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  1. Yesterday
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  3. Yes, time off, vacation, sick time, holidays all banked in one bucket.
  4. PHO? I'm guessing that's what your service calls banked time?
  5. Thanks! Were they allocated to NY?
  6. Well I hate to sound like an old crotchety medic but every one of us knows what we signed up for. We are exposed to all sorts of pathogens, we take precautions, and if you don't then it's not on your service, it's on you. These days you have to protect yourself because no-one else is going to do so. Go in on every call with the mindset that they have COVID, Sepsis, EBOLA and every other communicable disease and protect yourself. You have to protect yourself first. If you are not protected, then DO NOT GO IN TO the scene. You would not go in a fire scene if you didn't have bunker gear on right? You would not go in a TB patients room without an N95 mask on right? Today, it's on you to protect yourself because in the END, you have to go home to your family and no one is going to provide for your family other than you.
  7. I've noticed that telephones can once in a while be tough to get from your pocket in regular situations, and that were given me thinking that it'd probable be even tougher to do so in conditions in which your adrenaline is pumping and camera smartwatch and the entirety is taking place very fast. And I'm asking folks that paintings in rapid-paced enviornments so that I can get an accurate idea of how many humans surely revel in the hassle we are seeking to resolve.
  8. they was approx 100 ambulances in CT lining up a few hours ago... dont remember if they were massing in bport or new haven... might have even been stanford... the pic i saw had a train station in it... im from wtby ct...
  9. I just saw a few posts online from people saying they know of out of state EMS units being deployed to NY to cover due to COVID-19. Anyone have more information?
  10. Makes me wonder if this will drive some providers out of the field once this is all said and done.
  11. Earlier
  12. When I went out due to developing a fever and was told to stay home for 14 days which was shortened to 7 days due to not having further symptoms, I was told that I could either use PHO's or not get paid. How's that for fun times.
  13. All evidence continues to support taking full droplet precautions with suspected COVID patients. This one's the real deal. The numbers out of Italy tell the story as to what will happen if we don't take this seriously soon enough. My service switched our sick leave (75% pay) to general leave with pay (100% pay) to discourage employees from potentially infecting colleagues.
  14. http://www.vch.ca/about-us/news/news-releases/vgh-leads-the-way-in-traumatic-brain-treatment Very long story short, look up the monro-kellie doctrine, and principles of cerebral perfusion pressure.
  15. From what I know of the US system I would suggest getting your RN and doing some form of Paramedic bridging program. Take that with a grain of salt however as I've come up through the Canadian system where working your way to the Critical Care Paramedic (CCP) level is the best way to gain entry to air ambulance work (1 year PCP education, 2 year ACP education, 2 year CCP education). As you can see the path is roughly 5 years of post secondary paramedic education in Canada, which you'll find is markedly different from the US path.
  16. I have seen this idea being brought up on social media. What are your thoughts?
  17. our agency has put out a "every respiratory patient has covid until proven otherwise so we better see you wearing your PPE's" I had a exposure last monday, got a fever thursday and was sent home for 2 weeks of quarantine. got called yesterday and asked if I had any symptoms after 3 days of being home, said no. was told if still no symptoms after 7 days they will put me back on the schedule this friday so I get to go back to work. This is based on CDC guidelines for exposure and return to work but when I return to work I get to wear a mask for the remainder of the 2 weeks of my quarantine time which they are determining if it's based on date of exposure or date of symptom presentation. That's where the disconnect is. I work 24 hour shifts so I will only have to wear the mask for a maximum of 3 shifts but maybe only 2. I was not tested on the day I had symptoms because they said I was "LOW" risk. I got a week off for having a fever for 8 hours. not sure if that's overkill or if it's doing the right thing. I'd rather be working. but I'd rather do the right thing than not and infect other people. thank god for Doordash food delivery and a great friend at work who delivered some food staples (milk, bread, diet pepsi and trash bags to us yesterday).
  18. So I'm just curious. How does everyone view all the isolation precautions? Are they too strict? Are they not strict enough? Should they be mandatory or voluntary? As for the PPE recommendations, are they enough or too lenient?
