celticcare

Mobey, the response from Spenac was more at the attitudes of posters prior to him including myself.

Ummmm can anyone say OWNED

This link was posted to me by a friend on MSN, honestly it will make you think about patients at MVC's. There is some swearing in the video so be aware where you play it. Scotty Swedish Suicide Teens

I will make only one comment on your reply to me Dwayne, because this will be seen as a whiny post but hey, can think what you like. The fire comments from dust, are insulting, its not just my feelings in regards to this, its the fact that he was probably booted off the fire squad or something and so has a problem with fire monkeys as he so likes to call them. Be aware that not every fire department is as loose unit as Dust may believe or portray. We protest and cry and whine about EMS will never advance any further on certain aspects, yet we knock and beat on the department that many of us should credit in some way, for bringing EMS to life. Specially trained firefighters and rescue squad members, became the first paramedics. I am not saying bow to the almighty fire service, I am merely saying that when Dust posts something that makes out firefighters are stupid or have no clue or anything of the sorts, it is insulting plain and simple. The rest of the comments you made Dwayne, I frankly could'nt give a F**k what you like to think about me.

The report also states that the patient would not leave his injured dog and the dog was protecting his owner. So of course the paramedics would have ascertained ABC's of the owner and ensured that care was delivered adequatly. I do see it would have been a tricky situation and perhaps not as clear cut as you percieve it or portray it could have been Dwayne. Oh and Dwayne, thanks for being a real downer on this thread, there are enough threads where people bash others and for once a good feel story comes through, about thinking outside the box and utilising other medical/healthcare/vet resources and just being blunt makes it seem like its not ok to praise these medics for doing so. You also imply that paramedics *mainly these two* wouldn't take human life over animal life, which I think is just dumb, of course we are going to treat humans over animals, but animals in their own right deserve care etc. And in regards to the pet ambulances, ours are staffed by Vets here and minimum of vet nurse. Again, I had enjoyed reading the first three pages of this thread, then came to your post and felt blah. Heck even Dust's post was more constructive and looked at future care policies and protocols. (Except the fire service comments, dust they are actually getting really old and frankly insulting thanks) Pleased the guys are back on the truck and it sucks that they had to miss out on wages whilst it was "investigated". Scotty

I thought you were doing security work? Anyway, work on that grammer and spelling and start applying bud.

Don't shit stir DUST! Crotchity, we dont have african americans here, because wow surprise I'm on the other side of the planet.... But in terms on the natives here *maori* we have quite a few in staff, including educators, advanced paramedics, all levels of care provider, cultural liason team etc. But yes the majority of workers here are white, why, because simply the population ratio here is European outnumber Maori 5:1 roughly, and the similar reasons that are listed above for AAmericans. If they don't want to work or apply themselves in the area, they don't apply. It is hard to get Maori into the service mainly because they arent interested. Can't force someone into a role they dont wanna do, including a role of being responsible for themselves.

Sounds like a bit of sarcasm and bitterness from Aaron there today

Granted however your city is now full of leprichauns looking for their gold. I wish people at work would respect me, for my knowledge and skills and not harrass me because of my gender.

Wow its breeding season alright on the city, Congrats though mate, hope to see this wee nephew of ours on here soon. Keep smiling its a hard road ahead but you're going to achieve it Scotty

The general staffing of ambulances here depends on where you live. In the case of the tv show, the program is filmed in auckland so the trucks have either a basic and an intermediate (paramedic) or a basic and an advanced paramedic (emt-p) or an intermediate and an advanced paramedic. The rest of the country is a different matter, in a lot of areas, the trucks are single crewed unless a volunteer can provide the other set of hands. Most areas will have at least an Intermediate on board but some areas run a basic who is doing their intermediate so they can either do the IV therapy or cardiac therapy dependent on which module of the intermediate they have completed. The rapid response units are staffed by advanced paramedics who under the new education system being introduced, will be people who have completed the bachelor of health science program and have completed their masters in paramedicine. The basics will have acquired the national diploma in ambulance, the intermediates will have the bachelors of health science (paramedic) qaulification and the ultimate top level, which is being talked about at present, will be the emergency care practitioner (Paramedic practitioner). This qualification level is still being discussed and has not been introduced yet but will be an ultimate goal of the EMS services in New Zealand. If you go to Wellington Free Ambulance, the basics are called paramedics, the intermediates are upskilled paramedics and the advanced paramedics are intensive care paramedics. In general we have three main paid levels of EMT and primary care officers are often people new to the service going through the ranks and working up to EMT-B and also man the Patient transfer trucks. Scotty

