island emt

welcome to the City We won't hold it against you that you're from New Yawk Right Doc ????

Agreed: the education system that let her graduate without being exposed sucked. Problem is there are many schools out there doing this and leaving newbies in the lurch . there are only a set number of good places to do clinicals in a given area. Not every student is going to get the busy service with that one preceptor who wants the student to succeed. They get out on the street and encounter a serious culture shock which effects their ability to go forward in this career. Thats why I recommend prior field experience before going forward to a Degree in Paramedicine. To see if you really want to do the job ,before spending 2 years and 10+ grand to get the glitter patch

An elderly Italian man lay dying in his bed. While suffering the agonies of impending death, he suddenly smelled the aroma of his favorite ravioli wafting up the stairs. He gathered his remaining strength, and lifted himself from the bed. Gripping the railing with both hands, he crawled downstairs. When he reached the bottom of the stairs, he leaned against the door frame, gazing into the kitchen, where if not for death's agony, he would have thought himself already in heaven, for there, spread out upon waxed paper on the kitchen table were hundreds of his favorite ravioli. Was it heaven? Or was it one final act of love from his wife of sixty years, seeing to it that he left this world a happy man? He threw himself towards the table, landing on his knees in a crumpled posture. His parched lips parted, the wondrous taste of the ravioli was already in his mouth. With a trembling hand he reached up to the edge of the table, when suddenly he was smacked with a wooden spoon by his wife. 'Hands off!' she said. 'Those are for the funeral.'

you were very fortunate to have had that experience Ruff. Many of the newbs we hired had a "minimal necessary" preceptorship during their clinicals. Some of them had only ridden third on transport trucks doing the renal shuffle & nursing home two step. I didn't blame them for their lack of exposure to the real world of 911 service. but due to large class sizes the college could only get so many slots with busy services. I remember one young lady who was an incredible wealth of knowledge, could name all drugs by type , class and normal usage, could pick right up on a R on T from across the bus, could look at a set of labs and determine all the issues the pt had going on. She worked with me for a week of normal calls and did excellent. Cardiacs , diabetic emergencies, strokes, abdominal pain all perfect care & diagnosis. We rolled on a car Vs motorcycle call one evening and I sent her to check on the car occupants while i went to the motorcyclist. After she cleared the two folks from the car, she came over to see what I needed from the truck. The rider had above knee bilateral amputations to his legs and as she saw me putting tourniquets on the above knee stumps, she turned green. Then I tasked her to go & see if she could locate the severed limbs. She found them and passed out , hitting her head on the pavement and suffering a pretty significant head injury. When the sheriff showed up , I had him go check on her as I had my hands full with my Pt until a second truck could get to us to take care of her. We talked later at the hospital and She said I'm done, they never told me we'd have to deal with that kind of call. We talked for several hours as she was being held for observation and I got the back story of her Paramedic training. Yep:: she did her clinicals at a transport service where the most severe trauma she'd been exposed to was a LOL in a nursing home with a hip FX. the boss showed up & we talked with the newb for hours trying to convince her she could do this job. NOPE she was discharged , came back to the base and turned in her gear . Never to work in EMS again. It was our loss as she had so much promise.

my attitude changed back in the late 80's when the degree programs in the community colleges started becoming very popular as compared to the 6 month medic mills. Had many newb's sent to me for FTO time and some of them were book brilliant , but 'couldn't do simple EMT tasks and skills. Then there were the brilliant clinical technicians who the first time they encountered a traumatic death , crispy pt or GI bleed ,went off the rails and walked away. $10 grand & 2 years down the tubes.

I started Sept 1970 with my first working day on an old pontiac high top wagon that was owned by a funeral home and retired 1 January 2014....... Yes I know that I'm old. Really Kate: 27,,, I've got shoes older than that Back to the OP: I'm one who believes in getting some time under your belt working on the street before spending 10k plus for a degree in Paramedicine. WHY you ask??? Seen way too many kids spend the money , take the courses and when they get to the job , they find out it's not what they expected and not what they want to do for a career. Once they get past the L&S and the adrenaline rush stage , they end up hating the decision the be a Medic.

