akroeze

Anyone ever get dispatched non-emergent for a general weakness on one side of the body only? :shock:

The one that holds my equipment :shock:

Overall I'm under the impression you can get the highest paying jobs right here in Ontario...

Also, anyone know of a service actively hiring ACPs? I know of Ottawa, Frontena and Waterloo. Any recommendations of specific services I should focus on pursuing? Reason why? I'm willing to relocate

Gave all drugs except Epi during PCP school.... 3 codes during preceptorship. I was the student during PCP school who got EVERYTHING, at least one CTAS 2 or higher per shift.... and now I'm a white cloud.

My concern is that I have only had a few true ACP skills level patients. A multi-system trauma, an arrest, a symptomatic bradycardia, an SVT, runs of VTach and the usual MIs. The rest of the calls, while some of them being serious, have been well within the scope of a PCP for management. So in reality I haven't had much ACP level exposure. I haven't gotten to pace, only one tube, no decompression, no IO, no cardioversion. These are all things I was hoping to get to do while being supervised before being the one who is supposedly the one who knows best what is to be done.

I just wrote my final college exam for ACP and I passed with what my instructor said was the highest mark in the class! I feel so awesome right now.... the only thing left is to do 17 more hours to complete my 400 hours of field preceptorship and its all over! I tell ya, what a journey it has been.... after 3 years of schooling I'm glad to finally be getting out on the road at this level. Hopefully it was all worth it. The only conundrum I have is that the base I did my placement at only averaged one patient carry per 12 hour shift and very very few of them required any ACP level of skills. My preceptor and I both feel that I need to get more ACP level patients before I can be truly considered competent.... I think I may do some extra shifts at a more busy base (or the day shift at the same base which is busier).

I just realized what I did and came back to change it but someone already caught it :oops:

From reading what you said here he seems to meet the criteria for cardioversion

:shock: Is this typical wage or just a product of where you work? If its typical I may consider moving there when I'm done my ACP next month.

Where I used to work 30mins was our response time 90% of the time!

I'm still not really clear what the difference is between an EMT and a FR? What more does an EMT really know that a FR doesn't?

Think that through logically.... if it is nothing but compressed atmosphere, what benefit is there in applying it?

So the question then is how does one convince an employer to put out the considerably more expense for one especially when they have a fleet of working stretchers already. I don't know of a single service in the entire province of Ontario who uses them.

Unfortunately it doesn't specify which stretcher she was on (EMS or ER).

The corollary to the quiet rule is that if you actually want to be busy, saying it is quiet will make it even more so.

I accept your condolences.... we are indeed using Comp Tracker which is not in any way shape or form user friendly or even set up for an ACP.

For the Ontario perspective, my PCP program we did ride shifts throughout our 2nd (6-8 shifts) and 3rd (8-12 shifts) semesters and the consolidation period was 400 hours minimum. We had daily/weekly log sheets where we kept track of the skills we had performed. For my ACP program I am doing 400 hours of consolidation right now (almost done). I have a Palm PDA with some special software on it that I enter my competencies into and when it syncs the college gets update as to what I have been up to

I've never understood what discipline and remedial training achieves in a situation like this. The person realized they made a mistake and reported it, followed all the process. How do you perform remedial education on checking that you have the right ampoule? It is a fact of nature that humans make mistakes sometimes.

I don't know about you but I don't carry any patient care equipment on my bus other than a first aid kit. My Ambulance however...

IMHO initial BP should ALWAYS be manual while the NIBP is checking on the other arm. This establishes two things: Gets your bilateral BP which is always a handy assessment and if the numbers are consistent with both readings you have confirmed that the NIBP is accurate.

If the incident is moving at greater than 25mph then count me out

A few shifts at a nursing home shadowing the nurse may help the attitude most of EMS has about those facilities.... but good luck seeing that. It seems to be a one way street when this topic comes up

I thought the V was Vasopressin

I'll be the first to say that I'm NOT admin