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NYCEMS9115

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Everything posted by NYCEMS9115

  1. To become a RN you must take a Nursing Program from an accredited college. If your talkng about alternative schooling; there are some. Go to www.excelsior.edu (Excelsior College) Albany, NY. You can wave all clinical rotations and take only the required class and all the Nursing Components with life experience. I'm pretty sure that an ERT doesn't qualify. An ERT is a CNA with a little more skills but a CNA is nationally and state recognize. Even EMTs do not qualify for the exemption. Give them a call or an email to find out more: 8886472388 or excelsior.college@excelsior.edu. Good luck...
  2. Its about quick decisions but that's not what its all about. The decisions will quick and there is no way to simulate it. You just have to be there. You'll see it will all fall into place. Just read, ask questions, research, and ask to do more rotations for your EMT course. Once you finish and start working and/or volunteering and attending Continuing Medical Education (CME) Letures; you'll see if you want to venture into Paramedic Studies. Its not for all but a selected few. Be open minded; its not easy but the benefits far outweigh the risks. I've been an EMT since 95 and a Paramedic since 98; I've been in EMS Mgmt since 08. I love the choice I made and I will be a spark in EMS change.... Good Luck.
  3. Well your right to feel the way you do. People can be cruel and so negative. Am I an old timer? I don't know; I've been an EMT since 95 and a Paramedic since 98; I guess I'm getting there. To give you some words of encouragement; I never graduated from HS; I wasn't doing much of anything at 19. It was through positive peer pressure; that I took the EMT course with my friends. I got my GED before the class. I loved it; it was new and exciting. I worked in the Privates and Volunteered as an EMT. I loved it so much; I knew I wanted to do more for the patients. So I took the Paramedic Course. It was the best thing I did. It built self esteem, it got me out of debt, and despite my family members having degrees; my career path had made me money and it was interesting to others. I was the first one in my class to get a position at 911; which was pristine in NYC. In addition, I became a Manager of an EMS Dept in a Hospital. Now I'm a Manager at a Private Ambulance. I just got my AAS in Paramedics in 2008 and I'm getting my ASN in late 2011. I guess I can say I was the most successful in my family. So what I'm saying is; it can be done. A degree must be obtained if you want to progress up the ladder but experience will assist in this. So do your thing and don't let anyone discourage your dreams. Its our nature to hate. Good luck... Plus, I'll get my RN but my current position pays more than what an RN makes but I'll get some Part-Time RN gig and have the Hospital pay for my BSN. Now that's the spirit to have. Goal oriented and directed...
  4. It's unfortunate that there is no correct definition for EMS Providers within the layworld. It is what it is. If you get all bent out of shape about it; then choose a profession with a correct title which will be illustrated by all. As long as you know; it really doesn't matter. I get called EMT all the time. I don't correct them because my salary says otherwise. Even if you didn't want to go down that route; then correct them and spend wasteful time, trying to get them to say it right and understand what they are saying. On a call, many do not care; most think the fireman (no offense) did so much by giving oxygen via non-rebreather mask and obtaining vital signs. I get there and throw the monitor (MI going on) and a line (mind you; the patient has been iterating that she's a tough stick); give nitro, aspirin, and labetolol (Hudson Valley NY). They become better and did better (PCI) at the hospital as a result. Do I get a high five? Where's my thank-you? I don't care; neither should my "EMS Workers." As long as my check clears; its all good. I've been at an institution where it didn't and I used my personal resources to keep my department afloat but thats another topic. So, check clearing is pretty much on my top of the list for my employer to fulfill. Sticks and stones people; remember? We've all been called: Ambulance driver (even though you're on the passenger seat), the ambulance is here (even though its on the street and your on the 10th floor), EMS Worker, Emergency Guys (And your partner is a woman or you're the woman), Technicians, Rescue Workers, Medical Personel, etc. It's all good; they really mean us no harm. I mean they are right. Its a nice topic for all of us to ponder with but not one which I will have my dissertation on (No offense). Please don't take this to heart. If you do, you might displace your fustrations and I might have to start the UnemployedEMTCity.com website (Just kidding; I hope).
  5. It was an unfortunate event. Mother Nature always wins. There was nothing anyone can do to stop the storm but a Snow Emergency should have been activated. Was it FDNY EMS's fault; I guess. I mean rear wheeled drive vehicles are the best for snow, right? The little shovels given to all emergency personnel was ridiculous; it was the little foldable shovel; similiar to what the military used in WWI & II. Come on; isn't EMS persons suppose to be able to trek over 2feet of snow through the sidewalks and courtyards? I guess EMS was Emergency Mover of Snow that night. The only thing FDNY EMS can be criticized about, is that they waited until 3am before activating the Mutual Aide Plan. It was impossible for me get any units out; I could have helped, earlier. Oh well. Chief Peruggia isn't the greatest of all men; he wasn't very popular. The pending investigations involving him, is another conversation for another time. He being the first head to roll was a tad inappropriate. Commissioner Doherty of the NYC Dept of Sanitation should have been the first to go. Especially, for giving his employees an A for their job on the snow removal. We had streets that was not plowed until 3 days later. Many streets were purposely left unplowed. Director Bruno of NYC Office of Emergency Management; didn't know how to activate the Snow Emergency for NYC; he didn't know he could do that. I guess that's fair that the 2 persons immediately involved in the clearing of snow & making that the citizens of the city were safe; did their job. NYC is sooooo freaking retarded. I am the first to criticize the city but not the last.
