DwayneEMTP

"The original anatomists weren't interested in the clitoris. The penis was much more interesting. " I'm thinking these boys had a hard time...err...difficult time getting lucky...at least the second time. Dwayne

Oh man...that's funny..."I think I just passed my spine!" Yeah...definately funny Dwayne

Who are you and what did you do with somedic?!? I've been watching your last several post (actually I see them all, it's just the last several that caught my attention)...they have been kind, insightful, insult free, and not a single hint that a person should simply kill themselves if they are not in the military...I'm becoming a little worried about you... I'm also becoming a fan. Great posts man...I mean that... Dwayne

emtpsaveu911, I get the message below when I try and access the link...(Though I'm sure it's very funny!) FORBIDDEN You tried to access a document for which you don't have privileges. Dwayne

(No idea what that means, but it cracked me up)

Dang it man! You came back with the perfect reply...now you've spoiled it.... When you have seven posts, and ask a relatively common question, people are going to assume you didn't search...No biggy. If Michael got under your skin with his little ditty, you need to really duck, because he's about the lightest touch you going to find around here...Take a breath, reread his post...notice that it's funny and maybe you took it wrong...and let's get back to learning. Michael can find anything, on anything, for anyone...You're new here, trust me when I say you don't want to burn these bridges so fast!! By the way, I suck at searching....so he and others help me all the time...but You'll need to find a better way to ask... Dwayne

Damn it....I wish I would have said that! I mean...assuming we're still talking about food... :shock: Oh never mind... Dwayne

Pretty simple really. Her plea included the misconception that CISD might have been a realistic option in helping her avoid this issue. This is a smart, rational lady, I expect she will be around for a while. If that proves to be true it's very important she knows what is, and is not, good for her mental health. Technical is good when it is research based. It's paragraphs like this that make those 'technical' posts from Dr. Bledsoe and others like him so important. Not a fact to be found above, simply a sour attitude. If you read her post I believe you would have seen she asked specifically for people to withhold this type of advice. She seemed to want steps that she might take to resolve this issue and prepare her for issues like them in the future. "Get over it and toughen up" is redneck wisdom, not advice helpful to managing a person's mental health for a lifetime. Besides, nothing in any of her posts suggests she's not already tough, smart and confident. She just didn't know how to pull this one out of the ditch. Nothing wrong with that. Perhaps in the future you can give it a little more thought before attempting to criticize valid advice by comparing it to nonsense. Shira, I don't have any stories like yours to offer advice from. I know you'll listen to what helps you and apply it. I didn't mean to hijack your thread, I'm just sort of playing hall monitor... :wink: Good luck girl, keep your chin up...others here will point you in the right direction! (Pulling my pants back up to my chest, adjusting my clipboard, and going off in search of other malcontents....) Dwayne

OK, I volunteer to write all the faqs concerning animal training in EMS! No, no need to thank me...really...I don't mind....stop it...it's nothing...I'm just happy to be of sevice.... Dwayne

The one thing I didn't consider...though I doesn't matter much to me really. In my medic class I am the only one of ten that hasen't worked on the street or in the hospital...so I'm considered a tourist. And they have no problem explaining that I won't understand much of what the 'serious' people are doing. Even when I get higher marks on assessment drills they laugh it off as "book learnin" that doesn't really count, because I haven't seen 'real life'. (Despite the fact I've seen more life in general x2 than the next oldest person in class) It gets pretty chilly in there at times...but is warming up a bit now that I've smoked them all on my first three exams. (what happens to all the 'real life' smarts when exam time rolls around?) :roll: And yeah...what Dust says... Dwayne

Is there something 'un'funny about it that I'm missing? Seems to me a play on country kid's attitudes about city kids...Pretty funny I thought, though seems to have ruffled some feathers... I spent my pre-teen years working cows and breaking horses, my teen years on a cash crop farm in Minn, and have never known a country kid that didn't feel the same way...for pretty good reason to boot...Put up 80,000 bales of hay in summer, when you're not doing your 'real work' and boot camp doesn't really look all that scary... But again, perhaps I'm missing some insult to the military.... Dwayne

