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Classair

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Everything posted by Classair

  1. I thank you, I have alot of friends on EMTCity and I value each and everyones friendship. Ronnie
  2. You say show some respect for the dead... well I say we should have show them respect when they were alive! All the respect in the wourld wont help them now. ITALY GET A GRIP [-X
  3. vivibonita you got it! "it's good to see people enjoy life"
  4. No... no signs, but I did get the med unit up on two wheels going around a sharp turn (just kidding) you need to pay attention on your backing if need get out and look behind your apprentice. If you clipped it going forward you need to learn to drive all over again. Treat your equipment like it is your own!
  5. We need to send Barbara Gerber a link to this forum, she might find some of our reply’s to the mystery sicko interesting. And if she shows up at my ED I will apologize for the missed sticks! Barbara Gerber President Devon Hill Associates San Diego, CA. E-mail: Barbara@devonhillassociates.com.
  6. IreneRN_ED There on the floor beacuse they can't cut it in the ED.
  7. YOU MIGHT WORK IN THE ER IF… You believe every patient needs TLC - Thorazine, Lorazepam, and Compazine. Your sense of humor seems to get more warped each year. You believe the definition of stress is when you wake up screaming and you realize you haven’t fallen asleep yet. You believe that if warm wine enemas were routinely ordered, patient complaints would greatly decrease. You hope there’s a special place in Hell for the inventor of the call light. You see stress as a normal way of life. You have tendency to laugh at your patient’s BIG problems. You know the phone numbers of every late night food delivery place in town by heart. You believe the problem with the gene pool is that there is no lifeguard. You’ve ever thought, “Patients, God love ‘em because today, I sure don’t!” Everything only happens all at once. You’ve ever been telling work stories in a restaurant and had someone at another table throw up. You believe experience is something you don’t get until just after you need it. You notice that you use more four-letter words now than before you became a nurse. You have a patient in four point leathers that asks if you are a nurse you reply ‘Yes”, and walk away. You believe all bleeding stops…eventually. You don’t get excited about blood loss unless it’s your own. You believe if you can keep your head among all this confusion, you obviously don’t understand the situation. You’ve ever said, “Why am I here?” When you get a call telling you the name of your next admit and you can do the assessment before the patient gets to the ER room. When called for orders, the MD says, “Write them yourself you know the patient better than I do. You’ve ever had to contend with someone who thinks constipation for 4 hours is an emergency. You refer to motorcyclists as organ donors. You can eat a candy bar with one hand while performing digital stimulation on your patient with the other hand and it doesn’t bother you. You believe Tylenol, Advil and Excedrin provide a large part of your daily caloric intake requirements. You’ve ever held a 14-gauge needle over someone’s vein and said; “Now you’re going to feel a little stick. You’ve ever had a patient with a nose ring, a brow ring and twelve earrings say “I’m afraid of shots.” You’ve ever thought, “As long as he’s got a pulse, I don’t care about the rhythm. You automatically multiply by three the number of drinks a patient claims to have daily. You can keep a straight face when a patient responds “Just 2 beers.” You believe the pain will go away when it stops hurting. You believe in the aerial spraying of Prozac. You have encouraged obnoxious patients to sign out AMA. You believe the government should require a permit to reproduce. Your most common assessment question at 2 a.m. is “Why is this an emergency now?” You firmly believe that “too stupid to live” should be a diagnosis. You have to leave the patient before you begin to laugh uncontrollably. You believe a book entitled “Suicide Getting it Right the First Time” will be your next project. You believe a good tape job will fix anything. You’ve ever had a patient look you dead in the eye and say ‘I don’t know how that got stuck in there. You have special shrine in your home to the inventor of Haldol. You believe unspeakable evil will befall you if anyone utters, “Wow, It is quiet in here.” You believe a good time is a full arrest at shift change. Narcan and Ativan are your friends. You believe every ER waiting room should be supplied with a Valium salt lick.
  8. I work in the ED. I have found if I hit a valve I can use a pre-filled flush (0.9% Sodium Chloride) to flush the catheter past the valve. Some times it works.
  9. Just a simple question regarding patches and pins. We've all seen them. Badges, collar brass, name plates, sparkly disco-patches, certification pins, and those other pins that people keep trying to sell on ebay...like "CPR Save", and those blue and pink stork pins. Some folks are REALLY into their pins and patches. What do you wear? What do you like or don't like? Do you wish you'd become a long distance mailman or a ambassador to Elsalvador when you see your co-workers looking like General Patton? Bonus question, how many patches have you ever seen on a single shirt?
  10. Knock on the door to the patient ED room enter and say "Hi my name is Ronnie I am the tech for this room, how are you doing?” :roll: Pause for a few seconds smile and say “maybe that is not the question I should ask a person laying here in the emergency department.” That usually gets a smile. I will do what I came into the room to do and right before I go I will attach the call bell or button on the side rail of the bed and say “If you should need anything push the button and I will be here quicker than two shakes of a lambs tail” and smile. That breaks the ice for the patient and me. Whether we enter a med unit or ED room we all should remember is that there will be a hurting human being lying in front of you, not just a hunk of beef.
