+medic

Dogs are also better behaved then a lot of the patients we get. Any how is service dogs are allowed in lets say Walmart they are defiantly allowed in the ambulance.

MA requires two per truck we normaly keep them in the bench seat to keep the stuff down there from rattleing around since our trucks are old. Most of the patients we take have there own pillows from there home or nurseing home. I have found that most Dialysis patients we transport feel better when they have there own pillow from home. Alot of the nurseing home and dialysis centers give there patients pillows with the centers logo on them and sometimes the patients name stiched on. As for Emergency calls the patients normaly dont ask for pillows but we run very few emergencys.

I work for a BLS transfer serivce so our first in bags are a bit basic with nothing really special. Our basic bag has in it. ASA Glucose Jr and Adult Epi Pens in the side pockets B/P cuff Pen light Watch BVM with OPA's and NPA's Bulk dressings and triangle bandages Sam Splint Ice and hot packs Combi Tubes and King Airways for NH crews. Glucometer for NH crews 2 bottles of sterile water Assortment of guaze packs and band aids tramua dressings Box of Lg goves Rolled up news paper

I work for a Transport company and everything we do is still on paper. We do mostly Dialysis and Hospital Discharges so our narratives tend to look the same after a while. This is a basic narrative for a tansfer from a Dialysis center to a privet home. Im so use to useing paper and pen typeing out a narrative feels a bit odd. ______________________________________________________________________________________________________________________________________ A-7 dispatched to FMC Dialysis for 60 y/o female with Hx of CRF, Hip Fx and unable to ambulate on own -----> prvt home. Upon arival crew found Pt in Gerichair ----> cot via 2 EMT lift, secured x 5. -----> A-7.Vitals taken, B/P HTN with normal pulse and resps. Pt hasn extensive Hx Cardiac with recent heart attack, CRF, unstable gait and needs medical supervision during transport. Pt apeared well today with no signs of distress or pain. Pt denies any pain or major complaints. Uneventfull plesent transport to prvt home. -----> from A-7 into home via stair chair up two flight of stairs. ------> into bed via 2 EMT lift secured rails and left Pt in care of family. A-7 Cleared 1047. ______________________________________________________________________________________________________________________________________ ----> - Moved and or transport A-7 - Ambulance 7 Hx - History Pt - Patient Fx - Fracture HTN - Hypretensive Edited for content and translation from paper to keyboard.

Wow that video is full of 80's coolness. When I was in the Military they still had Ambulances that looked like the one in the video.

As a new EMT it’s hard to find your first job. Even with Military experience and experience as a British EMT it took me a while to get a job. I ended up going to each Ambulance company and talked to as many hiring managers I could before one hired me. It will take some time and allot of luck to find a place that will hire you but keep at it and I’m sure you will find a job. The best advices I can offer is too get out and talk to each Ambulance Company and EMS agency you can. Make sure you look professional and have a résumé in hand with the right certs and with some luck you will find a job. The key is to get your foot into the door with a company and start to get some experience. Once you have experience more companies will want to hire you and offer you more money.

Yes as I agree with you, I have done what you staited in your post many times and there still is a very large issue. Where I work we have no set partners so its like a dice roll each day when you come into work.

Thanks for all the posts and good thoughts. It has helped me get my mind around this topic very well and gave me alot of info to bring back into my work place. Cheers. Long live the City.

Here is a question for everyone............ AMR in the states is a union shop for the most part. What I want to know how well does the union work for Americas biggest Privet Ambulance Service? I ask this since it could be used a a base line to guage the oringinal posters question.

I have been 100% flat footed all my life and I use to have some of the same issues as you when I was in the Air Force. I use to have to deal with chronic foot pain all the time till I started to exercise my feet mussels more without running. I also where stiffer shoes/boots with gel insoles that were fitted and recommended by my podiatrist. In EMS depending on where you work there is either a lot of sitting, lifting or moving of your feet. I highly recommend a nice pair of combat boot with good soles and side zippers. Spend more than 20 bucks trust me the cheap shoes are crap and fall apart. There are many paramedic programs out there that don’t have a Physical Training test or requirement perhaps you could find one of them while you try some the suggestions stated in the replies here?

Hello and welcome Trust is a very important thing to have in a partner but it seems each place has one person who does not quite fit in or has severe trust issue with their co workers. Such as Lying about things on incident reports, laziness in many forms on and off the truck, miss treating hospital staff/co-workers, inability to do ones job at when crap hits the fan or just having a very bad/loud mouth. I know in EMS it’s impossible to get along with everyone but I feel there is a unspoken rule of being able to trust your partner when the crap hits the fan even if you and your partner dont see eye to eye. Sadly some people just don’t get it they piss off co-workers or make bad mistakes on the truck and then the feeling of mistrust grows to the point where no one at the company wants to work with them. I have a person in my EMS Company who is like the above. This person has made a lot of mistakes and errors both personal and work wise. This person was also let go from another larger EMS company in the area for a very bad error in judgement and for a lot of the same things stated above. Now this person is creating problems where I work. Our management had been very quick to deal with the issues and the person is being carefully watched and supervised. So I ask you all this since I have to work with this individual who I don’t fully trust 100% on the truck to do the right thing or to help me when crap hits the fan. As my partner we had a very bad incident that I don’t want to go into here since it’s a personal matter and such things should not be posted here in my opinion. The reason why I posted this is because I feel trust is a very big thing to have in a partner. While I may not like certain people for what every reason in EMS, I have to trust them to enough to have them be my partner on the truck. So how would one deal with a person like this when you have to work with them? Cheers and thanks

Oh sorry I should given more info since there is more then one way to skin a cat it seems. This pt is a 85 y/o women who cant walk or have any torso control besides use of her arms. She weighs only 80 pounds and its snowing lightly outside. She is being transfered by a two crew of EMT-B's into her home from a Dialysis clinic. She is Alert, oriented and stable, for a IFT company this is a very normal transfer. Agreed 100% but I am trying to get good views on what could be done in this situation and how it can be done better and safer.

Agreed but thats easyer said then done at times. The reason why I ask is for personal reasons after a hard call the other day. So given the three options with a wide set of five steps into a home with light snow falling with the patient a elderly women who cant walk and has NO mobility. I ask what would be the best option based on the info I have given.