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Bigger and Faster.


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They're simple kinda like what you describe.

We also have 2 Jump bags. Blue bag: Medications / IV start supplies / BLS. Green Bag: Airway / Oxygen. These are not speedload.

We re-stock the bags from the bins. We use the supplies out of the bags first.

All of the bins are numbered and orgainzed according to BLS or ALS. ALS Airway 1 CPAP, Airway 2 Adult Intubations, Airway 3 LMA's, Airway 4 ETCO2 adaptors and CareVent Circuits,) ALS 2 IV supplies, ALS 3 Zoll Monitor supplies, ALS 4 Needles, ALS 5 Cardiac Med's, ALS 6 CAM (Crash Airway)Med's, ALS 7 Nitro/Dopamine , ALS 8 Diabetic/Respiratory/GI Medications, and ALS 9 1 Complete cardiac Arrest bin ( Has everything to work 1 code with). IV 1 is specialized IV fluids ( D5W 100cc's, etc) IV 2 is IV pump supplies. BLS 1 is Adult BVM's, BLS 2 is Pedi BVM's, BLS 3 is suction supplies and BLS airway (NPA, OPA), BLS 4 is Infant BVM's, BLS 5 Trauma dressings, BLS 6 and BLS 8 are Bandaging and other various supplies. BLS 9 are Zoll Disposable B/P cuff's. OB/ GYN are not sealed in bins. BLS 10 is H2O and Peroxide.

They're restocked in plastic bins like this:

http://www.acehardware.com/product/index.j...oductId=1288986

Open with no lids but plenty of room for storage. Plastic bags are then placed around covering the entire bin and then heat sealed on one side. We just rip the plastic to gain access to the bins.

The overall idea for the Speeload was 3 fold. One 90% accountability or higher with the supply accountability. Quicker truck check outs in the morning and less confusion. Everything organized.

Every morning we do our truck check outs the bins are stocked with the necessary items per state FL DOT reccomendations and some agency specific items and par levels. It can take 15 minutes to check everything out vs just under an hour to do the check list the right way. At first I didn't like the idea. But now I really like the hassel free re-stock. I never have to count because I just swap bins out when they're open.

We're in the process of obtaining 1 of those Medication vending machines for trial to place in the depots for the medications not carried in our bins (Morphine, Fentanyl, Valium, Versed, Ativan, Succ's, Ditilizem). Right now our DO's drive around the county to re-stock. But they're gonna change that too.

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It's agency specific, one of our Paramedic FTO's created the idea and system for LCEMS.

Here's a link for a pic of the bins:

http://www.acehardware.com/product/index.j...oductId=1288986

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Ahh, the service I worked for simply punched holes in the cabinet doors and used tags [similar to the ones found on hospital crash carts] to 'seal' the cabinet. Also, which I think was the major problem, was that the crews never restocked at the end of the shift. That was the job of some minimum wage unmotivated drone's job over night.

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What is a shame is EMSA is still placing the priory of the money going into the trucks instead of paying medics. So you have pretty new trucks .... with a shortage so bad due to the pay sucking the "bonus packages" is not working.

After discussing with the medics that work there, no difference in rides and faster? Really? Better discuss the ineffectiveness compliance's of the required time. Again, it does not matter if they have a "bigger engine" if there is not a crew to man it.

Better to have a smaller engine without all the "fancy gadgets" and have a full roster of people to man the trucks/

R/r 911

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What is a shame is EMSA is still placing the priory of the money going into the trucks instead of paying medics. So you have pretty new trucks .... with a shortage so bad due to the pay sucking the "bonus packages" is not working.

After discussing with the medics that work there, no difference in rides and faster? Really? Better discuss the ineffectiveness compliance's of the required time. Again, it does not matter if they have a "bigger engine" if there is not a crew to man it.

Better to have a smaller engine without all the "fancy gadgets" and have a full roster of people to man the trucks/

R/r 911

Yeah, the problem is the trucks are paid for out of a different pocket than our paychecks, which is where a lot of the issues seem to be derived from.

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