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just curious

Natchitoches, LA

#1 Jun 23, 2008
Just wondering what everyone's opinions are towards the ambulance service....have heard mixed reviews. Heard they REFUSED to take some older gentleman to Shreveport and had to fly him out. What gives....
Smokin

Shreveport, LA

#2 Jun 23, 2008
I live quite near the Pafford office here in Coushatta and also listen on scanner to the day to day operations. I can't comment on specifics that you have mentioned, but what an awful job it must be. They are called out any time of the day or night, sometimes torn in two or more directions at once by different incidents. Crews that are not familiar with the local area have to rely on sometimes very poor directions from sheriff's department.
I would imagine that the incident with the older gentleman occurred for some reason. Maybe they had another commitment with the ambulance and the air option was the best option... I don't know for sure but there must have been a reason to fly a helicopter in from Ruston to take a patient to Shreveport.
just curious

Natchitoches, LA

#3 Jun 23, 2008
No pafford refused to take the man at all....Life Air came from Shreveport to take him and caused him to have a huge bill that could have been avoided had the paramedic just took his call....at least that's what my friend from the hospital told me.
just curious

Natchitoches, LA

#4 Jun 23, 2008
As an afterthought I thought I would add that I am not talking about the crews so to speak...they do the best they can w/what they have to work with and are genuinely caring individuals...I am talking mainly about the owner. I know that when it was Red River Ambulance Service we ALWAYS had two ambulances available at all times....w/Pafford we are lucky to have one some of the time. Is it just because he doesn't live here and could care less about our home town?
You need to know

United States

#5 Jun 24, 2008
Ok, first off you most likely don't know the entire story since it came from someone who works at Coushatta Hospital, or should I say the rumor mill. An ambulance service will turn down a call if the person is not stable, or if there is no other coverage for their area while they are gone. Now would you rather them be on a run to shreveport, and you or your child get hurt in anyway? There would be no responce because guess what....they are on a run to shreveport. Another thing, Life Air doesnt fly down here just becuase they are called. It has to be serious enough for the to also leave their area of coverage. So stop and think, get the facts, stop listening to stupid rumors, and open your eyes and see the big picture.
just curious

Natchitoches, LA

#6 Jun 24, 2008
You need to know:(that's a very good name for you because you do need to know...check into this service see what they are supposed to be providing for our little parish and what they actually are...it will suprise you I know it did me when I went to that police jury meeting the other night!!!)

Yes I did get all the facts...pt. was a CHF pt., had dobutamine hanging...lasix given pt had relief was breathing MUCH easier O 2 sat was 92-97%. Call was made to Pafford a truck from MINDEN was dispatched because the truck here in Coushatta was a BLS truck NOT an ALS truck.(there were two trucks in Minden BOTH of them ALS trucks) Dr. on call in the ER determined that the pt was STABLE for transport....paramedic refused to transport because he wanted an RN to ride w/him in the back to monitor the dobutamine so he wouldn't have to (I think that's called lazy). This paramedic refused the call BEFORE he ever laid eyes on the pt! Life Air came in and transported BECAUSE Pafford refused and there was NO other method of transportation available.(I mean it's not like we have an abundance of EMS in the area) We are supposed to have TWO ambulances in Red River Parish anyway....that way when we have one ambulance go out of town on a transfer there IS a back up ambulance so to speak. And as far as Pafford picking someone in my family up....why would I want them to? 9 out of 10 times they are running a BASIC ambulance down here not a PARAMEDIC unit so what are they going to do for me?

We need to find someone who will care enough about our parish and the ppl in it to do what is right for it....not just want to line their pockets w/money.
You need to know

United States

#7 Jun 24, 2008
well if you have a issue with the policies of Pafford EMS, why don't you step up and do something yourself. You talk about "we need to find someone who will care". Well call them yourself. John Pafford Sr. out of Hope Ark. owns Pafford EMS. If it is such a big deal and you want to file a complaint, then look up the office number and give them a call. I know on personal experience that this is a good company that really care for the people they serve. Your just talking to the wrong people, go to the top if you have a problem.
just curious

Natchitoches, LA

#8 Jun 24, 2008
I have talked to ppl at the top...Greg assured me he was the owner and operator for this end of Pafford operations. All he could do was give me the run around....just like he is doing the police jury.

He claims that this parish is a loss to him and his company and that he is in this business to make money not lose it.(does that sound sincere and caring to you?) Pafford was a good company...when they FIRST came to Red River and were trying to make a good impression....now though not so much. To get all flustered about this you MUST either be a Pafford or work for the company and can't take any constructive criticism.

