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  3. Thank you so much for your reply. And yes. I contacted a lawyer and he pretty much said the same thing. He said the board doesn't involve them selves with stuff from schools, they simply don't have the time. Also that he thinks someone just sent to them all of a sudden. I have an i dea of who. I just got hired at a hospital and they heard about what i'm trying to do and they don't like that i'm advancing and doing it so fast. No he didnt say why it took 2 years, he suspects its someone from my past that like you said is throwing atones and has an axe to grind. He specializes in med board lit and says in his years of practice he has never heard of a situation like mine and thinks it's ridiculous.
  4. Hi All Im a paramedic with years of experience in fire, flight and third service. I’ve been out of the field for a few years and am relocating to Jacksonville Florida. I’d love a little part time or volunteer work, to keep my skills sharp and maintain my license. I don’t care much about pay, I have a great full time job. What I really want is a place I can run calls either EMS or CCT (I’m FP-C Certified) and am open to driving. A huge plus would be a service that takes part in disaster relief so I can help in tropical storm situations. Any recommendations would be really appreciated,
  5. Where did you get the idea that he was looking to become a managing editor?
  6. I would be worried but not extremely worried. I would actually not be asking advice from a forum like this or from the internet at all, you should be talking to an attorney and seeing what he/she says. Good reputable attorney's often give 1 hour free consultations. Or do you have a friend who is an attorney who could advise you. I would continue on with your journey into Nursing or phsycianhood and follow what your attorney tells you to. The internet is a minefield of bad advice and please don't step into it without getting an attorney involved. did the investigator tell you why it's taken 2 years for them to get into this? This sounds like someone from your past is throwing stones and trying to see what will hit. did you have someone you pissed off way back at your old school that might have a old axe to grind??? Be honest with the investigator but only after you speak with the attorney. Do you see the underlying theme of my advice - don't do anything until you have talked to your attorney. I wish you the best.
  7. Allegience just moved into my town, Crossroads about 15 minutes from my town. I'm trying to find out more about them in the event I need to look for another part-time gig. Are there any current or former employees in here that can give me the lowdown on them? The area of operation is Southeast Texas.
  8. Ok. While going through the fire academy for AEMT I was accused of cheating on my final (I didn't) so I had a hearing and they said they think I did and i was expelled from the course and there for could not get my license or test for registry. They then said I would have to find somewhere else to get licensed. I then enrolled at a local college and got licensed there with no incident. I have since worked as an AEMT for almost 2 yrs with zero issue and I've had 3 jobs in the field. Yestersay I get a letter from a state investigator saying he is looking into allegations filed against me that could affect my ability to practice in the state. I call and he tells me I am being investigated for me supposedly cheating during my first attempt at getting licensed 2 yrs ago. Mind you after this i went to a completely different school and got licensed and i've been working for nearly 2 years since then. If i loose my license would i be able to get licensed again? Would I need to go to another state? I was about to try and start college for nurseing and eventually head to doctor. Will this stop me from going into the medical field all together, as well? it's weird that after this drama happedned i was able to get my license and practice this long for this to happen now all of a sudden. And right after i got hired at a hospital.
  9. I myself have been through this....twice. I can tell you I have "retired" from EMS twice, and went back twice. My take away is that you may need a break, extended variety, but a break. Consider a LOA before quitting altogether. It has done wonders for me. I hope you can find yours. Best of luck.
  10. Changes in a career are a good idea only if you change your type of job to a higher-level and more highly paid one. If you want to change your job, then I advise you to look at the site https://jobsforeditors.com/managing-editor-job-description.html with a managing editor job description and a senior editor job description in order to choose for yourself a job that will be more intellectual and highly paid.
  11. Hey Riblett, you might be better served to look to Facebook on this rather than here. this sites sort of dead now. No offense to this site but it it what it is.
