Just Plain Ruff
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Posts posted by Just Plain Ruff
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see my response to the original post.
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A couple of concerns
1. Do you have a medical director or someone covering your medical procedures? If not, you probably should stick with first aid only. Without one, you basically have no recourse if something goes wrong. NO medical director, no EMT level skills - first aid only.
2. Are they covering your liablity insurance or insurance to cover you if you do something and that something goes wrong and you get sued, who will cover the attorneys and court costs of your defense???
3. Why don't they have their own bags already??? I think this limits their liability and that's why they do that.
If you are still comfortable with doing this job - here's a med kit that is basic and will give you good coverage for first aid ONLY issues.
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34 minutes ago, brentoli said:
I just started an Advanced EMT course. May God rest my soul. I don't know what I was thinking.
What was going through your head Forest, Study forest study.
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almost always I say "contact your employer" or some other disclaimer and this time I did not. That should have been my first response but also I would have written what I did.
Your best response and answer would be the answer that your employer gives you.
Methinks that your employer will come back and tell you to render immediate life saving care but go no further. I don't relish to be in your shoes.
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I've cooked countless meals for patients who had no one to provide food for them. Diabetics as well - make em a meal before you leave.
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I remember when I was working furiously in EMS, Every patient we transported we got a facesheet on. It's not that hard to go and ask for a facesheet. the only issue would be that the hospital hasn't had a chance to put all the info in the system but if the patient has been there before, there is probably a current face sheet that would be available.
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ok so what you are asking is that you want to know that if you leave a patient you have already been treating and let them guide the ambulance in? is that what you are asking?
Once you have assumed care (having been called by security dispatch to respond) and then you leave that patient on their own to guide the ambulance crew in, I think brings up a whole plethora of issues.
1. you are making sure that you are practicing inside your scope right?
2. You have assumed care for the patient as an EMT/security officer correct - then you have established a patient care relationship and you should not leave.
3. You should be directing others on the scene (if any) to go meet the ambulance, leaving to go guide the EMS in, is leaving the patient. That could construe that this is abandonment.
4. What would happen if the patient crashes while you are guiding in EMS?
My advice, once you have established patient contact, you should not leave the patient. EMS are smart cookies, they should be able to find you just fine.
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1 hour ago, Araz said:
Did it resolve? Not encountered that issue before. Let me know otherwise so that I can create an account manually.
It's resolved. I'm in and have been looking around.
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On 9/9/2017 at 0:07 AM, Jenniferz said:
This story is bullshit and WAS NOT IN ANY WAY truthful! Her struggles were not a result of the failing test results, she was happy to return to her unit as an MP- but really, this was a whole shit storm of ongoing sexual harassment from a fellow E-5 prior service member also in training-that the ARMY choose NOT to address! ?? Get it right people, this coming from someone who was there....
Jennifer, this is old and forgotten on this site. Anything over 5 months on this site is long forgotten. most of the people who commented on this post don't come here anymore.
It's admirable that you are sticking up for this lady by wanting to get her story correct, I get it, but this is long long forgotten on this site.
I wish you the best.
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1 hour ago, Araz said:
Use "student" without "".
Tried to register - it said I cannot add another membership to my cart.
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what coupon?
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I think you have tried a lot of things, but with the near immediate response of a facebook group versus the delayed response on topics here, people are not into waiting.
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6 hours ago, Araz said:
We would be delighted to get some feedback, from an EMS perspective, on our e-book and course over at:
it's, to the best of our knowledge, the most comprehensive ECG learning resource online and it's FOAMed for students worldwide. We did try to emphasize on prehospital aspects whenever applicable.
would love to get som feedback in order to improve the book and course.
cheers
Just tried and the message I got is that the DNS Cannot be found. Looking at your link it's broken.
To get to the website, it seems to not be linkable here so just type in www.ecgwaves.com
your site is pretty well done. A lot of information is in there. Nice work that I can see from a cursory look.
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Admin, please dont' think I was criticising this site, I was not.
I know facebook is a huge part of it, I'm a member of several groups on facebook and those groups are turning to crap.
The one constant in all of this is that our posts have been good ones, except maybe the "I failed my registry, what do I do now" or the "What kind of boots are the best most awesome"
I also don't know the answer. But I did see a familiar face pop back in the last couple of days. that familiar face knows who he is.
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The site front page shows that we have 66000+ members. Why in the world does this site go 1 or so days without a post or reply? I'm wondering out loud but with 66000 members, we should have multiple posts per day, like we did in our heyday with Dust we had tons of posts a day.
It's just disheartening to see the huge decrease in participation.
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On 9/4/2017 at 3:50 AM, DwayneERParamedic said:
I think the fact that 26,000+ people believed that it made sense to vote on something like this is pretty strong evidence that there's a bunch of providers out there that aren't smart enough to have this skill....
New user name Dwayne? Good to see you back.
So, I agree, most of the providers that I have worked with would get 2-5 intubations a year. How does that make for good intubations? Also, Many of those providers may get 3-5 more critical airways in that year.
