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scubanurse

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Everything posted by scubanurse

  1. If they are asking about previous experience with employers and you feel like you don't have enough to provide a good answer, try to relate the question to your experiences in University. I'm sure you have experiences with professors and advisors who you can make work for those kinds of questions. Good luck!
  2. I have really good friends who started dating in High School and are now married and one of the happiest couples I know. Age is really just a number and one person's maturity level will vary greatly from another at the same age.
  3. Being an organ donor doesn't always mean you have to be kept a live. There are plenty of organ and tissue donors who are DNR's. Eyes, skin, ligaments/tendons can be donated post-mortem. It's called Donation After Death. As for that guy, medical control would have to be involved as to what to do.
  4. BSA should be a best estimate, even burn doctors will often disagree as to the percentage. GCS is way too easy to do that is shouldn't ever be an estimate. That is objective data. Anything subjective will vary from provider to provider. As for field estimates of burn percentage.... treat their pain dude. You shouldn't sit there estimating BSA while they scream in pain. Address the pain, then make a best guess. Doctors aren't really going to listen to your BSA estimate anyways so why delay patient care???
  5. Sorry I missed you Richard... I'll be in there for about the next hour or so and throughout the day if anyone is bored...
  6. Welcome! Feel free to jump right into the discussions and ask questions
  7. CC? Again, please know this is an international forum and most abbreviations are not universal. A 4 yo can tolerate a pediatric NRB, and if they do then use it. No reason not to in this case. Blow by is not as effective as a NRB and as long as you have a good fit and the kiddo tolerates it, I see no problem with it.
  8. Looks much much better. I would use the letters to help the reader know what information is being provided, like S: Pt diaphoretic, pale A: NKA M: Wellbutrin P: Regular menstrual period (LMP: ______ if you can obtain it), L: plain bagel and water 2 hours PTA, E: Watching TV when pain started....see what I mean? It'll help you as you write them as well to organize it this way. Consistency in report writing is key. If you write your reports the same way every time, it will become so second nature you won't have to think about it.
  9. I hope you don't have the wildfire issues we have here in CO!
  10. 1) Ab is not a universal abbreviation for abdomen. You should never use abbreviations in your narrative unless they are on an approved list by your agency and even then it is a huge risk to take. 2) O2 by po?? 3) It's great that lung sounds were assessed but what did you hear? Did you just listen without critically thinking through what they would be classified as? Same with cap refill and skin condition. What did you assess them to be? Writing down that you looked at those things is great, but meaningless as to the condition of the actual patient. 4) If you are going to write patient states, put the statement in quotations. 5) Again, put down the information you gathered from the history and vitals. You're giving half information here and that will get you into trouble. 6) What does that even mean? 7) I would put down the real name of the hospital and use proper grammar with capitalization. Here's how I would write that report. C: BLS Unit 208 dispatched to a 20 y/o female c/o abdominal pain. Upon arrival, found patient in fetal position being attended to by (state who was actually there). H: S- symptoms listed here (diaphoretic? flushed? what are YOU observing about the patient). A-allergies M-medications patient is on P- past medical hx, has this happened before? L- last oral intake (pretty important with abdominal pain assessment) E- what was the patient doing leading up to this pain starting? Was she just sitting around? Was she playing football? A: Review of systems- Skin condition, mental status, location and OPQRST of pain, vital signs, bowel sounds, lung sounds, any data you actually collected should be listed. R: Oxygen initiated at ____lpm via _____ by _____________(person who actually initiated care). Patient placed onto stretcher for transport in position of comfort. Oxygen continued at ____lpm via _____ with onboard oxygen. Any other treatments/interventions you performed. T: (Mode of transport) ex. Transported with patient on stretcher, emergent to Valley Emergency Department. Report given to Kristen, RN and patient placed in room 2B. It is important to be as detailed as possible. Like I said earlier, if you didn't write it, you didn't do it. Just saying you listened to lung sounds is not enough. Any attorney will look at that and say "what were the lung sounds? Did she have bilateral rhonchi that you failed to document and report?" The point of the narrative is to help YOU in the event a call goes to court. In 5 years will you really remember what her lung sounds were? Or her vital signs? Highly doubt it. Hope this helps!
  11. Happy 4th! And to the idiots using illegal fireworks...I wish nothing less that the worst on you!!!!
  12. I'm hanging out in the chat for a little bit. Maybe we can use this thread to know when people are in chat and we can get chat back to how it was back in the day.
  13. My spouse is in EMS also, but I'm not running EMS anymore. When we first me we had no clue what the other one did. Helps somewhat but every relationship has it's ups and downs. It helps to have someone who understands the long hours and grumpy calls at home who can support you.
  14. You'll find this opinion on this site frequently. Granted when I replied I was in a crummy mood, but still. We welcome you with open arms, but you won't find advice on wiring POV lights here. It's just not the kind of forum we typically are. Sorry bud.
  15. I've had to take it several times and we had to administer it on each other in Mental Health. It's no biggie and you shouldn't stress about it or try to get out of it. All it does is identify personality traits.
  16. I couldn't find a facepalm smiley so these will have to do. Are you seriously going to tell us you used quickclot on a paper cut??!!
  17. What would you say to your friends when you inappropriately performed CPR? Didn't check for a pulse properly because your coordination and vision is altered? Fact remains....if you drink, you don't work. Plain and simple. No arguments. Example: Your friend simply passes out drunk, you intoxicated believe he has coded. You start performing CPR over the abdomen or worse xyphoid process, and end up causing a fatal injury. Either don't drink or don't perform more than first aid. I honestly can not see why this is such a debate???
  18. I'm thinking of just hiding in my basement for a few months. Way too much sadness right now. Prayers to everyone in AZ.
  19. I can ask the hubby but I'm sure he's going to laugh... Don't do this buddy! More often than not, this will be laughed at.
  20. Knock on wood or you just jinxed yourself!
  21. There's an app for this?!
  22. This is so heartbreaking.
  23. From the description on Amazon, it seems the author is that paramedic and suffered greatly for that decision. I will not be purchasing the book however, but just a heads up. If that is the case, I'm sorry for what you went through and have to live with now. What courage it must have taken to write out what happened that was so horrible.
  24. Your friend needs a better brain.
  25. Welcome!
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