  12. Hello EMS friends, I will be traveling to the UK and Ireland in June 2019 (next month!) and I am hoping to learn more about the EMS systems in England, Wales, Scottland, and Ireland first hand. The process of cold contacting all these agencies seems overwhelming (although I will if needed). My excitement was dashed a bit when I read on their website that London Ambulance Service does not do ride alongs. But they will allow other healthcare providers to visit with the proper paperwork. To my colleagues across the pond: Can you give me any insight into how to approach this? Do you know of any 911 agencies that would allow an international ride along? Where should I start? A bit about me. I am a paramedic of over ten years and an EMS instructor. I am also a nurse practitioner specializing in emergency medicine and a former ER nurse. I can provide all manner of background checks and letters of introduction/recommendation from my employers and faculty. Is this realistic? Can it be done? Thank you in advance.
  13. Well I'm not sure how my new job will want my narrative. It's been 9 years since I wrote one and I'm getting back into the swing of things starting May 15th. But my reports when I used to write them were hand written on a paper report form. yeah, it was before computers got in our way of writing reports and before we had to tick off all those legal mumbo jumbo boxes to make the bean counters happy. So I'll give you a idea of what my narrative was like. Remember this was a long time ago so I'm sure others have better ways of doing things now. But I can tell you, my narratives never pulled me into court. 1st paragraph - What happened - why you were called, what you found, what bystanders said, what patient said, what you observed. etc patient exam/assessment - the formatting of this site makes it hard to put it all down line by line but here goes Heent(head, ears, eyes, nose, throat); Neck; Chest; Lungs; Heart; Back; Abdomen; Pelvis; Gi/GU; Extrems; Neuro/GCS/RTS/ (all of these go on their own lines with what your exam findings are) What is your Impression/Impact - what did you really decide is wrong with this patient - they say we don't diagnose but we really do. So don't be afraid to say if they are having chest pain to say chest pain or if their 12 lead shows elevation in II, III and AVF to say that. What is your impression or suspicions. And now your treatment - Number them sequentially - from when you got there to when you dropped them off at the hospital - make sure you put down if they got better or if they got worse. Don't be afraid to say that if your treatment made them worse - say it because sometimes your treatments make them worse. Sometimes your treatment like Synchronize cardioversion causes them to go into v-fib. that makes them worse. Or you give them Lidocaine to a paced rhythm (honestly I didn't see the pacer spikes- really i didnt' and you nearly code them) put that in the report. (man I felt like crap on that one - but I was a brand new medic and I learn from my mistakes and teach from those mistakes). That's all I got. Oh yeah there's one more thing - there is a very obscure book out there, if you can find it, buy it and never let it go - I did and the person lost it. It's called "The Missing Protocol-A Legally Defensible Report" by Denise Graham It doesn't tell you how to write a report but it does tell you how to write a report that will keep you out of court if you do it correctly. It's out of print so I'm not sure if you can find it, I haven't been able to find it. May the person who lost my copy be crapped upon by a thousand camels with IBS and C-diff. I hope this helped.
  14. So, I'm a year into being an EMT and I feel like I've at least started to settle into a narrative style that works for me. But, I'm always looking to do better. Recently, I've wondered if there are any books out there or just personal experience that could help me. The main thing I'm looking for would be sentence structure and word choice. What helps you break down your call and how do you create a story of what happened so that the person reading gets the full picture?
  15. sorry you haven't gotten a response but this is my advice 1. do not allow him to retake the test until you speak directly with the registry. 2. Talk to them about what accomodations they can give him and what he qualifies for. 3. Ask them what kind of study guides or assistance they can offer for him to prep for the next attempt at the test. 4. DO NOT ALLOW HIM TO TAKE THE TEST AGAIN until you have done all 3 of the above. He only gets 2 more times before he has to I believe take a refresher course and you don't want him to do that. Just call the registry and talk to them. We can give you advice here but please go to the source and call them directly, they are the experts about their testing process and what accomodations that they can offer someone with a disability. That's my advice.
