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mediccjh

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Posts posted by mediccjh

  1. hi,

    i was wondering if the company you work for is suppose to provide you with tb and hep shots. i say penn cause thats where i live and the rules may change state to state. i work for two dif private companies and no one is giving me a straight answer. some say the company is suppose to pay for it others say that i am suppose t o pay for it. i asked a couple of ppl on here but i would like to see what others think as well. i don't have health insurance so if need be i just may have to find a free clinic. thanks.

    In the Commonwealth of Pennsylvania, your employer is REQUIRED to provide you TB screening.

  2. Hello...

    A few nights ago during my internship I succussfully performed my first field intubation. It was a trauma arrest and a fairly messy scene. Multiple GSW victim in PEA with police performing CPR on arrival and alot of blood on the ground.

    My preceptor had told me that during our first code my only job would be airway. Due to this I had everything setup before everyone else was done packaging the patient. My preceptor said go ahead and after some initial issues with my view (I did not set myself up well just sitting there on the ground behind the supine patient) I got it.

    Normally you BLS a trauma victim to the ambulance unless you need to treat flail chest or tension pneumo or your BLS airway isn't good enough, correct? Someone on scene suggested next time that I intubate "at the back of the bus" or in othe words bringing the patient to the back like we are going to load them but stand there and intubate right before going in.

    What do you guys think about doing it at this time? It seems to make sense to me with the only draw back being a slight delay to transport time. It provides a good angle (just like an OR intubation in a sense) and if it doesn't work you can just hop in and go.

    What I don't like is it makes everyone else stop what they are doing to wait for you and delays transport time.

    Thanks for your thoughts!

    Sounds like you did a good job.

    When you're on the scene of a trauma, the patient needs a surgeon. Scoop and run, do everything, including advanced airway, on the way to the hospital.

  3. Being that I've stuck 4 sick kids in the past 2 days, I'll chime:

    O2, assist as needed.

    Pull out my trusty Broselow.

    IV. Check sugar. If low, give sugar.

    Fluid bolus. 5 day old, 10 mL/kg. See what happens.

    Get the tube ready.

  4. That post should go in the Top 20. It takes a strong person to step back like that and come to that realization.

    I think Dustdevil might just have a heart attack if he sees this thread...

    Way to stand with your hat in hand and be humble, dude. Testimony to the learning process, right there.

    :D

    Wendy

    CO EMT-B

    That's the last thing he needs....

  5. I want to apologize to all the University employees i offended. I work at other projects with University paramedics and they are the most professional paramedics i have ever encountered. I never meant to offend or generalize, but this story sparked some anger in me and i wrote to hastily after watching the report.

    I have never applied to the U nor do i plan to, i already work in a busy urban project and have no desire to work another one.

    If you are being serious, apology accepted.

  6. This is why i have no desire to work at the U. I know lots of medics who got hired and walked out on day 1 of orientation. Maybe they felt this place was no good. You should here some of the stories i hear about the U, these guys are elitist's and believe they are above the law because they work for the state. Its a scary thing. I also here that if your new they will do some type of hazing too. No money in the world is worth the abuse these guys put there people through.

    Maybe you shouldn't believe everything you hear about the U.

    I must be an "elitist" since I work there. :roll:

    I suggest you present some facts and proof before you start badmouthing all of us that work there.

    For your information, the other 247 of us that work there are pretty pissed off and angry that this happened. I was never hazed when I started there; I've been there almost three years.

    I suggest you watch what you say and present facts and proof.

    You sound like someone whose application got rejected. If so get over it; it took me 3 years to get in.

  7. :lol: As a former employee of the "U" i'm saddened' date= upset, and shocked all at the same time, not only because of the incident itself but also because i never EVER would of thought any of these guys would of been involved in something like this. This whole incident creates more of a safety issue.. i mean as if it isn't crazy enough working in Newark already.. believe me I know what's it's like.... it's just so sad

    If any of you guys are from the "U".. please be careful working out there...

    ***Ivonne***

    I believe we were in the same orientation class together........

  8. Thats all bad.

    As a ghetto based EMS provider, ill agree. Watch your back. Get in touch with your training guy in regards to some potential defensive tactics for EMS training.

    Good idea on the vest. Where'd you go, MP uniform?

    Nope, Patriot Workwear in Wind Gap. Mark, who used to work at M&P, opened it up about 2 years ago.

  9. As someone who works at the U as a Paramedic, I am very embarrased to be working there.

    I am very angry, because it makes those of us who enjoy working there and love the job look really bad.

    The people of the City are not going to forget this one. I now fear for my safety at work.

    I'm going to buy a vest in the morning.

    NOTE: Please don't ask me for details. I would like to keep my job.

  10. I will be up that way on the Cape for vacation 8/23-8/30. On 8/30, I plan on planting my ass at 'Nuf Ced McGreevy's Tavern on Boylston St., in kilt. I will be respectful and leave my Yankees regalia in the Jeep.

  11. After reading this thread, I feel the need to beat my head against the wall twice.

    Once for not doing the degree route. But I'm going backwards and I'm going to do it.

    Second because I have now realized why we will not advance as a profession.

    The driftwood needs to be collected and burned in a bonfire. I have the gasoline.

  12. Oh, where do I start....

    In New Jersey, ALS MUST be hospital-based. By law. That is why you cannot operate an ALS 911 service in New Jersey. Personally, I don't mind it.

    Also, by law, there must be 2 medics on the MICU. I like that too.

    BANISH THE FIRST GRADE COUNCIL. They are useless. They do nothing. Because of them, volunteer units don't even need to be licensed by the state.

    GIVE NJOEMS MORE POWER. More power to inspect the vollies and hold them accountable.

    HOLD THE VOLLIES ACCOUNTABLE. I don't even need to explain this.

    REGIONALIZE, REGIONALIZE, REGIONALIZE. It's working in Gloucester. Regionalize the 911 centers to be county-wide. Make the BLS county-wide, with ALS fly cars. Hudson, Warren, and Hunterdon do this. It works. Keep certain ones stand-alone, like REMCS for Newark.

    To me, the problem is not that there aren't enough medics in NJ; it's that they are abused. There are lots of places where the PD will request ALS on an obvious BLS patient just to baby-sit until the BLS shows up. It sucks.

    DISCLAIMER: These are my opinions, and do not represent the organizations in NJ I work for.

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