ERDOC, and probably everyone else for that matter, perhaps we should pull this thread to a close? Because nothing is going to get through Crotchities head whilst he is singing his "Sing it loud, I'm black and I'm proud" theme tune. The original thread post, was talking about how the firefighters felt disadvantaged because they were black when it was plain and simple, they were lazy and didnt study. If it had been a bunch of white guys that hadn't of studied, it would have been, well, tough titties kids you didn't do your homework no reward for you. But alas, a race card was played, and Crotchity has swiped that card many a time in this thread, not contributing anything worthwhile other than reaffirming that if you are a minority colour or race or social group, you should get everything handed to you on a silver platter as well as a payout to say "we're sorry, our ancestors screwed it up but here, you take this and this and this and we will be all happy, wanna call me honkey and cracker? sure thats ok too ". Hey when is the Gay, Lesbian, Bi and Transgendered University opening up, I'll be the first to sign up as we are a minority society too, but all we ask for is recognition we exist, plain and simple, we don't want a pay out from the homophobes out there, we don't want a GLBT college. we want just to be recognised that being GLBT is natural and we are who we are, there is nothing wrong with feeling proud of who you are or what you are, but to expect the rest of western civilsation to pay out and you live with a mindset the world owes you.... sorry doesnt cut it for me. This mindset you have crotchity, is exactly what keeps black people in the lower slums of living and education, you push for higher EMS standards and education, now you are arguing that your ability to learn is hindered because of slavery and your colour, so how do we trust anything you write and not expect it to be from google? Because surely remember you wrote that a black person's ability to learn and study and do well is hindered because hundreds of years of slavery so maybe your knowledge base is not what it is claimed to be. And I know you will throw some comment back at this claiming your education is not the question of topic or you gained street smarts over school learning. Yeah do they teach on the streets that if you want to get a needle in, aim for the anticubical fossa and if that fails, you can move down to the basalic vein? No you had to read and had to learn it in class. But then how do I take your ability and creditbility seriously because you claim your ability to learn has been hindered because your great great great great great grandmomma was brought over to the USA and had to cook somebodies shrimp for them. Do you see the arguement you just created Crotchity, and you've personally to yourself, lowered creditbility of yourself and your apparent knowledge because you are ready and very fast to do so, that your ability to learn... because you are black...... has been hindered...... because of slavery....... that occured hundreds of years ago. Cry a river, build a bridge and haul your sorry ass over it! Oh and by the way Crotchity, I like your "white" avatar

Makes me pleased I live in New Zealand lol. We have one national service and it is devided into regions through New Zealand. Every volunteer firefighter recieves a week in their basic training *now dont go spaz saying "what only one week"* there is about a months worth of pre course material to do with their brigade that they will be joining, a workbook, equipment familarisation etc. there is a designated training person on each station that goes through the workbook with them so when it comes to the weeks training, the hands on can be focused on more and learning the skills to get out there. Then after working in the communities for a few months, they are then able to apply for further courses such as driving courses, MVC extrication courses, line rescue courses etc. However, if their brigade or none of the surrounding ones have particular gear *such as the line rescue equipment* then they don't get offered the course because it is something not required for their area and those brigades often have something to focus on, such as some live in rural communities with nearest hospital miles and miles away, so these brigades learn advanced first aid/P.H.E.C to help on the medical assist calls more. Training is tailored to what sort of call volume and calls in their area and what sort of industry is there. Its standardised training through the whole country, how do I know this, my dad wrote a big chunk of the packages and was a national instructor. I'm just saying what I've learnt and the vollies here get paid loss of wages for their courses *many take leave and are given plenty of notice about upcoming courses*. majority of our fire service is volunteer through out the country. It is human nature to think "oh crap the sirens going and I have work in four hours" but its a rewarding feeling to know you did something to help someone at that time and alot *not all* of employers support their local volunteer firefighters, as they get something out of it too, they get a staff member who has the qualifications for first aid, building safety, firefighting and they didn't have to pay a penny for their training. Scotty

The hosptial I work at has already had 10 confirmed cases of Swine Flu. Reached New Zealand already. Be interesting what comes out in the next few days from infection control. PS - Richard, that was a heap of reading, that is 10 mins of my life I will never get back

Awesome for you mate a wee ruffette for your litter. Congrats to you and your wife and family

*hands A-fib a tissue* I think we all have that allergy too A-fib You dont study, you dont get the results, you don't work, you don't get the money or chance for promotion. Black, white, hispanic, latino, maori, islander, aussie anyone, you don't put in the yards, you don't get the reward. The firefighters didn't study but because they have a darker complexion than us, they feel they should get the privledge? Sorry I don't buy that. Refering back to Chris rock, there is another audio file that would beautifuly sum up the two classes of black people, listen to black people vs N**** (sorry I am not trying to incite a riot using that word, its the actual title of the audio file). It's a audio file saying how there are good black people out there working, some with two jobs raising their families and pushing their kids in school while the other blacks *the N word as he refers to them as* are happy to claim slavery and oppression instead of getting off their ass. Whilst yes Chris does get paid big money to make people laugh and be outlandish, I think this is the best part that sums up the difference between hard working black people and the ones that want to claim welfare and cry for attention. Scotty