  6. Being an EMT is a start; it may not be a start for most who want to be in Medicine but never less, its a start. You must have your HS Diploma. After completing the EMT course; get whatever job you can get; its tough out there. The 9.4% unemployment includes EMS Providers. Even volunteering; take advantage of being young and having no real responsibility (If that's the case). Gain all the experience you can. Go back to school and non-matriculate; if you're unsure. Take the pre-requesites courses for all Allied Health, Nursing, & Medical which are: English I/II and Anatomy & Physiology I/II; this will give you 1-2 semester of Part Time School worth of time to decide if you want to go to Paramedic, Nursing, Medicine, or Other Allied Health Professional. All have its benefit and draw backs. It depends on your desires and goals. Good luck...
  7. You have to remain calm. Composure is your ally. Sometimes taking 10 seconds to play it out in your head can have you make the right decision(s). Guides are just that, guides. It doesn't portray all events you may be involved in. You must be confident but show humility. Lets face it, Multiple Casuality Incidents (MCI) link up many people from many backgrounds; so there will be head butting but as long as you go through assessing for the priorities and triage all accordingly then you will have no real issues. After this incident; since it is fresh in everyone's mind. All involved in the rescue effort should sit in a room and open things out with a moderator who had no involvement at the event. CSID (Crtical Stress Incident Debreifing) will help all involved and make the next incident to go better. Good Luck....
  8. That is fine because thats what ACLS and PALS preaches... Look it up; don't question yourself....
  9. You can volunteer at a Volunteer Ambulance Service/Squad/Corp. They take non EMTs in, as members; some do ride alongs and assist the EMTs, like retrieving equipment. There is no patient care involvement but you can observe. Google for your local Volunteer EMS. In NYS, outside NYC (even though NYC has Volunteer EMS but they do not really respond to 911 calls); most all 911 service is provided by the local Volunteer EMS and the ALS service is paid. Research online; it'll take you several minutes to locate one. Good luck.... http://www.health.state.ny.us/nysdoh/ems/counties/map.htm
  10. Your welcome. Hope the changes are good.
  11. Make sure you have change of clothing; socks and underwear too. Enough money, just in case. A nice book &/or mag. Phone charger and phone. Stethoscope and other EMS supplies you're suppose to have. Extra pens. Watch. Laptop; you never know. Make sure you have a book bag to hold all this. Lastly, bring your A game and leave your drama at home. Do not get involve in other's. No pooping, where you eat..... Good luck.... Forgot to mention snacks and beverages; bring enough to share. Want to make a good inpression? Bring donuts and coffee for everyone; we say we don't like donuts but who doesn't like a jelly powdered donut?
  12. It may have been a paraphrase of the quote; like our chief complaints. Maybe the police did their part and then allowed EMS to do their's, hence D. Hernandez in the back of the ambulance with Rep. Giffords going to the hospital. The media provides the cliffnote version of the truth (I hope). The only ones who know the truth, are the ones there. We can question the heroism of the elderly man who jumped on top of his wife and took the buillets. The 2 guys who MMA'ed the shooter and the heroic woman who Matrix under the gunfire to take away his clip. The little girl's tunnel vision of Political Power. We can all question that. We don't because it was a tragic event which claimed 6 lives. We should be questioning the gun laws in the Sedona State.
  13. http://www.health.state.ny.us/nysdoh/ems/emsforms.htm go to the reciprocity column... http://www.health.state.ny.us/nysdoh/ems/main.htm this is the main page; sorry...
  14. http://www.azdhs.gov/bems/ http://phoenix.gov/fire/index.html
  15. http://www.ncdhhs.gov/dhsr/EMS/ems.htm http://www.ncems.org/
  16. http://www.tarascon.com/products/?bc=9305-0 I have this; its small and it tells you almost all the medications on the market; FDA approved. It has sections on BCLS/ACLS/PALS. Its geared for the MD but I've been using this brand of pocket guide for medication for 10 years. Luckily, in NYC; Medics must refresh every 3 years on the Protocols and its a 100 question exam (pay $25). Plus, all NYC Continuing Education (we have to do 72 hours within a 3 year span) given always re-introduces the correlating Protocol(s) in the lecture. So the Protocols are pretty fresh in our heads. This pocket guide is awesome and inexpensive. They do have this on ebay for less; that's where I purchased mine. Good luck...
