Arctickat
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Posts posted by Arctickat
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Paramedics are prescribing antibiotics? How much pharmacology training do they have to know which ones to prescribe? Or how about checking against current meds? I'm sincerely curious as to what training they're getting before being allowed to go out and be a community paramedic.
Medics have been dispensing (not prescribing) antibiotics and other meds up here for years. We do have access to the client's chart though and consult with medical control. The idea is to provide them with sufficient meds to get them to someone who can provide the prescription. This is in the clinical setting though, not prehospital. We've got a pretty significant expansion to the pharmacology scope when we're working in the facility. It's quite a good foundation for the move to the pre and post hospital environment.
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This thread....officially derailed.
It was fun while it lasted.
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Love? or Lust?
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From the CDC website:
Most HIV tests are antibody tests that measure the antibodies your body
makes against HIV. It can take some time for the immune system to
produce enough antibodies for the antibody test to detect, and this time
period can vary from person to person. This time period is commonly
referred to as the “window period.” Most people will develop detectable
antibodies within 2 to 8 weeks (the average is 25 days). Even so, there
is a chance that some individuals will take longer to develop detectable
antibodies. Therefore, if the initial negative HIV test was conducted
within the first 3 months after possible exposure, repeat testing should
be considered >3 months after the exposure occurred to account for
the possibility of a false-negative result. Ninety-seven percent
of persons will develop antibodies in the first 3 months following the
time of their infection. In very rare cases, it can take up to 6 months
to develop antibodies to HIV.From thebody.com
It's very hard to determine what is the minimal amount of time between when a
person becomes infected with HIV, and when they become infectious to others.
We really don't know what the bare minimum amount of time is before a person
can infect others. Therefore, we must assume that once a person is infected,
they are immediately infectious. -
In the Phillines they deep fry the eggs just before the chick is going to hatch.
And they are delicious.
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Usually transportation from a central area if remote, otherwise a work vehicle is provided on site. housing meals and equipment are typically the expense of the worksite and the company.
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Last year, our EMS hired a duo that are best described as ogres.
The Troll calling them Ogres? Pot calling the kettle black...no?
They have repeatedly mistreated my elderly Parkinsons-affected mother.
In what manner?
They have yelled- yes - yelled me down for 15 minutes
But you fail to mention why they would do such an unprofessional thing.
in front of the cop sent in by the township.
And what did he do about it?
(Our town always sends a cop to accompany EMSers)
On every call or just ones to your house?
I live in New Jersey.
No Comment, there are enough about NJ EMS here already.
How do I make this stop...
Find out what the source is.
other than waiting till the late night shift is over before calling 911?
It may not appear so, but I sympathize with your plight. Unfortunately you haven't really done anything to provide us with information regarding your situation, all you've done is call them names and point fingers at them. Why did they yell at you for 15 minutes? Maybe they had what they thought was a good reason. For all I know you took offense to how they were treating your mother and you threatened them without realising that they were actually helping her. Maybe the police come on calls with them because they have felt threatened by you in the past. How do they mistreat your mother? Do they yell at her? Demean her? Or are they providing a necessary medical treatment to her that you don't understand and when you try to interfere they are forced to restrain you?
It just strikes me a bit odd that someone would come here to complain and seek direction from us when he could pursue this along proper channels just by looking in a phone book for the number, filing a complaint with the police, talking to the staff at the hospital....
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But CPR WAS started prior to the arrival of the fire truck drivers
ECC Dispatcher: "And who is with the patient right now?"
911 Caller: "We have RN, LVN, and another staff."
ECC Dispatcher : "So RN with patient with CPR in progress?"911 Caller: "Yes, it's in progress."
The Doc simply called the code prior to their arrival, which is his prerogative. The communication that the patient has a pulse could be a simple miscommunication, but that never happens when someone calls 911.
The most recent "OFFICIAL" wishes from the patient is FOR CPR to be initiated. That sounds to me like you are doing what the patient wants.Or not
The fire department said that order was signed by the patient's daughter and the same doctor who was on scene.
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That's a bit high. $325 is the norm in most places. I offer more, but my slaves only work during the day on the line, then return to camp for the night off. Biggest problem is that the pipeline workers are pretty hard core and might work 16 to 18 hours a day at times, so your day sitting in that pickup truck could get pretty darned long.
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Correct: but a physician has declared the Pt deceased. No need for any intervention from EMS
I agree Ed, I just got the feeling from a couple of posts that they didn't read the articles and misinterpreted my post of an ACD to mean a DNR.
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Ummmmm guys, an Advanced Care Directive does not necessarily mean a DNR. In this particular case, the decease had an ACD for all appropriate measures to be taken, including CPR.
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I wouldn't do anything. The patient's primary physician was on scene and had called the code at the request of the family. The physician has complete authority and responsibility in this matter. Had the physician not been on scene, then the advanced care directive prevails. Resuscitative efforts had been initiated and called by the doc, just as it would have in the hospital.
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Welcome to the city, feel free to join in on any conversation which interests you, or start one of your own.
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Bwaaa haaaa haaaa haaaa, I love that avatar.
Greetings, how's the snow in NC? Welcome to the City, feel free to comment on any discussion which interests you, or create one of your own. -
Yup, Kate nailed it. If you want to thank someone professionally, thank their superiors. You know that bumper sticker on commercial vehicles."How's my driving, call 1-800 ......" I tend to call them to report GOOD driving because they almost never get a good phone call, only bad. So, when I see those guys cut another driver some slack and do something courteous for another driver, I call the number to let them know.
It's actually kinda fun because it also brightens up the day for the call taker who is expecting to hear another pissed off driver.
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Welcome to the City, feel free to join any conversation which interests you, or start one of your own.
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Thanks for the update!!!
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So, what I did was hand off the patient to one of my other medics who did the transfer...I wasn't on duty. The Hyponatremia was judiciously treated with a NS infusion at 120 ml/hr for the 2 hour transport time and the hypoglycemia controlled with D50. Since we don't have the ability to continue monitoring labs enroute we couldn't really start treatment, it was more or less a case of "let's do what we can to mitigate the damage, but control the sodium uptake so we don't kill him." Fortunately he wasn't in a severe state.
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What big game is on today?
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Just because you can do something does not necessarily mean you have to do it. I am not sure if it is just a matter of professional pride or what. There is nothing wrong with waiting until the patient is in a more controlled environment with better equipment or allowing a higher qualified provider to take over.
I disagree, and so does our College. Medics have been disciplined for not providing adequate care within their scope. Deferring care to the client until hospital arrival is an unreasonable delay in patient care. I will not allow my patient to suffer their condition one minute longer than he or she must and to use the excuse that "I'm only 2 minutes away from the hospital so I'll let them do it." is simply nonfeasance. I've been trained to do a job and I will do it.
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I'm hoping just shaken a little the epicentre was pretty deep.
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I got a question for ya though: Could/Should Arcticat treat this patient with Normal Saline while transporting to the city?
(I have NO idea if he did or not..... this is NOT an excersise in judging my Sk brother, just getting some juices flowing amongst my peers)
I'll let you know what I did after some answers come in.
Paramedic Practitioner: Is this where we should be heading?
in General EMS Discussion
Posted
lol, shit, I thought today was the 24th and a fresh story....whoops.