paramedicmike

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About paramedicmike

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    Pragmatist, Resident Cynic

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  1. Cue Julia Edward in 3...2... Punctuation, please. Your post is difficult to read. Do you still get a break down by section or is it simply "Pass/Fail" these days? It's been a while since I've taken it. How close are you to passing? Are you missing it by a wide margin? Or are you just barely missing it? I like the idea of practice questions. Practice questions that offer justifications for the correct answers (as opposed to just giving you the correct answer) are even better. Lots and lots of practice questions.
  2. That's a loaded question. Despite what some, or even many, would argue fire and EMS are two different topics. Yes, many EMS agencies operated as part of a larger fire department. Whether they should or not is part of a larger discussion. A better question to ask, and ask yourself, is do *you* want to be a FF?
  3. Welcome. There are a lot of seasoned providers who contribute to these forums. This should be made clear up front so as to avoid any misunderstanding: Just because you don't like what you're reading/hearing doesn't make that information wrong or incorrect. Please seriously consider the posts above and the questions posed. While there is certainly excitement to be had working in EMS there is also a lot of physical and emotional stress involved in the job. The job is physically demanding. It is emotionally draining. Some self reflection and having a good idea of your motivation for becoming involved is going to be a good idea. That being said please consider this in addition to the above: It's ok to not know what your motivations are at the moment. It's ok to not be sure if this is really something you want to do. It's ok to get excited about the prospect of everything in which you're thinking of becoming involved. That excitement, however, should not be your sole or even your primary motivation. It should be an added benefit. It's ok to get involved in your local rescue squad to see if this is something you'd like to further pursue. It's ok to decide you like it and want to continue. It's also ok to decide you don't like it and walk away from it. This is a professional endeavor. Your patients, their families and other medical staff with whom you'll interact will expect a level of professionalism that you may not have yet experienced. This won't be high school (although station antics may have you questioning that from time to time). Be ready to be an adult. Be ready to see and experience things that will shake you more deeply than you could have ever considered. Education is important. The biggest problem facing EMS in the US today is education or inadequate education. Learn as much as you can. Never stop learning. No matter what people will tell you taking college level coursework (anatomy, math, history, writing, bio, chem and more) will help you become a better provider and a better person. There is nothing wrong with being educated. So where do you start? Find an EMT course. Register. Getting into an EMT class and successfully completing the course is your first step. Start your college coursework. In the meantime if you can become involved in your local rescue squad start the process. Keep an open mind. Learn when to ask questions then ask them. Or ask us. Someone here will have an answer for you. Lastly, don't stress about this. You're young. You're excited. You're motivated. You'll get there. Just take a deep breath and take that first step.
  4. Welcome.
  5. Congrats on getting it done.
  6. I'm not sure why this is a question unless you aren't really an EMS provider. What do you think you should do?
  7. Ran a cardiac arrest at a local nursing home several years ago. When we arrived staff were performing CPR and had a BVM in use for ventilations. As they had already started to use the BVM we just grabbed it and continued to use it. Patient was ultimately transported. The next morning the nursing home called. I answered the phone. It was the on duty nurse. She asked about the BVM we used. I explained that as NH staff had already started using it we continued to do so. The device was used during transport and disposed of at the receiving hospital. She then said, "Can you bring it back?" I replied, "No. It was trashed at the completion of the code." She then told me that was the only BVM they had for a 200 bed nursing home. The only one. A single BVM for a 200 bed facility. A facility full of people who were full code. They did not have another BVM in the entire building and needed the one we used back. The conversation went downhill from there. I maintained a professional posture. She didn't care for the course of the conversation, though. I may have mentioned the State Department of Health once or thrice.
  8. What color are you now? Reminds me of a Muppets gag...
  9. Hi Mark. Welcome. Unfortunately, I can't help with your question. Just didn't want your post to go unanswered and seemingly ignored. Care to expand on how your program is a hybrid class?
  10. Agree with ERDoc. If one has been a nurse for a while and is looking to go back to school that's one thing. For someone in high school just starting out it's completely different. Seth: if you really want to do anesthesia go to medical school and becom an anesthesiologist. You aren't a nurse. You don't know if you'll even enjoy being a nurse to make the decision to become a CRNA. If you *really* want to be a nurse then be a nurse. If you *really* want to do anesthesia go to medical school.
  11. Welcome, Faridah.
  12. That would've been good information to lead with. Making your intentions clear from the get go might have helped with faster, more direct answers. Presumably your organization has insurance to cover this sort of thing. Insurance companies tend to have lawyers who will have an opinion on how to approach this so as to reduce their liability. You may also consider approaching the medical director for your local EMS agency or hospital emergency department to discuss with them. If this is a school or school district organization the school district likely has rules/policies in place to address the very questions you're asking. If this is not a school or school district organization asking your local school district on policies they use/follow may provide a guideline on which to base your group's practice. I can appreciate your position. Unfortunately, there are too many variables at play including local ordinance and even state law that would limit the ability of anyone here to answer the questions you need answered.
  13. I get the suspicion OP is trolling for support in a lawsuit. If not a lawsuit there is some as yet unknown gain being pursued. Why are you asking, OP? What's your purpose for asking? If you have specific questions about an event you either experienced or encountered personally then your best bet is to engage in conversation with the participants involved the actions you're referencing. We are unable to address a specific event that carries more variables than could easily be discussed in this type of format.
  14. Welcome.
  15. Good questions. What should you bring? You should bring a pen, pad of paper, pocket calculator, stethoscope, cash for food in case you don't make it back to the station to eat the lunch you'll have brought with you, study material, an open mind, an abundance of patience. How do you make a good impression? Show up early, be eager to get involved with anything (e.g. checking the ambulance, cleaning, house chores), know when it's appropriate to ask questions (generally after you're transferred care and not in front of the patient or family) and when to keep your mouth shut, say "please" and "thank you" (not kidding). How do you get the guys to like you? You don't. You're not there for them to like you. They're not there for you to like them. You're there to learn. They've agreed to teach. That being said you don't want them to report back to your instructors that you're a jerk. Be respectful of them. Be polite. Be professional. Before the start of your shift talk with them and ask what their expectations are of you. Let them know what you'd like to do during the shift. If you happen to get along well then that's a bonus.