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Just Plain Ruff

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Just Plain Ruff last won the day on July 18

Just Plain Ruff had the most liked content!

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About Just Plain Ruff

  • Rank
    Chump in charge of my making my family happy Officer
  • Birthday 11/26/1967

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    firstnetmikeruff
  • Yahoo
    ultramone@yahoo.com

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  • Gender
    Male
  • Location
    Somewhere over the rainbow
  • Interests
    I'm interested in everything, but know nothing.

Previous Fields

  • Occupation
    Paramedic/Hospital IT Consultant/SuperDad/Super Husband

Recent Profile Visitors

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  1. Any new blood to this site would be helpful. I'm not sure how much of a response you will get but please post away to your heart's content. I'm looking forward to what you have. But please don't get discouraged at the lack of response to your posts as this site is not the same as it was 5 or so years ago.
  2. Hi Laurknee13 - I've seen that you have posted a couple of basic questions that honestly should have been answered in your EMT class. But since you are asking no - you should open the oxygen up to 15lpm for the BVM. Have you asked your instructor these questions?
  3. no - continue on to the h ospital - the AED can be put on while you are enroute to the hospital.
  4. Your best bet is to call the registry and ask them. They can tell you the best answer of all. Otherwise I would put it down under Ambulance Safety or Crew Resource Management. The worst they can say is that it's mis-categorized and they can let you know where it needs to go come relicensure time. You should get credit none-the-less but best bet is to contact them and ask them. Ruff
  5. Hey Defiant1 - if you are willing to move - our service is hiring EMT's, probably pays more than what you are making now. If you get in medic school you could easily pull in around 65000 a year and that's a conservative estimate after you get out of medic school. We are in a rural area of missouri - 55 miles south of Kansas city - running about 2000 calls a year. If you can get your missouri license and willing to move we can always use a good EMT who has aspirations to go to medic school. Hey Defiant1 - if you are willing to move - our service is hiring EMT's, probably pays more than what you are making now. If you get in medic school you could easily pull in around 65000 a year and that's a conservative estimate after you get out of medic school. We are in a rural area of missouri - 55 miles south of Kansas city - running about 2000 calls a year. If you can get your missouri license and willing to move we can always use a good EMT who has aspirations to go to medic school.
  6. Problem is, we've been told over and over that we are not doctors and the only way to determine if someone is truly having a medical emergency is to transport them to the ER for evaluation. Every medic I know is not willing to risk their licensure in order to buck the system and tell a patient that they don't qualify for a ambulance and they need to find another way to the hospital. They not in a million years want to be the test case for a patient who truly didn't need an ambulance yet that patient felt they needed one for that stubbed toe or small laceration or what not and the patient sue that ambulance service and the medic with the Case resting on "what training did that medic have to rule out that I wasn't truly having a medical emergency that didn't require an ambulance transport???" Because we all know that many ambulance services will drop that medic and not support him/her for turfing that patient off to a UBER or a taxi cab even if there was a policy or guideline or protocol that in all actuality supported the medic refusing transport but the ambulance service see's a loss of the legal case in both the court of law and the court of public appeal. The medic is the one who is going to lose out in the end. I'm not willing to risk my license just to turf a patient just to save my company a dollar or two policy/guideline/protocol or no and I don't think many of my colleagues will be willing to either.
  7. So, here's a thought, one that you might want to think about. I have a Misdemeanor conviction from 1986. I plead guilty, paid fine, went on my merry way. Was told that it didn't show up anymore after 15 or more years. So color me surprised when.... about 4 years ago, had a job that I really wanted, they did a background check, and guess what showed up. Yeppers, that conviction. Thank goodness I put down the info about the conviction otherwise I would have lost out on the job. Just be careful about not telling an employer about convictions that you don't think will show up sometimes will and if you lied about them on your application and they find out you lied - your job is history. Word to the wise.
  8. Yes the spam, it get's through the awesome spam filters Admin has set up every so often, and people report it and Admin deletes it. It's everywhere. Just look at Facebook and if Facebook cannot keep it off their site with their billions of dollars of resources then we honestly cannot expect Admin to be able to keep it off here with the limited resources he/she has. But I see less here than I see on facebook which is excellent.
  9. Did you explain this to your new employer when you interviewed with them? I'm sure that if they want to keep you they will work around it but if you come to them out of the blue and say "Hey, I'm in medic school and need tuesdays off for the next foreseeable future" and they had no idea you were in medic school, they might be a little upset with you. But the flip side of the coin would be that you will then be a medic for them to use and abuse when you get your medic license so they might overlook that issue. All in all, if the employer is worth it's salt they will work with you and give you the time off to pursue your medic class. But I know there are a lot of services who say tough shit, you work for the collective BORG now, you do what we tell you and if you don't like it don't let the door hit you where the good lord split you. hopefully you don't work for one of those. Good luck
