Say you are the first unit on scene with 3-4 patients mostly non-critical; should you be the last unit to leave the scene or can you just go ahead and load and transport the most critical patient as long as there is a fire officer on scene?
How long are your transports? ketamine is pretty popular now. I'm not a big fan of it but I also don't like to treat pain unless I see musculoskeletal deformity or dislocation
What is an intercept? Is there a chance your friend is holding you back? EMS has a very distinct culture of competition and your friend and department may be critical of your performance in accordance with a competitive and punitive culture. These cultures can hurt your confidence and confuse...
My next step is RN. Flight paramedic, Critical care and my bachelors in emergency health science was a waste of time. I wont do anything anymore unless it involves money. Higher education is a joke right now and very expensive, for me to pay for more school there better be a return on the...
My experience is between working in the Austin area and then on the Mexican border is that guys who put on such a ridiculous display acting like they are a PhD or something; definitely not better paramedics than a paramedic who learned English as a second language. When you don't have to worry...
The complexity and work load has only gone up. Scrutiny and supervision has only increased, now days everything is on camera and just being "rude" can cost you your career. The pay has not increased respectively to inflation. Competitive culture does not help new EMS workers. Entry level jobs...
Competition is bad because it hurts us when we work as a team. When you don't trust the people you work with because they are all in a competition it hurts your focus and your abilities to apply your knowledge and skills. The competition takes away from the focus of accelerating the career...
What is the culture like in your area. In Austin area it was back in 2014 a culture of competition and legitimacy. Many pretentious attitudes and punitive environment. Arriving on the Mexican border it was a breath of fresh air. The medicine is a bit antiquated but the environment is real trust...
You don't know my financial situation. We are supporting elderly family members also. My wife is pregnant and our neighborhood has seen a rise in homelessness. I am not trying to get rich, I just want security for my family, as a father thats my job and sometimes I make sacrifices. I have...
worrying about losing my job is the most stressful. If I see death and morbidity it affects me, if I receive blame it affects me more and if someone blames me and threatens my career I go into chest pain and nausea and I can't sleep. I get a lot of stress from just not sleeping and hard work...
If the NP is going to give a report or consult to a receiving facility they need to gain consent from the patient for that destination first, which should also require, informing the patient and delivering options.
They chose the destination based on affiliation only