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I only added that as a few people from the NCLEX (similar exam system) are randomly selected for that... but it sounds like NREMT has gotten smarter about that. In any event, I quite suspect that if you reach the max number of questions, the system likely has a slightly different rule set from...

Assuming you weren't randomly picked to go the full 150, the system needed the entire 150 to determine whether or not you passed. That means you were likely straddling the line between pass and fail and when you reached the end of the test, you were ever so slightly above passing standard so you...

The transport company I work with has a bari truck or two in each of their service areas. I very much second this. As to how the bari truck gets used, that's up to the company. My company usually keeps their bari trucks on standby so that a crew that does get a bari transport can go pick up the...

Here's a simple answer. If the computer shut off at the MINIMUM number of questions, then you have either spectacularly passed or spectacularly failed. There is no middle ground at the MINIMUM. If the computer goes even ONE question, or more, beyond the minimum, then you were on the bubble...

My hospital too... Easier to deal with as it's a single push dose and there's no need for a continuous drip of the stuff. It also means that a CCT-RN transfer is less likely needed as Paramedics aren't allowed to transport with tPA infusions in my area (if not the state). Half sets I like...

Basically a "half set" is an extension set with a pump cassette and you add that to the existing tubing from the hospital. The half sets I use take 5 mL to prime. The full set replaces their entire infusion set and you spike your own tubing into whatever drip. Some full sets have a drip chamber...

When I'm on a dedicated CCT truck, we carry something like 7 sapphire pumps with probably 10 or so half and full tubing sets. All of those pumps have their own cradle device. We also have a bag with the AC cords. When I'm on an intercept/fly car, I carry 6 sapphire pumps each of which also have...

If the problem of priming the cassettes could have been solved, those would have been extremely difficult to beat. A multi-channel pump would normally be all I'd ever need... From what I understand, these things are increasingly difficult to repair...

The Sapphire pumps are really nice... but having to program them one at a time (or possibly even 5 at a time) is quite the headache for my boss. At my regular job, we use Alaris pumps and as long as the pump is on the network, our pharmacy can update their library relatively easily. It's not...

Than being said, I suspect that with Sapphire programming, witchcraft, incantation of druidic spells, getting the tea leaves to line up correctly, and pure good luck all are involved.

Actually, I think launching a nuke is more complicated...

The hardest part of NREMT testing is that it's gone (or is going) to computer adaptive testing. This style of testing is different than what we're used to and the questions/answers are written in such a manner that figuring out what the computer "wants" can be difficult. For me and anybody...

For a patient that's relatively stable and basically ONLY in AFib/RVR, how I would treat would be a 250 mL fluid bolus, maybe extend that to 500 mL if I think the patient is very dry. Then my next choice is more about what I have available. If I have Diltiazem or Metoprolol, I'd give a dose of...

Then you look for an assessment tab that states something along the lines of "normal for patient" or you leave it blank and describe what you see in your narrative and state that this is not abnormal for that patient. I had a patient recently who had a large depression in his head. It was normal...

The good news is that if you're still doing paper PCRs, you don't have to worry about battery life... ;) In your instance, you just need to have your pen/notebook out and get that info early on. The vast majority of people will tell you their demographics. A few won't or can't. In my experience...

If minimizing scene time is important, just try to get name and maybe DOB. Right then. It can be as simple as "Hey, what's your name?" "Hey, what's your birthday, my boss wants it for my chart..." "Hey, you got an ID? I've got a terrible memory..." Once you get to the Hospital, their...

This is exactly what should have been covered by your initial training. You don't do a full head to toe on EVERY patient. If I'm REQUIRED to put SOMETHING in EVERY field for a head to toe, then I might choose an "other" option and enter "deferred" in that field for those areas that I chose not...

Last week I was able to put some suspension parts upon my pickup. I installed the RAS system on my F150 and I do have to say that I am quite pleased with the improvement in how the truck rides. Unfortunately I wasn't at work (neither job) and as work doesn't have vehicle lifts of any sort, I had...

One of the things I enjoy about running IFT calls (I'm a CCT-RN now) is that if I'm not too busy, I get a chance to read the paperwork. If I'm doing an IFT where the origin and destination are in the same system and therefore no transfer paperwork, I will usually ask for at least a copy of the...

Agreed. The book does contain all the required information specified. Some individuals can absorb the material appropriately and pass the cognitive exam. Some people will need an instructor to present that same information in a different modality to enhance the learning process. How that...