JPINFV

Just in case people missed the post in the other thread, the OP is talking about setting up a bag to work as a set medic.

BLS, ALS "No base hospital contact": Age, gender, CC, anything major (normally not needed) ALS "Base hospital contact": Essentially say the entire run sheet over the radio (demographics, v/s, treatments including IVs). Contact vs no contact determined by protocol. Ain't EMS based fire suppression is fun?

At what rate? Have you thought about taking out loans to pay for your education?

Just wondering, what type of department (EMS based fire suppression?) are you working for? Furthermore, is there so many problems in your service that they feel that there needs to be an officer on every ambulance?

Just need to check the Internet Movie Database (IMDb) Randolph Mantooth Kevin Tighe

Neither snow, nor rain, nor heat, nor gloom of night...

This one was listed on www.fark.com [safe for work... mostly]. Fark is a collection of links (mostly to news articles, but also links to photoshop contests, photography contests and other random stuff) where the submitter creates their own, often humerous, headline for the article. Example: One of the links for the Bear-Sterns 'merger' was titled. "Bear Stearns close to being acquired by JP Morgan for two bottles of Tums and a hooker to be named later"

Well, someone's been reading out of the Lynndie England play book.

Well, I have seen some physicians wear something similar to that... [spoil:825fbcd657][web:825fbcd657]http://www.dvdtown.com/images/displayimage.php?id=3451[/web:825fbcd657][/spoil:825fbcd657]

It all depends on how many people you have. I used to be involved with the management ("Leadership" was a gross misnomer) team for the volunteer group at the hospital I used to volunteer at. We had no problem writing people up and letting people go who failed to show up to their shifts. I'd rather have someone just not sign up (volunteers were required to work 1 4 hour shift a week) for a shift than sign up with no intention of showing up.

The dedicated children's hospital units at my old job had hook-ups in the roof. Of course those units were rigged with isolet lifts, TV with DVD and VHS in the back, and medical air, so it wasn't exactly your standard setup.

I think it's important to note that this thread is now over 2 years old.

Based off of some of the replies on another board (half the people were trying to say that Albuterol dilated the lungs, and that this was the reason why Albuterol was bad for CHF patients), I'm beginning to think that any program that doesn't require histology, as either a pre-req or as a part of the program, sucks. To be honest, I don't think that A/P should be a pre-req, but instead should be integrated into the program. Of course this doesn't exactly works if the program is going for the minimum required hours.

Talking about things flying, this brings up a question. The company that I worked for had custom mounts that mounted the monitor to the gurney for CCT calls. They were great because the monitor never had to leave the gurney to transfer the patient to the gurney. (Link to picture) Thus, I've never actually used the more common table style mount used by CCT crews.pic How secure are those things in the end?

Well, to be fair, how many traits and little customs are there in EMS that exist simply because someone passed on some hearsay and the person adopted it because it was the first thing they heard? It's, unfortunately, the EMS way where any little difference is wrong and the only right way to do things is how each provider sees it individually. I bet that if someone were to start a poll right now on the number of people who use a seat belt in the back that the majority of people would reply that they did not. This is regardless of if the trip is 30 minutes or 5, critical or non-emergent (be it scheduled or unscheduled). Afterall, EVERYONE knows that you can't care for a patient with a seatbelt on [/rhetorical statement].

Just because someone is sitting in the jump seat doesn't mean that they are ignoring the patient. Similarly, just because someone is doing paperwork (which, I might add, might tell you a lot more about the patient's medical history and conditions than a physical exam might or interviewing the patient) doesn't mean that they are ignoring the patient. This also means that just because someone is sitting on the bench seat doesn't mean that they are monitoring the patient. I had a partner once who decided that the bench seat was the perfect place to be text messaging while transporting a patient. Let me add that I'm an avidly use all of my mirrors when driving and that the bench seat is very visible in my rear view mirror. Yea, I got to have fun filling out an incident report on that guy (there were other problems with that shift).

But if UK medics are anything like US medics, then there are a lot of people who really shouldn't be in any sort of skirted garment. It's article of clothing, not a drape.

Hey, Peter, watch your corn hole bud.

It's one thing to talk about dressing to kill, it's another to actually carry it out.

[web:9112e4c4d0]http://www.abyssandapex.com/200710-wikihistory.html?1[/web:9112e4c4d0]

The UCI transition program is 45 units according to the program's FAQ.

But that's also a problem with forcing hospitals open. There's a hospital in LA County (Bell Flower Medical Center) that only has 3 beds in their ER. Now, under county protocol, after so much time on divert (3 hours, I think. LA County wasn't a main service area of my old company), the hospitals are required to be open for 15 minutes. Well, if 100% of your beds are full and there is literally no other place to put patients, then being forced open for 15 minutes is really just a cruel joke on the ambulance crews. On the other hand, one of the hospitals in Orange County (Hoag Memorial), has a rather awesome system set up. They're one of the busiest (60k patients/year circa 2005 [hospital website]. Received 6k paramedic escorted EMS patients, accounting for 11% of all paramedic calls, most including the trauma centers in 2006) with one of the lowest divert times [11 hours in 2006. Only one with less divert time is no longer a receiving center and only received 100 paramedic patients that year. [2006 Annual System Activity Report, OCEMS]. On a pure personal note, I have never had to wait for a bed, regardless of the acuity of the patient, for longer than 5 minutes. 99% of the time, there was no wait time at all. Having volunteered at Hoag, I think a lot of the low divert time/high patient volume stems from them finding every nook and cranny to put a gurney and a monitor (they're new monitor/alarm system allows for portable cardiac monitors essentially making every bed a potential monitored bed) as well as the "Triage Plus" system. Essentially, if you're complaining of something that isn't serious, but will require lab results, they will call you back for an assessment (by a physician) and to draw labs and then send you back to the lobby to wait for the results. Furthermore, they've taken over a few other patient care areas after the respective department closes (Radiology holding room, for example). This expands the ER's capacity by 4 beds in the afternoons and weekends. If there's a will, there's a way.

^ You're also forgetting about the insufferable lottery process used to fill seats in nursing programs in California. Also, in case you didn't know it (it's only a few years old), UC-Irvine has a BSN program as well as an LVN-RN track (not degreed though). http://www.cohs.uci.edu/nursing/up_prospec..._students.shtml

I guess I should note that this policy was in effect both in the jobs I've had in EMS (N=1) and outside of EMS (N=1 also).

Every company that I've worked for had that exact policy. Of course, it's never strictly enforced. Things like miscommunications happen, so the reason ("I didn't feel like showing up today" vs "I was told I had the day off per ____" so long as it's verifiable) for the no-show/no-call should be taken into account.