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  1. NYBLS

    Keeping skills up while working per diem?

    And how are you aware of this? Do your system do follow up on all patient encounters? Group discussions on improvement? Or do you just drop them off at the hospital and make assumptions about their status after that?
  2. NYBLS

    Keeping skills up while working per diem?

    Evidence please? And I'm not sure where I laughed or called anyone here an idiot. If you cant participate in a healthy debate then why keep returning to the thread?
  3. NYBLS

    Keeping skills up while working per diem?

    A 14 will offer better flow rates. Im surprised you would rather me drill a needle into your moms leg or arm then place an IV. And if I place an EJ it will be a 14.
  4. NYBLS

    Keeping skills up while working per diem?

    I'm not sure where I said "it would look cool." People around this forum seem huge on providing quotations around things that were never said, even with the quote option right next to each post.
  5. NYBLS

    Keeping skills up while working per diem?

    Sepsis/septic shock, MI, CVA, trauma with significant or potentially significant chance of hemodynamic instability. These patients may or will need large volumes of blood or fluid and you putting in a small needle to avoid increased pain can lead to their death.
  6. NYBLS

    Keeping skills up while working per diem?

    Again, where did I say anywhere?
  7. NYBLS

    Keeping skills up while working per diem?

    I can think of several.
  8. NYBLS

    Keeping skills up while working per diem?

    I'm not certain where I said "you can fit any size catheter anywhere.".....
  9. NYBLS

    Keeping skills up while working per diem?

    I'm not saying utilize US to guide insertion, I'm saying use it to measure the size of many of the veins sometime.
  10. NYBLS

    Keeping skills up while working per diem?

    And if your mom is truly ill?
  11. NYBLS

    Keeping skills up while working per diem?

    Most veins that can fit a 20 can fit a 14 (grab an ultrasound to prove it). Most IVs are about confidence in your skills. How long have you been per diem? How many calls do you run a week on average?
  12. NYBLS

    What do you carry? - The mega thread

    Pockets have phone, chap stick, wallet with certs, gloves, pen, sharpie and pen light. Belt has radio, key ring holder thing, tourniquet and flashlight.
  13. NYBLS

    Two Questions:

    If you believe anxiety may be a root cause then oxygen is not the answer for two reasons. One, its never a good plan to give a drug to see if it may help. You only give a drug with a specific goal in mind and possible reactions and preparations to treat those reactions. Second, if it is anxiety...
  14. NYBLS

    Sternal rub... who's doing it?

    I don't believe its a CYA thing, I believe it is good patient care.
  15. NYBLS

    Sternal rub... who's doing it?

    How often is everyone having someone who is truly faking it? While I agree it does happen with how often people are talking it almost seems commonplace. Maybe you should be believing these patients are unconscious instead of trying to prove they are "faking it." Its the same workup either way.
  16. NYBLS

    First Aid for Brownies/Girl Scouts

    When I helped teach a class we went over the basics of hemorrhage control (including TQ application), splinting, C-spine immobilization, heat/cold emergencies, choking/hands only CPR and different carries to help get their buddy out of the woods.
  17. NYBLS

    CC or Paramedic

    Become a CC if you would like new skills, become a paramedic if you want new knowledge on when to use the skills.
  18. NYBLS

    When?

    I think we often forget we are typically the first line of health care a patient will see which can provide extremely useful information to provide to our patient. Ill give an example. One of my clinicals was the cath lab. Why? Am I going to provide this in the field? No, of course not. But for...
  19. NYBLS

    When?

    There is so much wrong with this statement I don't even know where to start.
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