OK sign here that you do not want us to transport you to the ER for further eval

streamlight has a wide variety of LED and combo LED / halogen beam flashlights for reasonable prices. The one I have has three options.3 led's,- 6 led's -halogen - or 6 leds & the halogen all together. 1 1/2 in diameter and 8 in long, it is a 3 C cell aluminum tube and it's waterproof & submersible. called the twintask. Back then it was around $100 I got it over twenty years ago and carried it in my truck bag everyday. Or there are smaller 3 led lights small enough to carry in your pocket powered by AA or AAA cells that give good light but don't have the battery life of the bigger ones. Stay away from the rechargeable battery units. they just don't seem to last very long.

Old and cranky and you ain't fixin' me!! I don't need anger management. I need people to stop pissing me off! Old age is coming at a really bad time! When I was a child I thought Nap Time was a punishment .... now, as a grown up, it just feels like a small vacation! The biggest lie I tell myself is ... "I don't need to write that down, I'll remember it." Lord, grant me the strength to accept the things I cannot change, the courage to change the things I can & the friends to post my bail when I finally snap! I don't have gray hair. I have "wisdom highlights." I'm very wise. My people skills are just fine. It's my tolerance to idiots that needs work. Teach your daughter how to shoot, because a restraining order is just a piece of paper. If God wanted me to touch my toes, he would've put them on my knees. The kids text me "plz" which is shorter than please. I text back "no" which is shorter than "yes". I'm going to retire and live off of my savings. Not sure what I'll do that second week. When did it change from "We the people" to "screw the people"? I've lost my mind and I'm pretty sure my kids took it! Even duct tape can't fix stupid ... but it can muffle the sound! Why do I have to press one for English when you're just going to transfer me to someone I can't understand anyway? Lord, Give me patience and give it to me NOW. Of course I talk to myself, sometimes I need expert advice. Oops! Did I roll my eyes out loud? At my age "getting lucky" means walking into a room and remembering what I came in there for.

All I can say is WOW. there are some truly sick individuals out there in the world. This has very little to do with mental illness, It's more about an abusive control freak, who not only murdered 4 innocent people ,but then sent the photos to the childrens father to add insult to his loss. Domestic violence at it's worst.

Dear Tide I am writing to say what an excellent product you have! I've used it all of my married life, as my Mom always told me it was the best. Now that I am in my fifties I find it even better! In fact, about a month ago, I spilled some red wine on my new white blouse. My inconsiderate and uncaring husband started to belittle me about how clumsy I was, and generally started becoming a pain in the neck. One thing led to another and somehow I ended up with his blood on my new white blouse! I grabbed my bottle of Tide with bleach alternative, to my surprise and satisfaction, all of the stains came out! In fact, the stains came out so well the detectives who came by yesterday told me that the DNA tests on my blouse were negative and then my attorney called and said that I was no longer considered a suspect in the disappearance of my husband. What a relief! Going through menopause is bad enough without being a murder suspect! I thank you, once again, for having a great product. Well, gotta go, I have to write to the Hefty trash bag people.

pretty good one Doc

He also has the luxury of milk of amnesia or the michael jackson cocktail to give them rapid amnesia & sedation. All we had access to in our drug box was was MS/fentanyl & midazolam.

I think the best answer is for you to call the PA state EMS office and discuss this with them for legal clarification as they are your licensing agency. It would seem to me that common sense would say you can work at a lower license level as long as you only work to the EMTB level scope of practice. Are they going to lower your current pay level to that of a ER tech at the basic level?