  11. I am not bragging but I am a bit older than most of the CNA.s and my knowledge and work ethics are considerably higher. The nursing supervisors knows that. (i.e. I stock the rooms, don’t hide when the med units call in and report there is a SOB two min out, and I do what is ask of me.) I don’t think I will have any worries about being replaced. But thanks for being concerned.
  12. Then I remind them how they would run there asses of if it would not be for the tech's!
  13. I am an NREMT-B with my ACLS and PALS. I also work in an ER here in Florida. I am allowed limited patient care, along with taking vital signs, draw labs, run ECG, transport patients, clean wounds, splint ortho injuries and clean rooms. My shift is from 19:00 to 07:00. I am tight with the doc’s and they have me assist on a lot of the interesting procedures. I love it!
  14. In the ED and in the back of the box we use the Lifepack 12s with pads.
  15. But look on the bright side, James Bond or 007 had some pretty awesome equipment. I can see it now, an ejection seat on the stretcher, a pulse ox that doubles as a GPS, and last but not least the kool knives on your med units wheels that extend with just a flick of a switch.
  16. Look at the bright side they also gave us 16 new LIFEPAK 12 Defibrillator/Monitors.
  17. spenac, Thanks I just woke up getting use to those 7PM to 7AM shifts are murder. They never gave us a reason just did it.
  18. Our med units now carry no Morphine it was replaced by Fentanyl, whats your all's take on "FONA instead of MONA"
  19. I was riding on med __; it was about 22:00 when we were dispatched for a rectal bleed in a nice part of town. We arrived at the front gate punched in the code and looked for the address of the home. We found it, knocked on the door, and was met by a lovely dark haired lady about 35. When we asked if she was the pt she replied, “Oh it’s not me it is my husband.” We walked into the bedroom and found her husband on his hands and knees in the middle of the bed with a nylon bristle brush protruding from his rectum. :oops: :shock: The bristles must have folded just enough for her to insert it, but folded back straight when she pulled back on the handle and perforated his rectum. We looked at each other and like good medics we transported our pt with the impaled object in place. Yes we put him on the stretcher on his hands and knees, belted him across the calves and shoulders and draped a sheet over the poor guy. The handle of the brush held the sheet up and well sort of reminded me of the tents we’d put up as kids. I just had to ask whose idea it was? She just smiled.
  20. Humm not know she was pregnant? I think a few tubes of Derma-Bond skin glue would be just the thing just crush and apply. Nothing in nothing out!
  21. I transport for a private ambulance company we transport about four to five psych patients per shift (24 Hrs.) The youngest was 4 years old, and the oldest well... old! Most BA's some Marchmen. [align=center:a82160f367]FLORIDA LAW SAYS[/align:a82160f367] Transportation of Persons for Involuntary Examination 394.462, FS 65E-5.260, FAC Law enforcement has no responsibility to transport persons for voluntary admission to a mental health facility. Neither is law enforcement responsible for transporting persons from a hospital where they may have been medically examined or treated to a Baker Act receiving facility. In the latter case, the person is the responsibility of a hospital, pursuant to the Federal EMTALA law. Regardless of whether the involuntary examination is initiated by the courts, law enforcement, or an authorized professional, law enforcement is responsible for transporting the person to the nearest receiving facility for the examination. Baker Act Receiving Facilities in the local area are listed on the attached sheet. A law enforcement agency may decline to transport a person to a receiving facility only if: 1.The county has contracted for transportation at the sole cost to the county and the law enforcement officer and medical transport service agree that the continued presence of law enforcement personnel is not expected to be necessary for the safety of the person to be transported or others. This statute requires the law enforcement officer to report to the scene, assess the risk circumstances, and if appropriate, to “consign” the person to the care of the transport company. When a jurisdiction has entered into a contract with a transport service for transportation of persons to receiving facilities such service shall be given preference for transportation of persons from nursing homes, assisted living facilities, adult day care centers, or adult family care homes, unless the behavior of the 1. person being transported is such that transportation by a law enforcement officer is necessary. 2. When a law enforcement officer takes custody of a person under the Baker Act, the officer may request assistance from emergency medical personnel if such assistance is needed for the safety of the officer or the person in custody. If the law enforcement officer believes that a person has an emergency medical condition the person may be first transported to a hospital for emergency medical treatment, regardless of whether the hospital is a designated receiving facility. An emergency medical condition is defined in Chapter 395, F.S. as a medical condition manifesting itself by acute symptoms of sufficient severity, which may include severe pain, such that absence of immediate medical attention could reasonably be expected to result in serious jeopardy to patient health, serious impairment to bodily functions, or serious dysfunction of any bodily organ or part Once the person is delivered by law enforcement to a hospital for emergency medical examination or treatment and the person is placed in the hospital’s care, the officer’s responsibility to the person is over.
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