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naturegirl

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Everything posted by naturegirl

  1. I have often wondered why every ambulance seems determined to staff with only Paramedics. not to diss on the top spot, but paramedics where I work make $17 an hour, compared to my measly $12.75 as an EMT I, and 70% of the calls are NOT ALS. As I've had pointed out to me here on the forums many times, EMT B's are just trained first aid providers. Most would be more than capable of handling the 70% that doesn't require any sort of advanced interventions. That would save lots of money and plus, most EMT-P's I know are bored with the BLS stuff anyway. Lots consider it beneath their training,
  2. Geez, perhaps it will be the rise of the volunteers as desperately broke EMS services cannot answer all the calls. Maybe patients will have to provide pre approval from their insurance before they get picked up by an ALS service. Or, God forbid, family and friends will have to transport the sickest and everyone else will just, well, suffer. Or not. Maybe they'll just print more smiley faced monopoly money and all will be good after all.
  3. Just wanted to post a follow up to all the great helps and let anyone else who experiences this know what I did. I kept trying. One day I forgot I wasn't very good at starting lines and, well, I started a few without any problem. It built my confidence up and then I just started asking people for tips, help, pointers. Anyone in the medical field with the skill, I just asked. nurses in the ER, paramedics who train emt's. Phlebotomists, Anyone. I found out I can volunteer at the bloodbank and get better still. So for those of you new to IV's you will have problems. You'll not always get
  4. The first trauma I answered was a MVA where the driver impacted the passenger window crank with her rib and pulled her lung out of her chest. Although not ALS at the time, we did rapidly transport her to ALS personnel who intubated and started fluids. They were able to bring her back enough to get her to surgery. I'm pretty sure not dicking around at the scene saved her life. Then there was the time someone gave a baby a piece of beef jerky and it choked right in front of me. I'm also pretty sure NOT panicking like everyone else and removing the obstacle saved the baby's life. Then there
  5. I wonder every day what will be the future of EMS when you can make more money clerking at the adult bookstore or stocking shelves at the auto parts store than you can in saving someone's life. Our aging population means either the EMT's will be scarce or they'll be a lot older but in any event, pay has to change. I guess we could go back to the "old days" when the funeral home sent a couple people to pick you up and run you to the hospital. Thank God for the ambulance driver, right?
  6. Here's one I haven't seen mentioned. I work for a tribal ambulance service in SD. Paramedics make $17.45 an hour, I-12.25 and basics somewhere around 9 an hour. Some of the tribal EMS systems are actually GSA jobs with federal benefits, GS 5 or better. Cost of living is cheap, lots of trauma and challenging medical calls. My service pays for medic school if you can relocate, you have to maintain a FT schedule, often a 40 straight
  7. FYI: The scorpion was found, flattened in the side door entry. He apparently stepped on it in a frantic search to save his ass. Too bad it didn't sting him first, though.
  8. I once worked with a guy whose sleep was disturbed by the birds chirping in the bay. He proceeded to climb a ladder and killed the birds; he also lacked anything coming close to reasonable interpersonal skills and could only carry on a conversation related to Star Trek. He once bought a scorpion and placed it in the box where it escaped from it's box. You should have seen the look on his partners face when he admitted it was gone. What finally sent him packing was when he maced a fellow co worker during an argument. It wasn't his lack of job related skills but his utter lack of people ski
  9. I transported a 450 lb quad home once. All the way there I kept wondering how we were even going to unload the cot, let alone get him off of it. My driver was a 160 lb lady with a bad back. This man's wife takes one look at us and starts having a fit because even she knows there's no way we are going to get him into his special chair. Eventually the whole family had to pitch in, mad and all. Next time, I'm ordering lift help well in advance. It made me join a gym and start strength training so I don't end up permanently crippled.
  10. Honestly, both lately. I don't want to make excuses but I've had lots of people lately with medical issues, not young healthy people with veins you can just throw the needle at. The last one was a lady with diabetes and hypertension. Her veins looked good, got flash but then blew not one but two. Third time I was gold, but then the IV wouldn't run. No matter what I did, I couldn't get it to go, but I didn't see any infiltration. I noticed the cath wouldn't advance completely but I didn't know why. All this was during a rough drive. It wasn't a positional issue like AC with the arm bein
  11. I agree we are trusted by the general public. I often get information from patients they would never share with law enforcement. I also often get lied to. It's not really that fine of a line between violating a patient's trust and being vigilant to potential "things" we should report. Wasn't it an EMT in London who noticed the car loaded with explosives while responding to another call close by?
  12. This is so helpful. I think that the self confidence is a big part of it. I got called on the carpet by my B supervisor over it and I'm glad now she took the I class because I can't wait to return the favor. I know they're tracking my stats and I think it's shooting my confidence down. I've down them successfully and I know I can do it. Medic school is a long way off to get those practical experiences. I think I'm going to go to the local medical assistant/phlebotomy school and ask the instructor for a little practical education. My last one I thought was good until I ran fluids and no
  13. I need some quick ideas. I seem to have hit a slump in my IV skills. I have an uncanny knack for finding every valve or anomaly lately. Where would you recommend I go to get back on track? I'm an Intermediate working very part time and also in a volunteer service. I don't have the luxury of someone standing over me helping me through every stick. Any ideas? Go to phlebotomy school? volunteer at the plasma center? I'm working on an A & P course but I need practical help. I am sure someone has had this problem before me. HELP!
  14. I couldn't help but notice most of the posts regarding this subject come from people who live in more densely populated areas. I am a volunteer EMT in a city of 815, in a county of several thousand, in a state of less than a million. My service responds to maybe 150 calls a year, and a few mutual aid. Many of the EMT's here in the Dakota's are in farm and ranch country, covering a few hundred people and the freeways that connect us. There is NO way you can post anyone geographically central to respond to calls as infrequently as some of our runs end up. Some EMT's here are transporting
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