  10. Where did you get the idea that he was looking to become a managing editor?
  11. I would be worried but not extremely worried. I would actually not be asking advice from a forum like this or from the internet at all, you should be talking to an attorney and seeing what he/she says. Good reputable attorney's often give 1 hour free consultations. Or do you have a friend who is an attorney who could advise you. I would continue on with your journey into Nursing or phsycianhood and follow what your attorney tells you to. The internet is a minefield of bad advice and please don't step into it without getting an attorney involved. did the investigator tell you why it's taken 2 years for them to get into this? This sounds like someone from your past is throwing stones and trying to see what will hit. did you have someone you pissed off way back at your old school that might have a old axe to grind??? Be honest with the investigator but only after you speak with the attorney. Do you see the underlying theme of my advice - don't do anything until you have talked to your attorney. I wish you the best.
  12. Hey Riblett, you might be better served to look to Facebook on this rather than here. this sites sort of dead now. No offense to this site but it it what it is.
  13. Well I'm not sure how my new job will want my narrative. It's been 9 years since I wrote one and I'm getting back into the swing of things starting May 15th. But my reports when I used to write them were hand written on a paper report form. yeah, it was before computers got in our way of writing reports and before we had to tick off all those legal mumbo jumbo boxes to make the bean counters happy. So I'll give you a idea of what my narrative was like. Remember this was a long time ago so I'm sure others have better ways of doing things now. But I can tell you, my narratives never pulled me into court. 1st paragraph - What happened - why you were called, what you found, what bystanders said, what patient said, what you observed. etc patient exam/assessment - the formatting of this site makes it hard to put it all down line by line but here goes Heent(head, ears, eyes, nose, throat); Neck; Chest; Lungs; Heart; Back; Abdomen; Pelvis; Gi/GU; Extrems; Neuro/GCS/RTS/ (all of these go on their own lines with what your exam findings are) What is your Impression/Impact - what did you really decide is wrong with this patient - they say we don't diagnose but we really do. So don't be afraid to say if they are having chest pain to say chest pain or if their 12 lead shows elevation in II, III and AVF to say that. What is your impression or suspicions. And now your treatment - Number them sequentially - from when you got there to when you dropped them off at the hospital - make sure you put down if they got better or if they got worse. Don't be afraid to say that if your treatment made them worse - say it because sometimes your treatments make them worse. Sometimes your treatment like Synchronize cardioversion causes them to go into v-fib. that makes them worse. Or you give them Lidocaine to a paced rhythm (honestly I didn't see the pacer spikes- really i didnt' and you nearly code them) put that in the report. (man I felt like crap on that one - but I was a brand new medic and I learn from my mistakes and teach from those mistakes). That's all I got. Oh yeah there's one more thing - there is a very obscure book out there, if you can find it, buy it and never let it go - I did and the person lost it. It's called "The Missing Protocol-A Legally Defensible Report" by Denise Graham It doesn't tell you how to write a report but it does tell you how to write a report that will keep you out of court if you do it correctly. It's out of print so I'm not sure if you can find it, I haven't been able to find it. May the person who lost my copy be crapped upon by a thousand camels with IBS and C-diff. I hope this helped.
  14. sorry you haven't gotten a response but this is my advice 1. do not allow him to retake the test until you speak directly with the registry. 2. Talk to them about what accomodations they can give him and what he qualifies for. 3. Ask them what kind of study guides or assistance they can offer for him to prep for the next attempt at the test. 4. DO NOT ALLOW HIM TO TAKE THE TEST AGAIN until you have done all 3 of the above. He only gets 2 more times before he has to I believe take a refresher course and you don't want him to do that. Just call the registry and talk to them. We can give you advice here but please go to the source and call them directly, they are the experts about their testing process and what accomodations that they can offer someone with a disability. That's my advice.
  15. Ok, heres what I purchased today from Amazon shears BONTIME Trauma Shears - Premium Quality EMT Shears, Stainless Steel Bandage Scissors for Medical, First Aid, ER, Nurse, Doctor, 7-Inch(2- Pack, boots - already have non-steel toed boots. I think I can wait a while to purchase those if ever. I never needed them when I was practicing prior to leaving so I'm hedging my bets that I won't need them now. pen light - https://www.amazon.com/gp/product/B07N1G7179/ref=ppx_yo_dt_b_asin_title_o02_s00?ie=UTF8&psc=1 Belt - going to purchase the belt when I get my pants Already have my field guide - have purchased already I think that's what a guy with a few years under his belt in the field actually needs. any other suggestions that won't make me look like a total dumbass???? One other thing, after digging through my storage boxes, I found my Littman Cardiology II stethoscope that I've had since 1992. The only thing I need to purchase is new earpieces as there is a hole in one of them The replacement earpieces will be here tomorrow.
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