firedoc315

In my experience the slower you push the plunger the more fluid will drain out. The entire concept is to atomize the liquid, which means a FAST expulsion of the liquid, therefore the drug. Our practice is to administer 1/2 to 1 cc in the nostril. The onset is virtually the same as IV if used correctly. I will withhold comment on the last part of your post, except to direct your attention to Steve Barry's recent JEMS cartoon regarding defibrillation. EMS as a joke? ? ?

Interestingly in this area, the fire ALS first responders are less likely by far to use IN administration of any medication than the ambulance paramedics by about 7 to 1. They also administer far more IM doses than all ambulance paramedics combined, recently 27 to 4. Wonder what that says about. . .(you know)

[/font:13f4af816c]my agency, in the Pacific Northwest, has been using IN Fentanyl, Versed, and Narcan for a year with zero, none, zilch problems. The issue with any medication "running down the back of the throat" occurred with the first three or four administrations; and was corrected by increasing the speed of emptying the syringe. Onset is equal to or on occasion seems to be faster than IV, particularly if you calculate the time to establish an IV. There is more reluctance by one segment of responders to use IN because some folks believe it is ok to "punish" opioid abusers; me - no blood, no needles, no risk! !! !!! Works for me, after 35 years in EMS There have not been any "failed" administrations either. We have been unable to find any literature support for IN Glucagon, so we are not using it.

[/font:5203a3dc84] this question is for her to deal with at the Registry. Way to many folks interfere with processes. Stay out of speculation and conjecture. The NR Rep is supposed to know this answer, if s/he dosen't - RESIGN!

It is, and continues to be, whining. Most EMT's (you are perhaps the exception) are qualified to provide trasportation to the ill and injured. EMS is, and hopefully always will be, about care of the ill and inujured. there are PATIENTS that cannot sit up or be SAFELY transported in a vehicle other than an ambulance. Do I seems impatinet with this conversation, it is because I am tired of folks whining about doing all the components of the job; "I don't wanna go on { } fill in the blank." or perhaps, "I didn't go to school and get hired to wipe butts!" The news is it goes with the job, now stop whining and try doing it. What about long distance transfers? They too are part of the job, perhaps your hiring agreement excluded those calls that cause you to be put out of your comfort zone. I doubt that, so stop whining and start doing all the pieces of the job. Scheesh!

Hey here's a novel concept - - just go where you are told to go, when you are told to go there and do what needs to be done, even if sometimes it is just to hold a hand or to hold your mouth closed and stop whining. . . if you want to be the manager, supervisor or medical director, go get the credentials (or Time on grade) to do the job, otherwise, , quityerbitchin