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tskstorm

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Everything posted by tskstorm

  1. me personally i prefer going to my interviews with my work shoes/boots which has rediculously scuffed up toes, just so that my employer can see my "CPR toes" btw im only kidding, just go in there and show you have a strong work ethic, and be respectful, and as most ppl in here will say dont act like you know everything and are on a mission to save the world.
  2. clean hair cut, clean shave. be prepared, pen AND pencil, resume, driving abstract etc... i dont think what color suit you wear will matter as much as the content of your conversation. also be warned alot of interviews for ems do include written and scenario tests. good luck
  3. okay its taken me a bit to get back to this thread, okay to clarify, 1st note is i didnt give FULL details on company policies but will attept to clarify and still keep details to a minimum it is a bls unit, full on part 800 doh unit, to clarify, if a pt is on the 7th floor of a hospital on his way to a nursing home, after being admitted for xyz has an elevated bp, we are REQUIRED to deny the transport, simply because the NH wont accept the pt. ill pose you this.. what sense does it make for the company to take an unstable pt out of the hospital ? how can that help the pt ? now if we reverse the situation and the pt is in a nursing home scheduled to go for dialysis, and we find they are unstable elevated bp bla bla, then we refuse txp to the dialysis center and go to the nearest ER. Ruffems- does that clarify it enough for you ? who would i call for the pt ? the DR on the floor or the ER and get the pt down there. Do you refer them to law enforcement or do you just leave the scene and let them fend for themselves. WE do not except them from the hospital, fend for them selves? nope the rn's and dr's on the floor help them. If you are a service that has paramedics then I find your reasons to refuse to transport very very troubling. we do have als txp units but if the pt needs ALS i still REFUSE the call and the appropriate unit will be notified. Ridryder 911 Not all patients need an ER, but may require critical care transport we dont have CC, and again i will say the same thing why would i take a pt outta the hospital in an unstable condition BLS such as oxygen to even a residence. when i said o2 the first time i meant o2 with a vent, of course we dont refuse pt's who are on o2 all the time. As well refuse if the scene is not safe.. hmm.. sounds like an excuse, not to work. Sorry, you have to be careful it is true, but unless the "psych" patient is armed and dangerous, and the whole ER was on lock down I am sure it was relatively safe. If not, leave and have them call you when the situation was handled and return to transport the patient. okay 1 im a Marine, i dont flake out on work, nor am i worried about psych pt or otherwise, i havent EVER denied txp for that reason personally, doesnt mean it isnt done. okay and then back to ruff, like i said it is isnt 9-1-1 it isnt ALS it was BLS TXP not an ambulette or "wheel chair van" i think that clarifys it for the most part .. any other thoughts or anything else need explanation ?
  4. quick note, did this article say they were 9-1-1 services? when i worked doing transport we can refuse to take any pt with elevated bp's unstable vitals etc.. UNLESS there destionation is an ER, but if we get called to pick up to go to a nursing home from a hospital floor and the pt needs o2 or bag or intubation etc... we can refuse the pt. we can also refuse pt's if we deem it not safe for us ... like 2 months ago i was rolling up to a hospital with my partner we get out the stretcher about to pick up a pt, security wouldnt let us in we asked why they said and i quote "psych pt got out" i was like alright, talked to dispatch said scene was unsafe send no more units to this location, the ER was on diversion no one was allowed in or out at all, in this case the call was offically put in as we refused to take the pt cuz we refused to wait at an "unsafe scene" ... its all political nonsense.. if its a 9-1-1 call we cannot refuse anyone period the end.
  5. how about find me a pic of a dolphin killer whale hybrid !
  6. how about brittaneys ball head
  7. oh man gl finding that one ive tried haha
  8. now find me a lady in a vagina costume lol
  9. It goes like this: I name an item. Lets say its a sony TV. You go find a picture of a sony TV and post it. Then you get to demand the next picture. No answering your own post and you cant put up your pic of tuna if someone else already posted it. Its not as easy as it sounds....I've seen people ask for a wolf in sheeps clothing and things like that before. Photoshop creations are fine, too for stuff like that. (example: an oreo cookie with a face painted on it) And one last idea...if you dont want to upload a pic(or don't know how) then you can also provide a link to a page with the pic on it, just as long as you show that you found the requested item. First ITEM find me a light bulb exploding!
  10. lol ouch ..