I simply don't care for the way he is treating the citizen's of Red River Parish. And after having not gotten anywhere w/the owner thought I would see what the general opinions were of the public and see what we as the voters of Red River Parish could do. I believe it's time we start looking towards the future and try to figure out what we can do to improve our little town...and obviously the ambulance service is one of the things that NEEDS to be improved on. W/us being a rural parish we NEED to have a paramedic truck due to all the what if's that could happen. I am sure that most ppl in this parish would agree that they would rather have the most advanced personel they could to work on them in their or their family's time of need. How about you "need to know" would you rather have someone w/a lesser amount of training work on you or your children or someone w/an advanced level of care? Put the shoe on your foot and see what your preferences are....
Smokin

Shreveport, LA

#9 Jun 25, 2008
just curious,.... excuse my ignorance, what does ALS and BLS stand for?
just curious

Clovis, NM

#11 Jun 27, 2008
anyone else have any input?
concerned citizen

Shreveport, LA

#12 Jul 7, 2008
to whomever is so worried about the so called "poor" ambulance service in red river parish maybe you should walk a mile in our shoes before you start running off at the mouth. you are more than welcome to come ride out for a 72 hrs shift with us and see what its like to be in that truck and not seeing your family for days and sometimes weeks at a time. I provide this service week after week to make sure there is someone on that truck that cares about the citizens of red river parish. Me and my partner both live in red river parish and we could gladly stay at home and then you would have no ambulance service here at all. we are doing the best we can down here and you need to realize there is a national shortage of paramedics in the united states. my partner is up to get the medic patch but with all the complaining does not want to test because of such ungrateful souls like "just curious". I do forget though that we are just "stupid ambulance drivers" and apparently have no medical knowledge at all. I know that me and my partner go above and beyond our duties everyday and we don't have to. We do it because we do care. Do you know that red river has had 8 fatalities this year alone and 6 were alcohol related? but yet we have certain people in town that are trying to open new liquor stores! for what to contribute to more illnesses and death in red river parish doesn't look like those people care to much about our little parish. I just wonder how people that just moved to this town wonder how things really work here. I've lived here all my life and am a big member of the community. Everyone needs to get facts straight before they run there mouths. and as far as the detailed patient report isn't it a hippa violation for employees to be discussing patients medical problems with someone other than that patient? i think everyone needs to take a step back and reanalyze their selves before they start dogging any ambulance company. Now when would you like to open an ambulance company and live a day in per say the paffords shoes?
crazy

Coushatta, LA

#13 Jul 8, 2008
I have never used the ambulance service here, but you can't pay attention to the people in Coushata. They complain about the fire department, when it is totally volunteer. People drag out of bed every night to put out fires or pull people out of cars. They seldon ever get a thankyou. If you want to stay here, you will have to learn to ignore the insults. They would not be happy if you were perfect.
momof4

Atlanta, GA

#14 Jul 8, 2008
we used pafford in february for my husband that was in an automobile accident. the accident was only a couple of miles from our house. they were there and had him out before i even got there. they were very professional and proficient. i hoped i never would need an ambulance, but i am thankful to them for being so quick on their feet. they saved his life and i am so very thankful to them.
just curious

