hatelilpeepees

No firearms in my bus ever, PERIOD. How can you claim to be a safety advocate and then put a loaded gun in your ambulance, or claim that you will handle a weapon you may have never seen, and attempt to unload it ?

Oh, when we get caught, we change the subject, NICE.......................... I just don't know how I will survive without your friendship. But anyway, I will ask again, what use is this animal in the hospital? Edited by Dwayne... And what about the next asthmatic patient who has allergies to PET hair/dander ?

not at all, there are scientist who believe that global warming is still real, there are scientist that believe life begins at intercourse, there are scientist that believe that drilling for oil here is dangerous, my common sense trumps all of them

You still have not answered the question asssssssyn, what value is the service animal in the hospital, you can make fun of me all you want, but until you answer that basic question you are an ass-clown

What proof do you have that there is any harm, other than Dr Bledsoe's comments. Are you suggesting that one article is sufficient as scientific proof, I am sure I can find just as many articles that point the other way. But I forgot, in this room, it is alot like Porky's.................. So Sayeth Bledsoe, Dwayne, AK, whoever, so sayeth the FLOCK--- why is my real life experience worth less than some academic's THEORIES ?

You guys are smoking crack, again I ask, what can the SERVICE animal (pet) do for a patient in the hospital: WOOF WOOF, what is it lassie, are they giving me toradol instead of morphine WOOF WOOF, what is it lassie, should I order chicken instead of turkey for my dinner WOOF WOOF. what is it lassie, are they putting a foley in me WOOF WOOF, what is it lassie, is there a special in the gift shop today WOOF WOOF, what is it lassie, is there an unrestrained obese patient in the room with me

I agree with Romney, as I have been to a few of these, and I do not know of anyone who was damaged by it. It was voluntary, only people who were involved in the call were allowed to attend (no spectators), everyone was given a card with a counselor's name on it that they could see if they felt the need, so that they could remain anonymous about their pain if they wished. Grown men usually do not cry about the calls they run, so when they do it is a sign that they are significantly moved by what has occured. Does not make them mentally ill, but definitely a sign that something is bothering them. I do not know any man that cries all the time dfib, but we grow them a little tougher down here.

I think this has already been discussed in a thread, and the consensus was that it would be turned over to law enforcement as firearms are not allowed in the ambulance or hospital. When we transport police, they hand over their gun to another cop. Again, the patient's wants do not supercede the safety of others. I have a permit, and would love to carry a gun on my ambulance but it is not allowed.

I am not trying to hijack the thread, but since asys challenged me, I feel I must respond. The obese patient situation and this situation are entirely different, they are apples and oranges> 1. In the obese scenario I said I would have transported the patient because I have done it several times without incident, especially if it were an emergent scenario. I pointed out that in many areas of the country, 911 providers transport patients greater than 750lbs (what most stretchers are rated for) on the floor, as they have no other option. The OP in that thread had pointed out that her scenario was a nonemergent IFC transfer. I stated that if it was safe to transport the patient in a 911 ambulance on the floor, then it is safe to do so in a non-emergent ambulance (everyone was concerned about a MVC, the chance of MVC is greater during an emergent transport). This scenario involves a patient that needs transport. 2. Scenario 2 involves bringing the patient's pet to the hospital with them, the pet adds nothing to their care in the ambulance or the ER, it only brings potential danger and/or unnecessary work for all involved in this patient's care. No one has yet to explain the NEED to have a dog in the hospital, the patient can be transported by wheelchair or stretcher, or can be ambulated by a human who can verbalize any objects or hazards to the patient which is far better than a dog. "Woof-woof", what is it lassie, is it an IV pole, a wheelchair, another patient, or stretcher in my way ? Woof-woof=woof !!!! Think it through folks, and quit letting your love of pets get in the way of common sense, you are as bad as the patient.

Asysin, you need to go back and read the thread. I was the one who WOULD transport the obese patient, it was the rest of the room who disagreed. There is no way to know how a dog will react when scared. Yes these dogs are trained (I assume) but how many times have you been on calls where dogs attack their owners ? The patient does not need the dog while in the ER.

What if he wanted to bring his gun because he did not feel safe ? I see this as a safety issue, as I know several medics who are terrified of dogs, and dogs can smell that fear. This is no different than choosing to stage, his convenience does not trump my safety.

Nice try bullets but your argument does not work, and I am on your side. No vehicle is equipped as you state, even most animal control vehicles are just pick up trucks with empty cages on the back. The dogs are secured in an individual cage, but are not restrained (many are not even air-conditioned).

