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Nepotism

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Nepotism means favoring relatives or personal friends because of their relationship rather than because of their abilities. The word is generally used in a derogatory sense.

I don't like it but I have never let it bother me, I do my job to the best of my abilities and the heck with family and friends. I have also never worked in any job in which there was not nepotism going on.

I agree with Asysin and Dust.

In all the classes I have taken they emphasized not to mimic your patient, act like the educated adult you are and treat your patient with all due respect.

48 Your Village called and their idiot is missing.

I have a co worker I would love to tell that to, and one of these days its going to pop out of my mouth.

It grows all over here in Iowa as well. Its been known to kill cattle who get into it and eat it. Below is the techy stuff on it:

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Title:

Jimson Weed: Fast Facts

Author:

Staff

Publisher:

Do It Now Foundation

Publication Date:

4/02

Catalog Number:

525

Overview: Jimson weed is a common name for a plant known botanically as Datura stramonium, which has been used as a medicine and intoxicant for centuries. The plant's main ingredients are the belladonna alkaloids atropine and scopolamine. Since Jimson weed is native to much of the U.S. (from New England to Texas), it's most often used by young people in those areas unfamiliar with its reputation and unprepared for its side effects.

Street Names: Thornapple, stinkweed, locoweed

Appearance: Jimson weed can reach a height of 5 feet, bearing white flowers and prickly seed pods that split open when ripe, usually in fall.

Effects: The phrase "Red as a beet, dry as a bone, blind as a bat, mad as a hatter" has been used to describe Jimson's effects, and it does a good job of summing them up. All parts of the plant are toxic, so pleasant effects are limited-a big reason the plant is used only by novices. Atropine and scopolamine block the neurotransmitter acetylcholine, causing dry mouth, dilated pupils, high temperature (but reduced sweating), and blurred vision. Psychological effects include confusion, euphoria, and delirium.

Side Effects/Risks: Potential for accidental poisoning increases with higher doses. Symptoms include incoherent speech, impaired coordination; rapid heart beat; and dry, flushed or hot skin. In extreme cases, users can experience seizures, intense visual or auditory hallucinations, or cardiac arrest. A Jimson weed overdose should be considered potentially serious and medical intervention sought.

Addiction Potential: Since Jimson weed's effects aren't generally considered pleasurable, addiction usually isn't a factor.

Medical Uses: Because of its anticholinergic properties and antispasmodic effects, Jimson weed was used in traditional medicine to treat a variety of illnesses. Today, extracts are still used in treating asthma, intestinal cramps, and both diarrhea and bed-wetting.

Duration: Depends on dose, with most effects beginning within two hours of use and some lingering up to 24-48 hours.

Legal Status: Jimson weed is not a controlled substance.

Trends: Most Jimson weed use tends to be of the one-time-only thrill-seeking or curiosity variety, typically involving younger teens. Few statistics are available on use but, in 1998, 152 cases of Jimson weed poisoning were reported nationally, according to the American Association of Poison Control Centers.

If we have to remove clothing to expose the patient, we cover with sheet or blanket. If at all possible we do not remove undergarments to preserve privacy and if we have to remove the undergarments we do it so no onlookers get a view or in the ambulance. We do not redress or put a gown on them.

Good Luck Dust, stay safe. Don't drink the water!

The Nasty Vixen :cat:

I do not care what vehicle I am riding in or driving, amublance or private vehicle, I always buckle up. Front or back of ambulance, I buckle up, driving car, pickup, firetruck, no matter I buckle up. You do not ride with me unless you buckle up. Before I do anything else, when I get into a vehicle I buckle up and make sure everyone else is buckled in as well, then I start the vehicle.

I reply to a post on occasion, but basically I do not like being bashed because I have two strikes already against me, I am an EMT B and a Volunteer to boot.

As for chat rooms, I feel like I am eaves dropping on private conversations, or someone is chatting and I have no clue as to the nature of the chat and I do not want to make some sort of reply and be totally out of context or sound really stupid. Also I am kept pretty busy with work outside the home, the farm. my family and continuing education.

