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Exactly our thoughts. We’ve had an additional RN from thr facility able to come with us 2 times in 5yrs, so yea not banking on that even though that would be awesome

Thanks for the reply and agree with managing critical patients, that's what the ER and ICU teaches us. The CCT staffing in LA County is RN+EMT+EMT, so you won't ever have a medic with you. You can request Hospital staff ride along with you, and we have had RN's and MD's come with us on specific...

100% understand where you are coming from. Def not a fly by knight company like a lot are here in SoCal. These are adult patients who are extremely ill and go to tietary facilities (usually for heart transplants), no peds. Actually, this company has PICU/NICU rigs dedicated (EMTs and ambulance...

Assuming those issues are absent, Unfamiliarity and the fact that the class is 2hrs long with only half being hands on. In the Hospital, RN’s don’t touch vents/nitric oxide other than maybe upping the 02, thats RT’s job and their schooling is dedicated to respiratory. When you become a CCT-RN...

Good Afternoon, Currently work on a CCT ambulance in LA county. Our company is requiring CCT-RN's to complete an online and hands-on course of 2hrs to be able to work with and transport patients that have inhaled nitric oxide blended through our ventilator. Problem is, we as nurses do not think...

https://www.fox5atlanta.com/news/college-park-volleyball-player-collapses-dies-grady-ems-gives-timeline-requested-response So let me get this straight. Grady EMS is at level zero, limited communication initally categorizes the call as low acuity then it gets upgraded to high acuity BUT College...

Most states that I know of has 12lead placement as a basic skill but 12 lead interpretation as an advanced skill. Interpretation is a lot more than just reading what the computer says. For a refusal, it doesn't matter what the 12 lead says, if a patient is alert and oriented, they can refuse...

BLS/ALS/CCT IFT agency in LA County: 1. New EMT's get up to $2k reimbursement for EMT class taken through a community college 2. EMT's who have been with the company for a minimum of 1yr can get $5k towards medic school through 3 community colleges (no contract required) 3. If an RN wants to...

Used to be AHSI instructor and it was so much easier than AHA. I took a 2 day 16hr instructor course and after passing their tests, I was approved right away to start teaching. I didn't have to shadow an instructor and have an instructor shadow me like the AHA requires. Also, the training...

Agreed 100%. Once you get it down, pretty easy to use. 90% of our vent calls are ACVC or BiPap and you can set the vent up and have the settings programmed in like 2 minutes.

Zoll for EMS LTV1200 for CCT. It is an agressive vent but can match pretty much any setting the hospital has.

LA County is marked as the "First and Worst" EMS system, so it doesn't surprise me. You have to get EMS Board approval to carry anything beyond the drugs they allow and AED's aren't even required on a BLS ambulance. We take intubated patients daily, (knock on wood), nothing has happened yet...

Nah. If a patient needs pain medicine we always ask the staff to pre-medicate the patient right before transport (assuming they haven't been recently enough) and/or we will ask they staff to provide medication to medicate during transport if it is anything other than morphine, which we carry...

Los Angeles Ground CCT: Morphine - 36mg Versed - 30mg Never had to use either one and don't like them. Since we are IFT, the sending hospital provides whatever medication we need or want lol.

I know it's a 2yr old post you made, but that's almost the same thing our transport RN says: "I need a quick signature from you saying it's ok for us to transfer you. We wouldn't want to kidnap you because you're lovely" Gets em everytime.

You know french fries aren't made in France? They are made in Grease!

I I’m not talking about CRRT, I’m talking about lasix if u overload a little too much. Just saying we don’t do that, we’ll let the ER/ICU do that if we give them a bit too much

If someone is septic and symptomatic, we aren't withholding or limiting our fluids initially. The ER/ICU can always diurese them later if needed. Our protocols do state we need to re-assess every 250ml in the field.

I got the first vaccine but nothing since. Never got covid and we transported many confirmed covid patients every shift. Something didn't sit right with me. A lot of people I knew got covid after getting their second shot, some female friends had menstrual issues for months after getting the...

Wow. We've had one of our Transit CCT units blow up on the side of the freeway a couple years ago. The crew said they were driving down the freeway when suddenly it lost all power, they were able to baby it to the shoulder and it just started smoking. It then fully engulfed about 3min later...