Get used to it ambo, thats what they do in this room. You are right, and again I ask, what do you think the hospital is going to do with this dog ? I am sure the hospital has alpo and dog water bowls to keep the dog happy for the week the patient is in the hospital. Also, if you guys are not aware there are lots of people who claim that their pet is a service dog just so they can fly with them in the passenger area instead of cargo, they claim the pets sense their seizures. A big load of BS. The patient does not need this dog in the ambulance or hospital.

If all ems agencies should have to have a bariatric stretcher for fat asses, shouldn't airlines be forced to have one or two bariatric seats on the whole plane. Or are you guys changing your position ? Isn't this "pay to play" ?

Duuuuuuuuuuuuhhhhhhhhhh, I think I said give fluids, sorry you always believe the machine over what you see with your eyes. There are lots of diabetics (non-conforming with treatment) that walk around with a glucose of 400-500 every day.

WOW dwayne, we agree on something, guess hell is freezing over. LOL

1000 cc of NACL wont hurt anyone (assuming this is an adult patient), I would verify that the patient has the signs and symptoms that correlate with that reading, I have to agree with crotchity on this one, treat the patient, not the machine.

You do not have to transmit information to be a violation. It is how you use the information. I could steal 100 social security numbers and never transmit them, I am still wrong. You only have the right to use PMI to treat the patient during that one event, anything beyond the treatment of that specific illness or injury is a violation

I agree with having the dog transported by animal control or PD, you do not know how the dog will react to strangers, many patients have allergies to dog hair and dandruff, and he is not walking anywhere soon. He does not need his dog while in the hospital. Where is the hospital going to store his dog during treatment ?

I agree, with one exception, I forget the actual title of the book, but that big red Emergency Physician' book, is a very good read, as it takes you step by step as to how physician's assess, diagnose, and treat their patients. I have used it several times to develop training topics so that EMTs and medics can go one step above what they know. For instance, we frequently pick up patients in Nursing Homes or Urgent Care Clinics where lab work has already been performed, to be able to look at that tool and use it in your assessment is useful, for example right side pain with a high white count steers you one way, low B/P and a low H&H might steer you another way.

Good point, but I imagine most of you have some sort of policy that states that employees MUST report policy violations if they are aware of them or they will get in trouble. I know that it is a rarely used policy, but most services have some version as a gotcha.

Asysin, I guess it depends on your definition of porn, we are all aware that on HBO, Cinemax, or Showtime after about 10pm, there is soft porn shows that are viewed in many EMS and fire stations, and it is considered normal. So are you saying these stations should be banned in every station ? And on my cable package there are two stations that are pretty explicit, one shows Girls Gone Wild episodes two nights per week, and one is like a home shopping network show for exotic toys, where the women go into great detail about the toys and show them on tv, so should we ban all of cable to make sure no R rated shows are shown ?

May I suggest a spelling and grammar book ? If your PCRs look anything like what you typed above, you will have issues. Not trying to be mean, but your reports are legal documents, and when you go to court with a report that is as bad as what you typed above the lawyers will eat you alive. I would strongly suggest you purchase "used" on amazon or other college text book sites as mentioned above. Any medical textbook will be ridiculously priced when brand new.

So if I were asleep in the bunkroom AK, and you came in and ran your hands over parts of my body that are offlimits to everyone who works there, you should get a written warning and a chance to do it a second time ?????I agree with progressive discipline for the minor stuff, but there are some things that should get you fired the first time, like:Reporting to work drunk, stealing patient medications, violence, gross negilgence, or committing any crime while on duty. May I ask if you work in a union state versus a right-to-work state ?

Not trying to be pissy, but just asking those that are saying you have to have it happen twice to be harassment, and that you need to establish a "pattern" before termination, do you not have any offenses in your policy and procedures for acts that are immediate terminations (after investigation). Even if this was not sexual harassment, the case could be made that he put the county into a potential HIPAA and Identity theft issue by surfing sites (I assume he surfed many, do not know that for a fact) that are known to be full of viruses that could contaminate the computer system. I would not fire him for that on first offense, but I could see where this could easily become a huge issue. I do not think looking at porn makes him evil or incapable of patient care, if that were the case we would have to fire about 80% of the men in EMS and probably 50% of the women because any movie that shows a nude love scene is basically soft porn, unless he was looking at kiddy porn or something that is way over the top. Dwayne I believe the best definition of porn is "I can't describe it, but I know it when I see it". Not sure he said it, but works for me.Sorry AK, did not mean to violate a rule, I apologize for posting that site's name.