I agree with what you say. Is there anyway to change it, I doubt it. So I briefly read the posts, and replies and get on with life.

We have in our protocols that if we have a pshyc pt. at least one person of the same sex as the patient must be in the back of the ambulance, be it an EMT, Nurse, or Law Enforcement. Just covering our behinds. Our medical director is the one who put that in our protocols.

I would on both. Regardless if there is a history or not, what is it going to hurt to check it? Nothing, just document the results.

This happened during my clinical in the ER. It was Sunday afternoon and fairly warm day. The patient had been riding a four wheeler when it tipped over and he got a nasty deep laceration on his arm. It took nearly 30 stitches to close it. He kept asking if he was going to loose his arm, the Dr. and nurse both told him no. He asked again and again, and then I opened my mouth and out came " no you won't loose your arm, its Sunday and that only happens on Monday, Wednesday and Friday". Everyone burst out laughing and the Dr. and Nurse both said they would have to remember that one.

I am actually going to agree with Dust on this one. :shock: Do your ABC's and giddy up and go. You can get the SAMPLE history in the unit as well as vitals and put them on oxygen.

Thats a whole lotta paperwork :twisted:

I have followed this thread for a few days before attempting a response. I find it disheartening the attitude some of you folks have towards us volunteers.

I live in Iowa where its not mandatory under state law for townships to provide EMS services, currently, that could change in this next year. It is however mandatory for townships to provide fire services.

The area I live in is very Rural Iowa. We have eight communities, a 511 square mile county, with approx 8,000 population, and one community hospital. With that in mind, townships and communities saw the need for EMS services. The only way we could accomplish any of this was through volunteers. People willing to get the training and education needed to provide EMS services. We have paramedics who have their associate’s degree and are volunteers. Then we have the EMT I’s and B’s. We have no paid units in the county, Ems or Fire. There are no monies from local or state governments to fund a paid unit. So we must go with the volunteer force. Our ambulances and equipment are obtained thru grants, fund raisers and donations. There are EMS funds which pay for some training and education, which much of the time the department pays initially and then is refunded sometime or somewhere down the line or the township must pay for the education out of its measly $7,000 to $10,000 a year budget. Currently we do have two ALS units in the county, we have three units who run B units but are not stand alone units, meaning they are tiered with an Intermediate or Paramedic unit.

Yes we respond from home, most people live within a half mile to a 2 mile radius of the Fire Department, many of our volunteers are Firefighters/EMT P, I’s and B’s. Having training in both fields. And yes we do have some volunteers who are closer to the scene and meet us there, and who are able to give us a better idea of the situation at hand, be it an mva or fire above the initial 911 call.

We do it for the need and for the community in which we live. I do not find it heroic in any sense of the word or measure. I find nothing heroic in going out in the middle of a snowstorm to cut someone idiot out of a car off the interstate because he or she could not slow down or use common sense when traveling in inclement weather. I find nothing heroic in trying to save the life of someone who is burned by the anhydrous ammonia he stole for his meth lab. I definitely do not do it to get my “ego stroked”.

Many of you folks live in densely populated areas where you have a tax base in which you are able to have paid public EMS units, or from the private sector Ambulances. And in which case you have had unfortunate experiences with the volley’s as you call them, or just have an attitude that anything you do your going to get paid for it.

So if your in Iowa and have an accident or illness, make absolutely sure you in a large metro area with paid units, and not some Volley unit that cares for the patient and not the paycheck.

pfffffffffffft I got back into EMS last year and I am 55.

I thought that all states were to implement a state wide 911 emergency telephone service etc. We here in Iowa had to do so, and in doing so we relinquished all rural box address and went to the numbered street/avenue address like cities have. Apparently Missouri has not done so. From what I have read just now the new Gov. is trying to get this done. I just do not buy the non payment of dues thing. Something is rotten in Monett, Barry County Missouri.

