MedicRN

Party time!!!! :headbang: :occasion5: :sleepy2: No, seriously......... Is it packaged the same as what you carry? What's to say one of the other medics hasn't been diverting their morphine. It sounds like pee tests all around just to make sure. Otherwise, was this a brand sparkling new ambulance when it was gotten by the service? Or was it used? If used, the owner/police (because you are going to turn the new-found morphine into the boss) need to determine previous ownership and go from there.

Does she wake up in the middle of the night? Is it difficult to go back to sleep?? Has she had any nightmares (other than becksdad in her lingerie)?? Does she wake up with palpitations?? Does she wake up 'in a fog'? How is her recent memory? AND she's on Tenormin... hhmmmmmm :-k :-k Unrecognized 'midnight' hypoglycemic event??

I haven't heard of your device. It would be interesting to know the outcomes of the studies/evaluations. At my facility (a certified Primary Stroke Care Center), EMS can call a 'Stroke Alert' based on CSS or LAPHSS. In a nutshell, on arrival, the patient is seen almost immediately by the ER MD to determine appropriateness for a Stroke Team alert. If appropriate, the protocol is initiated which includes a stat CT (within 10 minutes of protocol initiation) and evaluation by a Neuro ICU RN. Labs, PMHx and meds are all evaluated. If the evaluation is positive for a thrombic stroke, labs within parameters and within 3 hours (6 hours for some cases) of KNOWN onset, tPA in started and the patient is admitted to the Neuro Critical Care Unit.

:dontknow: :roll: :dontknow: :roll: :pottytrain4:

If they are moving to command, then I'd document M=6 and then expound in your narrative as to which side moved, where any weakness was noted, etc. If they are able to 'play 20 Questions' (answer yes/no correctly), then I would score appropriate to response and expound in the narrative. Did they reach for the point of pain (M=5)? Did they pull back the extremity from the pain (M=4)? Did they abnormally flex (decorticate posture) the extremity(ies) to pain (M=3)? Did they abnormally extend (decerebrate posture) the extremity(ies) to pain (M=2)? Did they lay there like a lump (M=1)? Remember, GCS is not a measurement of vision, but rather if the patient opens eyes spontaneously (4), tp speech (3), to pain (2) or does not open to any stimulus (1). If I'm concerned about visual acuity, then if it is just a forehead lac, I'd remove the dressing and check. If there is any possibility of globe damage, then the bandage stays in place and appropriate documentation is made ('Per FR, potential damage to eye globe. Pt described good vision prior to bandage placement.')

My score on The Personality Defect Test: ************************************** Emo Kid (You are 28% Rational, 14% Extroverted, 28% Brutal, and 28% Arrogant.) "You are the Emo Kid, best described as a quiet pussy! You tend to be an intuitive rather than a logical thinker, meaning you rely more on your feelings than your thoughts. Not only that, but you are introverted, gentle, and rather humble. You embody all the traits of the perfect emo kid. You are a push-over, an emotional thinker, gentle to the extent of absurdity, and so humble that it even makes Jesus puke. (And Jesus almost never pukes, being immortal and not requiring an act of puke to dispell toxins from his corporeal manifestation.) If you write poetry, you no doubt write angsty, syrupy lines about depression, sadness, and other such redundant states of emo-being that go something like this: life is a spike / upon which i have impaled mysefl / fuck you dad So, your personality is defective because you are too gentle, rather underconfident in yourself, decidely lacking in any rational thought, and also a bit too inhibited. Plus, your poetry really upsets your father. I probably made you cry, didn't I? Fucking Emo Kid. To put it less negatively: 1. You are more INTUITIVE than rational. 2. You are more INTROVERTED than extroverted. 3. You are more GENTLE than brutal. 4. You are more HUMBLE than arrogant. Compatibility: Your exact opposite is the &&&&Smartass. Other personalities you would probably get along with are the &&&&Hippie, the &&&&Televangelist, and the &&&&Starving Artist. * * If you scored near fifty percent for a certain trait (42%-58%), you could very well go either way. For example, someone with 42% Extroversion is slightly leaning towards being an introvert, but is close enough to being an extrovert to be classified that way as well. Below is a list of the other personality types so that you can determine which other possible categories you may fill if you scored near fifty percent for certain traits. The other personality types: &&&&The Emo Kid: Intuitive, Introverted, Gentle, Humble. &&&&The Starving Artist: Intuitive, Introverted, Gentle, Arrogant. &&&&The Bitch-Slap: Intuitive, Introverted, Brutal, Humble. &&&&The Brute: Intuitive, Introverted, Brutal, Arrogant. &&&&The Hippie: Intuitive, Extroverted, Gentle, Humble. &&&&The Televangelist: Intuitive, Extroverted, Gentle, Arrogant. &&&&The Schoolyard Bully: Intuitive, Extroverted, Brutal, Humble. &&&&The Class Clown: Intuitive, Extroverted, Brutal, Arrogant. &&&&The Robot: Rational, Introverted, Gentle, Humble. &&&&The Haughty Intellectual: Rational, Introverted, Gentle, Arrogant. &&&&The Spiteful Loner: Rational, Introverted, Brutal, Humble. &&&&The Sociopath: Rational, Introverted, Brutal, Arrogant. &&&&The Hand-Raiser: Rational, Extroverted, Gentle, Humble. &&&&The Braggart: Rational, Extroverted, Gentle, Arrogant. &&&&The Capitalist Pig: Rational, Extroverted, Brutal, Humble. &&&&The Smartass: Rational, Extroverted, Brutal, Arrogant. Be sure to take my Sublime Philosophical Crap Test if you are interested in taking a slightly more intellectual test that has just as many insane ramblings as this one does!" ************************************** Take it! http://www.okcupid.com/tests/take?testid=4741219933576750506

microcephaly = head circumference smaller than average for the person's age/sex. Chiari Malformation..............

