MeekoBB

Darn it! I was just going to post this! Pacman, where in NNJ are you from?

Scotty began stripping

Yes I 've never see those acronyms before. If I get my fave medics this week I'll ask them if they've seen those before. *learn*learn*learn*

lmao, sucks for you! watch your words and timing next time

HPI & PE? Sorry but different areas use different acronyms. Like you use h/o for history, as i use hx for the same.

Okay, trying to familiarize myself with medications as I plan on going for medic next Fall.... Sinemet is for the Parkinson's, I just read about levadopa being the main line treatment for it. Plavix is a blood thinner, cardiac hx? Levaquin, an antibiotic, known personally Simvastatin, had to look up, lowers cholesterol for those at risk for cardiac or stroke atenolol, looked up as well, beta-blocker, again, cardiac hx? How long ago was the nurse's vitals prior to EMS's set? Establishing time frame for the decrease, continuous vitals (I would do). As BLS, I would load the patient for transport, and request ALS for the decreasing BP pending ETA to ER. Sorry, if I annoy anyone with my post, trying to get into the senarios more and I listed the meds and reasons for them so I can as well as others in my situation knows what they are for specifically, although many of them are well beyond my education.

Yes, I been doing this for 4 years now and I hate giving report, especially to a nurse that I don't know and is overly intimidating and would rather stand there and make you look like an idiot. I do okay with the nurses I know (one in particular that I also get as a medic when I request ALS so we know each other fairly well). They ask me questions about the patient in a way so that I don't get flustered and embarrassed because it was something I didn't think to ask or something I don't know as I was not educated on the subject.

This sounded a TEENSY bit like my partner yesterday. However, I was able to deal with her airheadedness. I've had the partners where they drag their ass on calls, and those that want to be overworked. Now I don't mind to work, but I just don't like being pushed and feel suffocated by calls. I've had partners that accept last minute calls without asking me first if it is alright, meanwhile I have an appt to get to. But back on subject... I recommend, for anyone, to keep a log of cases in situations like this. Like Ruff said, write out the entire narrative of the situation and save it for later when needed. I keep a small journal with me to write out my concerns about situations with partners so if I need to go to management after trying to deal with the situation myself fails, I have a log of problems and when they occurred. I don't want to be the mean one on the staff, but I'm also not there to play all day. I'm one of those that are constantly on my phone as well (I'll admit it), but it doesn't get in the way of my patient care. If I receive a phone call, I'll put it on ignore (unless its my grandmother, I ALWAYS answer just long enough to say I'm with a patient and will call her back otherwise she gets all panicky then my family home will have a patient of their own to call for a truck) Patient care is first and foremost. There is no other reason to refute that by any person. Hell I've reported my own FTO because I was not comfortable or felt safe about his own driving. Log it. Discuss it. Report it.

Any other signs or symptons? Allergies? Other meds? Have they fed him? New events, therapy, any thing outside of normal activities? Does he have any pain or discomfort thats not normal for him? Is he in a private room (sometimes a roommate could be the source of a problem)? What are the vitals EMS takes? General impression? ETA: Just did some brush up reading on parkinsons, dopamine related drugs can increase orthostatic hypotension. does that relate to the situation at all? trying to think of other questions I would ask myself if I walked in on that...

Scotty then ate....

into LoneStar's helmut...

Brentoli ate it

dustdevil mud pie..

made by vs_eh?

shaped like a.... (sorry hun, my head is in the gutter tonight!)

canuckie sucked on...

strip for mike...

by midget porcupines....

couldn't get up!

sex addiction with...

Interesting....I actually know someone who experienced this. She was transporting a code patient without ALS L/S to the hospital (ALS wasn't available so they just load and go). Being that it was a private ambulance (transport from a SNF) some local PD hates private services and stop....Not saying she was right or wrong, she called into dispatch to notify of LEO in pursuit, but simply continued on her way. She had told me that as soon as she pulled into the ER (staff was outside waiting to assist) she turned quickly and saw that the cop had turned off his lights and continued on his way. From what her dispatcher said when he called the PD desk, was that it was becuase of a private service using L/S in his district and many there does not like it. That wasn't the first time either, she was going lights and sirens about 2 min from a rendezvous point with ALS with a CVA pt on board, they pulled over for the LEO and the cop threw open the back doors just to make sure there was a patient on board and they weren't using lights frivously. I recommend calling dispatch to let them know to contact the LEO's desk to find out the nature of the chase.

Too bad Scotty

green thumb that...

By mike's studdliness...

and Scotty was....