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island emt

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Everything posted by island emt

  1. well made boots that will protect your feet and ankles are not cheap. They will also last much longer than low cost boots. I personally like Danner as they are made in The US and last a long tome as well as being made in my 4 XXXX wide size. there are many different brands out there that will meet your needs. Expect to pay $100 + for good ones. Best thing to do is try on several different brands to find the ones that fit your feet comfortably and check around to see what others in your area are wearing. Usually there are uniform shops that cater to emergency service folks. Cabelas also has a good assortment online.
  2. If you are waiting for a slot in fdny then you might as well go to school and get your degree. If you really think you want to work on the street compared to a nice warm hospital, then go for it. Won't make anywhere near the money on the street. Plus the working conditions suck.
  3. I'd go with a duo neb tx as long as we are waiting for the hosers to get back with the stair chair. Then lets get him out of the paint fumes that are causing the resp distress/ asthma exacerbation. Have the big strong firemen carry him down to the ground level where we get him comfortable on the stretcher in a semi fowlers and go along to the hospital. Do you have waveform capnography available? Whats his waveform look like? ETCO reading?
  4. Mikey: If you bothered to read through the thread you would see advice given prior to your posting. What you said is just so wrong in many ways and as a "manager" You should know this! No I never worked for a crappy company that promoted poor quality patient care as it would seem you have. Last time anyone referred to me as a young un was a 100 yo pt of mine He had earned the right to do so. You have not
  5. You were doing well until you got to number 5, mikey Pulling that kind of crap is childish and a good reason to get left standing on the curb in the middle of nowhere. Or more likely to draw retaliation and be looked upon as an asshole by everyone else.
  6. 1 . Annually by state office of EMS 2. There is a minimum, equipment inventory and it all needs to be there and in working condition. they also inspect for expiration dates on all medical supplies , airways,drugs , fluids ETC. . They check the drug logs and Narc box records. 3. they inspect the truck itself for working order & condition , all emergency lighting, all safety equipment, all door and compartment latches for wear, heat & A/C for operation, general maintenance and cleanliness of overall truck. Did I ever sweat the inspections??? Not really. I knew the conditions of the equipment and it's contents. I also knew that we carried above the minimum supplies and equipment required. Some agencies stock at the minimum equipment list. I don't fly on commercial airlines.
  7. Welcome to the city If you have thoughts of going to nursing school ::::: Do it. The pay , benefits and working conditions are far better. My wife is a BSN nurse and while you are still dealing with sick people they are in a hospital and you have support from other staff. Last I knew, RN scale in the NY area was $40.00hr ++++ We have a friend up here that travels down to CT for a weekend / month per diem with a scale of over $65.00 / hr at yale new haven hosp.
  8. The reason I brought it up is because sometimes we are as much to blame as the new partner for friction. Nobody does things the same way we do and nobody has the same education level from the same school. However it is a two way street. At a former position I had the dubious task of working with every new hire and teaching them how we as a company did things. Things like how to find your way around this huge facility and how to maneuver through massive traffic jams in & out of the facility and how to keep from getting killed by a race bike or car going by a few feet away as we did our jobs on track. Safety was priority and some newbies , just didn't get it. I would sit down and explain nicely where the short comings where and how I thought they might improve. If the gentle reminders didn't help then a come to Jesus meeting was held. Sometimes my expectations where just too high and other times it was the newbie that didn't have the skillset needed and it was up to both of us as a team to find the middle ground. Poor driving is one thing I never tolerated. Just have to explain what it is that you feel needs improvement, and take the time to show them how to drive gentle & safe. If the new partner is competent in his pt care then let him/her tech while you drive. This was at a major motor sports venue where we provided coverage to AMA motorcycle , Nascar, Indy car and SCCA racing events and provided coverage for up to 125,000 guests at a time on top of our other duties trackside and in the 2000 acre camping area.
  9. many college campuses have a student run EMS response team of Student EMT's . We were up to U Maine Orono today and as we walked up the the arena , we found several member of the campus response team with AEd's & jump kits attending to a guest that had suffered a serious heart attack & collapsed. The ambulance was just arriving as we approached and the students had resuscitated the pt and handed off to the incoming ambulance crew.
  10. ORRRR::::::: is it you that is the problem child for the new partner ?????
  11. puts in 2 quarters and the magic fingers on the bed vibrate for twenty minutes
  12. not YOU :: that was a generic ER Doc as in whom ever is slaving away in the pit today
  13. From my experience a sick kid raises the fear factor in many providers both prehospital & Emergency room staff. Many of us have little exposure to sick kids and have a hard time realizing that something like a febrile seizure will usually be self limiting and not need much to get them past it.. I'll admit it : a kid with croup or other breathing difficulty makes me more hyper sensitive to taking them and passing off the responsibility on the ER DOC ,even though I know how to treat them. Plus many hospital ER's do not have the pediatric resources to give proper care. We have a specialty children's unit at the big city level 1 an hour & 1/2 south, and if we weren't sure they would often get diverted by phone before we got to our local hospital.