Some guy bought a new fridge for his house. To get rid of his old fridge, he put it in his front yard and hung a sign on it saying: "Free to good home. You want it, you take it." For three days the fridge sat there without even one person looking twice at it. He eventually decided that people were too untrusting of this deal. It looked to good to be true, so he changed the sign to read: "Fridge for sale $50." The next day someone stole it. Caution... They Walk Among Us! ------------------------------------- One day I was walking down the beach with some friends when someone shouted...."Look at that dead bird!" Someone looked up at the sky and said..."where???" They Walk among us!! -------------------------------------- While looking at a house, my brother asked the real estate agent which direction was north because, he explained, he didn't want the sun waking him up every morning. She asked, "Does the sun rise in the north?" When my brother explained that the sun rises in the east, and has for sometime, she shook her head and said, "Oh, I don't keep up with that stuff." They Walk Among Us!! -------------------------------------- I used to work in technical support for a 24/7 call center. One day I got a call from an individual who asked what hours the call center was open. I told him, "The number you dialed is open 24 hours a day, 7 days a week." He responded, "Is that Eastern or Pacific time?" Wanting to end the call quickly, I said, "Uh, Pacific" . They Walk Among Us!!! -------------------------------------- My colleague and I were eating our lunch in our cafeteria, when we overheard one of the administrative assistants talking about the sunburn she got on her weekend drive to the shore. She drove down in a convertible, but "didn't think she'd get sunburned because the car was moving". They Walk Among Us!!!! -------------------------------------- My sister has a lifesaving tool in her car it's designed to cut through a seat belt if she gets trapped. She keeps it in the trunk... They Walk Among Us!!!!! -------------------------------------- My friends and I were on a beer run and noticed that the cases were discounted 10%. Since it was a big party, we bought 2 cases. The cashier multiplied 2 times 10% and gave us a 20% discount.... They Walk Among Us!!!!!! -------------------------------------- I was hanging out with a friend when we saw a woman with a nose ring attached to an earring by a chain. My friend said, "Wouldn't the chain rip out every time she turned her head?" I explained that a person's nose and ear remain the same distance apart no matter which way the head is turned... They Walk Among Us!!!!!!! -------------------------------------- I couldn't find my luggage at the airport baggage area. So I went to the lost luggage office and told the woman there that my bags never showed up. She smiled and told me not to worry because she was a trained professional and I was in good hands. "Now," she asked me, "has your plane arrived yet?".. They Walk Among Us!!!!!!!! -------------------------------------- While working at a pizza parlor I observed a man ordering a small pizza to go. He appeared to be alone and the cook asked him if he would like it cut into 4 pieces or 6. He thought about it for some time before responding. "Just cut it into 4 pieces; I don't think I'm hungry enough to eat 6 pieces. -------------------------------------- They walk among us, AND reproduce! #-o [-o< #-o [-o< #-o [-o<

I guess I missed the point of this post.................

I'm sorry things didn't go well. Contact your instructor(s) to set up some review and how to reschedule/retest. It's been so long, I don't remember if NR tells you where you messed up or not. I'm sure someone else here has that answer.

You answered your own question.

http://www.emtcity.com/phpBB2/viewtopic.ph...ight=hypertonic

Having worked as a dispatcher, I could only dispatch what I could get out of the NH staffer calling. Many times it was an aide calling because somone else told them to and they didn't have the faintest idea of what was going on :dontknow: and would not go find someone who knew anything. :banghead: After having been burned at least once, most services would rather 'over dispatch' to a NH than be caught with inappropriate resources (we've all been dispatched to '2-day hx of SOA, A/Ox3, no current difficulty' and arrived to find the patient pulseless, apneic and rigored!!). :banghead: :banghead: :banghead: When HIPAA first hit the fan, it was like pulling hen's teeth to get ANY information out of a NH. They were too scared of getting fined! While working on an ambulance, I can't count how many times I was given a SEALED envelope marked 'DO NOT OPEN. FOR ER PERSONEL ONLY.' :banghead::banghead: I could hardly get a history out of anyone because I 'didn't need to know that information. You just need to take them to the hospital.' We soon learned to just load the patient and go to the unit to make an assessment and (heaven forbid) look at the paperwork. In cases like these, this was the only history (event and PMHx) we had to work off of. :dontknow:

Depends on your state and local laws.

tart

6 - 10 = You are getting older

HOw about general labs........ CMP, CBC, BNP, Mg, Phos, Cardiac Enzymes 2D Echo, Transesophageal Echo Working Dx = pericarditis vs CHF (though doubtful) Edit: oops... a bit late with the post...... looks like a ventricular septical defect... possible ruptured ventricular septum?

What time did it start? (what time is it now?) What was he doing at time of onset - watching General Hospital? mowing grass? cuddling with the wife? the Boogie Man jumped out of the woodwork?? Cardiac history (or other significant history)? Location/radiation/quality of the pain? Does he have NTG prescribed? If so, has he taken any? Medication list (any sildenafil citrate?) History of trauma? Vitals? ----- more questions pending answers to the above -----

Didn't know AMR ran tactical EMS.

:laughing3: :laughing6: :laughing3: :laughing6::laughing3: :laughing6::laughing3: :laughing6::laughing3: :laughing6::laughing3: :laughing6::laughing3: :laughing6: My family would use this one all the time!!!!!

magazine he left

Looking at the pituitary gland..... What are the results of a Brain scan with/without gadalidium? What are her hormones levels (ADH, GH, prolactin, FSH, LH, etc)?

lobbing tear gas

but the door

ceiling swing which