Having said that, I would hope that this home owner will seek legal counsel on this manner. I wonder if this so called service receives any tax dollars, or if any funding or purchase of equipment comes from property taxes etc. Where I live here in Iowa, we receive some funding for our fire/rescue/ambulance dept. every year from tax monies. Although we are a small village, the governing body, IE the township trustees who are elected officials, are required to spend a portion of the tax money on fire and ambulance "rescue" services for the township. The township does own "old red" our firetruck and the fire department building. Our fire and rescue dept. is wholly volunteer, and operates as a separate non profit entity.

It's probably confusing to others but that is the way things have operated here for eons.

We got called to the nursing home at 4 am on a Monday morning. Pt. had pain in the right thigh/hip area and needed to go to the hospital. Now mind you this is 4 am Monday Morning. While trying to get pt. ready, she is screaming in pain at unbelievable decibels. What the ?????. Seems that on Friday evening they were moving the patient after dinner and they heard a snap. They did nothing, noted it on the chart and that was it. Patient told nurse and aides throughout the weekend she was in pain. So finally at the unbelievable hour of 4 am they decided she needs to go to hospital. Our paramedic really reamed out some of the staff that morning. This same nursing home had a patient who had a stroke, they sent her to the hospital and never even called her son who is her only living relative, who visited her all the time. He found out that she had a stroke and was in the hospital when he went to visit. He visited on Monday morning, she had the stroke that afternoon and he went to visit her on Tuesday afternoon and that is when he found out. There are other stories about this place. It changed hands and never used to be that way. The guy who bought it gets rich off of the elderly.

UMSTUDENT I think you have too much anger to be in the field of Emergency Medicine.

From one basic to another, I think you did fine by your patient. On the cannula his o2 sats went up and stayed there. He was able to refuse to be transported and agreed to a breathing treatment. I would not worry about it nor try to second guess yourself. Dust has as much as told you that. Just be sure you DOCUMENT, DOCUMENT DOCUMENT everything.

As for the other guy, forget him. Maybe it could have been handled a little differently, but we all have said or done things that could have been handled a little diffferently a time or two. I'd let it go and move on.

Does it count if you wear your Emt Class shirt when you clean your own bathroom?

My NREMT patch is a bookmark in a genealogy guide book.

I never tell anyone I am an Emt. except on calls when I have to identify myself etc.

I like the gory pictures, and basket weaving looks like a bore to me. I would rather watch Trauma life in the ER during dinner than

Vanna White turning letters. If pictures in books are gory, how the heck would they stand the real thing like someone taking a shotgun and blowing their head off, or a vehicle rollover and people ejected!

I would like to add about the people in our class, we all had full time jobs outside ems, as everyone in this county is strickly volunteer, including our paramedics. Having said that everyone except one student was over 25. The two oldest, my husband and myself are in our mid 50's and my brother in law is late 40's. I think that for us being the age we are had the advantage as having a pretty good idea of what commitment we were making and how we generally present ourselves to the public and society in general, and what amount of studying and learning we would be doing. Believe me I know some young folks that have no clue on how to study and where to study and how to comprehend what they are studying. :study:

When we started our Emt B classes as part of the cost was the issuance of two grey polo shirts with the staff of life on it and lettering from the college and Emt B etc. We were to wear those to class along with black pants, black shoes and black socks. Not only that we had to wear said same outfit to our clinicals, we could also purchase a heavy sweatshirt for the ride times. We looked pretty spiffy and professional looking.

We had class twice a week, I studied on the average of 3 to 4 hours daily, that was after work, days off at least eight hours. I also aked questions and challenged some questions etc. I was there to learn, however we had some students the instructor constantly had to remind them to shut up and pay attention. Some were more concerned about gossiping than learning. Those students had to take the practicals more than once and the test more than once, one girl has never passed her test at all.

I think its all in your commitment and how you want to succeed or if you want to succeed. If your there for the glory you will do just what it takes to get buy, (my opinion). But if you truly want to succeed you will do what ever it takes, research, chemistry whatever to make the grade and dress the part, dress for success.

My humble opinions.