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katgrl2003

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Posts posted by katgrl2003

  1. Richard, I actually work with someone who uses the camera on his phone to take pictures of what he leaves in the toilet. We have all learned to be very wary of anything he tries to show us. It's a whole new ick factor.

    -Kat

  2. "Good Sam., 5 Nora ??, ....we are attempting CPR but patient is fighting us." NO kidding. For real.

    Actually had something similar happen to me a few weeks ago. Medic crew coming from an outlying hospital was asking for another medic because their patient just coded. My partner hopped in the back of their truck, and I followed in ours. Unloaded pt at ER, rode the rails into room.

    Weird thing #1: Pt's chest would not rise after compressions.

    Weird thing #2: Pt was pushing our arms away during compressions, but when we would stop, so would she, as she had no pulse, no respiratory effort. It was obvious she was trying to keep us away.

    Weird thing #3: Pt WALKED out of the hospital one week later.

    It's official. Patients are weird.

    -Kat

  3. But very rarely was the DNR paperwork ever WITH the patient. "Oh, it's waiting for them at Hospice." :roll: There wasn't really a doubt about it's existence, you can't BE a Hospice patient without a DNR. My mother worked at the inpatient unit for years- I know their procedures pretty well. The paperwork exists, it's just not where it needs to be.

    I've actually transported a hospice pt that didn't have a DNR. THAT was a fun run. Long distance transfer, hospital, family, and the hospice facility once we got there all said the paperwork wasn't complete yet. And of course after the run, everyone told us they didn't expect her to survive the trip. Gee, thanks!

    -Kat

  4. I have seen clusters happen in the field and in the er. It happens. I had never worked a code before two months ago, then we work three in one month, two in 45 minutes. One of our patients coded in the er, and the doc let my medic partner run the code. His reasoning? "You guys do this a heck of a lot more than we do." It ran smoothly. Screwups happen. Just make sure you learn from them.

    -Kat

  5. I had a shift like that last night. I kept saying things like, "I'm bored!", "We haven't had ----- run in awhile". I even took my boots off and got a four hour nap (impressive for night shift.) Nothing worked until 0630 (half hour til shift change). At that point, I didn't care I would get off late. I was bored out of my mind!

    -Kat

  6. I'm curious, what situation would IN Fentanyl be more desirable than another route? I can understand someone on it chronically or something but I'm having a hard time coming up with one for prehospital.

    Our medical director is all about pain relief. If someone has pain greater than 3/10, we can give them Fentanyl. He also wants to reduce the number of iv sticks we do, as it can lead to a greater risk of getting stuck. It's also great for peds. We can give them pain meds without terrifying them with needles.

    -Kat

  7. In our protocols we can given Fentanyl, Versed, and Narcan IN. I haven't seen Versed or Narcan given this way, but I've seen Fentanyl given twice. Both times the patient complained of an aftertaste, but they were relaxing by the time they finished talking.

    -Kat

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