emtcutie

Thanks this has all been really helpful. My next shift is saturday in the e.r so i will put this to use.

i'm pretty good at finding the vein, it's just like i said im not able to advance the cathater. And yes they taught us go with the big ones. As for the cathater, my area only has the push button retractables. I've done the blind find where i close my eyes and find a vein, its harder i find for me in the older people and dehydrated. If i can't find it at all i let my preceptor start the line not me.I do also warn my patient so they are less likely to pull away (although that doesn't stop some people).

thanks, i'm just looking right now but I really love washington. Do you know about sear and rescue out there?

In order to assist you we need to know what technique you are using to start them now.

Choice of vein, ie back of hand, wrist , forearm , AC, EJ.

Do you jump right in with a big gauge catheter to the AC or do you take the time to get a nice flowing 22 or 20 ga in the hand? Are you jumping at the first vein you think you can get or are you checking all options.

Are you starting IV's because you can ?

Or because you have come up with a treatment plan that requires fluid resuscitation or medication administration?

When you miss, is it because you didn't get access to the vein with flashback?

Or are you missing because of holding technique?

Don't take these questions as an attack on you or you new skills.

Most of us have gone through a period of misses over the years.

Many times it's a combination of pt's with crappy veins and a lack of confidence in your skill, mixed in with a little bad technique.

Most of these can be corrected, but there will always be patients with crappy veins. Thats when you need to look at the places where everybody else hasn't.

Don't fall into the mantra of every PT needs a 16 ga in the AC. Can't remember the last time I did a 16 or 14, it's been years.

The bigger the bore the greater the chance of blowing the start.

The majority of the IV's I start are small ga in the hand unless it's big time trauma or a potential arrest situation.

Usually I go for the AC, i try to look at both arms before i stick them. And i almost always go with the 20 gauge, unless it's truama and i go with an 18 or if they have small veins for some reason i go with a 22. I've been doing alot of my clinicals so pretty much all patients get iv's. When I start them i get like bubbles of blood, but i can't advance the catheter, i thought maybe i was just hitting valves, but i keep doing it. I know i need to work on my angle because my first couple of iv's I blew.

And don't worry i didn't take it as an attack, i need all the help i can get, because i am really getting frustrated.

I really want to move out to washington to work as a paramedic. Is there anyone here who works out there? Is ems part of the fire department? What is the best town/city to work in? Whats the pay like? If anyone knows what i should expect please share your experiances.

So i've done about 20 ivs, and i'm still so-so at starting them. I am getting frustrated because i see the vein, i feel the vein but it feels like i miss more than i geth them. Any tips for getting a good stick?

darn...now the whole series is ruined... i wanted sooooooooo badly to read all about it

ahahaha ahh well LOL

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Dear Twilight fans, Please realize that because vampires are dead and have no blood pumping through them, they can never get an erection. Enjoy fantasizing about that. Sincerely, Logic

i agree with the severity of the crime, and totally agree with the death penalty. I just find it amusing that all he wanted was kfc.

sent to me by a friend, this is funny.

so cute, it made my day

I would love to be a fly on the wall if you- a female- asked for a fitting room after buying the condoms. The look on the clerk's face would be priceless. LMAO

ahah so funny

I also agree. the only thing i keep on me is my steth, trauma sheers, a pen, and a knife. The KISS system has treated me well

yea i keep my truama sheers, 2 pens, my stethoscope and my pen light... oh and a small notepad

HOW DO YOU DECIDE WHOM TO MARRY?? (written by kids and it's the TRUTH)

You got to find somebody who likes the same stuff. Like, if you like sports, she should like it that you like sports, and she should keep the chips and dip coming. -- Alan, age 10

No person really decides before they grow up who they're going to marry. God decides it all way before, and you get to find out later who you're stuck with. -- Kristen, age 10

2. WHAT IS THE RIGHT AGE TO GET MARRIED?

Twenty-three is the best age because you know the person FOREVER by then. -- Camille, age 10

I hope AK doesn't read this he will loose his mind !

3. HOW CAN A STRANGER TELL IF TWO PEOPLE ARE MARRIED?

You might have to guess, based on whether they seem to be yelling at the same kids -- Derrick, age 8

4. WHAT DO YOU THINK YOUR MOM AND DAD HAVE IN COMMON?

Both don't want any more kids. -- Lori, age 8

5. WHAT DO MOST PEOPLE DO ON A DATE?

Dates are for having fun, and people should use them to get to know each other. Even boys have something to say if you listen long enough. -- Lynnette, age 8 (Isn't she a treasure)

On the first date, they just tell each other lies and that usually gets them interested enough to go for a second date. -- Martin, age 10

6. WHEN IS IT OKAY TO KISS SOMEONE?

When they're rich. -- Pam, age 7 (Love her)

The law says you have to be eighteen, so I wouldn't want to mess with that. -- Curt, age 7

The rule goes like this: If you kiss someone, then you should marry them and have kids with them. It's the right thing to do. -- Howard, age 8

7. IS IT BETTER TO BE SINGLE OR MARRIED?

It's better for girls to be single but not for boys. Boys need someone to clean up after them. -- Anita, age 9 (Bless you child)

8. HOW WOULD THE WORLD BE DIFFERENT IF PEOPLE DIDN'T GET MARRIED?

There sure would be a lot of kids to explain, wouldn't there? -- Kelvin, age 8

And the #1 Favorite is .......

9. HOW WOULD YOU MAKE A MARRIAGE WORK?

Tell your wife that she looks pretty, even if she looks like a dump truck. -- Ricky, age 10

This is really kind of sad.

Some of my friends and I had made a video like that last year, I can't find it though. It was for medical assesments lol. The video we made wasn't nearly as good as this one though.

Paramedic rap

whose line is it anyway, ambulance skit

It's a play on words. You just lost the game. Which could mean that you cannot find, the game.

ahhh i see

Where did you last see this lost game, and where do you normally keep it?

huh?

best time = 38 seconds... gotta love quite days at the station

darn it, I just lost the game

haha at least somebody know bout this

I JUST LOST THE GAME!!!!

so, who knows about the game, and who did i just make loose it?

My mother must be bored as she is sending me these things or she is saying in this case my mind is not sharp. This is suppose to keep your mind sharp. All you have to do is get the curser over the number (you dont have to click the mouse) from 1 to 33. My first try was 93 seconds.

enjoy

http://www.chezmaya....jeux/game33.htm

woooo 60 seconds. That game gave me a headache

As far as my grammar goes, i am not really trying to be accurate and professional on here. When i do actually have to submit something for employment i am much better and i review what i type. Not to mention most of these post come from a phone, not a computer so i am sure my words are mispelled typing on a small phone. But anyways, thanks guys for the help on what i should expect. I am going to be applying to 5 different cities who are hiring right now and go from there. I have a recruiter i am working with that has been helping me with the city i want to get on with. I work with a personal trainer every other day so that i will be in my best personal shape. My recruiter has been telling me what i can do to increase my chances of getting hired. I guess since yall said i usually have to have experiance first i will work as a cop for a while. It should be fun an will get me the experiance. I am majoring in emergency medicine, do you think i should take criminal justice classes? Again thanks guys and sorry bout the grammar... i will "try" here if it makes yall feel better.