crotchitymedic1986

Look at the ads on the home page and the ones in the thread --there are numerous companies that can help, as well as books you can buy. But the first thing you need to figure out is did I fail because I forgot the material, or did I fail because of the way the test questions were worded. Many people who are fresh out of school fail the NR because of the wording of the questions. If that is the case for you, there are "Test-taking" books and classes that you can purchase to assist you.

sorry you rookies werent around for intracardiac epi. You dont do it bouncing down the road either.

And you will be amazed at how supportive your leaders will be if you volunteer to do the heavy lifting. The problem is most employees only come to them with complaints, and no solutions. Or they are interested in something if someone else is going to do all the work. Tackle any problem you are having, get the supervisors to steer the data your way, form a committee, and see what you can improve (with their approval).

Most drugs are good up to 30 days after the expiration date; the problem is with our heat and cold extremes in an ambulance, I wouldnt use them past the expiration date. The reason you get different answers is because of $$$$. In some parts of the country, if you fill/order drugs from the hospital, you can swap them in before they expire for a new one at no charge (hospital gets credit from pharm. company). But if you are private or government and are ordering drugs from the internet or a private pharmacy, you have to eat the cost of those wasted drugs (which can be expensive -- I think one 6mg Adenisone is like $36.00, and of course Amiodarone is around $200-250). So those who trade with hospitals want to get them off the truck early, those who dont trade with hospitals want to keep the drugs on there until the very last day.

I dont affect it now that I am no longer in it. But I tried hard while I was in it. There is always room for improvement.

You dont have to have a title to be a leader ---- leadership is action.

oh no he diiiiiddddddnnnnttttttt (sometimes you just have to say dddddddaaaaammmmmmnnnnnn).

Well if your service is that good, I think you owe it to the rest of the world to try to improve EMS as a whole. Maybe you could do a study or try a new drug or piece of equipment. Maybe your protocols could be a little more aggressive. From Those Who Have Been Given Much, Much Will Be Expected !

Tell that to all the fire departments that educated and coded themselves out of jobs.

You pointed out the good points --- now the bad: they tore/cracked easy (if they got squished by something heavier), they were hard to clean blood off of -- making them disposable, and the velcro either tore off or wore out after a few uses. P.S. And half the time, dumb rookies put them on upside down (atleast one half).

The day we start transporting only the patients who NEED an ambulance, will be the day you lose your job. Only 5-10% of 911 callers really need an ambulance, or should I say wouldnt survive a car ride to the hospital. Drop your call volume 60%, and lets see how many ambulances and jobs your county needs.

Well if you have a needle that is long enough, you would attach it to a syringe. Clean the xyphoid process area with betadine and alcohol. Insert the needle just beneath the xyphoid process, aiming it left towards the most distal corner of the scapula (straight line). Insert slowly, until you strike blood, then use syringe to suction off the blood. Obvioulsy, IV access, oxygen, sedation, and a cardiac monitor should be in use.

shania has a wooden leg.

Glad to hear your department is so progressive, but if you arent measuring anything, how do you know all is well ?

Well as usual, you know I will play devils advocate: Assumming that the patient continued to sat well, and was in no respiratory distress (proper rate, volume, color), is this really any different than a patient who has a trach collar, the opening is just a little further north ? Tube size is roughly the same as a trach (depending upon size they chose).

No one else is improving anything ? Dont be shy.

It is my opinion that you should not be allowed to hang medication drips if you do not have an IV pump or atleast a dial-a-flow. Imagine being a patient in ICU, and hearing your nurse say, "Yea, that looks like about 5mcgs per minute, wished we had a pump".

Agree and disagree. If you have no knowledge of the drugs in your truck, you should not be administering them. But using a "cheat sheet" to double-check your calculations should be mandatory. I would also make it a law that if you do not have an IV pump or atleast a dial-a-flow, you should not be allowed to start medication drips on patients. Regulating medications by eyeball is too dangerous.

hyper, you will never get fat. Would you rather be paralyzed with a fully functioning mind, or have a fully functioning body but have a low functioning mind ?

the name is crotchity wendy. I am a dick 24/7, or have you not figured that out yet ?

Dont you usually call her "mom" ? Sorry sirduke, left yourself wide open on that one.

Let me see if I can explain this so that you two can understand it. Since both of you only get to have sex with another person maybe twice per year at random dates (whenever you scrounge up enough money for the hooker), any sex act that you have this year can not be premature. But if you normally had sex every friday night, then having sex on Wednesday would be premature. Atrial Fib is irregularly irregular, therefore no beat can be premature.

believe whatever you like mateo.

Unfortunately, like in all of EMS, the probable only difference between this service and the neighboring service is the color of the shirt and the truck.

Correct, you can not be premature in a random rhythm.