  14. I am also in favor of it , as the increased availability of heroin makes the risk go up. Not just because a half assed actor was found dead with a needle in his arm either. Much of the heroin hitting the streets in recent years has been much stronger and the OD death rate is climbing in many areas.
  15. drops a quarter in the payphone to call 911 for shaman who cuts his finger off with his new leatherman tool
  16. have the hosers carry him out of the second floor to my office after I do my initial intake and assessment along with a quick 12 while they are fetching the chair.
  17. the catch phrase being DONE PROPERLY OK ff's and cops are trainable to do it by the cookbook. We're talking about giving them to drug addicts and their friends/ family members. Give them nasal atomizers and thats one let needle out on the street.
  18. Eaton did this in a chassis that was used by Fed-ex and a couple other package delivery companies. Think it was based on a Navistar chassis.
  19. Again: Not busting your chops here. Maybe time to consider taking a refresher course and asking the instructor to help with those areas where you are not testing well. Not an in house collection of CEH classes , but a NREMT refresher course. The adaptive testing is a new breed of smart test, unlike tests of old where you stood a 1 in 4 chance of guessing the correct answer
  20. Thats kid of what I was trying to figure out Rock: if they have been doing this for 29 years as an organization, then what is different ??? too many unanswered questions. OR someone has an agenda
  21. The below chart is from the Iowa EMS office website. * Development of transition will not begin until Education Standards are approved in 2009 ** Testing will be the National Registry computer-based exam Certified Provider in Iowa * Rostered means a providers is recorded as currently practicing Current Certification Levels Transition Level Transition Requirements First Responder Classroom Hours: 50-60 Renewal Hours: 12 Emergency Medical Responder Training Hours: * Renewal Hours: * Continuing Education* EMT-Basic Classroom Hours: 120-130 Renewal Hours: 24 Emergency Medical Technician Training Hours: * Renewal Hours: * Continuing Education* EMT-Intermediate Classroom Hours: 54-60 Renewal Hours: 36 Emergency Medical Technician OR Advanced EMT Training Hours: * Renewal Hours: * No expected requirements Continuing Education* Testing** EMT-Paramedic (Iowa Paramedic) Classroom Hours: 280-310 Renewal Hours: 48 Advanced EMT OR Paramedic Training Hours: * Renewal Hours: * No expected requirements Continuing Education* Testing** Paramedic Specialist (National Paramedic) Classroom Hours: 600-660 Renewal Hours: 60 Paramedic Have you completed the transition education course as prescribed by the state to transition fromIowa Paramedic to nat reg Paramedic?
  22. after reading the reports : it's sounds to me like someone has a personal ax to grind & is looking to blame the air service, Unless they are being used for routine transports , then areomedical transport is usually for those that have severe life threatening medical conditions that are beyond the capability of local hospitals or ambulance transport parameters.
  23. Just because Iowa decided to call you a "paramedic" doesn't mean you have the same skillset and education as a national registry Paramedic. Hence your problems testing at that level. Don't get me wrong: I'm honestly not busting your chops here. I was also an I-85 updated to I-99 with a few extra's under our state licensing over a twenty year period of time. We had much additional education requirements to get to that level over the years as more skillsets were added to our scope of practice. We are a rural state with limited access to Paramedics and the I-99 level met the needs of many communities for a lot of years as they did away with the critical care level which was just a little above I-99 and a little below Paramedic. I was repeatedly encouraged by our med control Doc to take the bridge class to move up to full Paramedic. However as retirement was coming up soon I chose to become an AEMT rather than spending the additional 250 hours in the bridge course for something that I would not use in practice.
  24. OK : I think I see the problem Jeremy: According to yur previous posts from last september: "quote Members 6 posts Occupation:Paramedic Reputation: 1 Neutral Posted 20 September 2013 - 08:26 PM ffemt7922 U were an I99 and just had to take a refresher to get to the nremt? I am an I 99 in Iowa and I have to take the written no class but I am having trouble with the written. " End quote You are attempting to bridge up by taking the test with no additional education. I can understand why you are having trouble being successful. Quote MultiQuote
  25. My comment on that article is::: Forget any comments attributed to Porky Lepage , our esteemed gov. His logic is that if those on the low end of the social spectrum die of overdose , then he won't have to pay for Mainecare treatment for them. He doesn't give a rats behind for anyone needing public assistance and has at every turn attempted to remove them from the system. He has made numerous statements to that effect in the past three years since he won with 37% of the vote. He is brash , obnoxious and a bully , & the darling of the tea party. He recently told the State's attorney General to go ahead and sue him for not releasing public documents of a report on the state welfare system that he hired an out of state company to the tune of almost a million $$$$$ no bid contract. Funny thing is that the company chosen for the no bid contract was a campaign donor of his.
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