  19. Go to this website (CDC) and they have a couple of suggestions. I don't know if I agree with them. https://www.cdc.gov/coronavirus/2019-ncov/hcp/respirators-strategy/contingency-capacity-strategies.html
  20. Yes, I think Just Plain Ruff's advice is a good starting place. This is a question neither you nor any of us can answer until you (and we) understand what he means. In preparing for that conversation (or evaluating it later), you would be well-advised in my opinion to review the closely related but very different concepts of compassion and empathy. they are different but related. Like so many things in life and especially in EMS, too much of even a very good thing, can become a bad thing. Using compassion as an example, it is a good thing to calm a worried, excited, and ill patient. It helps you get the info you need for a quality and accurate assessment. If the core complain is, for example, a twisted, dislocation, or fracture, and you are so compassionate that you stop your lifting or splinting every time the patient cries out in pain, you will actually cause the patient more intense and longer lasting pain than if you are less compassionate and plan your move fully with your partner, realize in advance that this will hurt and decide to complete the process in one move. Then there is the matter of time. Too much compassion may lead to longer on scene times, which is fine for minor complaints when multiple other response units are available. But, if the patient's condition is more serious, what they need is a quick (but still safe) ride to definitive care at the ER. When your patient has a relatively minor complaint but your system is out of resources and has calls holding, or is likely to have calls holding unless your unit gets back in service, then you have to also add the needs of those (perhaps not yet individually identified) patients into your overall decision. Finally, your employer also has an interest (that to me is a legitimate one to some degree) in seeing that you are not "unnecessarily" taking up either your time or the time of your patients when your patients are in fact your employer's customers (patients you are being compassionate with are also not spending money and, to be frank, compassion usually feels good, so it CAN be tempting to some providers to spend a bit too much time with talkative patients that are enjoying your supportive attention, which is another one of those too-much-of-a-good-thing situations.) Professionalism requires a good balance in all things, which is much easier to state in the abstract than to pull off in reality. Good on you for showing compassion! That alone gets you well on your way.
  21. Medic511 here. I have been a member here for a long time but not very active as a poster. Your question lit a fire under me today because of a local issue here that I had, in almost 20 years as an EMT and Medic,yet actually to see stated in writing. The manager of ALS EMS in this county yesterday actually sent out a memo/email that says we should save for reuse N95 masks and gowns unless they are visibly contaminated by blood or poop. I understand that it seems that our country or its government has been remiss in stockpiling an adequate reserve of PPE. But this seems to me like an outrageous plan to address the situation. On the first evening of my first EMS course (it was then called First Responder), I was taught about the fundamentals of Universal Precautions, BSI, and PPE. For twenty years I have followed that practice and as I became more involved in Instructing, taught it to 1,000s of students at all levels. As a National Registry examiner, I failed those students who ventured into a scene that they had no verified as safe. Donning a mask previously used during assessment of a suspected or confirmed COVID-19 patient cannot in anyway be said to create a safe scene even it it does not have any visible blood or poop. Similarly, taking a disposable gown already used treating a potentially contagious patient from a paper bag and donning it just because there is no blood or poop on it visible to the naked eye is a safe practice only in the eyes of an untrained or callously indifferent bean counter. As you can probably tell from my language, I am appalled, frightened, and devastated by the panic that must be behind this directive. Universal Precautions have kept me healthy through hep-c, HIV/AIDS, Swine Flu, and ebola and I have never been reluctant to assess, treat, and transport those patients. But I do not see how I can justify the risks of seeing possible SARS-CoV-2 patients wearing used disposable masks and gowns. My fire chief? Oh, yeah, he says he is convinced that "this is just a bunch of bull poop being spread by the media, and not something to worry about." Somehow, that scares me far more than the directive.
  22. Hi everyone! Just checking in to see what different areas of the country are doing as far as equipment, training and any other changes that are a result of the pandemic. I look forward to chatting with everyone.
  23. You need a sit down with your supervisor to find out just what he means by "being compassionate". if he thinks that you are spending too much time talking to them and being their buddy or does he think you are being too compassionate to the drunks? Either or you need more clarification.
  24. Hi @EMT2020 I am assuming you are getting in trouble for "being compassionate"? I was a little confused with the post.
  25. Let me start by saying: I’m a private EMT at a local Casino. I report to my EMT Supervisor and the Casino Management. (As well as workplace Compliance and Casino Surveillance) I have encountered a problem. My EMT Supervisor had said I was being compassionate to the patients. Now, I know what you’re probably thinking. “That’s the job”, “That’s what we learned.” Obviously these are my thoughts exactly. However, to my supervisor, that’s not the case. Normally I do not dwell on workplace rumors about my capabilities but this one put me in a place of constant self-questioning. How is being compassionate not something you want in an EMT? And how does this make me less of one? I don’t understand this and surely I hope you don’t either. I guess what I’m trying to ask is, have you come across this in your workplace? And how should I respond to this? (In all EMS -Private or Public)
  26. What are the questions you would ask someone with dementia to figure out if their animal is a service animal or not. Federal law states can ask two questions is it a service animal and what is it trained to do....... If patient show signs of clear distress without animal but once animal is present they calm down, Possible indication this is a service animal ? thoughts ?
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