Becoming the perfect EMT

fishyfish

Forum Crew Member
Messages
81
Reaction score
2
Points
8
Well, We all have been here. New, scared , Protective of your place on the department. Me I'm new but not "brand new" and I am very protective of being on the department. But it seems my staying out of the way being careful not to step on anyone's toes is not the way to go. Basically to shy with the coworkers. I'm basically afraid to jump in. I have severely messed up many things reports o2 bottles or asked a stuiped question ect or even a simple task messed it up. My problem Is not with Pt. care that has always come back excellent very talkative and reassuring with them. BUT How do I overcome this miss communication with the other EMS employees? I feel very awful about it. Also is it ok to wear your duty shirt when you get off. I ask because When I get off I usually just go to my Good friends house across the street and talk play or play acoustic guitar on the patio for the next 3 hours. I'm afraid of making the company look bad and causing a negative effect for my self. WE Never cause any trouble with the neighbors because it is late. So not disturbing them is top priority around midnight I go home to get ready for the next day. So please give me some advice on refining my skills and becoming as perfect of an emt as I possibly can. :)
 
Well, We all have been here. New, scared , Protective of your place on the department. Me I'm new but not "brand new" and I am very protective of being on the department. But it seems my staying out of the way being careful not to step on anyone's toes is not the way to go. Basically to shy with the coworkers. I'm basically afraid to jump in. I have severely messed up many things reports o2 bottles or asked a stuiped question ect or even a simple task messed it up. My problem Is not with Pt. care that has always come back excellent very talkative and reassuring with them. BUT How do I overcome this miss communication with the other EMS employees? I feel very awful about it. Also is it ok to wear your duty shirt when you get off. I ask because When I get off I usually just go to my Good friends house across the street and talk play or play acoustic guitar on the patio for the next 3 hours. I'm afraid of making the company look bad and causing a negative effect for my self. WE Never cause any trouble with the neighbors because it is late. So not disturbing them is top priority around midnight I go home to get ready for the next day. So please give me some advice on refining my skills and becoming as perfect of an emt as I possibly can. :)
Afraid to jump in with the rest of the crew? Jump in. If it's conversation, just say "hi" when you notice them and they'll either invite you into the conversation or they won't. Follow their lead on that. Reports? Take time to learn how to write them. BLS reports aren't hard to write, but it's not easy until you develop a system for writing them. O2 bottles? The ones that are sealed are full. Don't crack the valve open. Make sure the regulator is on hand-tight, flow regulators are "off" and SLOWLY crack the valve while pointing the gauge away from you. Once the system is pressurized, look at the gauge, and turn the valve off... unless it's supposed to be turned on for the shift. Listen for leaks. Stupid question? Well, if you asked a question about something YOU need information about, then it's not stupid to YOU. Simple tasks? If you don't know how to do the task, ask someone to show you, then guide YOU through the task, then you teach it back to the person showing you how to do it.

You're NOT going to be the perfect EMT for a while. You need to accept that. It takes a while to grow into your role as an EMT and become comfortable with all aspects involved with being an EMT. Work on continually identifying and improving any areas of deficiency and eventually you'll come very close to what EVERYONE else considers a "perfect" EMT.
 
Afraid to jump in with the rest of the crew? Jump in. If it's conversation, just say "hi" when you notice them and they'll either invite you into the conversation or they won't. Follow their lead on that. Reports? Take time to learn how to write them. BLS reports aren't hard to write, but it's not easy until you develop a system for writing them. O2 bottles? The ones that are sealed are full. Don't crack the valve open. Make sure the regulator is on hand-tight, flow regulators are "off" and SLOWLY crack the valve while pointing the gauge away from you. Once the system is pressurized, look at the gauge, and turn the valve off... unless it's supposed to be turned on for the shift. Listen for leaks. Stupid question? Well, if you asked a question about something YOU need information about, then it's not stupid to YOU. Simple tasks? If you don't know how to do the task, ask someone to show you, then guide YOU through the task, then you teach it back to the person showing you how to do it.

You're NOT going to be the perfect EMT for a while. You need to accept that. It takes a while to grow into your role as an EMT and become comfortable with all aspects involved with being an EMT. Work on continually identifying and improving any areas of deficiency and eventually you'll come very close to what EVERYONE else considers a "perfect" EMT.

Thanks I think you covered it well! Good advice, best wishes
 
It's worth remembering that some people in EMS are just plain miserable, especially to new folks. Do your job to the best of your ability. Avoid repeating mistakes. Listen to constructive and appropriate criticism. Relax and understand that you will have room for improvement as we all do.
 
I have literally lost count of the number of brand new basics' hands I've held through the first 6 months, and still, every time I get a new one, I consider it an honor.

