wrenEMT

There wasn't this option so I put BLS provider with pain relief. Only reason I put that is because there wasn't the option of ALS provider with pain relief. I will say one thing I have sympathy for those in pain but there are some instances that the people are either faking or it's a pain that you can't give relief to. ABD pain being one main one. I did have one medic tell me that since in our protocols it says that any pain rated over a 3 you can give up to 100 mcg of Fentanyl. I said well wouldn't that defeat the purpose of being taught over and over again in medic class you don't give pain meds to abd pain because it can mask what is really going on in the expansive space that is the belly? he said since the half life of Fentanyl is only 30 min it's ok to give since the patient doesn't normally see a doc for more than that in an ER. But I interjected again with. If in a severe case you might be sent to a shock/trauma room which gets a doc in there in approx 10 min. So you just masked the pain that could help dx what is really going on in your patient. No answer I believe if you have pain meds use with discretion because there are those that will fake with the best of them to get what they want and if you think you patient is really in that much pain then go for it. There is no point in making them suffer There is also my partner's philosophy.. Now that we have pain relief we shouldn't always use it.. mind you he has been in EMS for 25 years when everytime you wanted to give pain meds you had to call medical control and ask.. and most of the time you were denied.. it sucked but that is now his philosophy even now that he can give pain meds he doesn't always see the reason.. maybe it's because for so long he couldn't he doesn't think about giving them either. pain meds have their ups and downs.. and some that have been around since the beginning of EMS will tell you that they didn't always have the chance to give them so they don't now.

I think put that way then it would be considered attempted murder.. By definition according to law it's attempted murder, and if multiple people die of that then it would result in serial murder because the person knowingly put other people at risk and in the result of that risk caused their death. So my answer is Neither!!!

i just got called yesterday about one of my fellow EMT's wanting me to go down there to help in the efforts in Louisiana. Told him if anything I would try my damnedest to help out in anyway I could.

Can't tell you the name of the medic but one of my friends just called me to let me know it was one of the guys that used to work for him.

I check out my truck from stem to stern every day. I have been screwed before as well when I have listened for to people that had been on the truck the prior day. O2 is out on the cot, jump bag is missing something, or the truck just wants to start. So I check everything off, the combitubes, BVM's, monitor, all the fluids, on the truck and in the truck. Everything I tell you everything. I can't always count on the people that were on the truck before me so I never trust them when they say, "everything is good.. we restocked this morning" good for you I say, I'm still gonna check it out

I have touched a patient in the same way as most others.. hand holding a sick person, someone that was about to die and even let a family member and/or patient cry on my shoulder. But I also have NEVER EVER thought of touching someone in any other manner than for compassion or comforting. I answered no.. but the reason is I of course didn't read the question you asked with the poll spenac.. bad me..

unfortunately for me here in indiana we get hot ass weather and HUMIDITY THAT KILLS.. well at my service we still have to wear dark blue BDU Pants, and light blue polyester crap shirts.. Ever see Mallrats by Kevin Smith.. yeah Mr. LaFours.. that's my uniform shirt with a white tshirt underneath.. kill me man.. I want to die most of the time in the summer.. only protection I have is underarmor that keeps you cool in the summer and warm in the winter.. other than that I just drink lots of water and hope I don't pass out from the heat.

Flyleaf "All Around me" and Seether FMLYHM HAHAHA

http://www.youtube.com/watch?v=KJysCsutnwE Just look for Bugs Bunny Opera man.. I have to say Marving the Martian.. and Chilly Willy the Penguin I still know all the words to his opening song.. I love that lil guy Right now though I am addicted to Family guy and Stewie, and a bit of Timmy from Fairly Oddparents thrown in.. it's having a kid that does it I swear

Thank god there are only like 3 hospitals I go to with codes.. and one with badge only entrance, which sucks, but I deal.. The codes that we do have are all the same though the 911* 911# or even 0911 not a big deal to remember them.. just have to remember which one goes to which I don't like writing things like that down so I don't lose them. Most idiots could figure it out, but I don't want that one retard that didn't have a clue of what the code was finding out because of me.

i'm glad to say most of the time I don't need a patient's signature unless I am getting a refusal. And all the nursing facilities I go into I normally have to get 2 signatures.. medical necessity and one on my report, but I just point and they sign.. In the hospitals it's pretty much the same.. Point and sign my report, I never ever had an issue getting a signature.. I HAVE had an issue finding the damn nurses though.. that sucks.

at my private service you have to ride for a minimum of 3- 12 hour shifts.. then after that if they are not competent.. we have a lil test for them to take, then you must do another set of 3-12 hour shifts, most of the time that's all we need since we are a basic only service right now. But even there, there are a few people that aren't as intelligent as a rock with moss growing on it. Some of them have still stuck around I don't know why and I have never gotten a straight answer from the higher ups but it's mainly because it's not hard to do transport and i don't argue. I do argue with those emergent runs that you actually need to use skills with, like a cardiac arrest or even difficulty breathing..

I'm going to make this short and sweet since I'm about to get ready and go into work. But yes if you take the mandatory classes at college level such as math, english, anatomy and physiology, and communications classes then you are eligible to get your associates but that depends if the college around you offer that. Because here my Medic Instructor is doing just that he has been a Medic for about 15 years and wanted to get his associates degree so they have it that all he had to do is take his "PreReqs" and he would be able to graduate. Needless to say he is graduating with his own Medic class, and getting the same degree as we are. Associates in Paramedic Sciences. Now to continue on to be an RN you would need Microbiology, Advance Social Science (Abnormal Psych or the like) Advanced Physiology, and a few Nursing classes including clinical time. This time if you take a full class load will take approximately 6 months instead of the normal year and half or 2 years. Since you already have a knowledge of pt assessment and care you don't have to take as many classes. I'm currently finishing up my medic classes right now. I am planning on going on to get my RN. I'm in an associates program for my medic so I already took care of the first part of that. Hope this helps a bit. Mind you, I'm talking about Ivy Tech in Indiana I'm not sure of where you are at so I don't know all the logistics of what your state might involve.

Never fails if we have a rider we normally don't run. But me being in clinicals I have had both kind of days I will go to a station and end up sitting and playing on my computer the whole time. Or even better I will be go to a station and I will run my ass off. Depends on the day. I said the nasty forbidden words several times the other day when I was riding out on my medic clinicals and I'll be damned they didn't work. But now that I'm about to go into work and work on the ambulance for pay I shall not even think those words because I know that I will get my ass ran off if I do. I hope that I will have an easy day but I don't even think that will happen. One day I even thought.. Hey this will be a semi decent day I won't be dead on my feet surely.. and my truck alone go 18 calls. I'll be damned to even think those silly words when it's me running the truck.. But trust me I have said it and nothing has happened, especially when I'm the student, but when I'm the tech never fails to work every freaking time.

i saw somewhere above that students have problems with personal boundaries.. One.. You can be wary of your own personal boundaries all you want but in our job we get paid to invade others personal boundaries on a daily basis. When you think of a patient that can't get out of their wheelchair or something like that you have to do a 2 man transfer from wheelchair to cot.. it's a bitch for those heavier patients but it can be done and I have done that alot in the last few weeks..only thing is I invade a person's personal boundaries to do that.. reaching around their chest/abdomen area to get them moved over to the cot.. and then my partner gets their legs.. How many people would be comfortable with getting man handled like that.. none of us but we have to make it our job to break through people personal boundaries to get information out of them and to be able to work on the effectively.. That is one skill that isn't really taught but it is learned if you want to be good at your job.