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MetalMedic last won the day on December 15 2013

MetalMedic had the most liked content!

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    East Coast, USA
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  1. Thanks for the advice. I checked the RN scope of practice, the DEA and found some basic information on the site we both located. I also left a message for the state medical board. Turns out what I'm looking for doesn't really exist in the form I was looking for. But I was able to point out based on DEA regulations and Scope of Practice for RN's that they are not able to authorize meds for those reasons. In CT: Esentially Nurses are allowed to administer medications, and by providing information to "go ahead" over a med patch it would be a perscription as their orders and protocols are n
  2. Yeah I've checked on that site, but nothing specific about a MD/DO not being able to delagate to RN for med patches. Even though it's a med license we work under, some RN's are allowed to precribe meds and we are all allied health. So I'm just trying to find something in writing that has a clear line. The public health website states that a MD/DO can delagate to properly trained and certified individuals. So that doesn't really help narrow it down, but thanks!
  3. Hey everyone! Long time no post! I've been busy, unfortunatley, I lost my paid job in May, but it "forced" me into Paramedic school. I'm still currently on the volley side and am still looking for paid gigs. Anyway... Our instructor asked us to research a few things for class on Monday and I am struggling to find where to look. The topic we covered on Monday was in regards to Med Control and all things surrounding it. We have been asked to find out if a MD or DO can delegate orders to another and if that person can carry them out. For example, as Paramedics we are allowed to use up
  4. I just re-read what I wrote and realized it didn't come off the way I intended it. 99% of the time I refer to myself as an EMT, but on scene don't always correct people when reffering to me as a "medic" as I usually have other things on my mind. When I have people beg me for drugs for "pain" in the back of the ambulance I explain that I don't have the ablity to do so. A lot of people don't know what EMT's are, so I usually explain that I'm a Medic (not paramedic) which usually clarifies it for a lot of people. It seems that there is a general misconception among the general population that EMT
  5. My first car was a light blue 1985 Chry New Yorker "The Beast". I loved that car, it was like driving a couch. Second car: 1994 Ford Escort Station Wagon AKA "The Band Wagon" put 600K on it before I put it down. 3rd car: 1996 Ford Tarus, "The Death Trap" yeah, that was a total POS 4th Car: 1985 Chry Lebaron Convertable, "Biddy White" Still take her out over the summer. 5th Car: 1998 Ford Escort Station wagon, "Solyent Green" or as my coworkers call it, "The psycho Grocery getter" as it's got a huge skeleton sticker in the back seat so it looks like I have a passenger.
  6. -Responded to a call for a scratch on the toe due to a cat claw. No blood. Yes, we transported. -Call to a person who is SOB. FD Medic downgrades and reports PT is a smoker. I ask PT what is going on. PT reports: "I smoke too much." Story comes out that PT has been up for 3 hours, had smoked 3+ packs of cigarettes and held the smoke too long (like with weed) and had smoked weed. Triage's response, "Tell the moron to quit smoking."
  7. I work both a Volley and Paid Service as well as assist in teaching new EMS students. I love both services as they are two different animals. The volley service we are both R1 and R5 so we control the scene over the FD when it comes to PT care. We also have a Paramedic that comes from the hospital when needed (most of the time dispatched at the same time we are). It's nice to be able to go in and take over the scene and be able to have the story in full from start to finish. I usually do about 24 hours a month +/- and started that once I was certified. The paid service has two primary to
  8. I had a patient bring this up over the weekend. It was a routine transfer and as soon as they were in the back they asked, "Did you hear about the guy that fondled the girl in the back of the ambulance?" I was so embarassed. I replied, "That person did not or has never worked for this company. I don't like to talk about it because it makes all of us who work in an ambulance look unprofessional and that's not the way I like to start my rides. So, how are you feeling today?"
  9. An example of what happened to me last week: ** Disclaimer I know that CNA and RN's are different Get a call for chest pain. I arrive and identify myself. Found a 80-90 year old pt on the floor of adult child's home. Pt is surrounded by grandchildren and adult child is taking BP. Adult child identifies themself as a CNA and explains they are unable to get a BP. Past history of heart issues. I notice pt is slightly gray and incontient of urine which is not baseline. Pulse is thready. Chest pain is radiating to arm and shoulder. I want to get the pt out NOW. Dispatch called to have Paramedi
  10. I dislike: -The politics -Jr. High Mentality -SNF Staff not having a clue and treating us like we're being a pain when we ask for certian information -One hospitals Reg staff who throw a fit when we bring in patients and give us wrong demo sheets -No where to pee after 9 pm in certian posting locations -Patients who feel entitled to something, especially the entitled bariatrics family memebers -Patients to treat us like a taxi service I love: -Knowing I made a difference -Most of the people I work and volunteer with -Most of my transfer pt's -The Fire Department Medics and EMT'
  11. Geeze, I didn't realize that some people would be so up in arms that I want to make sure I keep my BLS skills sharp when I start working ALS. Just out of curiosity, are all those offended/ those who posted Paramedics? I agree there are times when ALS can help before doing BLS... But if you gave meds before doing the ABC's then perhaps you've shown the point I was trying to make. It's our state protocol. The majority of the local town volunteer companies are only allowed to do BLS skills. We have Hospital Medics that are called on scene as back up if needed. If they aren't avail
  12. I knew the comment would get a few raised eyebrows either way. To clarify: All Paramedics should have BLS skills done as well, but I know that I could potentially fall into habit of going straight to ALS after ABC's. It's not meant as a dig, but a personal preference to keep my skills in good practice and good check and so I have a clear line of what is ALS and BLS as I have a feeling that they could possibly become blurred when I first start. Then again, I'm not a paramedic yet. The few paramedics that work on the BLS only with me have stated it's a good way to make sure they don't lose sight
  13. In my area there are about 5 hospitals we go to on a daily basis, and about 3-4 others outside that area depending on where we are posted. Some of them have microwaves in the EMS rooms, but not all of them and it's a little hard to tell when we'll have access to them. I keep a bag of nuts and trail mix in my bag, which is always an awesome idea! Thanks for the tips. Keep 'em coming!
  14. Not too long ago I was assisting a new EMR doing a truck check. We always keep the radio on so we can hear if we are possibly going to be sent for a mutual aid call. We heard a call come in for an 80+ person with AMS and a history of dementia. The town called responded and we continued on. Shortly after we hear a tone asking for the air ambulance to meet them at the hospital do a transport. The EMR wondered why in the world the helicopter would pick up an AMS. I explained even though there is a history of dementia it could be AMS due to a head injury, there could be massive blood loss from
  15. Hey everyone! I know it's been a while, no excuses! I'm still at the Volly Service which I am still loving, but also just got hired for a private company as well! I'm beyond thrilled! (Since I know this will come up, I plan on staying at the Volly service too. The reason is the Volly is only BLS and when I become a paramedic, it will be a great way to keep up on my BLS skills.) Anyway, I've come to realize if I bought lunch and dinner every day I'd be spending a lot of money. I know sandwiches can and will get old fast so I'm wondering what everyone else takes for lunch/dinner. I can'
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