Clovis, NM

#15 Jul 8, 2008
Concerned citizen I USED to do the 48 and 72 hour tours in the back of the ambulance....I KNOW EXACTLY what it's like...everyone is ungrateful to the ppl ON the truck BUT if you REREAD my posts I am NOT dogging the employees but the OWNER of the the company. And I am not dogging him so to speak I just want him to stand up and do what he promised the ppl of this parish...and that is to provide an ALS truck. As for the ppl who are on the units in Red River Parish they are extremely nice...some of the nicest that they can be...Casey Church, Jason Grimm, Laura Cannon...those are our "regular" folks on shift and each of them truly DO care what happens to the ppl of this parish BUT they can only do so much as basics. As for there being a national shortage...yes there is but other public ambulance services are having no problems staffing their trucks w/paramedics. Now whether that be because they pay based on the national average, where Pafford doesn't, or whether their benefits are better IDK but they don't seem to have a problem producing ALS units for every shift. I am by no means ungrateful to the ppl on these trucks I KNOW what it's like to have to hold someone's hand and to tell them I'm sorry but there is nothing more we can do and to have them look at you w/those tearful eyes and beg you to just please try.....on someone that's cold and you KNOW they have been down for more than the recommended 2~4 minutes. As for you being "just" an ambulance driver...hell no...anyone that says that has absolutely NO IDEA what it's like to be on that ambulance. Now let's get to the hipaa violation...not hippa but hipaa. No it's not a hipaa violation to discuss a case as long as you do not violate the pts rights....as long as you do not disclose the pts name then you are not violating his/her rights. If ppl in the medical field did not discuss cases then there would never be ANY improvement in treatment, medicines, surgeries...etc. etc. Apparently I am not the only one who thinks that Greg Pafford isn't living up to his end of the "deal" he struck w/the police jury. When you have Drs. from the hospital that bring things to the police jury's attention then there must be some truth to the complaints that I have. As for you having to be away from your daughters and husband for 72 hours straight well that's just part of the job and anyone that has went into EMS knows that. And if you are who I think you are then as I said above (where I named you)you do an excellent job w/what Pafford provides you with....but can you honestly tell me that if someone in your family had the choice between an ALS and BLS unit you would choose the BLS one? All I want is for Pafford to provide what they originally said they would when they came over and bought out the previous owner. As for starting an ambulance service...the thought has crossed my mind...even though I would have to go back through the class since I have lapsed.... I am thinking that if something doesn't happen soon to change here in RR Parish I just may do that.

And for whomever mentioned the volunteer fire department they do an EXCELLENT job. They ALL donate their time to help someone else in need. I can not give ENOUGH praise and compliments to these individuals. I am not wanting anyone to be "perfect" as you say I am just wanting the owner/operator of Pafford to stand up and do what he said he would do for our little parish....that's all. I have not tried to insult ANYONE....least of all the ppl who are on these ambulances day in and day out they have a trying job in which they have to deal w/death, sickness, wrecks, the elements of the weather, time away from their loved ones...the list is endless and could go on forever.....as I have said so MANY times before I just want him to provide what he promised to when he signed that contract w/the police jury....nothing more nothing less and if that makes me a bad indivdual then so be it.
Smokin

Shreveport, LA

#16 Jul 8, 2008
All good points. But so that I understand a little better the difference in what y'all are talking about. Once again.. What does ALS and BLS stand for??
just curious

Clovis, NM

#17 Jul 8, 2008
ALS~advanced life support
BLS~basic life support
ALS~the ability to start iv's, intubate pts, give first line cardiac drugs in emergency situations, read a 12 lead ecg, many many things...
BLS does not have the ability to "legally" do these things in an emergency situation...don't get me wrong a basic is just as important as a pramedic on an ambulance it's just that the paramedic has the ability to take it to the next level...the definition of a paramedic is: beside or an extension of the dr
concerned citizen

Shreveport, LA

#18 Jul 8, 2008
Just curious- i understand that there may not be a paramedic in this parish at all times. Mr pafford is doing the best he can. There are other companies that are struggling with staffing of paramedics and basics in the surrounding areas. if you don't believe me check into it. Acadian alone is short 42 paramedics and 88 basics. Medlife and Advanced ambulances services are also struggling. It is a hard time for everyone in ems right now, but when you insult an ambulance company you also insult the employees that work for that company. We do the best we can it would be ideal for a medic unit to be here. And the people that work for this company are trying to better themselves and the parish and mr pafford is trying also. The ambulance service that was here before mr pafford was always a basic ambulance service. They never had a medic and we always made it before. But it was because we (ambulances companies and hospitals) always worked together to make it work. But when all we ever here is negativity it truly discourages us and makes us wonder why we are even here. And for that matter why try to make things better.
just curious