Yep

After much deliberation, a woman finally spoke to her husband about their sex life. She said "can you buy some of those pills that help you get an erection please" He obliged and went straight to the shops. When he returned he handed over a pack of diet pills.

it was a TV show where they often forget to check in with folks in the business to find out how it is done in REAL life. Sedation is commonly given prior to cardioversion with a conscious pt.

this is how it continued :::::::: When our lawn mower broke and wouldn't run, my wife kept hinting to me that I should get it fixed. But, somehow I always had something else to take care of first, the shed, the boat, making beer.. Always something more important to me. Finally she thought of a clever way to make her point. When I arrived home one day, I found her seated in the tall grass, busily snipping away with a tiny pair of sewing scissors. I watched silently for a short time and then went into the house. I was gone only a minute, and when I came out again I handed her a toothbrush. I said, "When you finish cutting the grass, you might as well sweep the driveway." The doctors say I will walk again, but I will always have a limp. ______________________________ My wife sat down next to me as I was flipping channels. She asked, "What's on TV?" I said, "Dust." And then the fight started... ________________________________ My wife was hinting about what she wanted for our upcoming anniversary. She said, "I want something shiny that goes from 0 to 165 in about 2 seconds." I bought her a bathroom scale. And then the fight started...... ______________________________ After retiring, I went to the Social Security office to apply for Social Security. The woman behind the counter asked me for my driver's License to verify my age. I looked in my pockets and realized I had left my wallet at home. I told the woman that I was very sorry, but I would have to go home and come back later. The woman said, 'Unbutton your shirt'. So I opened my shirt revealing my curly silver hair. She said, 'That silver hair on your chest is proof enough for me' and she processed my Social Security application. When I got home, I excitedly told my wife about my experience at the Social Security office. She said, 'You should have dropped your pants. You might have gotten disability too.' And then the fight started... ________________________________ My wife was standing nude, looking in the bedroom mirror. She was not happy with what she saw and said to me, "I feel horrible; I look old, fat and ugly. I really need you to pay me a compliment.' I replied, "Your eyesight's damn near perfect." And then the fight started........ ________________________________ I rear-ended a car this morning...the start of a REALLY bad day! The driver got out of the other car, and he was a DWARF!! He looked up at me and said 'I am NOT Happy!' So I said, 'Well, which one ARE you then?' That's how the fight started.

And thats how it started:::::::::: HOW TO START A FIGHT One year, I decided to buy my mother-in-law a cemetery plot as a Christmas gift... The next year, I didn't buy her a gift. When she asked me why, I replied, "Well, you still haven't used the gift I bought you last year!" And that's how the fight started..... ________________________________ My wife and I were watching Who Wants To Be A Millionaire while we were in bed. I turned to her and said, 'Do you want to have sex?' 'No,' she answered. I then said,'Is that your final answer?' She didn't even look at me this time, simply saying, 'Yes..' So I said, "Then I'd like to phone a friend." And that's when the fight started... ________________________________ I took my wife to a restaurant. The waiter, for some reason, took my order first. "I'll have the rump steak, rare, please." He said, "Aren't you worried about the mad cow?" "Nah, she can order for herself." And that's when the fight started..... _______________________________ My wife and I were sitting at a table at her high school reunion, and she kept staring at a drunken man swigging his drink as he sat alone at a nearby table. I asked her, "Do you know him?" "Yes", she sighed, "He's my old boyfriend. I understand he took to drinking right after we split up those many years ago, and I hear he hasn't been sober since." "My God!" I said, "Who would think a person could go on celebrating that long?" And then the fight started... _______________

