law, though. It is greedy company practice. And it needs to stop.

4

u/Patriae8182 Jun 22 '25

100% correct. They did it so if the resident had a stroke or something, they can say it’s on EMS now cause they were the last ones to touch the person.

It’s entirely done to save their own money in lawsuits and push the work onto someone else.

6

u/rizzo1717 expert dish washer Jun 22 '25

Our equivalency of your nursing home/lift assistance, is homeless halfway housing.

We have 3 in our immediate response area and 1 in our sister station response area that becomes ours half the time. It is constant ODs and petty medical complaints. They supposedly staff their own medical staff but this does not reflect in our call volume.

4

u/themakerofthings4 Jun 22 '25

We have a rehab in one of our zones, fully medically staffed from doctor to nurse. We go out there on almost a daily basis. I've personally been out there 3 times in a shift for, wait for it, withdrawal symptoms.

1

u/Ok_Buddy_9087 Edit to create your own flair Jun 22 '25

We have one, go all the time. Some of the people don’t even make it past the triage process based on their CIWA score If they need anything more than oral phenobarbital, they go to the hospital to have their symptoms monitored. Just because nurses and doctors are there doesn’t mean they can manage some of these people. Withdrawal symptoms can be lethal. more than a few of the people we’ve transported end up in the ICU.

3

u/themakerofthings4 Jun 22 '25

Yeah, that's valid, but the greater majority of them aren't that, mostly just still drunk. We do occasionally get some dumpster fires out of there though.

1

u/Ok_Buddy_9087 Edit to create your own flair Jun 22 '25

We definitely get those too. But, again, depends how drunk. Some of these people definitely belong in a hospital setting to sober up. The rehab’s breathalyzer maxes out at .600. Ask me how I know. 😳

2

u/themakerofthings4 Jun 22 '25

😂 I'm guessing someone used it and it said either "out of range," or "high"

1

u/Ok_Buddy_9087 Edit to create your own flair Jun 22 '25

They tested a new incoming patient and that’s what it read. Nurse said she was probably higher, but that’s the best they could get.

Patient walked, mostly, to the stretcher.

4

u/South-Specific7095 Jun 22 '25

We sure have started! $100 a call. It was getting so out of hand. With the falls, lifts to and from the car, going to church, doctors appointments ugh it was bad...funny how quickly they stopped...

3

u/metalfan192 Jun 22 '25

My dept recently started charging nursing homes for lift assists and it’s kinda working but now we’re transporting a lot more that don’t really need to go so they don’t have to pay the fee…

4

u/[deleted] Jun 22 '25

[deleted]

2

u/WittyClerk Jun 22 '25

But we're supposed do away with fraud, waste and abuse!!!

3

u/KGBspy Career FF/Lt and adult babysitter. Jun 22 '25

Should do same for places that constantly generate fire alarm calls. I had to lean on staff at a hotel that has kitchenettes to advise upon check in that they don’t open the doors to the halls to vent their cooking thus setting off the fire alarm, use the windows in the room when cooking. I was there for a fire alarm and a resident was blasting the clerk for the constant alarms there, I will say it’s been quiet there since the talk.

2

u/WittyClerk Jun 22 '25

But this is another perfect example of a private property owner, doing the bare minimum (no adequate exhaust), and passing it off to the Fire Department,

3

u/KGBspy Career FF/Lt and adult babysitter. Jun 22 '25

It’s an Extended Stay, it used to be nice but it’s kind of a dump. The hood fan dumps the air into the room, I’m suuuuuurrreee those filters get cleaned too. The fire alarm was this p.i.t.a. system that got upgraded and made addressable. The rooms have locals per se but will set off the building in 90 seconds which indicates at the front desk clerk, they got 90 seconds to run up and see what’s going on, fan the smoke etc or else….alarm. It used to be so goddamn bad there with alarms.

2

u/WittyClerk Jun 22 '25

Nah dude, you are right! The vent venting into the room/ no exhaust etc... Extended Stay America was always a bit shitty, but it was a matter of price vs quality. In the last five years, the place has become a seventh layer of hell nightmare.

2

u/Wreckenbach01 Jun 26 '25

Next time you go to an SNF(skilled nursing facility, ~cough whisper semiskilled, cough~ironically pronounced sniff) and the staff hands you paperwork, grab the paperwork holding it upside down, tell the staff that it is printed upside down, quickly ask them to reprint it. The key is to be quick with the asking as soon as you have the paper.

Just saying. It's good for a chuckle

1

u/WittyClerk Jun 26 '25

LOL, savage!

1

u/BestReception4202 Jun 22 '25

Idk those calls pump up the average runs per year by a lot

0

u/HolyDiverx Jun 22 '25

yeah but without them we'd have a population way too old.

3

u/WittyClerk Jun 22 '25

That's dark shit, right there

53

u/hallbuzz Jun 22 '25

Years ago I read a newspaper article/story about a rookie who went on his first actual fire call. He was a year in.

36

u/Affectionate-Bag-611 Jun 22 '25

I went two years without a working structure fire once. And I was in what was considered a "busy" area for fires.

11

u/hockeyjerseyaccount Jun 22 '25

I worked with a dude who had been in one fire in 8 years. He was a real asshole, too.

7

u/grim_wizard Now with more bitter flavor Jun 22 '25

Was it that FDNY guy who not only had his first fire late but rescued a child too?

7

u/hallbuzz Jun 22 '25

It was in Colorado Springs, probably about 1997.

