Mateo_1387

Double post, maybe someone can delete it?

Maybe this nurse's license exam was in a non-English language.

I am not following you about ACE inhibitors and inotropy. Could you please explain? Not following you either Kiwi. I cannot find the drug Isporel, which I assume is Isuprel. If that is the case I will say this... You cannot use Dopamine for the chronotropic effects, but what about the chronotropic effects of Isuprel? So, I am not getting this either. How can you screw up heart tones, then kill somebody with heart tones? How can listening to heart tones extend your scene time dramatically? How can they take away heart tones? Doesn't make much sense to me...

What revolves around moral and ethical intent? Coercion, lying, or palmin' breast? Initially upon reading this, I am going to state this. Your moral and ethical intent may not be what the patient wants. Trying to apply my perspective of moral and ethical intents does not necessarily apply to my patient's standards for morals and ethical dilemmas. Is this illogical? How about a reply like this. "Sir, your condition is serious (Admit the truth) but you are doing a great job working with me to help you feel better (offering a positive and encouraging reinforcer). Or, just ignore the question and offer a ton of positive reinforcement to help keep the patient focused on following your commands to help him breath better. Just thinking out loud... Matty

I agree that lying to a patient (in most circumstances) is not the professional method to 'get someone to the emergency room'. We had a thread here recently that discussed points similar to this one and I cannot find it. Anyways, I will repeat what I said in that thread. For starters, I will post the definition of coercion. co⋅erce [koh-urs] –verb (used with object), -erced, -erc⋅ing. 1. to compel by force, intimidation, or authority, esp. without regard for individual desire or volition: They coerced him into signing the document. 2. to bring about through the use of force or other forms of compulsion; exact: to coerce obedience. 3. to dominate or control, esp. by exploiting fear, anxiety, etc.: The state is based on successfully coercing the individual. Pay special attention to number 3. Exploiting fear, anxiety, etc, to dominate or control. In essence, getting the patient to do what we think is best for them. Another way to say it, and this one of my favorites which was stolen from DwayneEMTP, 'gifting them with our advocacy'. We, as professionals, have an obligation to respecting the freedom of choice concerning our patient's bodies (if they are capable of making decisions for themselves). We, as professionals, have no right or obligation to scare patients into going to the hospital because we know or think it is best for them. The decision is and should be their decision to make. Telling patients things such as 'you will die if you do not come with us', especially being a small remote chance, is coercion at its finest. Informing patients about complications of their medical condition is one thing, using those complications to promote your agenda is something entirely different. The same holds true for those who threaten medical procedures. 'Wake up or I will put a big needle in your arm' or 'tell me what pills you took or I will have to shove a tube through your nose to your stomach' or 'you will die if you do not hold still' etc are all forms of coercion. We should honestly take a look at how we talk to patients. Sure, compliance may be easier if you use coercion. Taking a moment to talk to your patient, explain to them the why behind why something is warranted go a whole lot further with patient interactions than using some of the above phrases. Matty

Where did I say that all women who wear a burka are terrorists? Although my post was not clearly spelled out with /sarcasm at the end, I certainly have not implied what you say. Posts like this are more detrimental to discussion & show a lack of reading comprehension. /sarcasm. Honestly though, my intention was to convey that I would like to know why the French want to ban wearing a burka before they are bombed (by true Islamic extremists that a certain number of Muslims deplore).

I did not say that, you did. It was funny at first (it is all about my perspective), but towards the middle and the end, I started thinking a bit more seriously.

That is quite a jump to a conclusion about which type of ambulance service he/she works with. In retrospect, I read the post twice and thought maybe the poster wanted to portray that if a patient is going to be going to the operating room immediately, then he prepares Normal Saline ready for use by the hospital staff. The poster did not state that IV fluids are used with every IV.

Usted escribe en español horriblemente. Uso de la palabra ´pinche´ es de mal gusto. Si fue otra persona, entonces ADMIN sacaba la palabra. Pero estoy divagando...

Government can require that you wear a minimum standard of clothing, I reckon they can set a maximum too. Religion sets standards too. Personally, I am thinking it is a bit far to prohibit the burka, but I would love to hear their reasoning before they get bombed or I can make up my mind. Matty

Yea.... The whole firefighter wearing gear inside of a nursing home asking medical questions looked about as stupid as they portrayed the nurse. I know it is supposed to be a funny, but I just got the idea that the posted video and those similar to it found on youtube are to just make firefighters feel good about themselves. Oh well. Matty

I'd have to say the best part of Raleigh is the large selection of restaurants that serve awesome food ! Also, taking I40 to Raleigh just past Exit 301, going around that corner, I know I am back home. Miss that place. Enjoy JoCo ! I hear they have a decent program at JCC. Good Luck !

Yea, but Fiznat did not say that. Anyways, his question probably was weather or not the patient was a high acuity patient, which typically require advanced skills, or a low acuity patient who does not require all the bells and whistles. Calm down bro, Fiznat is one of our finest posters, give him a break. (Edit was to fix the last word from beak to break, maybe it was a Freudian slip...)

Rock shoes is just pointing out what is obvious to most of us. You have to remember we have many members who may not grasp that their actions were dangerous although probably heroic. Someone had to point it out. Siff, I agree with you though, I'd hope to have the courage too. This incident just flat out sucks. Matty.

NCEMT may be North Carolina Emergency Medical Technician.

Hey Kai, Sorry to hear you are in a sticky situation. I hope it turns out well for you. I suggest to follow the shut up and lawyer up advice already given (ECHO ECHO ECHO) May I also suggest that you refer to the policies and procedures book of your company in reference to Internet postings, suspension, and disciplinary actions. Make sure you are being treated fairly. The other thing I suggest is to see if there is any unemployment insurance you are entitled to for work that you miss. Might as well take the money if you are entitled to it. Good luck to you. Matty

We are allotted 20 minutes to get back in route to our district. I think they made it the standard because most people at this service write really short and incomplete reports (IMO) so they leave the ER fast. I typically take a few minute over 20 to be in route to district. On the other hand, I write detailed reports. Our supervisor does not complain too much to me about being over 20 minutes.

Any scientific evidence the Americans are to blame? Specifically, which Americans are we talking about? I've seen some mean lookin' South American Drug Lords...

Good ol' Y2k. Some of my family has kept the holiday scare tradition going. Each year it is something about how everything will go downhill and we will be left with nothing but what is on our backs, at least that is the outcome of each of their predictions. Gotta love those folks...

He is what North Carolina is saying about using the King airway for emergency situations. NC-KingAirwayFDAOpinion.pdf

FML = Fuck My Life http://www.fmylife.com/tops/flop

Way to turn Santa Clause in for being a terrorist Dwayne, I hope you can live with your decision...

4 Intubations this year, thanks to the cadaver lab.