  11. for as long as i can remember ... i personally think its ludacris a basic cant get a pulse ox, blood sugar etc... but thats how it is
  12. its a bit more expensive here but all i think about is "its a tax a write off"
  13. yea I know, I use the NIBP's 2 when I'm at the hospital... I'm not claiming to not be at fault for using them, I'm trying to show why we give even numbers. my logic... assuming we all agree we can only get an even reading on a manual bp cuff. we use the NIBP but because we can only get even numbers on the manual we round off so as to deceive and show we used a manual cuff . therefore there is no right or wrong as to how you round, as it shouldnt be done. of course this isnt realistic, we use whats convenient. which is the nurses/hospitals NIBP just my 2 cents and yes i do use the NIBP's im not innocent just offering opinions
  14. yea i probably used incorrect terminology but i think it got the point accross, however the definition of Scope of practice is as follows .. Scope of Practice is a terminology used by licensing boards for various medically-related fields that defines the procedures, actions, and processes that are permitted for the licensed individual. The scope of practice is limited to that which the individual has received education and clinical experience, and in which he/she has demonstrated competency. Each state has specific regulation based on entry education and additional training and practice. Professions with defined scope of practice regulations include nursing, emergency medical services(EMT), social workers. Copied and pasted from wikipedia. Noting the italic font my interpretation is the same as PRPGfirerescuetech, and as the scope is defined above, that you need to receive education and training, and furthermore proove proficiency on any equipment you use. This is what I meant by operating out of your scope. This is what I meant, If you say you are using an NIBP and document as suck, as the platiff's attorney I would ask if you were trained to use it. The rest of my points were covered by PRPGfirerescuetech
  15. ny emt-b's lose there cert if they use and/or document a pulse ox ty for prooving my point, its not rocket science but thats how it is here
  16. but now i must question are nibp's in protocol or in your scope of practice ? i mean a monkey can use them but are you trained in them ? if not we probably shouldnt use them therefore documenting as such indicates you as operating out of your s-o-p and screws u more then helps you i dunno just saying ...
  17. would love to know how hes going to see what the machine says.. and again its not my rule/protocol or w.e thats whats taught in class, thats whats taught when you first start working, thats whats taught to new trainee's, thats what is done on the st's here p.s. the only time we have the ability to use digital b.p's is if we are picking up at a hospital for non-critical pt txp and we use the hospitals, rare i have to worry about the pt going sour. if im working 9-1-1 im using a good old fashioned bp cuff and my vitals are always even numbers at that point ... but if im txp a pt and if the vitals are not within the pt's norm i wouldnt be moving them therefore the "plantiff's attorney" can "F" himself cuz i aint got shit to do with the pt's health he can sue the hosp all damn day but he can leave me the "F" outta it now we seem to be a bit off topic and im previously aggitated from seperate personal events which happend momentarily ago so this probably is going out really messed up and harsh etc.. but o well im an @$$ i never denied it
  18. i use the dry cleaner they get out everything
  19. . see here in NY even if we use the digital we have to record even numbers period the end (prehaps this is just the company i work for rule, but i dunno and dont really care i always round torwards a traditional vital sign, if the bp is 115/79 id round up to 116/80 if the bp was 123/81 would round to 122/80 and if the numbers are offset ie 129/77 id round to 128/78 or if it was 117/85 would go to 118/84) as it's been said the 1mmgh up or down on the bp isnt a big deal no matter what you do. my philosophy is c.y.a and do w.e you need to to not get called into the office. anyways best of luck in your decision
  20. i only read the first few replies so this might have been staed but bottom line is well here in ny anyways the DOH requires you to be able to lift 125 lbs unassisted and 250lbs with your partner its part of your certification. i browsed the nj doh for similar information and cannot even find where it lists the qualities/qualifications needed to become an EMT ex; hs diploma or GED, 18+ years of age, things like that. look on the site or ask around im sure you'll be able to find it...
  21. i took an interview at amr in nyc not to long ago, in short the interview/hiring process was as follows, application, paperwork(emt card, drivers lisence SS card, drivers abstract, resumee ), 100 question multiple choice test, drug screening, scenerio's 1 medical pt assesment 1 trauma pt assesment, then they sat me down did a short job interview, why did you leave your last jobs, ems expirience. then we discussed pay, hours, orientation. and that was it. ny to cali might be much different, but thats what it is here and is very similar for most jobs, including the job i have now with TranScare. if you have any other questions contact me via private message. good luck !
  22. I work with FF rarely but for the most part ive learned one widely held truth which applies in many situation, you scratch there (their? eh w.e no one said i can spell .. ) back they scratch yours. Ive taken plenty of FF's on my bus, when they need it of course. and the FF's dont forget it I'm 150% ems, but at the same time have had no problem with the FF's in brooklyn or queens where ive worked. They have always been more then willing to help. **shrugs** lets all play nice
  23. well thank you but as i stated i knew about that i was wondering if there was a another appliation
  24. can u show anyone where there is an actual appliation ? I dont know what "station" to walk into to get an application, I also just called a few days ago not expecting them to call back so soon of course but if there is another entrance process please share very interested. the only application i can think of is civil service fdny emt and filing for that isnt until june
  25. prehaps we wated to discuss the topics of each clip ? i dunno ... i do agree sounds like pretty standard stuff except that blowjob nonsense
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