tskstorm

this was good for a giggle

If you don't know who I am, how can you begin to tell me I need more experience? According to you there are "shitty" providers "... they have less then 6 months as a EMT and fell there season profesionnals because there medics now." really read your own posts. The family crack was to wake you up. who cares? That was the point of what I said, who cares what jobs you've done, it doesn't make a difference. As many times as you scoop and run or call for medics, it doesn't help you prepare to be the Medic, the medics on scene don't care who you are, they are there to treat the pt., not teach a new EMT how to become a future medic. We're trying to open your eyes, to the future of this profession. If you can't be bothered to type a complete sentence, who could beleive you can be bothered to write an ACR correctly? You should take care in everything you do. One, working well with others as a Medic is something you will learn in medic school, we practice team work day in and day out. Working as an EMT for a specified length of time does not build interpersonal skills. Secondly, a professional is the one who keeps a cool head when everyone else has lost it. There is something to say about experience here, the more you've seen the better you will handle it, however, the situation and management changes with your level of certification, what you're responsible for and what you have to think about changes, so only your experience at the level of certification you are working with will help you in such situation. I just wanted to know so that I don't get sick there, and to pray you aren't my BLS back. You should start by presenting yourself as a credible professional. Grammar and spelling go far on this board.

Apparently quite low

Paramedic level class? If it is, how about something involving right sided MI's or 15 lead EKG's ?

NYCEMS You're giving all NYC providers a horrible reputation... What's your name ? What Station/Battalion you from ? First job was a shot in the South Bronx? How quaint, I know people who's first call was Sept. 11th. We all see our own share of things. I greatly agree, you will see more BLS on your rotations then working BLS interfacility transport or volunteering and your preceptors will make you do BLS prior to your ALS interventions. You my friend need to stop talking out of your ass. You obviously have a horrible career, you are a lifetime EMT who has had plenty of opportunity for advancement. Further, you put down ALS providers with a quick tongue, you should think twice because when you or your family is in need, it will be these "shitty" providers who spend "way too damn loooooonnnnnggg" coming to help you and your family.

Rumor around the mill is paramedic upgrade training from the FDNY will be restricted if not removed, until the budget gets larger.

you're a cheater, you just don't want to say my numbers are all right and give me my 10 katrillion dollar prize .. boo

I don't remember seeing that in the rules in grade school!

that makes you normal ... most normal people can read that ..

564 25 16 9 05 2,868 177995 177 17 995 99 95

I hope you attach that literature to your ACR otherwise your going to be out of luck in court. A dozen slick lawyers asking you how you know what the patients normal limits are, and you say we saw XYZ literature, they say well where is it? You = screwed.

Around here, WNL stands for "We Never Looked"

I greatly concur, welcome to like 2000 Lone your'e catching up to the times.

It is all still about clinical experiences and expectations. This is probably exactly what most students need to understand. I'm going to have to agree with Scott, your time in your clinicals is about your experience with patients, the idea of doing clinicals in the ED is you will see more patients in the ED in 8 hours than you will see in an ambulance. The idea is more patient contact = more exposure = better provider. Having just finished about 300 hours of clinical time in the ED over the past 2 years(Medic school), I can't recall being asked to make a bed, or bring food to a patient etc. I would attribute that in part to choosing Doctors as my preceptors not Nurses, we fortunately have the choice of who precepts us. I was johnny on the spot when it was time to practice my psychomotor skills (IV's & EKG's not toileting and changing sheets) and in turn The doctors, even the nurses would always come find me if an interesting procedure was being done, or if there was something they think I hadn't seen. I also know the Flip side of the coin as I precept EMT students on my ambulance, I don't ask them to carry my bags, make my stretcher, empty my garbage etc.... I tell them to take vital signs and lung sounds on every patient, ask the patient as many questions as they can think of, and to treat the patient best they can, and I'll help them out as they go. I want them to learn the reality of the concepts they learned in class.

stupid.

granted now your house is a self cleaning litterbox I wish terri smelled better:D

http://www.studentdoc.com/free-cme-online.html http://www.ems-ceu.com/ http://www.emcert.com/

I would suggest contacting local DEA contacts. DEA PHONE NUMBERS & CONTACTS Orlando, FL: 1-407-333-7046 Randy Rine or Sharon Lynne and ask them the best course of action

was

Sent out an email, is that what you were looking for?

check your email when you can thank you.

Please take note of the response already which was stated, are those numbers based on how it was dispatched, what the call should have been after a review of the ACR? and regarding who transported. How many were 10-94's where the ALS rides on the BLS unit and the BLS unit gets credit for the call and gets to send the bill. Secondly If it was left to me how to respond I would choose the most appropriate, however here in NYC for the 9-1-1 system you are dispatched with a priority, and any deviation of that is ignorance, neglect of duty, and just horrible. The point here, is If you get to choose how you respond then that's okay, but here we are stuck following the rules if we want to keep our job.

Its the call volume vs amount of ambulances available ... 3500 calls a day maybe 70/80 ambulances? NYPD Policy/protocol prevents such action. I've taken officers to the hospital for everything from minor abrasions, to horses falling on top of them.

I am not a dispatcher, I will not ask anyone anything, further more, Civilian call takers take the call and ask questions by a book of series of questions. Here in NYC we are dispatched to a call with a priority 1-6, and unless it is for a stand by, a potty break, or an EDP we use lights and sirens. It isn't up to the crew to determine if it was dispatched properly and all calls should be responded to appropriately, How many collisions have occurred because ambulance crews were driving to get food... how can you determine a call is "BS" before you arrive at the scene ? Please remember when people call 9-1-1 for them it is an emergency whether it is for a hang nail or an amputation its an emergency for them, naturally if they feel its an emergency enough to call 9-1-1 they want/expect lights and sirens, If we asked every caller if they needed lights and siren response who would say no?.... and If they said no would we inform them since they are a low priority in the middle of a weekday during the spring or summer the wait time for an ambulance can exceed 3 hours? There was a 3 hour hold for an injured Police Officer last week but it was only for a hand laceration. If it takes us 3 hours to get to an injured officer, how long would it take us to get to your regular methadone patients, or your regular alcoholics?

Do you know why lights and sirens should be used more often then not when the way to a call ? Because I cant tell you how many times we get dispatched to the 90 year old that's 19 ... or 7 year old that's 70 years old or the cat scratch that was an officer cut up by a bobcat, or the leg pain that was a cardiac arrest. Truth is people(dispatchers/call takers) make mistakes and we don't know what we have until we get there, after we have seen the patient we can make our own decisions about light's and siren usage.