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NYCEMS9115

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Everything posted by NYCEMS9115

  1. Welcome aboard.
  2. Welcome.... Good luck with the studies... School is the start of your career. Keep learning afterwards... Stagnation is an EMS Provider's Achilles Heel for many... All the best... But you will move up in the EMS ladder due to your educational background: whether on a Local, County, or State Level... You already have the work ethic; a multi-tasker... Don't let others tell you otherwise...
  3. Welcome to the City... What do you do in the ER? Give us a taste of that Memphis Blues... "Stupid kills"
  4. I want to apologize for going off topic.... PHC Providers; need to apply an appropriate collar. Poorly fitted collars allow for movement. Driving to the ER needs to be as smooth as possible; avoid excessive speeds, sharp turns, potholes, curbs, aggressive stops, etc... When assisting ventilations; do not hyperventilate; do not forcefully ventilate; do not force an OPA in. Avoid excessive movement of the patient. Placing the patient in reverse trendelenberg as a unit on a longboard. All this will minimize increase ICP in patients with Head Injuries. This is basic management in the Prehospital Phase of "Medicine"...
  5. But going that extra mile can be part of patient care... We can dance around the point... We all agree that there needs to be good patient care which can be very similar to good customer service... Kudos.
  6. We provide Prehospital Care not Medicine. In NYS, that is. We are Practitioners of Prehospital Paramedicine not Medicine. A Nurse/RN doesn't practice Medicine. A RN practices Nursing. They are Practitioners of Nursing Care. BLS and ALS are Prehospital Care in NYS, that is. Can't argue something that is fact in one region. I'm disputing other's idealism because I'm not from there, so I can not. EMS as a whole is not egocentric; we are different and the needs are different (for the most part). Medicine are for Physicians... Nurses and Allied Health Professional practice a sub-category of that... Ridiculous is a strong word...
  7. FD and EMS mergers are inevitable in Cities... I can come up with dozens of reasons why it was bad that FDNY took over NYC EMS but I can come up with dozens of reasons why it was a good idea... Nothing you can do but just stay on your board and ride that wave. It's up to you whether your going to wipeout.... Mahalo (I love the Island of Ha-wa-ii; was there [Oahu] in 2003 for my 1yr Wedding Anniversary). They put Spam on everything; I love Spam...
  8. http://www.emtcity.com/index.php/topic/20345-fire-ems-mergers-that-dont-work/page__pid__260938#entry260938
  9. Not to say this is right but it's true: you can provide the best care in the world but if you're rude when doing so, the patient (the customer) will say you're the worst Care Provider, ever. You can kill them with kindness, literally... The State or Governing Agency is responsible in establishing that the Provider has met the minimum Standard of Care. The Employer is responsible to make sure you have the Certifying/Licensing paper; make you better at your Care and that you're nice when doing so. Thus, Customer Service Training...
  10. Not sure why your targeting my post(s) and claiming I need to do research; as if what I've posted isn't true. My post was an evaluation of what I've seen and what some Providers have come across. Poorly fitted collars; no necks for all (patient 6'2" 190lbs, not a no neck). Apparently, arms are pin cushions; several needle sticks without an IV established and the need to establish one (we're running out of large bores, here's the last 22g). On-scene time exceeding 20, 30, 40 minutes because the desire to make sure all Protocol Care and Assessment has been rendered before transport; no understanding of "the sooner you leave the scene, the sooner you'll be in the ER; care can be given in a moving Ambulance." You must inform me of the non medical terminology of BLS and ALS in other Countries but you can only speak for your Country (even though you are not a recognize Representative of your Country and neither am I of mine) but please tell me without insulting. I know it is hard. Since, most on the site trash others opinions...
  11. Heellooooooo there..... Welcome to the City. Share some of your stories..... Are you guys bloodsuckers? Literally... Since many patients claim that when an IV is started and blood is being drawn... Must be a very interesting County...
  12. Every Service is different... Private Services vary; some provide benefits, some do not... My Service provides competitive wages, paid time off, medical & dental benefits, and life insurance for the EMTs and Paramedics.... Administrative and Office staff get little bit more perks... Not all Privates are created equal and not all Civil Services are, either... Good luck on your career...
  13. I guess when in Indiana; do what Indianians do... Others call you what they think is right. I am an Ambulance Driver, when I drive. I am an Ambulance Attendant, when I'm in the passenger seat. I am an Ambulance Writer, when I'm writing the PCR. I am an Ambulance Re-stocker, when I'm re-stocking the Ambulance. I am an Ambulance Provider, when I'm providing Care. Just don't call me an Ambulance (the Ambulance is here!), I left it on the street... You as the Provider should introduce yourself appropriately. Hello, my name is --------. I am an EMT, Advanced EMT, or Paramedic...
  14. Welcome back aboard... How long you've been at your current position? Describe your service? Sorry for prying...
  15. http://nyp.org/about/ems/contact.html
  16. Welcome.... I love Brussels; was there 6 years ago... Check Quality Inn. They're a cheap reputable chain and they serve free continental breakfast (gotta save $$$; NYC is quite pricey)... If you're in the mood to ride along in a NYC EMS Ambulance; call NY Presbyterian Hospital at 1+2124722222 to speak with someone regarding scheduling a ride-a-long and/or FDNY EMS ride-a-long at 1+7189992770. Check out the FDNY Museum in Tribeca, WTC Memorial in the Financial District, Ground Zero, and all the other touristy locations. $2.25 for the NYC Subway and Bus (one price with free transfers from train to train, train to bus, bus to bus, & bus to train); it will take you almost anywhere in Manhattan, Brooklyn, Queens, and the Bronx (not to Staten Island; you'll need to take a Ferry). Ferry also to Liberty Island... Buy Frommer's Guide to NYC; worth the $$... Credit Cards are accepted almost everywhere (taxis, NYC Transit, local stores, restaurants, cultural activities... Keep your cash to a minimum... Enjoy NYC.... Safe trip....
  17. Welcome to the City... Share some experiences you have working and living in Saudi Arabia...
  18. Welcome to the City... Congratulations on being an EMT-B... Apply, apply, apply; everywhere. The learning just begun with the EMT...
  19. Accounted is the same as hours worked? Are you working just 7.4hrs in a 10hr shift or receiving 7.4hrs of pay for 10hrs of work? If you've worked 36.5hrs in a week; by law you're suppose to get 36.5hrs of pay (at $10/hr, you're entitled to $365.00 gross salary)... File for a pay adjustment or salary discrepancy with payroll... Get them to backpay you; gonna be a process...
  20. Paramedics do make a lot more money than an EMT-B; in NYS, that is. No easy way to anything. No degree; no biggie; many Universities/Colleges offer Adult Education Degree Programs for individuals over 25y/o without a Degree or with just an Associate's. Research for disciplines that my interest you and speak with family, friends, co-workers, supervisors, and school counselors. It's never too late. If you want to become a Paramedic; then become one. Look into your nearby Colleges which may have an Associates in Paramedics. In College, you'll be expose to many things that may interest you; it may trigger an interest and push you to get your Bachelor's and even a Master's. You have to work another 34+ years. Education and experience moves you up the ladder. Carry ups and carry downs are not fun for the back of a 50 or 60 year old... Remember that Degrees are earned for dedicated hard work; no easy way out... Good Luck...
  21. NYCEMS9115

