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mediccjh

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Posts posted by mediccjh

    Too Nice?

    in General EMS Discussion

    Posted

    I am for them... I smile if they need me too, I become sad to empathize with them if they need that, when I say "how are you feeling dear" i make damn sure that 90 year old women knows she is the center of my world.

    Good post. However, if you call a patient "Dear" or "Sweetie" or "Honey" or anything of the sort on my bus, you're going home.

    That's a term reserved for family and friends, not strangers you take care of. I didn't like it when complete strangers called my great-grandmother that, and I sure as hell won't say it to any of my patients. That's what "Sir" and "Ma'am" are for.

    What do you get paid?

    in General EMS Discussion

    Posted

    OMG YOU PEOPLE ARE LUCKY!!!! DO NOT COME TO SOUTH CENTRAL PENNSYLVANIA!!!! I make $11.40 / hr and I'm at one of the highest paid services in my area, LOL

    Where are you?

    I work for Cetronia near Allentown, $18.50/hr.

    When I get my Jersey Medic, $22-23/hr at UMDNJ in Newark.

    Fair Contract for NYC

    in General EMS Discussion

    Posted

    As someone who used to work NYC full-time (Staten Island University Hospital 21W, not that it counts because I hated Staten Island and couldn't get a f/t job in Brooklyn), who did go through the paperwork to get hired, only to be told I needed to lose weight (w/ 400 lb LTs walking around), here's my 2 cents:

    1. NYC*EMS has to be its own separate entity AGAIN!! The Union needs to elect people with balls to go back to a third service.

    2. Abolish all the voluntary hospital EMS units. I used to be on one of them, so I am entitled to say that. All for one should be the name of the game.

    3. Abolish REMAC and revamp the protocols. While REMAC allows nice drugs and nice protocols, trying to get Medical Control is a bitch in that town, and the docs in the boxes don't have a f--king clue.

    I loved the people I worked with, but I couldn't work in a system that wouldn't let me treat my patients the way they should be treated.

    Thought provoking article in JEMS re: Patient refusals

    in Patient Care

    Posted

    And what about those who need to go to the hospital, and adamantly refuse, even after you and a doctor tell them that you will die?

    Wanna hear thoughts on this one. I sat on scene w/a gentleman Friday night CAO x 3, who adamantly refused, even though I kept telling him he would probably die.

    Personally, if someone doesn't want to go to the hospital, it is their God-given right, even if I believe they will die if they don't go.

    Getting to know you

    in Funny Stuff

    Posted

    I know this may seem dumb, but let's get to know each other!

    What is your name? Herbie

    When is your birthday? 8/25/1980

    Eye color? Brown

    Hair color? Black

    What nationality(s) are you? Irish and Italian, the best of both worlds

    Any piercings? Used to 1

    Any tatoos? Soon 2

    You have three wishes, what are they? Money, happiness, and Jeeps for life?

    What sound can you not stand? Stupid people talking

    Special talents? I bake good chocolate chip cookies

    What is the first thing you do when you wake up? Take a shower

    What is the last song you sang? Music of the Night, Phantom of the Opera

    Do you play any instruments? No

    Do you know any random facts? I'm a plethora of useless information

    BE HONEST- Do you listen to show tunes? Fuck yeah

    Do you want to go to college? Did

    Whats the first thing you do when you get home from work? Turn my computer on

    Is there anyone you are desperate to meet? The people I wanna meet are dead

    Do you dance around your house when nobodys home? No

    Favorite quote? Check my sig line

    Main source of exercise? Lifting the pint to my mouth?

    Yay or Nay

    Diet Pepsi? No

    Kids? Eventually

    Bread? Potato

    Hair cuts? Shaved head

    Hiking? If I'm enthusiastic

    Black and white photography? Yeah

    Coffee? No

    What C.D.s are in your stereo right now? Best of Andrew Lloyd Weber

    Guilty pleasures? John Denver

    If you had to eat one meal for the rest of your life, what would it be? Guinness

    Speak other languages? Used to be fluent in Italian

    Favorite song (as of right now)? Stairway to Heaven

    Favorite flower? None

    Contacts, glasses, or neither? None

    Hometown? Bensonhurst, Brooklyn, NY

    Favorite Drink? Guinness

    Have you ever been in love? (depending on what your concept of love is) Yes, and each time burnt

    Have you ever been skinny dipping? No

    Assertive or passive? Assertive

    Sing in the shower? No

    Any regrets? 1

    Do you swear? Fuck yeah

    Do you have any pet peeves? Of course..I'm a medic

    Favourite Ice cream flavor? Cookie Dough

    Member of the red light club? Yes

    Yeah, you're right. It's dumb. And I'm dumb enough to do it.

    Ambulance Driver, an evil term?

    in Patient Care

    Posted

    Usually if I get called an AMBULANCE DRIVER, I will educate the person who called me it, based on their attitude.

    Good attitude:

    "Sir/Ma'am, we are not AMBULANCE DRIVERS. We bring the ER to you now, and are able to provide lifesaving skills. It's not the '70s anymore."

    Bad attitude:

    "Do you call a cop a police car driver? (Waits for the NO) Do you call a firefighter a firetruck driver? (Waits for the NO)

    Then why [the F--K, if the person is really pissing me off], are you calling me an AMBULANCE DRIVER?!?!?!?!!!"

    FDNY*EMS What If's

    in General EMS Discussion

    Posted

    You'd have a lot of FDNY medics leaving to work at the voluntaries. Higher pay, more flexible schedule, plus you get to work with another medic, rather than, as on medic put it some "Wannabe firefighter with a yellow patch."