BTW, I was a volunteer firefighter in Alaska on the early 90's. Wildland interface everywhere; home owner/builders ignoring codes always. Shit burned down all the time. Twice I was at a structure call and we were toned out for another structure call. Several fires in one week was common; mostly wildland. Two fires in a day also happened more than I could count. Being a rural volunteer meant driving 10 miles to the station, gearing up and then driving to the fire which almost always was fully involved and then running out of water in a few minutes because we hauled it all in tankers. I think we partially saved 2 houses out of more than I could count,

4

u/HumanoidThaiphoon Jun 22 '25

First week of July is the end of my probation year… I went on 1 grass fire… that’s it. And it took 3 minutes to resolve

46

u/Ill-Zookeepergame358 Jun 22 '25

10% of y’all’s calls are fires? I’m jealous

29

u/Maswope Jun 22 '25

Not fires, just related to the fire service, like fire alarms and fire investigations. I’d say the that takes up 8-9 of that 10%.

18

u/Gtstricky Jun 22 '25

No one talking about how baking really is 90%… well… baking. It is in the oven much more than measuring 2 cups of flour. Anyway, gotta run a lift assist.

36

u/Coffee-FlavoredSweat FF/EMT Jun 22 '25

SCBA lasts 15 minutes, call last 4 hours.

90% overhaul and rolling hose.

13

u/ckmlma Jun 22 '25

90% EMS. And of that 90%, 90% are bs calls

7

u/DryWait1230 Jun 22 '25

I’d call it 85% M.S.; Only about 5% E.M.S.

5

u/BlackIron1six Jun 22 '25

My department still has single certs, we average about 120k maybe more calls a year and it wanna say 100k are medicals....mostly toe pain

11

u/PutinsRustedPistol Jun 22 '25

Fuck that. I’m so fucking glad that EMS is separate in our department.

20

u/SuperglotticMan Jun 22 '25

What do you guys do all day? If we didn’t have EMS we’d run like 5 calls a day and they’d be fire alarms and car accidents

9

u/Ok_Buddy_9087 Edit to create your own flair Jun 22 '25

Department near me not only has separate EMS, they don’t even go to car accidents unless they’re on the highway or EMS asks for them.

And in a completely unrelated story, they’re also the only area department to have laid anybody off in the last 20 years .

11

u/Affectionate-Bag-611 Jun 22 '25

Probably a volly.

2

u/HalliganHooligan FF/EMT Jun 23 '25

As it should be. Using BS EMS calls for justification of positions is why the fire service is in its state today.

2

u/South-Specific7095 Jun 22 '25

We run our own ambo calls, but it's seniority and only the bottom 2 guys are on the box. No chasing, no ALS, ONLY BLS. Unheard of right? And we are considered busy fire wise. The rest of the guys do just that-sit around, do some MVCS, and relax

3

u/BriGuy550 Jun 22 '25

I’m the opposite. 😂 Would much rather do EMS all day than have working fires all the time.

2

u/HackmanStan Jun 22 '25

Same. Still mostly medicals but no transporting, alarms, fires, MVCs.

3

u/Ill-Bit-8406 Jun 22 '25

What would golf be?

“90% standing in the woods looking for your ball?”

2

u/Small-Wrongdoer8745 Jun 23 '25

They should really start calling it “EMS based fire.” Thats what it is.

1

u/Positive-Diet8526 Jun 22 '25

Wow finally a cost effective hobby

1

u/5HT2Areceptorlover Jun 22 '25

90% lift assists 🤣

1

u/dabustedamygdala Jun 23 '25

Sanding doesn’t sound that bad.

1

u/Cpt_Soban Volunteer Firefighter Australia Jun 24 '25

For us out here in rural Australia - It's 90% training for a bushfire, then finally getting that one bushfire callout.

1

u/Tccrdj Jun 24 '25

We work 8 days a month. Add in sick days and vacation and FF’ing is 90% NOT ON DUTY.

1

u/MountainMacaron5400 Jun 24 '25 edited Jun 24 '25

That’s, uh… a pretty hot take. Are you on a 4 shift rotation?

1

u/Tccrdj Jun 25 '25

Yes. 4 platoon. We’ve waddled debit days down to a minimum.

2

u/DaBeegDeek Jun 22 '25

It's crazy because when I found this sub I assumed it would be about firefighting... Like, actual tactics, stories, videos and shit like that. But all it is is a bunch of EMS dorks who never go to fires, hope their brothers that do go to work get cancer and have this fake humility thing going.

10

u/South-Specific7095 Jun 22 '25

There are no fires anymore bro. I started in 2013 and we had about 10 GOOD fires a year . And we are a "busy" town. Now? Shit 0-2 fires a year. People getting all smart and shit and up to code...psh

5

u/Waffles101610 Jun 22 '25

Depends on your city. My city is pretty old and has some poor areas. We get around 120 fires a year. Probably 15-20 per platoon that are worth talking about.

I think most people that get a fair amount of fires are like military that actually go into action. Most don’t like to talk about it.

2

u/DaBeegDeek Jun 22 '25

We get at least 10 "good" fires a year, and that's on the low end. But still, the amount of whining never stops here. When people do get jobs y'all say they suck at them and they're probably gonna die. This has to be the most negative sub on Reddit, I'm not even exaggerating.

1

u/Personal_Lemon8957 Jun 23 '25

If that’s your attitude about EMS, you’re not the guy I want showing up at my loved one’s house. As was told to me long ago when I was on probation, we save far more lives at EMS. It should be trained with the same rigor as firefighting.

1

u/SirNedKingOfGila Volly FF/EMT Jun 22 '25

I didn't realize when I started down the path. At that time it was still in transition to what it is today. Ended up becoming a volly and only doing fire calls.