Clovis, NM

#19 Jul 8, 2008
I understand that the previous service was a basic service....the owner didn't ever agree to have an ALS unit in the parish and you are right we did make it before Pafford came into the parish as a basic service and that was BECAUSE the hospital and ambulance service worked together. Now it seems that the Drs of the hospital are at odds w/the Pafford service (not necessarily the employees but the service in general) and that means it is time to start either improving the current service or looking for new options to present to the parish. And as I said before I realize that there is a shortage of paramedics at this time BUT as I also stated in my previous post I don't see any other ambulance services (w/the exception of Pafford and Advanced ambulances)having problems staffing there units w/paramedics for their shifts. IDK if it's because a competitive pay scale isn't offered or if the benefits are not good or just what the reason is. And I am sorry we have a difference of opinion on my insulting the ambulance company...I am not insulting only stating that if Mr. Pafford agreed to provide an ALS unit then he needs to stand up to his word and provide a fully equipped ALS unit and that includes the paramedic to go w/it. When Mr. Pafford came down here for the police jury meeting do you know that his main concern was that he was not making a profit here in RR Parish? It wasn't let's see what we can do together to remedy this situation...it was I need 25,000.00 additional dollars a month so I can make a profit...that's in addition to the small subsidy that the police jury and City of Coushatta are paying him monthly. To me that's not trying to better anyone but himself...I mean is business that bad...he drove to/around Coushatta in a Hummer!!!!!!! He must be making money somewhere to be able to drive something that nice and expensive...IDK about you but I don't drive anything that compares anywhere near to a Hummer. I am sorry that you feel I am pushing a negative outlook towards you but I can't understand why w/you living in this parish would not want to better the system we have in place. If that means having someone w/new blood in here then so be it. I just want what was promised to this parish. And if you will AGAIN reread my posts I NEVER pushed anything negative towards those of you that are actually on the ambulance day in and day out I have nothing but praise and compliments towards you....but if you truly wonder why you are here working and you don't want to even try and make things better for not only YOUR parish, but YOUR children, YOUR family, and YOU..... then you need to find another job because complacency is the first sign of burn out in the EMS field. Again I will say that I ONLY want him to provide what he has promised this parish nothing more nothing less....and I believe that's all the Drs. are asking for also.
concerned citizen

Shreveport, LA

#20 Jul 8, 2008
I believe that you are getting defensive for no reason. I am not saying I do not want the system improved. That is not what I said at all. I'm telling you that the negativity and insults coming from people that we look up to, such as the drs of our hospitals, doesn't just impact the owner of the company it impacts the employees as well. I never said that you pushed anything negative directly at the employees actually working on the ambulance. But when I hear all this negativity about the company I work for you have to understand it does impact us and discourage us. As for me needing to find a new job......NO i'm am not complacent you just need to understand that the owner of this company is not the only one that is impacted by the negativity you have. What do you propose we do to improve the services in Red River Parish? We do appreciate the compliments and praise that you have given us. My question is do you understand that you do not only impact Mr Pafford you also impact his employees?
just curious

Clovis, NM

#21 Jul 8, 2008
My proposition is 1) Mr. Pafford needs to consider an overhaul of his company... 2)He needs to NOT promise things he can't deliver on (or has no intention of delivering on) 3)He needs to QUIT spending money on expensive toys (hummer and who knows what else...isn't he into some type of four wheeler racing or something?) and put profits back INTO his company instead of HIS pocket 4)If he can't even CONSIDER doing these things then he needs to terminate his contract w/the parish so someone else can come in and actually deliver what they say they will...now whomever that would be I have no idea but would love to see something like what Shreveport has in place come in. And as for me being defensive...I don't see that..... I am simply justifing MY opinion and showing you things that back up my reasoning and my way of thinking. As far as what I say impacting you as an employee at Pafford and making you feel bad I can't help that and I apologize if am making you feel bad. This started as a great improvement for our little parish w/an ALS service and now we are back to a BLS service when in plain black and white written word it says we are to have a paramedic service....you being from RR Parish you should know that when someone promises you something and shakes your hand it is done...well this man came into our home promised us the world and has now gone back on his word...that doesn't sit well w/me and shouldn't w/you I mean after all YOU live in this parish, YOUR family DEPENDS on this ambulance....I have a question for you does Mr. Pafford run a basic unit in his town or parish? Nope I didn't think so....I asked him the same question and he stuttered and immediately wanted to change the subject. And I don't honestly think that Mr. Pafford is effected at all by the negativity that is being generated w/his Red River service....I mean if he was he would be trying to make some type of improvements and I have seen none of those. I just want to have what we are SUPPOSED to already have and it really...well I guess pisses me off that he thinks no more of MY home than to just say well if you pay me a little more I MIGHT provide you w/a paramedic truck but as of right now I can't make a profit here so you will get a basic truck. And if I have a paramedic available for transports then I will send them if not then you will have to wait.(Isn't the closest ALS unit in Minden? An hour away?) W/you being in the medical field you should know that an hour can mean the difference in life and death at times...I would hate for it to be my family member that was trying to last that hour....

This is as I said earlier MY OPINION of Mr. Pafford and what he has done in MY parish...I will say again if I have made you feel bad that's not my intention.

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