    Death

    Keep your head up... Everyone reacts differently to things. It's good to speak out about it. Grab the ear of co-workers, friends, and family. If it is getting into your daily routine; you may need to speak to a professional. I can't say it's normal because everyone has their version of "normal"... Good luck... Burning coffee grounds helps with the smell of a decomposing body... Thank you for sharing...
  22. EMT-B Pre-test.... Incumposses: Maff: addin, subtrakin, times, & deevisun, Reeding: Nahvels, speaches, pomes, & eses, Riting: Gramer, speling, punchuation, & sentance struckyer. HS should have prepared a EMT-B candidate. They should have some basic test. The student should be able to read, write, and solve basic math problems. We do that at the College before a student can take College Courses...
  23. Good attitude... Do what you want... Get whatever Degree(s) you want... Yes, there are shortcuts. Just remember school is just the beginning for everything. There is no one who knows it all. We're all learning. Someone who thinks they know everything, is truly mistaken... As long as the School is Accredited by the proper "Authorities" then you should be confident with the material learned, grade(s) given, & Degree received. Look for the .edu on the URL... Speak to family, friends, classmates, teachers, co-workers, and faculty to help guide you... Welcome to the World of EMS... Good luck...
  24. Regions vary... Some have taken out SQ Epi for IM Epi and others have kept SQ Epi... When NYC replaced SQ with IM Epi 2-3 years ago; Hudson Valley, NY still gave Epi SQ... It's up to the Physicians on the various Medical Advisory Committees... IM is a faster route than SQ...
  25. Welcome to the City.... Have fun.... Good luck on the EMT-B.....
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