OLE part three ::: Ole the Norwegian Wrestler!! A Russian and Ole the Norwegian wrestler were set to square off for the Olympic Gold Medal. Before the final match, the Norwegian wrestling coach came to Ole and said, "Now, don't forget all the research we've done on this Russian. He's never lost a match because of this 'pretzel' hold he has". Whatever you do, do not let him get you in that hold! If he does, you're finished'. Ole nodded in acknowledgment. As the match started, Ole and the Russian circled each other several times, looking for an opening. All of a sudden, the Russian lunged forward, grabbing Ole and wrapping him up in the dreaded pretzel hold. A sigh of disappointment arose from the crowd and the coach buried his face in his hands, for he knew all was lost. He couldn't watch the inevitable happen. Suddenly, there was a scream, then a cheer from the crowd and the coach raised his eyes just in time to watch the Russian go flying up in the air. His back hit the mat with a thud and Ole collapsed on top of him making the pin and winning the match. The crowd went crazy. The coach was astounded. When he finally got his wrestler alone, he asked, "How did you ever get out of that hold? No one has ever done it before!" Ole answered, "Vell, I vas ready to give up ven he got me in dat hold, but at da last moment, I opened my eyes and saw dis pair of testicles right in front of my face... I had nuttin' to lose so wid my last ounce of strength I stretched out my neck and bit dose babies just as hard as I could." So the trainer exclaimed, "That's what finished him off!" "Vel not really. You'd be amazed how strong you get ven you bite your own nuts!"

don't worry:: Be Happy:: It's just richard

^^^^^ notice the date

Fire dept. cites safety, revenue in condom machine installation The department is calling the move a firefighter safety initiative in light of rampant on-duty sex in its firehouses Today At 6:01 AM HORNAYTOWN, Tenn. — Hump day at the fire department has taken on new meaning. The fire department this week installed condom vending machines in all of its fire stations, billing the move as practical response to an ongoing problem. Exasperated by his failed attempts to stop firefighters from having sex while on duty, Chief Andy Kavedin is touting the vending machines as both a way to protect firefighters from disease and boost the fire department's ailing budget. Union officials plan to raise objections to this change as it infringes on firefighter freedom of choice as a means to boost condom sales. "If you watch the footage from the fire station surveillance cameras, and you can on most Internet pornographic sites, you'll see these folks are going at it nonstop," Chief Kavedin said. "They are doing it all day, all night, in every conceivable combination and location." Chief Kavedin said he, conservatively, expects condom sales to add an additional $30,000 per year to the department's budget. "That's our turnout gear replacement line item right there," he said. Union officials are pressing city hall to boost each shift's food per diem by $3 per shift to cover the cost of condoms. Fire station condoms are $1 each. "We believe Chief Kavedin is accurate in portraying this as a firefighter safety issue," the union said in a formal statement. "We wouldn't expect firefighters to use their own money to buy other personal protective equipment like helmets or boots, so how is it right they should have to buy their own condoms? The city should not be padding its coffers on the backs of firefighters — especially when those firefighters are on their backs." The city fire commission will consider that proposal at its next meeting along with the department's revised standard operating procedures. The new SOPs layout disciplinary steps for firefighters caught having sex without approved condoms. Union officials plan to raise objections to this change as it infringes on firefighter freedom of choice as a means to boost condom sales. The union said it was not going to idly stand by as the firefighters got screwed.

what Mike said ^^^^^ keep a small notebook in your pocket and write down all the things you don't understand so you can ask about or look them up later. Shut off your cell phone, no texting or annoying ring tones while working.

Performing Community Service One day a florist went to a for a haircut. After the cut, he asked about his bill, and the barber replied, 'I cannot accept money from you, I'm doing community service this week.' The florist was pleased and left the shop. When the barber went to open his shop the next morning, there was a 'thank you' card and a dozen roses waiting for him at his door. Later, a cop comes in for a haircut, and when he tries to pay his bill , the barber again replied, 'I cannot accept money from you, I'm doing community service this week.' The cop was happy and left the shop. The next morning when the barber went to open up, there was a 'thank you ' card and a dozen donuts waiting for him at his door. Then a Congressman came in for a haircut, and when he went to pay his bill , the barber again replied, 'I can not accept money from you. I'm doing community service this week.' The Congressman was very happy and left the shop. The next morning, when the barber went to open up, there were a dozen Congressmen lined up waiting for a free haircut. And that, my friends, illustrates the fundamental difference between the citizens of our country and the politicians who run it. BOTH POLITICIANS AND DIAPERS NEED TO BE CHANGED OFTEN AND FOR THE SAME REASON !