EMTLife.com - The #1 Online Forum for EMS-Related Discussion  

Go Back   EMTLife.com - The #1 Online Forum for EMS-Related Discussion > Main EMS Forum > BLS Discussion

BLS Discussion For all that fun stuff specifically related to basic life support.

Reply
 
Thread Tools Search this Thread Display Modes
Old 08-02-2011, 10:49 AM   #1
EchoMikeTango
Forum Crew Member
 
Join Date: Oct 2009
Location: New Jersey
Posts: 89
Training: Nursing Student
Send a message via Skype™ to EchoMikeTango
when to call the state?!


I have a PT who has strong Hx of Chronic seizures. I don't know if she is non compliant with meds, or what. Every time I go to her house she is difficult to say the least, but her postictal state is very short. She usually has a HR of about 130 ( UNK how long that lasts) and is AAOx3 by the time we AOS.

She never wants to go to the hospital. No matter what the Medics say, no matter what the police say, and no matter what the family says.

Here is my issue. She lives alone with her young daughter. Her daughter is terrified, because mommy keeps having these thing happen.

Im really at a loss. should the state be called. My boss says she will talk to the town? I would really hate to get social services involved, but the welfare of a child is what i am worried about.


EchoMikeTango is offline   Reply With Quote

Old 08-02-2011, 10:55 AM   #2
Anjel
Forum Angel
 
Anjel's Avatar
 
Join Date: Jan 2011
Location: The Mitten
Posts: 4,038
Training: Paramedic!
Quote:
Originally Posted by EchoMikeTango View Post
I have a PT who has strong Hx of Chronic seizures. I don't know if she is non compliant with meds, or what. Every time I go to her house she is difficult to say the least, but her postictal state is very short. She usually has a HR of about 130 ( UNK how long that lasts) and is AAOx3 by the time we AOS.

She never wants to go to the hospital. No matter what the Medics say, no matter what the police say, and no matter what the family says.

Here is my issue. She lives alone with her young daughter. Her daughter is terrified, because mommy keeps having these thing happen.

Im really at a loss. should the state be called. My boss says she will talk to the town? I would really hate to get social services involved, but the welfare of a child is what i am worried about.
I personally would document very well in my report. And let my supervisor know and let them handle it.

We have forms that we can fill out and request a social worker look into the situation.
__________________
" We are called into people’s lives when they are at their worst. Times when someone would want to hide from their family, their best friend, their loved ones… and call on a perfect stranger to help. This is an honor and should be treated as such."


Quote:
Originally Posted by bigbaldguy View Post
Some are trained, others called, and then there's Anjel, born to this work
Anjel is offline   Reply With Quote
Old 08-02-2011, 11:00 AM   #3
Linuss
Forum Chief
 
Linuss's Avatar
 
Join Date: Dec 2008
Location: DFW
Posts: 8,219
Training: NREMT-Paramedic
If you think someone can't handle their responsibilities as an adult / parent, that's when you get APS / CPS involved. It is then up to them to decide what to do.



However, I ask you... what makes you think she's an unfit parent just because she has a history of seizures? Would you do the same thing if you were called out to someone that was a diabetic? Would them being a diabetic make them a bad parent?



However, remember that if YOU are the one with the concern, YOU are the one required by law to report it, not your supervisor or some doctor you tell.
__________________
Quote:
Originally Posted by firetender View Post
Linuss pulled off the most amazing thing I've ever seen in my life!

Last edited by Linuss; 08-02-2011 at 11:02 AM.
Linuss is offline   Reply With Quote
Old 08-02-2011, 11:05 AM   #4
Anjel
Forum Angel
 
Anjel's Avatar
 
Join Date: Jan 2011
Location: The Mitten
Posts: 4,038
Training: Paramedic!
Quote:
Originally Posted by Linuss View Post

However, remember that if YOU are the one with the concern, YOU are the one required by law to report it, not your supervisor or some doctor you tell.
I agree. But it depends what company policy is. That is our policy. We fill out the request for someone to look into the problem. And let the supervisor handle it from there.

As employees they frown upon us taking matters into our own hands without running it by someone first.

Edit: UNLESS it is child abuse, rape, etc.
__________________
" We are called into people’s lives when they are at their worst. Times when someone would want to hide from their family, their best friend, their loved ones… and call on a perfect stranger to help. This is an honor and should be treated as such."