Partially, that's because I get a partner I get to train up to do things EXACTLY the way I want them done, but partially it's because I remember the FTOs who held my hands, and this is how I can pay them back.

No one gets out of basic school truely having any idea what they're doing. The best any of us can hope for is that we know enough not to kill someone while we learn. I won't tell you that there aren't stupid questions, there are, but the threshold for stupid questions is much lower than I'm betting you think they are..."Hey, I know you're budy trying to drop a line on this trauma pt and all, but should I bother trying to stop this active bleed?" is a stupid question (loose paraphrase from an actual experience), "This patient has some respiratory distress, how much oxygen should I give him?" is not.

As to the issue of the o2 bottles, I'm assuming you're talking about not replacing them when they need replacing. The simple fact is that the truck check is the most important thing you do every day. No matter how good you are at diagnosing and determining a care plan for your asthma pt, if you don't have O2, you've failed them. That being said, when you first start, the truck check is bloody overwhelming, there are tons of boxes to be checked off, and every one of them requires attention, once you figure it all out, though, it's a lot easier. When I run a truck check, assuming I'm not bothering to check exp dates, I'm in and out in 5 minutes, but I've been doing this a long time, I've done enough truck checks that I know exactly how many tabs should be sticking out of that rubber banded pack of NPOs, and how thick the overall packet should be. Take your time, do it right and you'll get to where I am.

As far as the uniform issue goes, my attitude has always been that as long as I'm not doing something I wouldn't do while I was on duty, wearing my shirt on the way home is no problem. If I'm hanging out with a friend, grabbing some groceries or stopping to eat a meal, no worries. If I'm buying booze, stopping at the casino or shooting someone in the face, I need to change first.

The last question is at once the stickiest and the simpliest, direct interactions with co-workers. I am, by my nature, extraordinarily bad at interacting with other human beings. This job taught me how to do it. From your statements, you've got how to deal with patients, but dealing with co-workers is a different matter. If you have a set partner, odds are you're going to spend more time with that person than you will with any other human being on the face of this planet, including a spouse. You have to engage in coonversation with them. If you agree with me on a subject, I'll give you a high five and tell you you're the smartest person on the face of the earth, if you disagree, I'll tell you why you're wrong and wait for you to tell me why I'm wrong. If you refuse to talk to me, I'll think you're boring...and there's very little coming back from that. In short, talk to me, I don't really care what you say.
 
I have literally lost count of the number of brand new basics' hands I've held through the first 6 months, and still, every time I get a new one, I consider it an honor.

Partially, that's because I get a partner I get to train up to do things EXACTLY the way I want them done, but partially it's because I remember the FTOs who held my hands, and this is how I can pay them back.

No one gets out of basic school truely having any idea what they're doing. The best any of us can hope for is that we know enough not to kill someone while we learn. I won't tell you that there aren't stupid questions, there are, but the threshold for stupid questions is much lower than I'm betting you think they are..."Hey, I know you're budy trying to drop a line on this trauma pt and all, but should I bother trying to stop this active bleed?" is a stupid question (loose paraphrase from an actual experience), "This patient has some respiratory distress, how much oxygen should I give him?" is not.

As to the issue of the o2 bottles, I'm assuming you're talking about not replacing them when they need replacing. The simple fact is that the truck check is the most important thing you do every day. No matter how good you are at diagnosing and determining a care plan for your asthma pt, if you don't have O2, you've failed them. That being said, when you first start, the truck check is bloody overwhelming, there are tons of boxes to be checked off, and every one of them requires attention, once you figure it all out, though, it's a lot easier. When I run a truck check, assuming I'm not bothering to check exp dates, I'm in and out in 5 minutes, but I've been doing this a long time, I've done enough truck checks that I know exactly how many tabs should be sticking out of that rubber banded pack of NPOs, and how thick the overall packet should be. Take your time, do it right and you'll get to where I am.

As far as the uniform issue goes, my attitude has always been that as long as I'm not doing something I wouldn't do while I was on duty, wearing my shirt on the way home is no problem. If I'm hanging out with a friend, grabbing some groceries or stopping to eat a meal, no worries. If I'm buying booze, stopping at the casino or shooting someone in the face, I need to change first.

The last question is at once the stickiest and the simpliest, direct interactions with co-workers. I am, by my nature, extraordinarily bad at interacting with other human beings. This job taught me how to do it. From your statements, you've got how to deal with patients, but dealing with co-workers is a different matter. If you have a set partner, odds are you're going to spend more time with that person than you will with any other human being on the face of this planet, including a spouse. You have to engage in coonversation with them. If you agree with me on a subject, I'll give you a high five and tell you you're the smartest person on the face of the earth, if you disagree, I'll tell you why you're wrong and wait for you to tell me why I'm wrong. If you refuse to talk to me, I'll think you're boring...and there's very little coming back from that. In short, talk to me, I don't really care what you say.[/QU

what part of the country do you serve unkiemt?
 