Thank you guys for your input *and hope for more from other providers*. There is only one service in our area and EMT I and upwards do cannulation. I have done the training and spoken to the IV resource people regards auditing within the service and there hasn't been any feedback to them from hospitals about pre hospital leur infections. The general issue being that people are pulling leurs for the mentality "its a prehospital one and it is dirty" and then not replacing it before hand with an inhospital one or just for the fact of pulling a leur that is patent, flushing, no signs of inflamation or anything for the sake of pulling it because it is a Pre Hospital one. I have found that article that was posted and again, if anyone has any more information, it would be much much appreciated. We have patients out in the community who are on home IV therapy and when they come into hospital, their leurs arent pulled, yet an ambulance one is. So it just makes me wonder if this is a ward nurse perception of the outside world being so terribly unclean as compared to their hospital environment. I appreciate mindsets and understanding have a huge part to play and so I just want to see patients go through less pain, less trauma and of course less access of infection if people actually knew the stats, the rates and understaning of the tecnhnique. I have seen plenty of nurses do what was listed here too, swipe with alcohol, palpate the vein and shove it in without another alcohol swab or skin prep swab. Thanks again team, it is honestly appreciated and look forward to more information and experiences, I have a performance appraisal due next week and want to present some evidence of findings to achieve my level 2 RN certifications. (Which I will buy you guys a beer if I achieve just have to come to expo when I go to one to recieve it * Scotty

Fox we do indeed, where are you looking at visiting, I am based in Mt Wellington in Auckland city *main headquarters for northern region* let me know ahead of time so I can organise the forms and paperwork for you. The cardiac arrest videos, as far as I can ascertain, are cut and edited. The show is filmed here in Auckland where I am based. The patient was intubated via the RSI method in the truck and then started to regain his gag reflex which was then stopped. I work in CCU and have looked after these patients afterwards. I have to agree on the female EMT in the hanging video too . There is a general bit of annoyance with the show here as it is so cut and edited, one episode showed a cardiac arrest and the camera flicked to the monitor and the medic said vtach when it was vfib, talking to the medic later, they hadnt filmed the part of the monitor showing vtach but happend to film vfib, so its a bit higgldy piggldy the way its remixed. Thanks Ben for posting these as it gives overseas a view of what we do. In regards to the strapping, we use scoop stretchers for transport and only secure the head if there is potential for c-spine injury. Everyone else doesn't get secured in terms of the head blocks and tape. The long spine board is still used to help extricate and transfer to the stretcher. Notice our two stretchers in the trucks? lol. Scotty

Our transport monitor for work is an MRX, I'll grab the manual disc if you want me to email through the manual just pm me your addy aaron. Scotty

Sh*t count me in, I have a backpay of holiday money coming up, need to go blow me some pirates up. Damn that Johnny Depp giving women this perfect image of what Pirates are like, I must destroy. Terri will you take to the dance floor with me? that disco music sounds good and I'll even buy you a round on the minigun as a gift from me to you.

Ok, this is something of topical debate in where I work, primarilly me and a hand ful of other nurses against the rest regards prehospital IV insertion. The general thought from nursing staff, is that EMS staff don't insert IV's sterily and their ability to clean an IV site doesnt exist. The policy where I work, is to remove the ambulance leur *which is patent, flushing and working and properlly inserted* and replace it with one that is inserted in hospital. I have seen IV's being removed that were say a 18 g no problems, no signs of phlebitis and then the nurses can't get even a 20/22 g iv in and then HELLO, patient starts getting chest pain and requires morphine. *Yes I know stupid removing a leur before securing a new one, but hey this is what I have to work with*. My question for you to help with, is there any articles, studies, policies, anything that shows that leurs inserted prehospitally have a lower infection rate than those in hospital? The nurses are adament that pre hospital leurs are far more dirtier than in hospital *they have this perception of paramedics not wearing gloves, just wiping some mud away and boom put it in* and are removing what could be patent and stable leurs. Our hospital policy is a leur is to remain in no longer than 72 hours before it is to be removed. I want the evidence to basically go to my clinical supervisors and say, there's the evidence, personally I've been keeping a record of Iv's prehospitally vs in hospital and the in hospital inserted leurs, have more rates of mechanical phlebitis and also more rates of infection than pre hospital. If anyone can help, I'd be grateful as I think this is personally, a stupid action that causes wastage, more pain for patients *seeing some nurses and junior doctors digging for ages when they pulled out a perfectly good ambulance leur* and opens up more risk of infection and honestly hasnt been thought out clear enough. Scotty

Lol, you made me chuckle there Terri, at least it broke the tension in the thread.

Another case of the minority speaks, but remember Terri, international nursing exams, including the NCLEX are not gender biased, the only reason rates of success for men passing are primarilly we are in lower numbers in the profession, the higher the number passing from a small group, then naturally the percentile will be higher And its not exactly a hard test

Maybe they were brought here to avoid this

I like that logic and hey I'm getting a great free show watching this lashing take place, all we need now is Terri and Annie sitting there doing their knitting at the giloutine and we would be right on target