Follow the link below, and then let anyone tell you a single btk amputation is an issue....I watched this guy on a series on television...Unbelievable! http://today.reuters.com/tv/videoChannel.a...34e5230b33e6b9b Dwayne

It must have been edited out! I don't find it now either. I think it was in the second one, on brain swelling. Man, I thought maybe you had been in the desert too long and confused blowjob with work you have to do to prepare for a dust storm! I'm glad to see you're not so far gone as that! Have a good one! Dwayne

Hey Dust! It's during the video where he is explaining the difference between sympathetic and parasypathetic nervous systems. Something to the effect of "Sympathetic is fight or flight (explains sympathetic response to fear). If your sitting on the couch, watching tv, eating chips and getting a bj, then your using your parasympathetic nervous system" (rest,digest,sex) Not a bad way to remember it I think! K....off to practice.... Dwayne

Magic, I'm not sure what there is to discuss...Pretty much very, very, basic BLS stuff...Maybe better in the student forum, unless I'm missing something.... Dwayne

Dust turned me onto this book! Amazing! For those of us with an I.Q. hovering in the low 50s....even we can't fail to understand it. I wish he wrote all my texts! Hey? Would recommending this book be an appropriate FAQ post? Dwayne

http://www.emsresponder.com/article/articl...p;siteSection=1 Michigan System Says ED Patients Will Have Zero Wait Cooperation from multiple departments successful Not content with a 30-minute guarantee that it has been offering its ED patients for six years, Michigan's Oakwood Healthcare System has declared that patients will now be seen as soon as they walk though the ED doors. So far, so good, say ED staffers, who concede that the new approach could not have been accomplished by the ED alone. "A lot of the processes implemented with our 30-minute guarantee were working and continue to work," says Tracy Case, RN, BSN, clinical nurse manager of the 62-bed ED at Oakwood Hospital and Medical Center, Dearborn (one of the system's five EDs). Case was involved in the original implementation of the 30-minute guarantee. "A lot of what initially happened was structured in the ED, but we all had to focus on this together to make [the zero wait time] work," Case says. The ED is very much affected by the rest of the hospital "because we need throughput to get patients admitted up to the floor," she says. The impetus for the new policy came directly from the ED's patients, explains Lori Stallings, RN, BSN, director of emergency services. "As a system, we have spoken to our customers since the implementation of the 30-minute guarantee," Stallings says. They have had multiple surveys and telephone conferences conducted by the marketing department, she says. "More than a guarantee [of a short wait], they were looking to get to a physician and have their care started immediately," Stallings says. This reduction in wait time required a "Herculean" effort on the part of a multidisciplined process improvement team, formed in 2005. That team consisted of about 800 people, including a central corporate division and smaller teams involving every manager and medical director. Participating departments included everything from transportation to administration. For example, the radiology department went to a 10-minute turnaround on transcriptions (printing, reading exams.) "That's down from what could have been up to an hour," notes Stallings. "The labs also improved their robotic system to help decrease patient length of stay." More monitored beds were added to the hospital; thus, in the ED there usually is a bed ready for patients in less than 30 minutes. To accommodate patients who needed but could not get a monitored bed, the observation area was expanded and a transitional unit was created on the fifth floor that was directed and managed by Stallings. "This allows those patients to move out of the ED," she explains. "They are still in a hospital bed, cared for by an attending physician, but they are not in the ED on a stretcher." In the past, a cath lab patient who may have been able to be discharged in the morning might have still occupied a telemetry bed in the monitored unit. Now, that bed can be freed for a patient who needs monitoring in the unit. How it works The new system works like this: When walk-in patients arrive in the ED, the first person they see and are greeted by is an RN, who is always stationed within five feet of the door. Their complaint is taken, and they are registered immediately by someone from the registration staff. "Then they are taken directly to a triage room where, depending on the complaint, care is started immediately," says Stallings. There is a set of specific guidelines created by the performance improvement teams and signed off on by the medical director that cover care the nurses can provide if the patient cannot see a physician right away, says Stallings. "These include extremity X-rays, urine tests, lab work — different things that may facilitate throughput," she explains. "They are utilized frequently, to ensure the patient is actually getting care started even if they are not getting to a physician immediately." ( See example of the guidelines for chest pain) All of the ED staff has been trained on the new policy and procedures. "We don't start anything here unless 85% of the staff has been inserviced," says Stallings. Since the new policy has been implemented, there has been an increase in patient volume and in admissions, with the inpatient side of the hospital responding effectively in getting the patients in-house, Stalling reports. "Press-Ganey [patient satisfaction] scores have risen systemwide, patients are much happier, and our exit surveys have been very positive," she says, adding that one of the smaller EDs in the system said they recently received an 85% Press Ganey score on "likelihood to recommend." "Ours here are not quite that high, but they have almost doubled from what they were just a couple of months ago," she adds. Stallings insists that EDs of any size could do what Oakwood has done. "One of our EDs has nine beds, and we have 62," she points out. "What you need is the support of the administration and the undivided support of the inpatient side as well."

