DFIB

In the US I worked at a medicaid clinic about 20 years ago. We had OSHA and some other inspector that I can't remember who he was with stop by at least once a year. I just remember that everyone was scared of them. We never really had any big deficiencies but then again we were on top of our game. Those dudes would go through everything, charts, lab, autoclave, all equipment, procedures and protocols. I always tried to take them to lunch wich they declined. Pretty honest guys.

Everyone I have seen is boring. You should just do your own class so you can control the enviroment. I am sure that it would be more enjoyable for you and the listners as well.

Howdy Kyle, This is a good forum to bounce ideas arround and get the "skinney" about what folks are using and doing in their services. I am pretty sure you will enjoy, Take a look at some of the open threads and see what I am writting about. Welcome.

Ha! I have a couple of reinds and kinfolk we hide from public as well. Ha! I have a couple of reinds and kinfolk we hide from public as well.

I am not busting your chops but have you ever actually seen sterile water infused IV with positive results? I would be really afraid it cause horrible things to my patient. I was typing at the same time as you so you can disregard this comment and question.

I wonder what the good practice breach was? Not enough information to make a opinion. I wonder if he was a dentist? Some dentist have very poor biological control practices.

My point exactly. Love the new avatar. Someone you know?

Hey Mrs. Toni, Is Hartmans no longer available in the US? Hopefully I will get to hang around in your chatroom again soon. This is a real question not a chain pull. When would you use sterile water IV. Wouldn't there be a pretty high risk of hemolysis? In what cases would hemolysis not occur with a sterile water infusion?

There is a relatively inexpensive solution to the problem. Instead of your service paying for a bariatric unit or expensive appropriate modifications to the ambulances, they could have all ambulances equipped with a trailer hitch. Hospitals could keep a flatbed trailer on stand by equiped with rachet straps for larger more difficult transports. You could even equip the trailer with a tarp in case it rains and a extra blanket for cold weather. Would that be cost effective enough?

I am not one of the old guys but am glad to see you. Welcome

Yea, likely story. What else would he tell her?

Sure, just a little squeeze here and a pinch there. That’s where I want to ride, Jeeze let’s put the patient on a flatbed so they can be commune with nature and feel the breeze in their hair during the ride.

Being nervous is a good thing the first time out. It is a mixture of feelings. fear that "i might forget something and look like a fool", understanding the seriousness of the situation, uncertainty in an new and unfamiliar environment. I shows you respect the patient and his condition. The guy who wanted to "crack ribs and get dirty" understands none of these things and will probably finish his EMS days as a hose monkey. I try to stay clear of those guys because their ignorant bravado irritates me. You have the right feelings for someone who has the potential to be a caring provider. Care for the patient, his condition, family. Remember that they are a human being and not a practice dummy to "crack ribs and get dirty" on. My first solo CPR was a gunshot victim that bled out while we were working on him. I was so scared and nervous I had to jump out of the ambulance and puke. Once you get a couple of minutes of chest compressions under your belt you will ignore the horror of the situation and be thinking about your interventions and the effect they are having on the patient. anxiety from the incident don't hesitate to talk to your instructor about your feelings. They will understand because anyone worth their salt has been there before. I think your feelings are appropriate and it sounds like you have the right heart to be a good provider. Stay the course..

Enjoy your class. Keep your enthusiasm, study hard and you will be a fine EMT

Cruz Roja Mexicana, South of the border.

I would love to meet and greet but my daughters' "quince anos" party is on those dates.

Hey Shawn, If you like donuts be a cop, if you like pulling hose be a fireman but if you like using medical science to ease peoples' pain and compassionaltely aid in increasing their quality of life after a emergency choose EMS. Welcome to the city!

Hello, Good choice in deciding to study EMS. It is a challenging and rewarding career. Class dynamic should vary depending on your program but you should expect a combination of theory and practical training. Take the time to read ahead before your practical skills sessions so you are reinforcing knowledge instead of learning anew. Uniforms. Each program will have their own uniform requirements so I wouldn’t purchase any clothes before you get your supply list. You can expect to eventually need a good pair of polishable non skid boots with ankle support. I like boots with a side zipper. Studying. Be sure and read all your materials in advance (textbook, handouts, power-point presentations). Take notes. Review everything after class again. You can also come back to the forum if you have questions. If possible start a study group early on and try to meet once a week. The material stacks up quickly. It is very easy to get behind. Medicgirl05 is right. A&P is a good course to take. It is not required but advisable. I would also recommend getting in shape. The job requires it and you may be lifting some in class. The only other thing I can think other than having a positive attitude of is keep your pee test clean. Welcome to the city.

We buy our own uniforms

IHLPP I am sorry that your service has such an inflexible policy regarding transport and safety. I understand the nuances and difficulties of keeping a job but I think I would try to be a medic advocate in this case. I wish you all the best.

Howdy and welcome.

Doc one again has hit the nail on the head. Safety comes first in non emergency situations. First safety is for the provider (me), next for the patient. This combined safety provides safety for my company. If imminent danger demands that a move must be made that is unsafe for the patient we save life, limb and function in order. If an unsafe move is your only option to save life, limb or function it may be considered. Nothing in the original post would indicate any risk to life, limb or function so safety is first. In this instance options do exist. The original post patient is not in a war zone, burning building or third world country. The provider has options to ensure the best, safest move. He protects himself, his patient and his company, Why would he be chastised understanding the situation and making the correct decision?

Congratulations Amigo.

So, medicgirl05, are you still employed? How did things work out?

I will be looking forward to your imput. Welcome.