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ok, so your work isn't going to pay you for responding to emergencies, since it sounds like your company already has a responder group on site right?
I would just get the bag that was in my first link.
medicgirl05 is correct, you really can't do anything beyond your scope and I'm glad you recognize that.
You really don't have a legal responsibility to act and provide medical care. Be careful that when and if you do, that your understanding of your scope of practice guides you in how you treat the patient.
My mantra is this, if I can help I will but I take every incident on a case by case basis.
but I would make sure that your company will allow you to provide EMT or first responder care to it's employees. they may in fact want you to wait till the company responders get there. If they say only certain types of help you can provide (some companies do this) then abide by that restriction
Some companies only want you to perform cpr and control bleeding (not full list) and if you deviate from those restrictions, it could mean your job.
A good friend of mine once told me, "you are now a medic, it's not your job to save the world, so be careful in stopping or offering assistance if you aren't on the clock for your job. The person who may suffer in the end is you"
I get it, you have all this new obtained training but no one to use it on. Be careful what you do.
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Uppy, I remember your last post.
You should be getting your jump back provided by the company if you are going to respond to incidents on their property. they should buy you a kit.
As for what you have on hand for personal use, Amazon offers a great first aid bag/pack that I just purchased for our Trail Life troop. It covers most emergencies except for major trauma and for that you just need to add additional items in the bag. I'm pretty sure this was it. https://www.amazon.com/Dixie-First-Responder-Stocked-Trauma/dp/B00IXPMRAA/ref=sr_1_3_a_it?ie=UTF8&qid=1504029311&sr=8-3&keywords=emt%2Bkit&th=1
I am personally going to purchase this one for my own use and on camp outs. But I'll get rid of the oxygen supplies as we don't have anything of that sort. Gonna keep the BVM though.
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Need more than just a empty post. Are you asking us to tell you what the cardiac complications - Drowning are or what? Need more info.
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There is a huge difference of opinions on this subject, even if you do a search on this type of subject here you will find many differing opinions.
My thoughts are this, the better prepared with the basics the better you will be in the advanced stuff.
I advocate for people to at least take A&P and then move to the other courses such as biology.
Some people even advocate you take a bio-chem course.
The other thing I advocate is for you and anyone else reading this, take at least 1 if not two semesters of English Comp. Writing a understandable and grammatically correct report is so important and it will definately make you a better provider.
No one wants to read a report that reads like a 2nd grader wrote it. And if you went to court you would be destroyed by the other side's lawyer.
I also advise you every semester to utilize the schools gym and get in shape if you can. The stronger you are and the stronger your back is, the longer your career in EMS will last.
As for your question on the EMR - I don't have an opinion on them. Unless they are like the driver of a ambucab/vanbulance where you are taking pt's back and forth to the doctors office and appointments, that's not where experience is gained. Driving experience yes, but only non-emergency driving experience so you cannot really use that to say you have driven emergency. Transfer vans have their place in EMS but if you want experience, stick with waiting until you get your EMT and then look into EMT jobs.
Now the flip side of it would be if the EMR jobs would move you directly to an EMT level job in a service that has those but most of the van services in my area are not run by the big EMS companies. they are run by nursing homes and such where you just drive the nursing home patients around. That is not EMS experience.
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19 hours ago, Katie94 said:
I passed my PAT Friday! Thank you for the backbrace advice. I know this line of work is rough on the body. It is nice to know there are other successful horizontally challenged women out there in this field:)
Well this is awesome news, now go out and save a life. You've earned it.
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My suggestion is to go to the first class with your course materials in hand, a single notebook and a couple of pens. Then wait and see what they tell you. It's sort of silly to go out and buy all this stuff that you think you will need when in reality it will all be fluff.
Just go for the first class or two with the minimal list and then build upon it as you need it. I'm sure there are walmarts and officemax's all over the place in CT.
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On 8/18/2017 at 6:33 PM, Spock said:
The issue is not how many intubations you have, but how many airways did you manage successfully? The vast majority of EMS calls require no active airway management skills so you could say you were were mostly successful. I ask is MOSTLY good enough? Five times the number of years experience equals 135 which is a slow three months for me. Ruff is good people but we have to be realistic about our capabilities and recognize that practice and every day training is vitally important for good patient care in all areas of medicine including but not limited to airway management. Ruff was correct in calling out our training colleagues to examine the issue and take proactive steps to prevent problems. It is easy to apply remediation for a medic that comes into the DEM with an esophageal intubation but a better approach is to have good training protocols in place to prevent the problem from occurring.
Spock
Let the tube be with you.
Trust but verify. Capnography and bilateral equal breath sounds.
That is completely correct. IT's one thing to get the tube right, but another thing if you really didn't need to originally intubate but failed to manage the airway which led to the need to intubate.
Spock you rock.
Corn Maze EMT--What to Carry?
in General EMS Discussion
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and maybe a movie or social event.