  16. I am writing this in hope of feedback, I have a nephew that has passed the EMT class, he passed his practicals.. The problem now comes with the actual National Registry test. He has failed 4 times, the kid does legitimately have a learning disability and qualifies for special accommodations . As I am helping him fill out the papers I am not sure what to request. Other than more time maybe ? This is really heartbreaking to my family he worked so hard and knows the material, he just does not test good.. Thank You
  17. Ok, heres what I purchased today from Amazon shears BONTIME Trauma Shears - Premium Quality EMT Shears, Stainless Steel Bandage Scissors for Medical, First Aid, ER, Nurse, Doctor, 7-Inch(2- Pack, boots - already have non-steel toed boots. I think I can wait a while to purchase those if ever. I never needed them when I was practicing prior to leaving so I'm hedging my bets that I won't need them now. pen light - https://www.amazon.com/gp/product/B07N1G7179/ref=ppx_yo_dt_b_asin_title_o02_s00?ie=UTF8&psc=1 Belt - going to purchase the belt when I get my pants Already have my field guide - have purchased already I think that's what a guy with a few years under his belt in the field actually needs. any other suggestions that won't make me look like a total dumbass???? One other thing, after digging through my storage boxes, I found my Littman Cardiology II stethoscope that I've had since 1992. The only thing I need to purchase is new earpieces as there is a hole in one of them The replacement earpieces will be here tomorrow.
  18. I want to add to my post Fentanyl is a great drug. It can be used on most anyone. I've used it from 2 year olds to 80 year olds and probably older but I can't remember. I don't remember a patient ask me personally to give them fentanyl, but remember I've been out of the field full time for 9 years, (part time for several), but I've been asked to give patients dilaupid(yeah I know it's spelled wrong) more times than I have fingers and toes. There is abuse potential in a lot of stuff we give. Hell there's abuse potential in flexeril as well, that's what a friend of mine was hooked on and what eventually killed him in an over dose when he took an entire bottle (90) pills because he was just tired of livin and wanted out. So I do not believe we should get rid of fentanyl just because it's the soup du jour of the addicts this year and last. 10 years ago, I believe diluadid was the soup du jour of addicts in my emergency room. It's what they asked for by name. Who knows what will be on the menu in 3-5 years from now. But for goodness sake, don't take a tool out of our arsenal because a small subset of the population have made it their drug of choice to abuse and kill themselves with. That would be I believe foolish and a knee jerk reaction, but then again, it's what we in america are known for, knee jerk reactions to a problem without finding a solution first.
  19. Yes. Fentanyl is addictive with potential for misuse. Morphine is also addictive with potential for abuse. As are the benzos we carry for seizures/sedation. Ketamine? Well, that's so blatantly addictive/misused that it has it's own street name. When used appropriately it is exceptionally effective. With what do you suggest it be replaced?
  20. I think you should be good. If you are looking for a stethoscope, but don’t want to purchase an expensive one. ADC & MDF make good quality ones.
  21. Ok, so I can make it official. I got the call with the offer. I will find out my start date Friday when I go down and pee in a cup and sign the forms for my background check. I'm clean as a whistle though so that shouldn't be a problem. Now I gotta figure out how to pay for all the gear(I'm not a noob so I won't go overboard) that I need. 2 - 3 pairs of ems pants stethoscope shears boots They provide the shirts but I have to buy them(they order them for me) pen light Belt Already have my field guide I think that's what a guy with a few years under his belt in the field actually needs. any other suggestions that won't make me look like a total dumbass????
  22. Yes we do have alternatives but I say keep it. A great mentor one time told me this, if a person is going to get hooked off one single EMS administration of a drug we give them, then they are probably hooked on something already.
  23. Yes I agree that this sounds like a real situation. And yes there is a lot missing. Would like the original poster to return to give more information. If this is his loved one that would be very helpful to know. If he's searching for answers to why paramedics or emt's did this or that and this might go to court for malpractice, he's not really going to get any information from us to possibly hang those medics out to dry as that is what the court system is for and that's what the expert witnesses get paid big bucks to do. I don't expect the OP to return but I would like him/her to do so in order for us to understand more of what they are wanting us to answer.
  24. Should EMS abandon the use of Fentanyl in the field? Based on the fact that it’s a highly abused and addicting substance. It’s not like we don’t have alternatives. Please share your thoughts.
  25. Unfortunately there is no way to answer your question without having additional patient information. Including the patient’s Allergies? Medications? Past Medical History? Events prior to the emergency. In all honesty this sounds like a real situation.
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