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  1. J

    Longest shift, mood on shift and stress

    No, PT job is 120 miles away from home (1 way) for me. we have a 3 bedroom 2 bathroom mobile home to stay in; and have 6 minutes to mark en route. So if you live in town you can go home. But you can get from anywhere in either town (same town, straddles state line), to station in less than 6...
  2. J

    Longest shift, mood on shift and stress

    mgr22; yea PT job, Pick up shifts when we want. I had Use or Lose leave to burn at my FT job. (we work 48 hours on and 5 days off, {and we can trade shifts in the same pay week, so I can work Sunday Monday one week, and Friday Saturday the next week; which gives me 10 days off without taking...
  3. J

    5 year old difficulty breathing

    HR is normal for a child with a temp that high; remember the average HR goes up 10-15 for every degree of temperature: (Took me a couple of years of being beat by my medics to remember that). BP is good. If you have a child that doesn't do nebulizer's well, ask them if their parents have...
  4. J

    What is your most ridiculous call?

    Not mine but one of the BLS crews I was working with one day: They got a run to transport from Hospital A to Hospital B lockdown unit: 23 y/o, male, transvestite, Vampire who was 19 months pregnant. Every crew that heard that made it to 1 of the hospitals to "help the crew" check the patient...
  5. J

    What is your most ridiculous call?

    I have had a few where I can't keep from laughing as I call a report in; and I have told the charge nurse twice that I am bringing in a waiting room patient
  6. J

    Attempting to bridge the generational gap

    Things I have learned from watching management and working hard. keep track of leave (vacation) requests. If you have to deny someone; write down who and what days they want. They may call in sick. if they do it a few times ask them for a doctor's note. If they keep bringing in a note from...
  7. J

    New Cardiac Scenario

    Here is one I ran into last Sunday: 57 y/o, w/m. Substernal chest pressure, radiating to left arm (alternating pain and pressure). Chest Pain 9/10, arm 8/10. Pale, cool, Diaphoretic. 12 leads at the hospital were ok, none to attach; they wouldn't give me any. Slight wheezing, lower lobes...
  8. J

    Some specific DNR/DNI questions

    The way I was taught is the DNR is for when they are actively dying; not when they break something,. But at the same time a patient can refuse an IV, even if they don't have an DNR. 1: DNR with broken leg. Treat the fx, take to the hospital, give pain medications however the patient will...
  9. J

    Intubation and the unconscious

    Lucky we have Versed and Fentanyl. I would give her a little of both; intubate, and drive slow (Ambulances do 75 and speed limit is 80) to meet a bird and fly them to a hospital. Closest hospital that will take this type of patient is 135 miles, and a bird would take 35-50 minutes on average...
  10. J

    Patient centered approach at clinics

    Must be nice; we get doctors that want the patient to go from the clinic in the town we are in (PT Job) to the hospital that some of them work out of. Which is 110 miles away. which is the closest hospital, but the only one that way unless we go another 150 miles beyond it. Most of the...
  11. J

    Longest shift, mood on shift and stress

    We do 48s every week. at another 24 or 48 in OT, hopefully straight. But we are slow. I had 3 patient transports last YEAR. I did 200 hours straight at my PT job last month, but it was relatively slow also. I had 10 refusals/cancels and 5 transports; of course the closest hospital is 110...
  12. J

    Medication Error Learning

    Just go back to the early part of Paramedic School and Nursing school pharmacology for every us all: 6 R's (most only teach 5). in this case. Right Patient: Sounds like it Right Medication: No Right Dose: wrong medication, so no Right concentration: Again wrong...
  13. J

    Rialto Medics refuse to enter SNF, Claiming Unspecified COVID law.

    What insurance policy covers $100 Million? and sorry, but unless there is a written policy in place somewhere that they don't go into facilities anywhere in the city for Cardiac Arrests the crew is going to lose
  14. J

    How many hours a week?

    FT Job is 48 hours on 5 days off. extra 24 hour OT once in a while I made $100,000 plus a year, the last 2 years. PT job varies, paid on call; really weird pay rate; closest hospital is 110 miles furthest (Level I's are 135 miles). I usually work 48-72 when I work there. Last month I...
  15. J

    Medic One

    Wow, how bi is Acadian getting now?
  16. J

    The Gun Thread

    Just bought a new Glock 27, to go with my Glock 23. Both in 40 Cal. easier to conceal the 27. Cleaned out my older truck yesterday to sell it, and found 7 boxes of ammo that I have misplaced over the years. Another 350 rounds. Another reason to stay in the same caliber.
  17. J

    Totally disabled and abandoned transport.

    I feel so sorry for people like that; There aren't enough beds in ECF's for them, and people can't afford them. Family can't always take care of them. My wife and I have that to look forward to, we don't have kids, and our relatives are actually older on both sides of the family; so if we...
  18. J

    EMT questions

    I was working Retail as a manager for a company that no longer exists, taking my Scout troop to summer camp every year to a camp that the only building that had AC was the Health Lodge and I was smart and volunteered there: I wanted to get more medical training to help there so I went to the...
  19. J

    12 Lead EKG Electrode Placement

    A cardiologist came to our Medic class one day (after Cardiology section) and our instructor asked him that question. Back in 2004 His answer is; my people eyeball it; so can you
  20. J

    Paramedics For ukraine

    I work on a Federal level, and 2 weeks before Russia invaded there was a long list of civilian jobs at European bases. Good pay, TDY (3-6 month posts). No EMS jobs though
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