What to do next...

mishhhel

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So I have a little less than two weeks of EMT-B class left, and then its off to the real world. I plan on going into Paramedic, but unsure of whether I should do an Intermediate or Advanced license first? How did you find a job? I know I sound young and eager, but I did my first ride along with a fire department in a local city and LOVED IT. I did 10 hours and didn't want to stop. My concern is when finding a job, how do I get the good one? No offense to those who do it, many enjoy it, but I'm not interested in my days being IFT and renal roundup. I live in Mass, but will be certified for Mass and RI. Where is a good 911 private or 3rd municipal that I can get into? Boston EMS is out, I dont live there and they require that.
 
Don't rule out IFT. While it isn't necessarily exciting it is great experience. It's a great place to learn about different meds and types of patients. Also a way to learn how to talk to patients.
 
Don't rule out IFT. While it isn't necessarily exciting it is great experience. It's a great place to learn about different meds and types of patients. Also a way to learn how to talk to patients.

Like nwhitney is saying don't rule out IFT. Yes renal round up sucks and gets old quick. It's also great for new EMT's like yourself to learn how the system works ie. pt assessments, how to talk to pt's, v/s, differential diagnosis, diseases/conditions, medications... then after a couple of months you can lateral over to your areas 911 company. Yes IFT work most of the time is boring and yes renal round up makes me want to shoot myself but needless to say it is great experience.
 
Doing those IFTs are great (if generally boring otherwise) for lots of learning. I'm not saying you have to like them, or even love them. You will see stable patients that are often quite sick, on multiple meds, are allergic to darned near everything, and you'll see them over and over and over again so that you'll start correlating your physical findings (assessment) with the patient's history and meds. You can use that time to practice getting vital signs done in a moving vehicle. You can use that time to practice giving report to whomever is receiving the patient from you. You can use that time to go through most of the motions of an emergency call. You can use that time to develop your skills in talking with (not "to" or "at") patients. You can use that time to develop asking your patient lots of questions and learn pertinent follow-up questions. That's part of doing assessments. Yeah, doing those renal runs is boring, but it very well could be you that notices something a bit "off" about your patient from what you normally see with that patient. Yes, you will often see the same patients over and over again. You'll learn what's normal for them. You'll also naturally pick up your speed in doing things, so that when you get bumped up or you find a 911 job, you won't be hassled to speed up, you'll already be at speed. You will already have your skills down solid.

Back when I was an FTO, I used to train my people to treat those calls as if they were 911/emergency calls. Why? It's because that way they do things the same way, every time, and at an appropriate speed. Once they're able to easily do things at 911 speed, slowing down is easier... but getting someone used to going slow to speed up is MUCH more difficult. I'm not saying that they sacrificed accuracy, just that they started doing things accurately and sped up from there.
 
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