    "For over 1,000 generations the medics were the guardians of peace and justice in the city. Before the dark times, before the mensa medic program. A young medic named Darth McFarlen, who was a pupil of mine until he turned to evil, helped the department hunt down and destroy the medics. McFarlen was seduced by the dark side of the budget commitee."

    ----------Paramedic Kenobi

    LMFAO!!!!!

    Presidential Election 2008

    in General EMS Discussion

    Posted

    Evacuation planning is a local responsibility. The evacuation plan for the city of New Orleans made NO mention of using any public transportation resources to evacuate those residents who had no means to evacuate on their own. The officials were aware of this oversight because a draft of a new emergency plan includes using buses in the evacuation but the new plan had not yet been adopted so the buses remained in their parking lots.

    Here in Florida each site designated as an evacuation shelter is stocked year around with non-perishable food and water. This is a local responsibility. Apparently, in New Orleans, none of the shelters had supplies pre-positioned.

    FEMA, by law, is designed to support the efforts of local officials, not to move in and take over. It must wait for the governor to ask the president to declare that a state of emergency exists before it can mobilize. In Louisiana the hurricane hit on Monday, the levee broke on Tuesday, the governor made the formal request on Wednesday. By Friday supplies and troops started reaching the city. That's 48 hours after the request, well within what is considered acceptable by most emergency managers. That's why officials always say you should have several days worth of food and water in your personal emergency supplies, because they know it will take that long. The system worked as it was designed.

    Does it need to be changed? Damned right, it does. Every designated shelter should required by law to be stockpiled with enough MREs to provide four meals (two per day for two days) to as many people as that shelter is authorized to hold, plus a two day supply of water. As soon as a disaster occurs the President should be able to declare martial law, federalize the national guard and order troops and FEMA personnel into the area. FEMA should stockpile additional emergency supplies at various locations around the country so that by the time the initial two-day supply at the shelters is exhausted additional food and water will be arriving.

    There should be designated "special needs" shelters for people with chronic medical problems. These shelters should be stockpiled with the most commonly prescribed medications, i.e., insulin, lasix, nitro, asthma inhalers, etc. Certainly there's no way to keep every med that every person might need, but keeping just the most basic would save lives.

    There is far more that can be done than can be listed here, but the point is, this should be a wake up call to this nation and some deep fundamental changes in how we plan to deal with disasters in sorely needed.

    =D> =D> =D> =D> =D> =D> =D> =D>

    Presidential Election 2008

    in General EMS Discussion

    Posted

    Thirty bodies in nursing home

    Southeast of New Orleans, crews Wednesday began recovering dozens of bodies from a nursing home that was flooded after the hurricane. And as floodwater is being pumped out of New Orleans, experts worry the soupy mess of chemicals and bacteria will sicken anyone who tries to stay in the city.

    The City of New Orleans' own OEP site states that it and the State are responsible for emergencies in the City. It is the responsibility of the City and State to evacuate those who couldn't. Not the feds.

    Did you see the picture of all the school buses sitting in the parking lot, not moved, in the City of New Orleans?

    DUMBEST THING EVER HEARD ON THE RADIO/SCANNER

    in Funny Stuff

    Posted

    During an EMS request for PD, commonly called a "10-13" (HEEEEELLLLLP!!!), with dispatch trying to get units and the cops to the requesting unit, some dumb Lieutenant demanded the dispatcher stop everything she was doing, and give him a report as to what a particular ambulance was doing, as it had "blown by him". Dispatch told him, "Stand by, I got a '13' here!" The Lieutenant refused the dispatcher's sensible request, saying, "Negative, I need it now!"

    The head of Dispatch, a 2 star Chief, who had come out of his office on hearing the "13", leaned over the dispatcher, keyed up the mike, and said, "Supervisor *****, this is (Chief of Communications On-Air ID), and I am ordering you to stay off radio, except to acknowledge my direct order to you to respond to 'Base 1' (headquarters) IMMEDIATELY!"

    The Lieutenant responded, again, "Negative, I need that information NOW!"

    A new voice came up on the air. "This is CAR ONE! You've been ordered, by the tour commander to shut up and report to headquarters, and violated that order. I AM NOW ORDERING YOU TO RESPOND TO HEADQUARTERS, AS YOU ARE RELIEVED OF DUTY PENDING INVESTIGATION OF YOUR INSUBORDINATION! Dispatch, what update on the unit calling the '13?'"Thank goodness the crew calling for help was safe.

    As for the Lieutenant? They busted him, and then went through a bunch of departmental charges that ended up with his sorry butt being fired, and the State of NY DoH stripped him of his EMT card.

    It always seems to not be a good thing, when Car One, the 5 star Chief of Department, takes a personal interest in someone doing something stupid like that!

    Ya know, I just remembered, the dispatcher I mentioned in my last posting was the same dispatcher!

    So how long ago was this, and who was Car 1?

    You sure they didn't send that LT to Staten Island?

    Saline Lockes vs. I.V. Bags

    in Patient Care

    Posted

    More like more revenue than more bother. Hospitals cannot charge for the procedure (or the supplies) if they don't perform it.

    One of my hospitals used to be notorious for pulling all the field IV's and restarting their own. Their contention was that prehospital IV's weren't adequate, and that they were an infection waiting to happen. If the staff knew that an IV was a field start, they would arbitrarily yank it and start a new one. When I did my IV therapy rotation, the IV team made it quite clear that they didn't think IV's should be started in the field at all - they said our IV's were unsterile and that medics wreck all the good veins and make their jobs more difficult.

    Personally, I believed these opinions were more revenue driven than anything else.

    Sounds like Staten Island University Hospital. I don't even bother starting IVs on my patients if I'm taking them there, unless they really need it.

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