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  1. Akulahawk

    Didn't call a stroke alert. Ended up being a stroke

    This is something more people should remember... especially in places where the norm is for only ALS crews to bring patients to the ED.
  2. Akulahawk

    Didn't call a stroke alert. Ended up being a stroke

    I would say that, on the whole, you did the right thing for that patient. You found that the patient was having some kind of acute problem, knew you were about 5 minutes away from a hospital, determined that ALS wasn't available so transport was the appropriate thing to do, and you got it done...
  3. Akulahawk

    the 100% directionless thread

    One of the more interesting bits of life is that I kind of didn't remember just how slippery neonates are... Had a surprise delivery this morning while I was doing triage. And no, I didn't drop the baby. :cool:
  4. Akulahawk

    the 100% directionless thread

    Kaiser can be a really good thing or it can be a less than garbage thing... all depends upon what you need and whether the physician you're seeing is willing to open the floodgate for you. The mental health side of things can sometimes leave much to be desired. I've heard this from clinicians...
  5. Akulahawk

    New Here

    OP: for nursing-related stuff, AllNurses is a fantastic resource. This is primarily an EMS discussion board and while we do discuss nursing, it's only primarily about how nursing and EMS relate to each other. If you're looking for support related to your learning issues and your desire to...
  6. Akulahawk

    Question on combined EMT-P and BSN/RN training

    Sounds like that's what the OP pretty much wants to do... but most places that I'm familiar with don't allow for a PHRN role, generally speaking, outside of HEMS. Much of what I was reading seemed to be (eventually) more aligned with doing rural/tribal NP work along with work as a Paramedic.
  7. Akulahawk

    Normal glucose levels not normal for Pt.

    Yep. Usually diabetics get used to having both higher and lower levels than "normal." However, since their bodies may be inefficient in using insulin (not just simply requiring additional insulin) they my feel that having a higher blood glucose level than normal helps ensure that glucose will...
  8. Akulahawk

    Parmedic to RN

    In my case, I think it certainly was! Of course I do have a much greater income and as an RN, I'm in an industry that's fairly resistant to recessions and depressions. It's a good gig for job security/stability. Given that I mostly have been trained along the medical model, the #1 most difficult...
  9. Akulahawk

    Paramedic to RN programs

    I very much agree with the above. I would highly suggest that you complete ALL of the RN school (traditional) prerequisites and apply to a BSN program. The reason I suggest BSN is that you'll have a wider range of employment options. You won't be a "better" nurse but some employers do look for...
  10. Akulahawk

    The Gun Thread

    My EDC is usually a Glock 23 or Glock 27.
  11. Akulahawk

    Ampoule opener

    1. United States of America 2. Yes, one small laceration that required a small band-aid. Happened when I didn't do #3 below. I still usually bare-hand it. 3. Take 2 4x4 pieces of gauze, one to hold the vial and the other to hold the ampule top to protect yourself. Snap and draw w/ filter needle...
  12. Akulahawk

    Parmedic to RN

    When you're looking for a nursing program, you have to consider the possibility of doing "travel" nursing. If you're considering it, consider doing a program that has a more traditional classroom/clinical rotation schedule where you do psych, or med/surg, or peds, or whatever in classroom and do...
  13. Akulahawk

    Toradol

    I'm a pretty decent fan of Toradol IM or IV. It seems to work pretty well in most people and seems to be nearly the cat's meow for kidney stones. We don't normally do IV tylenol but those times I've administered it, the stuff seemed to be quite decently effective. Pain-dose ketamine is probably...
  14. Akulahawk

    Failed my first attempt at the paramedic exam today

    They should send results of the exam within a few days or so. While those results won't list specific questions and the correct answers, it should outline the areas of the exam where performance was both good and poor, therefore providing at least some guidance as to what should be...
  15. Akulahawk

    Should EMS/Fire be armed?

    Businesses that are open to the public have restrictions upon their property rights as it pertains to trespass and signage. They often may not be allowed to restrict just anyone they wish. A private residence is a different matter as it's not open to the public. A no weapons sign often carries...
  16. Akulahawk

    Hospitals doing Procedures on Gurney

    Not that I'd mind having actual good coffee while at work...
  17. Akulahawk

    Hospitals doing Procedures on Gurney

    But you also commit patient abandonment in the process... Even though EMTALA applies, it doesn't absolve you of your patient care responsibilities.
  18. Akulahawk

    Getting back into EMS after many years away

    That's having symptoms. I was vaxxed and I lost my sense of smell for 4 days. That's the only major sign/symptom I had. I see LOTS of people with Covid these days with either no symptoms or only sore throat. Anyway, as far as getting back into EMS, the OP should certainly consider it. The pay...
  19. Akulahawk

    Hospitals doing Procedures on Gurney

    Where I work we call this "quick care" in that a patient that meets certain criteria can have an evaluation or a quick procedure done right on the EMS gurney and then the patient can be discharged and returned to wherever they reside. One of the criteria is that the patient can't be a "911"...
  20. Akulahawk

    Hospitals doing Procedures on Gurney

    EMTALA responsibility and you turning over care to the hospital staff are two distinctly different events.
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