Quote:
Originally Posted by bigbaldguy View Post
Some are trained, others called, and then there's Anjel, born to this work
Anjel is offline   Reply With Quote
Old 08-02-2011, 11:09 AM   #5
EchoMikeTango
Forum Crew Member
 
Join Date: Oct 2009
Location: New Jersey
Posts: 89
Training: Nursing Student
Send a message via Skype™ to EchoMikeTango
Quote:
However, I ask you... what makes you think she's an unfit parent just because she has a history of seizures? Would you do the same thing if you were called out to someone that was a diabetic? Would them being a diabetic make them a bad parent?
Im not sure i would go as far as stating that she is unfit. But this woman is neglecting her health. She has a 7yo in the home, alone, how has to fend for herself when her mom has a seizure. What if her mother has a heart attack and the neighbor isnt home next time. i just dont know how to impress on the PT that this is a serious health concern. what if it happens while she drives. what if she falls down her flight of stairs.

Its just a stressful situation..
EchoMikeTango is offline   Reply With Quote
Old 08-02-2011, 11:18 AM   #6
Sasha
Forum Chief
 
Join Date: Aug 2008
Location: Down the rabbit hole
Posts: 7,667
Training: EMT-Awesome
Any parent could have a heart attack leaving their child alone... She's got seizures, she should take care of herself and her health but as this is a free country unless you can prove mental defect she can't be forced to.
Sasha is offline   Reply With Quote
Old 08-02-2011, 11:19 AM   #7
Sasha
Forum Chief
 
Join Date: Aug 2008
Location: Down the rabbit hole
Posts: 7,667
Training: EMT-Awesome
PS calling the state may result in an investigation which could upset the child much more to think that some strangers are trying to take her away from her mom. Kids have strong attachment to their parents, even if they have health problems.
Sasha is offline   Reply With Quote
Old 08-02-2011, 12:12 PM   #8
akflightmedic
Forum Deputy Chief
 
akflightmedic's Avatar
 
Join Date: Jul 2005
Location: Florida/Afghanistan
Posts: 1,943
Training: Lil' of this n that
The kid is 7. While that is young, there is a huge difference here if we were talking infant/toddler versus a 7 year old.

If "mommy has these bad things happen" again, a 7 year old is more than capable of managing calling for help or waiting to see if mom wakes up without any major dramas.

You speak like someone who has no children and seem unimpressed by the actual real capabilities/intelligence/situational awareness of the average 7 year old.

All of you what ifs are bogus as that could happen to any one of us at any given moment...maybe we should call the state on each of ourselves???
__________________
"What can be asserted without proof can be dismissed without proof." - Christopher Hitchens
akflightmedic is offline   Reply With Quote
Old 08-02-2011, 12:13 PM   #9
akflightmedic
Forum Deputy Chief
 
akflightmedic's Avatar
 
Join Date: Jul 2005
Location: Florida/Afghanistan
Posts: 1,943
Training: Lil' of this n that
Quote:
Originally Posted by Sasha View Post
Kids have strong attachment to their parents
This holds true without the need for any qualifier.
__________________
"What can be asserted without proof can be dismissed without proof." - Christopher Hitchens

Last edited by akflightmedic; 08-02-2011 at 12:16 PM.
akflightmedic is offline   Reply With Quote
Old 08-04-2011, 11:52 AM   #10
AlphaButch
Forum Lieutenant
 
AlphaButch's Avatar
 
Join Date: Jul 2009
Location: Houston, TX
Posts: 229
Training: CCP-C/RN
Without being on scene and given the details provided, my first action would most likely be towards education.

If there isn't neglect/abuse/etc going on and the worry is grounded on the feeling that the 7 yr old is scared - I would try to arrange some education for the child with the mother's permission. Although the mother refuses transport and/or care (which is her right), she may be amicable towards one of your medics talking with the child on what to do; leaving some written instructions involving how and when to call 911; actions to take should Mommy have another seizure; give the 7 year old the education to help understand and feel empowered in the situation. This would also help build a stronger rapport with the patient and family in the event of a more serious incident.

I have an elderly father who is diabetic and after educating my boys (7 and 9 at the time), they were able to handle a seizure incident more calmly than many adults.

Document thoroughly and know your state reporting requirements. In Texas, it is required that the provider report it within 48 hours. A good flyer to post at your station if you're in Texas (swiflyer.pdf)
AlphaButch is offline   Reply With Quote
Reply

Bookmarks

Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Forum Jump

Similar Threads
Thread Thread Starter Forum Replies Last Post
EMT BUFF Test MariaCatEMT EMS Humor 75 10-23-2011 08:16 PM
Where to find Seminars in your state? CountryEMT-bGurl EMS Talk 2 12-02-2009 03:08 PM
Longest Call? MMiz EMS Talk 11 07-27-2008 10:23 PM
Question about possible restraints on a psychiatric call. SC Bird BLS Discussion 53 03-20-2008 07:17 PM
Rescue 911 call certguy Did That Just Happen? 6 09-19-2007 02:44 PM


All times are GMT -4. The time now is 01:52 AM.


Powered by vBulletin
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2001-2014, EMTLife LLC. All rights reserved.