Well, We all have been here. New, scared , Protective of your place on the department. Me I'm new but not "brand new" and I am very protective of being on the department. But it seems my staying out of the way being careful not to step on anyone's toes is not the way to go. Basically to shy with the coworkers. I'm basically afraid to jump in. I have severely messed up many things reports o2 bottles or asked a stuiped question ect or even a simple task messed it up. My problem Is not with Pt. care that has always come back excellent very talkative and reassuring with them. BUT How do I overcome this miss communication with the other EMS employees? I feel very awful about it. Also is it ok to wear your duty shirt when you get off. I ask because When I get off I usually just go to my Good friends house across the street and talk play or play acoustic guitar on the patio for the next 3 hours. I'm afraid of making the company look bad and causing a negative effect for my self. WE Never cause any trouble with the neighbors because it is late. So not disturbing them is top priority around midnight I go home to get ready for the next day. So please give me some advice on refining my skills and becoming as perfect of an emt as I possibly can. :)

Sounds like you really just need to relax. They are your partners, your teammates, not just "coworkers". Help 'em out, take some initiative around the station.

If you have any doubt about wearing your uniform off-shift, then just don't do it. Personally I suggest wearing it only to and from work/work related functions. Stops in between are fine (dinner, store, etc). A 3 hour visit to the neighbors is kind of pushing it. You can always just bring street clothes to the station.

About being perfect, one of the things I always like to say is that no one will ever be perfect, but that does not mean you should stop chasing perfection.
 
Doctors are not perfect either, and don't know everything. Try and keep that in your head if you ever feel you need some reassurance. Thats what is fun about EMS and medicine, there is always something to learn.
 
As a newbie:
Be less intense. Don't approach this like you're getting married, it's a job. Get a routine or a bunch of small routines, i.e., "What I do when we pull into the station", "What I do when I come to work in the morning", "What we do if we need to do CPR", like that. Talk to your co-worker, especially as you are lifting or extricating.

And be sure to to their laundry at least once a week.








I was kidding about that last part.;)
 
We're hiring and if you're willing to do my laundry, I'll make sure we hire you.

Yeah, extra starch in those tighty-whities.
 
It is a timely tradition to give the rookie crap, however, it is also expected that the rookie its going to bust their *** to prove they belong.
Starting with checking the unit and replacing whatever is missing. If you are having trouble ask you preceptor to guide or help you don't blow through a unit check, that is the stuff that saves lives especially O2.
On the personal aside be seen and heard when appropriate .learn who you are working with. what their strength are and what they can help you with. Most true providers are more than willing to help you but only if you ask.
Everyone made rookie mistakes, the issue is whether you take a lesson from your mistake and fix it or do you Keep making the same mistakes.
Be strong, hang in there, and talk to your crew.
P.s. Do not wear you duty shirt off duty. put on a spare shirt, if you have on your duty shirt whatever you do, you are representing the department.
 
I can't stand the practice of "giving the rookie crap."

I try very hard to treat all new crewmembers (of any level) with respect and kindness. I think as a preceptor or more experienced employee you should be enthusiastic and helpful, or at least not miserable. One of the first things I tell new people is that they have nothing to fear from me. I am not going to yell or scream at them. I am not going to make fun of them or make them feel stupid. Of course there are expectations and it is essential to be able to communicate around a deficit in performance. But this should be done professionally.
 
I can't stand the practice of "giving the rookie crap."

I try very hard to treat all new crewmembers (of any level) with respect and kindness. I think as a preceptor or more experienced employee you should be enthusiastic and helpful, or at least not miserable. One of the first things I tell new people is that they have nothing to fear from me. I am not going to yell or scream at them. I am not going to make fun of them or make them feel stupid. Of course there are expectations and it is essential to be able to communicate around a deficit in performance. But this should be done professionally.
Agreed.
But doughnuts are a real social lubricant.
 
I do bring donuts and coffee and the like , even now or when I do something new like when I first went on flight orientation.

I want to clarify my statement by saying there is nothing wrong with showing proper respect for crewmembers with more time or experience. I think its great to bring some food, offer to help out or pull a little more than your fair share when you are early. It shows you are eager, excited and want to make a good impression. When this crosses the line to abuse and general whackerism I have an issue.
 
I was pretty shy when I started too. Took time but I got over it. The other guys on here made some great suggestions though. Just start by saying hi. If you see your coworkers talking to each other just go up and say "hey guys whats up" or
something simple like that. After a run, ask for some feedback, even if you know you aced the call. Either way just don't it get you down.
 
Back
Top