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akeith106

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Posts posted by akeith106

    Short Transport times

    in General EMS Discussion

    Posted

    I just try to do the best I can...

    Most of our emergencies are usually less that 4-5 minute transports to get to a hospital... Its hard to try to treat and stabilize in that short time... I usually have to start report to the ER as soon as we get into the truck!!

    Tobacco Use

    in General EMS Discussion

    Posted

    I smoke, but only like a pack a week. Mainly at work. I use smokeless tobacco( tobacco, not that powdered snuff stuff) a lot more frequently though. But never on a call-thats just plain, outright, unprofessional. I would love to quit it all though. If for no other reason--it would save me around 75-100 dollars a month. Hey, that money could make a camper payment :shock:

    AMEN!!! only, I would save ALOT more than that.... I some about a pack and a half a day! That is equal to about $6.75 a day!!!

    $2463 a year :!: :!: :!:

    EMT (B, I, & P) - Vocation or Profession?

    in General EMS Discussion

    Posted

    I also believe that it should be "licensed" not "certified" We all have to go through alot of training before the state will even consider us for testing. any other part of the medical field gets licensed so why cant we be also.

    I absolutely AGREE!!

    In PA, as an EMT, you have to do 24 hours of con-ed every 3 years to maintain your status, plus you have to go through the initial education and testing.

    As a Medic, you have to do 18 hours of con-ed every year. however, the certification NEVER EXPIRES!!! If you go past your expiration date before the con-ed requirements are met, you are not allowed to practice. But as soon as you meet the requirements, you can resume your position....

    Wouldn't you consider a "Permanent Certification" to be a "License"????

    Are you as fit as you think??

    in General EMS Discussion

    Posted

    OMG!!! I NEED a training program....

    The last Cardiac Arrest I worked, I thought I'd need the O2 by the time we got to the ER. I am soo out of shape. Its really pretty sad too... I just lost 50# and need to start exercising to build strength. Especially with some of the patients I have to deal with.... We have a 700# patient to transport tomorrow morning!!!!!

    I can already hear my back and legs screaming :lol: :!: :!:

    Has Anyone Been Mistreated By an ER Doctor?

    in General EMS Discussion

    Posted

    Most of the ER docs where I work are pretty good... I have not really had any consistent problems with any of them. Now, of course you will catch them on a bad day and they can be nasty, but that goes for everyone, myself included.

    The Docs around here are usually very supportive of EMS... My Med-Com Doc even wants to be an instructor for some of the con-ed classes that I am planning... I guess I must be lucky to work in a city where there are so many hospitals and doctors....

    Bariatric Transports

    in Patient Care

    Posted

    Man I know this sounds mean, and I also know that once you reach a certain point there ain't any getting back right, but I gotta say it. These folks spend a lifetime making bad choices, consuming poor diets, and generally allowing themselves toget like this. They are killing themselves and now they want to kill me too. Jeez man, move someplace where you can be taken care of if you weigh that much.

    AMEN!!!!!! I wish!!! We used to have a bariatric patient that lived at home in her apartment. We transported this Pt to a clinic 5 days a week. We had to carry her down 8 steps before we could load her onto the "Big Boy" stretcher. That is the patient that I got 2 lumbar strains with. I didn't get the strains lifting the stretcher.... I got them carrying her down the stairs on a stair chair. Which, by the way, she broke 9 of our stairchairs!!!! 560# :!: :!: :!: :!:

    Terminating employees

    in General EMS Discussion

    Posted

    I'm sorry that you feel this way.

    You should try to make him understand that you did not fire him because of anything personal. Make him/her understand that the reasons for termination are strictly business... Especially if you want to keep the friendship.

    As for the decision you made... If you feel that it was the right one... It probably was. Don't underestimate your abilities to lead and direct the employees under you.

    I have the same types of problems at my service. I got a promotion last year to be a Supervisor.

    Now all of my friends at work think that they can get away with murder while at work. NO! I have a job to do and so do they. If they don't like it...too bad, so sad. I still go out and have a good time with them, and I think that they understand that just because I moved up doesn't mean that I can't still be their friend.

    Just remember to keep work and personal lives separate and you should be fine. Leave work at work. Call and talk to him if you still want the friendship. He'll understand, and who knows... Maybe he'd be willing to go through some remediation training and you would be able to hire him back.

    Bariatric Transports

    in Patient Care

    Posted

    Is bariatric transport just a nice way of saying "The fat man car"? Because when I do a search for it on line I keep finding things that say, "Up to 1000 lbs."

    YEP... Bariatric is the PC term for FAT!

    To give you an idea.... the stryker bariatric stretcher can hold up to 800 pounds in the raised position and 1600 pounds in the lowered position.

    The bad part is..... We had had to use it in the LOWERED position!!!!! YIKES 1200 # pt....

    Bariatric Transports

    in Patient Care

    Posted

    Does your EMS agency have the budget for an ambulance with either a lift, or portable ramps with a winch under the "Captain's Chair"? Don't forget maintenance for this stuff, after purchase.

    They bought the Stryker Bariatric stretcher, and were talking about getting the ramps and winch, but as everyone in EMS knows.... MANAGEMENT MOVES VERY SLOWLY!!!

    Maintenance wouldn't be a problem... He have two mechanics on staff with their own station to work in..... You'd think our units would be in better shape.. :P

    Tobacco Use

    in General EMS Discussion

    Posted

    Yeah, unfortunately, I smoke. I smoke too much. I have tried to quit several times with no luck.

    I do smoke at work, however I only smoke in designated smoking areas. And I agree.... I wouldn't be surprised if EMS is mandated to be smoke free soon.....

    Maintaining Quality Control w/personnel

    in General EMS Discussion

    Posted

    We recently voted to participate in "Peer Review". We developed our own custom list of criteria with choices for each line including "not applicable, needs immediate improvement, poor, fair, excellent". The categories include everything from being a team member, skills, medical terminology on reports to driving skills and keeping the facility clean while on call. This will help identify areas that need improvement as well as those that should be acknowledged with high marks of quality. We are volunteers, but our high standards should not be compromised due to lack of remediation. Now we each have some input for improvement

    KBEMT

    That is very interesting... I would like to start something like that at my service, butt have NO IDEA where to begin.... Could you send me a copy or post it.....

    Bariatric Transports

    in Patient Care

    Posted

    At my service, we "Specialize" in bariatric patient transports.

    I was just wondering if anyone else does this and how they deal with it. We have had quiet a few back injuries. I have had two lumbar strains myself, and I am trying to figure out how to prevent this in the future.

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