  17. That is why you became a Paramedic; all the money and time spent to learn all the didactic knowledge to be a Prehospital Care Practictioner. Its one of the few jobs where it can be pressured pack; adrenalin running through the vessels; a sense of euphoria; a difference can be mde with a split decision. Awesome feeling huh? At least you got through your first arrest and regardless of the outcome; you and your partner did all you could. If that's the case, you should be proud. Its when you don't do everything; then you should question your worth. Keep up the enthusiasm and persistance; these qualities with help you through the rough times. I remembered working NYC 911; 4 months out of school at a Hospital Based EMS (Victory Memorial); I did 7 cardiac arrests and ET intubated 10x in my first week. It was ridonculous. It was great to have already done most of the ALS skills in my first week minus the needle cric and decompression. I did that my first month there. Brooklyn is crazy...
  18. TylerHastings I am sorry for your lost. It was a horrible day for most. It was a day I remember so vividly; all details not left out. I know it made me stronger; I see it did for you... Thank you for sharing; I really appreciated that...
  19. I was at the WTC Tribute Foundation today and I gave my accounts of 9/11. I also donated several items for display in the museum. I would love to hear someone'story. What is your story?
  20. http://m.youtube.com/watch?desktop_uri=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D2rXUkcDWX9E%26feature%3Dyoutube_gdata_player&feature=youtube_gdata_player&v=2rXUkcDWX9E&gl=CA Thanks Richard B..... Sorry....
  21. Check the link; the President of DC-37 goes on for 8mins about what was done.... Magic 8 Ball is a great idea.... FDNY EMS called my company at 3am for Mutual Aide; that's a little too late... Check www.nycremsco.org Its the EMS governing body for the 5 Boroughs (Counties) of NYC. The test is not easy. Good luck with the medic class at Methodist; FYI it doesn't have the best reputation among EMS Academias... LGCC and BMCC offer the best programs in NYC...
  22. Ridryder 911 awesome post; you're 100% right.... Its happening... Thank you... rat115 you're so right; standardization; that's the first step. NREMT for all; sounds good. Respect; that too. Many on this forum are not respectful for one... RedOnTheHead we won't rid ourselves of volunteers; as long as areas continue to pad their pockets and not services; we won't see that. Look at trying to get rid of volunteer FD; at this time impossible. Improving the EMT-B is a start. Restructuring a system's teir is another start. Having Degree only Paramedic; starting with an Associates is another start; its there but needs to be like Nursing, available. Increase the Paramedic's scope; allowing us to be like a fast track; many more patients will not be transported to the hospital; is another start. This will save $ for the Healthcare System; where reimbursements will be better. However, its all a tough sell and something where in the US will not likely happen because of the green all love; thus greed. Your thread was great; thank yoy... Prmedc your right. We are not is the same umbrella. Education only helps; for many it makes who they are. Its something that will never be taken away. Its a process but who will take on this process. Definateluy not DOT, NHTSA, or NREMT. Its up to all of us to lobby & protest for education change for EMS. Thank you...
  23. http://www.nbcnewyork.com/news/local-beat/New-EMS-Chief-Named-One-Week-After-Blizzard-112977039.html Finally! He's gone... He was egotistical, selfish, powered driven, money hungry, unprofessional punk. He never should have been promoted to Chief. He was a bad Capt who made advances to his female subordinates; he was transfered from station to station, divisions to divisions... Good for him; maybe NYC EMS will change for the good of the people...
  24. paramedicmike; I'm not going to respond to your thread. You're entitled to do what you did. That being said; "Um'" not a word. We all can pick at the littlest thing. However, thank you for telling us EMS means Emergency Medical Services. I never said it didn't; I used the proper abbreviation. Did I? Lastly, thank you. All the best. However, your right with what you posted... However, you're right with what you posted... However, you're right with what you posted...
  25. Ok... The first couple of insults were already overboard. I think he's got it... We all need to support each other; not ridicule one another... EMS is Every Member Strong; we need to help and support one another, to make each other stronger... We need to save the energy; negative or positive, to fight for progress in EMS... He's new and he obviously wants to work; he's energetic; most were when they started... Its EMT-B not scholar PhD... What he wrote was fine... This forum is for EMS education, awareness, social networking, fun, news relay, & support purposes... Many are right about the uncommon abbreviations he used but we don't need to beat it to death... Good Luck... But ant 6.0; worry about all this when you're a week from your EMT-B State Exam... You have more important things to worry about. Study study study!!!! Ask questions; no question is dumb; its dumb not to ask...... Any experience is good experience..... You must earn your way to the top; it takes time; enjoy it.......
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