Recent content by NPO

  1. NPO

    Out of hospital DNR question

    Your post is a little misleading, I think. The physician issues the order, but the patient (or appreciate surrogate) must also sign the form.
  2. NPO

    Out of hospital DNR question

    Are these from healthcare facilities like nursing homes? It's very common for them to incorrectly complete the paperwork. Around my parts, it's rare to see the doctors signature. I politely hand it back to the staff and tell them "this is invalid. He/she is a full code." It happens a lot...
  3. NPO

    Why are we still interpreting cardiac rhythms?

    They're going to run delta trops in the ER. The sooner that is complete, the sooner they can get a useable clinical result, reduce LOS, and speed up the process. No randomized controlled trials needed to know that the less time a patient has to spend waiting in the ER, the better.
  4. NPO

    Why are we still interpreting cardiac rhythms?

    I think so too, which makes sense since that's where the line of conversation was going. I was just commenting that there isn't no point at all.
  5. NPO

    Why are we still interpreting cardiac rhythms?

    Probably not. That's not the question I was answering. I was answering your point that it doesn't matter if we check trops.
  6. NPO

    Why are we still interpreting cardiac rhythms?

    I disagree. If I could check troponin levels, I could use that to help paint a clinical image in combination with patient presentation and the ECG. Also, it could be used as an intial measurement in delta trops, which doesn't help me, but does help the patient.
  7. NPO

    Why are we still interpreting cardiac rhythms?

    Nor do we have the ability to check it in the field (usually).
  8. NPO

    Why are we still interpreting cardiac rhythms?

    It's several reasons. The largest factor in my experience is artifact. They don't seem to factor artifact at all. No Life Pack 15, my patient is not atrial paced irregularly at 300 times per minute. She's just got Parkinson's.
  9. NPO

    Why are we still interpreting cardiac rhythms?

    Because the algorithms are wrong enough of the time that we can't trust them 100%.
  10. NPO

    Did I do the right thing?

    On duty supervisor.
  11. NPO

    Did I do the right thing?

    There are many different reasons for low SPO2 readings. Got some patients we actually want readings of 88-92%. Does your pulse oximeter display a plethysmograph? Do some research on reading one and it will help you understand accuracy of readings. It sounds like you're lacking in experience...
  12. NPO

    different CCT programs in Socal?

    Hall does plenty of mundane too. It's not different there as the paramedics are still limited. The only difference with Hall is the opportunity to run 911 calls as a nurse. From what I recall, pay was a major factor. Scheduling was another.
  13. NPO

    different CCT programs in Socal?

    Other than Hall, most SoCal CCT programs are about the same (unless you're considering air). They all more or less run dual EMT and put you in the back of a normal ambulance. Most CCT RNs are used to transfer relatively mundane transports that paramedics aren't allowed to do in California...
  14. NPO

    Routine PPE

    Yes. We don't have any N95 shortages and are free to use them whenever, however we are asked to be prudent. We are issued our own personal HALO masks and can use them whenever we want.
  15. NPO

    Routine PPE

    Eye pro should be standard covid or not. It's a cultural change, but IMO needs to be the standard. At the college paramedicine program I teach at we require it. N95s my agency only requires on calls with high risk procedures like intubation, nebulization, etc. However, we also have an option...

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