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I routinely take patients that in all honesty should probably go ALS. Problem is we have so few Medics and the county doesn't allow private medics. Fortunately, I am close to a bunch of hospitals so as long as I can get them there alive then they are in good hands. Stabbings, unconscious...

A little friendly advice to the OP. You are a team, you need to act like one. Checking paperwork is not stepping on your partners toes. I often read the paperwork and both of us will listen to the Nurses report and ask pertinent questions. Did you or your partner talk to a nurse to get a report...

What were signs and symptoms? I have had several SOB patients who were SOB due to anxiety. Coach them in their breathing and get them down to normal. You said you were a driver. Did you look at this patients paperwork? Maybe this was normal for the patient and the family is well aware of how...

I wouldn't say there is a larger disconnect between us private folks and the Seattle Folks. Maybe things have changed since you were here but I have had nothing but good experiences with Seattle thus far. I was at a chest pain that was cleared by medics as not being Cardiac so we were taking...

We use hospital blankets that we steal....er, um borrow from the ER. Actually, all the ER's use the same blankets and they are the ones telling us to use them since they all come from the same source. Every patient gets a sheet for dignity. Blankets are optional.

I have never seen a field automatic vent other than the ones used for neo nates. I meant, I can't imagine an automatic vent being dragged into an overturned car to be used on a patient. However a BVM can be used. I don't have experience with them because I don't use them. We use BVMs...

I find it funny that the study from a company that makes automatic ventilators. Is a BVM perfect? No. However it is simple, effective and requires no power. Until they come up with something better your not going to replace the BVM. For a patient in respiratory distress, I seriously...

It is around here. For those unfamiliar with it it goes like this: Mon, Tue work; Wed, Thur off; Fri, Sat, Sun work; Mon, Tue off; Wed, Thur work; Fri, Sat, Sun off. Its nice because you get every other weekend off. We have a variety of schedules at my company with the majority being Spokane...

We don't have a slow time. We are busy all day with almost 400 calls daily in the city. Currently I work 12's on a Spokane schedule. However, on the 6th I will be switching to 12's on a back half schedule. So I will be working every Fri, Sat, Sun and every other Thur. 4 hours built in...

Seattle VA is a bunch of morons. I have never had a problem bringing them a patient. As long as the patient is a veteran they accept them. You have to give last 4 of SSN as part of the HEAR. They treat us like utter crap though. The other day I took a patient there and he couldn't sign the...

What you will see is on the BLS side is a lot of AMR. Seattle Fire doesn't transport BLS. On the ALS side you will see everything from diabetic calls (ALS has to do glucometry in King County) to Cardiac Arrest. Most of the Medic calls I have been on have been diabetic or ALOC related. Truama...

Not sure what your Protocols are but here a Basic cannot "diagnose" dehydration nor can we give fluids. Last time I checked water wasn't carried on my ambulance - unless they want to drink Sterile Water. Signs and symptoms of dehydration and potentially unstable will get a medic eval. The...

Same, patient contacted SPD officers at the Space Needle and said he wanted to go to jail or was going to commit suicide by cop. They gave him to us for an invol. Took 30 minutes with lights and sirens to navigate that damn traffic. Felt like Moses parting the red sea.

5 years ago you should have your license back. Follow the court orders, pay your fees and follow the steps at DMV. We have employees with previous DUI's. Have to have your license to be on an ambulance.

First lets remember this is a Living Will and NOT a DNR or POLST. Also remember that this has to do with life support and not resucitation. A tattoo is not to be considered a legal document. Also, a Living Will must follow the same standards as a will for it to be legally enforceable. That...

I have never had them refuse to lift assist a patient - infact I have had them yell at us because they wanted to be a part of the lift. In the rare instance where noone was available they have provided us a hoyer (sp?) lift to use. Weighing patients is the responsibility of the center. Though...

Here in Seattle, Harborview does not want HEAR reports. We just show up. ALS calls in a HEAR because they need to talk to the Medic Doc anyway. Airlift will call in to give them a heads up. All of our other hospitals require HEAR reports. The worst one that angers me the most is the Veterans...

I had to babysit a body last month because Medics pronounced a death in the back of their rig and had a 2 hour eta from the ME's office. Had the pronounced him on the ground the PD would have babysat him but nope had to do it in the back of their rig. Since I am BLS and can't pronounce death...

I didn't change the terms of anything. I misunderstood vene. My original thought was that you take a patient to the appropriate level of care. However even though every hospital can stabilize - knowing the specialties of each hospital can help you decide where to take a patient, even if that...

I meant not everything you do will be high speed exciting stuff. It is a good company and you will enjoy yourself.