AZCEP, From the outside looking in, a few questions. What are the prereqs for your program now? If you chose to raise the required prereqs for your program, is there a threat of losing students to others that would not share that higher standard? ( I guess my question it, what is the pressure to eliminate prerequs to attempt to keep the seats filled?) If you raised the prereqs, would that possibly make your grads more hireable, leading to your program growing due to it's increased placement possibilities? Of course, all this assumes the program needs to make money, and I don't know if that's always the case, but it seems if we're to end the educational stagnation (in general) it has to follow the money...right? I'm sorry if I misunderstood what you were looking for...these were just my thoughts... Dwayne

More lotion... Dwayne

http://www.voiceofsandiego.org/articles/20...rs/417blame.txt Stop Blaming Low Salaries By Michael Howland, San Diego Thursday, Jan. 11, 2007 | I have been recently hearing Fire Chief Tracy Jarman lament that there were so few applicants this year for Fire Recruits and that it must be that "salaries are low." A starting salary in the $30,000 range certainly seems respectable. It shouldn't take a rocket scientist to look at the application and see why. The Fire Recruit position (the entry level position) requires an EMT-1 certificate. An EMT-1 is the second level of certification, requiring a EMT-Basic and additional studies and tests. A search of similar cities (i.e.: Los Angeles) shows that that the certification is obtained while working as a recruit, not a prerequisite for the job. Eliminating this as a prerequisite might get a higher number of applicants. Maybe we should try working smarter rather than blaming the low salaries for our problems Shoot, remove the need to pass a drug test, physical, or have a home address and you should be able to have 'em beating down the doors!! Dwayne

http://www.nola.com/news/t-p/eastjefferson....xml&coll=1 Widow says EMT stole $238 from ill husband Hospital probe clears man Thursday, January 11, 2007 By Michelle Hunter Authorities are investigating accusations that an East Jefferson General Hospital paramedic stole money from an unconscious man who collapsed in a convenience store last month, an act allegedly caught on tape by surveillance cameras. The victim, James Smith, 46, died in his sleep of unknown causes on Jan. 1, but not before filing an incident report with the Jefferson Parish Sheriff's Office on Dec. 27. Smith said a male paramedic took $238 in cash from him as he lay on the floor of the Discount Zone food store at 5350 Jefferson Highway in Elmwood on Dec. 23. A Sheriff's Office deputy who viewed footage from the store's three surveillance cameras trained on the spot where Smith went down said in his initial report that he saw the male emergency medical technician "bending over the victim . . . and reaching over the victim's right shoulder and with his right hand remove the victim's money from the victim's hand." Smith told the deputy that no money was ever returned to him . "I can't believe they did that," Smith's widow, Lisa Smith, said Wednesday. "I can't believe they stole money from my husband while they're supposed to be taking care of him." Sheriff's Office spokesman Col. Robert Garner said the investigation was ongoing. ...... (Maybe the medic thought it was drug money?? :wink: ) Dwayne

Becksdad had to explain it to me...The horror! Dwayne

Man, I'm so sick of the "what kind of an idiot does more than is necessary?" attitude! Bubba, unfortunately, you just labeled yourself a fireman...Right aren't I? My apologies to the several amazingly smart firemen we have here, but welcome to the stereotype. Dwayne

Take a peek at this page.... http://www.emtcity.com/phpBB2/viewtopic.ph...18&start=15 Dwayne