advice

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So my name is jordan I'm an EMR with my local fire department...I live in the great state of MS...I start my EMT-B classes in January. Any advice like encouragements and reassures you guys have would be great. I love to help people and I feel strongly this is what I want to do but at the same time I'm nervous as crap
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Posted · Report post

Welcome to the City Jordan, feel free to join in any discussions which interest you, or start one of your own.
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Posted · Report post

Thanks...how long have you been ems
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Posted · Report post

Since before your mommy & daddy were in grade school

Sorry: I just couldn't help myself from posting the obvious.
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Posted (edited) · Report post

[quote name='ems94' timestamp='1353948095' post='290772'] Any advice like encouragements and reassures you guys have would be great.
[/quote]

OK, Then when you are ready for the non-encouraging hard to hear advice I can chime in! Edited by mobey
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Posted · Report post

Lol...any advice is great I prefer it not to be sugar coated. Give it to me real and strait up
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Posted · Report post

The hardcore advice you need to hear before EMT is to relax. It's relatively simple, it can be really fun too...

If you're in poor physical shape, then start to work on that, your bending and lifting. Otherwise, look around you Brother....see all of the chuckleheads that are EMTs? If they can do it, you can too, right?

Good luck! I look forward to hearing your thoughts as you move forward on your new adventure!
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Thanks dwayne. I believe I'll really enjoy it as I said before I'm an EMR for my local vfd and I love it. Its one of the best feelings in the world to someone. I.really hope to pursue further and become a medic and hopefully a flight medic.
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Posted · Report post

Study hard, stay in school, don't do drugs, keep your nose clean. all that crap.

Get in a degree granting medic program

Don't freak too much out in emt class as there are thousands of EMT's out there who have done the same thing you are doing or have done. So in essence, there will be 36 or so other guys/gals like you in your emt class wanting the same thing. EMT is NOT Rocket science. Don't put to much pressure on yourself with the class.

Good luck and have some fun.
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Posted · Report post

thanks captain. Which is better for you? Truck based or er based. We have a private service in our area rural metro, but from what I hear working as an er tech is better than on a truck...opinions?
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My biggest piece of advice to you is even if you are wanting to stay at the EMT level is never stop taking other courses...take an A and P class, biology, O Chem anything that will better the knowledge in your mind and allow you to be a better provider all the way around. The other piece of advice is no matter how big and scary partners/preceptors might seem they have all been in your shoes once.
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thanks tyler. Next fall I plan to go ahead and knock out some pre reqs for medic school such as A&P 1&2 maybe a basic pharmacology a biology and maybe medical terminology
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[quote name='ems94' timestamp='1354081351' post='290822']
thanks captain. Which is better for you? Truck based or er based. We have a private service in our area rural metro, but from what I hear working as an er tech is better than on a truck...opinions?
[/quote]

Ok, depends on what you are wanting but I've found that an ER based (hosptial based) EMS System gives you a very good grounding on your career. But that service should provide you the opportunity to work in the ER. My first paramedic service I worked at was a ER based EMS system where you worked the ER one night and then the ambulance the other. You were the primary EMS crew one night (you were assisting in the ED but available for calls) but the next night you worked you were the secondary crew who was assigned to work in the ED and when the 2nd ambulance was needed you went out on the call.

It worked out really well. I learned a LOT. You can go to work for a ER and just do the ER work but that will get old real quick if field work is what you are dying to do.

So if you don't have a hospital based ambulance service in your area and you really want to do field work then don't do the hospital route unless that's the only job you can find.

I second Tylers notion as to getting some pre-requisites out of the way as your DEGREE GRANTING paramedic program will require you to have these pre-requisites anyway. Get them done, you will be ahead of the game from those who are struggling to take the classes while in paramedic class.

I would also make sure you take at least one if not two english composition classes in your quest for EMS higher learning because you need to learn to write reports and having a good basis in how to WRITE correctly will keep your butt out of court more often than your treatment of a patient. If you write a terrible report a lawyer will sieze that terrible report as a means to question your skills and treatment of the patient and add your name to the list of defendants in a court case and you don't want that.

Here are two books I recommend

When Violence Erupts - by Dennis Krebs - the best keep your ASS safe book ever written. Get it, spend the 33 bucks and it will save your life.

http://www.amazon.com/When-Violence-Erupts-Responders-Continuing/dp/0763720704/ref=sr_1_1?ie=UTF8&qid=1354123510&sr=8-1&keywords=When+violence+erupts


The Missing Protocol - how to write a legally defensible report This is a very expensive book but it's out there in a cheaper form somewhere. I used to have it but it's gone now. If you can find this book cheaper BUY IT!!! I guarantee it will save your ass just as often if not more often than book one above.

http://www.amazon.com/missing-protocol-legally-defensible-report/dp/0967129613/ref=sr_1_1?s=books&ie=UTF8&qid=1354123675&sr=1-1&keywords=The+missing+protocol
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You really put a lot of emphasis on degree granting programs. What do these books cover? And how expensive is book 2 exactly? As an EMR I love field work but never worked hospital based. My local ambulance service doesn't like to hire under 25 so I think my best shot is hospital based. I appreciate yalls help
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Did you even look at the links that I posted? I'm not going to give you everything.

The link to the first one gives you a direct link to the description of the book and the price

The 2nd link doesn't give much. The 2nd book is how to write a EMS Report that is legally defensible. Write the report based on a legally defensible frame of mind. What tips and tricks to use. Write the report from a defense attorneys mind set since you will be the defendant rather than the plaintiff. And I know you didn't click on the link because you would not be asking the price because it's right there in plain sight.

