the 100% directionless thread
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VFlutter
Flight Nurse
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Go home EMTLife logo. You're Drunk
bigbaldguy
Former medic seven years 911 service in houston
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150 hours of ambulance time + 148 hours of hospital time + 96 hours of paramedic class time + 180 hours of community college class time = 574 hours between today and August 11th I need to complete to finish my paramedic class and associates degree. Number of hours between today and August 11th = 3864 subtracting 6 hours a night for sleep leaves 2898 hours. Or to put it another way between now and August 11th I will be spending 1 out of every 5 waking hours either in class, in the hospital, or on the ambulance. I haven't even added in hours for working, commuting or helping my gf plan this stupid wedding. So if I don't seem my usual cheery positive self over the next 5 months I'm sorry but you can just blow it out your :censored::censored::censored:
On the positive side at least I don't have any hair to pull out or go gray.
If anybody needs me I'll be in the corner sobbing silently.
On the positive side at least I don't have any hair to pull out or go gray.
If anybody needs me I'll be in the corner sobbing silently.
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Now you know why our logo is upside down....somebody gave BBG access to it.
bigbaldguy
Former medic seven years 911 service in houston
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Anjel
Forum Angel
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Rettsani
Forum Captain
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Rettsani
Forum Captain
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Wheel
Forum Asst. Chief
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I'm back and I'm married. Great wedding and a great week in St. Thomas. Many beers, much rum, and so much sun and beach. Back to work today though, so blah.
abckidsmom
Dances with Patients
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Congratulations!
Wheel
Forum Asst. Chief
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Thank you!
JPINFV
Gadfly
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Dear Paramedic Student,
Everyone knows you're in the OR for tubes. Everyone [that I've talked to] agrees that getting you tubes is important because, frankly, we don't want to be your first tube ever after you get into the field. That said, don't come in to the OR 30 seconds before we intubate, stand in the corner, and then skulk out of the room when you don't get a tube. A quick "Hi, I'm ___, I'm a paramedic student, mind if I intubate?", however, will work well for you. You'll never get a tube if the resident running the case doesn't even know you're in the room.
Everyone knows you're in the OR for tubes. Everyone [that I've talked to] agrees that getting you tubes is important because, frankly, we don't want to be your first tube ever after you get into the field. That said, don't come in to the OR 30 seconds before we intubate, stand in the corner, and then skulk out of the room when you don't get a tube. A quick "Hi, I'm ___, I'm a paramedic student, mind if I intubate?", however, will work well for you. You'll never get a tube if the resident running the case doesn't even know you're in the room.
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OR dynamics do suck when you're not used to them though. I don't know if I've ever felt more out of my element than my first day of OR rotations. Unless you get a nurse or anesthesiologist looking to help, those can be some long days.
My experience ended up being standing in the main hallway and asking for the tube as they wheeled pts by. This was basically the only option as I never had the chance to introduce myself to the staff. As much as I would have loved to stay for parts of the procedure too, I was kicked out most of the time right after intubation.
My experience ended up being standing in the main hallway and asking for the tube as they wheeled pts by. This was basically the only option as I never had the chance to introduce myself to the staff. As much as I would have loved to stay for parts of the procedure too, I was kicked out most of the time right after intubation.
JPINFV
Gadfly
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First every shop is different.
Second, it's probably a much different view looking from the inside out than the outside in.
Granted, the following is N=1.
At my current hospital all the patients gets rolled by anesthesia past the control room and we flash the number to the person who maintains the board. When we get the patient into the OR is the best time to ask because there's plenty of time to chat as we move the patient over to the table and set up the monitors prior to induction. That's probably the best time to ask. Also, it's a county hospital with a residency program and a rotation site for a CRNA program. If you want to stay and talk and ask about meds, management, etc, I haven't met anyone who would say no.
...and they're very open to letting just about anyone try intubating short of extinuating circumstances (anterior/difficult airway, loose incisors, fornicating handle that wouldn't stay the forincation on before the last case). I didn't even have to intubate a manikin for them before my first intubation. The resident/SRNA and attending will be more than happy to walk you through it and provide constructive feedback.
Second, it's probably a much different view looking from the inside out than the outside in.
Granted, the following is N=1.
At my current hospital all the patients gets rolled by anesthesia past the control room and we flash the number to the person who maintains the board. When we get the patient into the OR is the best time to ask because there's plenty of time to chat as we move the patient over to the table and set up the monitors prior to induction. That's probably the best time to ask. Also, it's a county hospital with a residency program and a rotation site for a CRNA program. If you want to stay and talk and ask about meds, management, etc, I haven't met anyone who would say no.
...and they're very open to letting just about anyone try intubating short of extinuating circumstances (anterior/difficult airway, loose incisors, fornicating handle that wouldn't stay the forincation on before the last case). I didn't even have to intubate a manikin for them before my first intubation. The resident/SRNA and attending will be more than happy to walk you through it and provide constructive feedback.
JPINFV
Gadfly
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Ah, Orange County EMS... just as I thought you were becoming sane you pull this crud.
http://healthdisasteroc.org/civicax/filebank/blobdload.aspx?BlobID=12036
So apparently it's better to not treat hypoxia than, in rare cases, induce apnea. If only paramedics had some way to treat apnea...
http://healthdisasteroc.org/civicax/filebank/blobdload.aspx?BlobID=12036
So apparently it's better to not treat hypoxia than, in rare cases, induce apnea. If only paramedics had some way to treat apnea...
VFlutter
Flight Nurse
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Treat less than 95%? Say what? The majority of my patients live under that on a daily basis.
RocketMedic
Californian, Lost in Texas
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I would imagine that CPAP or BiPap there dont exist?
DesertMedic66
Forum Troll
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See riverside and San Bernardino counties aren't THAT bad haha
JPINFV
Gadfly
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They just got it a year or so ago, but only for "Wheezes, suspected asthma or otherforms of bronchospasm, including COPD:" in the resp. distress protocol.
Congratulations OC paramedics... you're on "comprehensive standing orders," but the standing orders are bull crud.