P_Instructor

Anyone in a position to precept students should have a very clear understanding of what both the preparations and expectations of the preceptorship are. Different programmes have different set-ups. Some schools integrate students into the field early to get them early exposure and allow them to integrate education with training and observation. Others do it step by step, not sending them to the field until they have all of their didactic done. Both students will be at different levels of preparation. However, neither should be expected to be competent practitioners of ANYTHING. Expect nothing. Teach them everything. That's your job. If they knew it all, they wouldn't need you.

Excellent response!

If you're treating someone of a suspected spinal injury, you're going to have your partner holding c-spine. When you go to log roll the patient to their side to palpate the spine and prepare them for boarding, the C-collar will actually help your partner keep the neck in a neutral inline position.

You'll see this thought process outlined as you cover the backboarding process.

I agree with 'Lone'...Hopefully your partner is providing manual cervical stabilization, and I emphasize the word stabilization, and properly before, during, and after the log roll. The cervical collar does not mean you can release the stabilization until fully secured to the backboard. Of course this is provided after all physical exam has been performed. The c-collar does assist with the neutral alignment when providing this manual stabilization. As when placing the c-collar itself, whenever you think necessary, as long as the c-spine is being attended too.

I'm a 33 year old FFM , married with one child and another one due in late Jan. My wife doesn't work, my base salary is around 67-69k/yr, and I'm on pace to make about 85k or so in total this year. My job is only covering one class per semester at the moment, who knows when they'll allow more. I intend to ask HR for any leads regarding tuition assistance through grants and such. Would anyone have any insight as to what's available at the moment, and what the salary caps would be for certain programs?

There are many free sites you can look for regarding grant/scholarship/etc., however, I can't think of them right now. Maybe check with your local community college financial aid personnel. They may be of assistance in your request. Look for previous EMS benefactors also.

But should we just let it go after the proper people are notified? Don't we have a moral obigiation to follow up and see if they got the help they needed? In all honesty our system sucks it really does will this little man be one of the one's that falls through the cracks and is lost?

Dependant of what your laws state, here it is a manditory reportable case. We do not investigate, just report to the proper authorities. It is their job to investigate and then make recommendations, etc.

Dependant of what your laws state, here it is a manditory reportable case. We do not investigate, just report to the proper authorities. It is their job to investigate and then make recommendations, etc.

Yes you are correct, and it does suck.....many of these patients do 'fall through the cracks'.

Personnally, I would take the time to clean and linen the bed. This is the way I perceive the job, to help those in need. However, this also can be a potential elder abuse situation, that in our state must be reported. Do not confront, but realize the situation and try to do the best with what you have. If the primary care giver cannot do the job, or is unwilling, this needs to be reported. Provide what the patient needs. Yes, I know, not all services will do this, but do what you can for the patient.

I would also like to see the others on the list of nominees.

Looked all over, best I can tell everyone is to wait for 50 years before they list this years nominees.....sheesh.

never never never bow to me.

You can search the list of nominees. I feel Chinese dissident Hu Jia would have been a better choice, but again, that is my opinion.

Why is this not appropriate???

I stand corrected and apologize to you. I just feel that it is too early in his administration for what he has/has not accomplished (yes I know he has to jump through the senate and house hoops) for what he is honored with. My opinion is that Obama does not have the foreign experience dealing with global issues; true he is trying and gaining respect, but I feel there are other national figures that may be more deserving. I would like to see the list of individuals that the commission reviewed for this honor. If you have that info, send it to me, I will review, and based upon the info, either bow to you or stand by my (not completely clear) statement.

I guess it may boil down to what your Medical Director wants. We use NaCl for everything because of capatability (note: usual transport time less than 20 mins)

Minimum 80 hours ride along and completing orientation checklist for familiarization of all aspects of operations (protocols, rigs, maps/locations/streets, etc.) and also testing to include physical and knowledge. This period can be extended at any time if new hire not comprehending, until competence is met. Then placed on probationary period until fully knowledgible with service. This is just the minimum. There are many other facets/criteria that need to be met.

Barack Obama for the Nobel Peace Prize. Discussion???

Way too early and not appropriate. Seems like politics are getting into everything, everywhere....

In the future, use the REPORT POST feature.

This guy has posted in 3 places and no one notified me....AK

Sorry I accidentally deleted your message and can't find your post - I have them for you just please either PM me an e-mail that I can attach them to or I will send them via PM. Thanks !

It was I.....P_Instructor. I have PM'd you. Thanks!

Whose medical direction are you working under as an EMT?

Ditto, you need medical direction to practice as an EMT.

This would be for the school nurse to administer per parental and medical authorization. If as EMT - NO, not within your scope. As caregiver, and authorized, I am not sure; this falls under other state legalities.

It's not so much about the oxygen but the CO2 blowoff. With the patient passing out, metabolism continues and CO2 slowly increases back to homeostatic levels, whereupon the patient comes to and breathes at more normal rate. Question, was there any spasms noted with the patient? The nurse would probably want to stick the patient's head in a paper sack with that attitude.

I'm sorry just clarify for me are you looking for something that has multiple patients in the same scenario or multiple scenarios? Let me know I've got a bunch in the box for either. Some medical, more trauma. Just let me know what you need and I'll do what I can to help.

MCI - multiple patient scenario. Best would be like 3-5 patients just taxing out the system of one or two ambulances. Thanks!

I've got a brain freeze and have exhausted my resources in coming up with multi-patient scenarios and am looking for your help! If you can send me some scenarios that can be utilized in class, it would greatly be appreciated. Can be medical/trauma/whatever. Real life experiences, brainstorming ideas, what you saw while driving down the road, whatever. Send via PM to me and again, thanks!

These can be basic or advanced scenarios!

Welcome to the club.

Likewise, good luck. You'll do fine. Therapeutic Communication is one skill that should be taught more intensively. Just talking to a patient may be the best thing you can do for them.

I am stuck between the yes and no. Personally, I think it should come back on selected channels, but not in updated form. Keep it original. Use it as a training film for yourself to decide what you would do in today's standards or local protocols. Watch it on Hulu.

http://omg.yahoo.com/news/travolta-testifies-bahamas-medic-threatened-him/28751?nc

Not trying to be funny with the circumstances, but maybe he's more underpaid than the rest of us.

Online is not for everyone, especially not for anyone looking for an easy diploma/certification.

Good cross section of reply and I thank all of you. I do agree with online not the way to go for easy diploma/certification. You have to be totally committed either with this style or classroom. For further info, the online style is hybrid meaning you still have face-to-face sessions for skill practice/competency/evaluation.

Question for your opinion. Should High School students be able to take the EMT-Basic course while still in High School, whether classroom style or online (based that they are eligible per their State Code) or do you think that lack of maturity would lead them to failure. (No right or wrong answers, just looking for opinions)

8....no 6.....wait, maybe 7.....who knows, it changes every day.