I'm working on trying to find a better price.

You have to do some of the legwork. Edited by Captain ToHellWithItAll
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Second piece of advice always make sure you read posts (and links) fully, it will save you a lot of butt chewing around here. Anyway I was once a student that tried to take the 0 to hero medic mill thing and it just didn't work out yeah I know the cook book on how to do things but I couldn't understand why I was doing it. The cook book method is not what the best for your patient, sometimes the protocols don't work out the first time the way they are supposed to. (At the risk at starting to sound like Dust {RIP} and Dwayne) You have to have a firm grounded knowledge base for why things happen before you can get the higher knowledge on how to fix them. I have come a long way since I took my first medic course and nearly failed out to where I am at now, having taken the entire course load to fulfill prerequisites to get a degree as well as taking a medic course the second time around. I am 1000% better as a COMPETENT pre-hospital care provider now than I was at first, and that is the end goal right to be better at what we do for our patients?


With that being said I still am not a great writer so forgive me Capt.
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Well go to the 2nd link, shell out the $XXX,XX for the book I referenced and read it. You will be a better medic for it.

But make sure you can afford the book. It's pretty expensive. But please go look at the link. It'll save you a butt chewin
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Apologies captain, my phone gave me a page load error. I kinda gave up and fell asleep after my last post. But now I've restarted my phone and it loaded. That is pretty expensive, but with the extensive information on correctly writing out a report, its worth it.

Thanks tyler. I know with many of the jobs I've had, things can't always be done by the book and be expected to work right...a lot of the machines at work can't be fixed by the book it takes a deeper understanding of how it works.
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[quote name='Captain ToHellWithItAll' timestamp='1354136317' post='290852']
Well go to the 2nd link, shell out the $XXX,XX for the book I referenced and read it. You will be a better medic for it.

But make sure you can afford the book. It's pretty expensive. But please go look at the link. It'll save you a butt chewin
[/quote]

what happens when you dont work for a service thar requires you to write a report, but rather has a laptop or tough pad with an EMR loaded on to it
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Yeah a lot of stations in my neck of the woods are switching to tough pad as well.
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If your end goal is to work on a flight service you really should focus your attention there, that would mean getting a job at an ER, preferably at a hospital with a flight service. Once you get your medic you could always part time it on a pre-hospital service to gain valuable field experience, but the biggest learning curve with flight medicine is the interfacilty stuff.

Also the advantage of working in the ER is you have access to all the doctors and specialists as they are preforming their assessments and care, you learn so much more by being on the sidelines than watching from the stands. I learned more in my 2 years working in the ER than the previous 6 in in the field, as a MICU medic even. One common denominator you will find with the majority of flight services (all if them in my state) there my be medics, or doctors, but every one of them has a RN, which means you probably should go (ick ick) get that too.
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[quote name='craig' timestamp='1354175634' post='290870']
what happens when you dont work for a service thar requires you to write a report, but rather has a laptop or tough pad with an EMR loaded on to it
[/quote]

well if there's no narrative then the book will still help you out but I can tell you it's been a while since I've read it so I'm not sure if it's been updated to include the electronic report writing capability.

The book is specifically geared towards writing narratives. But don't electronic report writing tools all have narrative pieces to them? I'm not familiar with all of them out there so I don't honestly know Craig, I would think there would have to be a place to write a narrative otherwise I would be very very leary of using that report writing system because to me that is where the meat and potatoes of what you saw, heard, felt and did come into play. A bunch of boxes and check marks doesn't even come close to making a narrative for me.

If I can find the book at a good price, I'll be sure to post it here at that price. I still think that if your electronic report writing system doesn't let you do a narrative the book would still be a valuable tool in your arsenal of educational tools.

But I do understand your question.
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If you want to fly then you need ground 911 experience. A lot of it. Every air medical service with which I'm familiar, including the one I worked for for several years before going to grad school, wants 911 experience and does not heavily consider ER tech type experience. We did not hire several candidates because they had extensive ER experience and limited 911 experience. So while the resources available to one working in an ER are quite vast, the experience gained will not be beneficial to pursuing a flight job.
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[quote name='ems94' timestamp='1354156084' post='290861']
Apologies captain, my phone gave me a page load error. I kinda gave up and fell asleep after my last post. But now I've restarted my phone and it loaded. That is pretty expensive, but with the extensive information on correctly writing out a report, its worth it.

Thanks tyler. I know with many of the jobs I've had, things can't always be done by the book and be expected to work right...a lot of the machines at work can't be fixed by the book it takes a deeper understanding of how it works.
[/quote]

Don't go out and buy it quite yet. There has to be a way to get it cheaper. These prices are insane and they are for an out of print book. I'm trying to get in touch with the author to see if there's a project in my future with her!!!!! Report writing was my passion and I need a project. Methinks this book needs a bit of updating to fit the EPcr's like Craig alluded to.
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I am really enjoying every ones advice. Thank you all. I'm not real sure if flight medic is my big dream or not. I've had a little experience in the field and I love that, I just want to find the right environment for me. I'm learning a lot of different directions I can go with ems and they all.seem exciting and enjoyable, I just don't know which is best for me. @ captain if you can find that book for a lower price that'd be fantastic...if not I've already started saving for it. Again thank you all for the previous given advice...looking forward to everything else you guys have to offer
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