I agree with abckidsmom...trauma is pretty much straightforward, but I like it for that reason.
But when my mind needs a good workout, I love medical calls.
In my narratives, I first put what I was dispatched to and any dispatch information. As we all know, that doesn't usually match up with the actual details of the call, but I put it in there anyway. I then put what I found on scene, pt's chief complaint, and a few sentences on what led up to it...
Focusing on the deaf part of this story, the area I am in has a lot of deaf people. The university I go to had a college for the deaf. I am on the collegiate EMS agency, and a good percentage (30-50 is would say) of our patients are deaf. Sometimes we get an on-call interpreter, others we don't...
We have NIBP on our trucks...but we are highly encouraged to get at least one manual during the call (preferable first). I usually take one or two manual, and switch to the NIBP during transport.
what state?
it depends on the state, and who you took the course through (or your instructors if it is not a common test between classes). When I took my class test in NY, the instructors made it so it was not the same as any other class. And it was a bit easier than the state test...they...
Varies by agency I am sure. There is probably someone out there who says you can't take notes however you want. You just need to make sure you properly dispose of your notes...anything with a patient name, address, etc, I make sure I shred it. It all gets copied into the PCR so there is no...
What makes you think that "memorizing" is a good idea? you are bound to forget something, especially if you get another job before your first PCR is done...
My agency uses electronic PCRs, but I always have a notepad and on me that I use to write demographics, important parts of HPI, what I...
Phillips MRx Monitors have a little thing that you put on the pt's chest and it gives real time feedback during CPR...the monitor says stuff like "push faster", "push harder", etc. You can also get just visual feedback.
Seems like a decent system...I didn't think it was legal for them to NOT pay you, but it sounds like you get compensated fairly. What do you and your co-workers think?
As with others on this forum, I hesitate to comment on questions like this without hearing both sides...
Assuming all of the facts are above, I would not have let this patient go POV. I don't think he is in any state to know what is best for him. The parents said that they have had issues...
I forgot to mention...we use them too haha...and i guess they are just about as expensive as the macs that i shot down previously...but with toughbooks, you get much better durability...
The NYC protocols seem like a mess...my MLREMS protocols seem more organized, with a table of contents in the beginning...and a full section of BLS Pharmacology. Check it out, just remember your region's usage may vary.
http://www.mlrems.org/e107_files/downloads/2010_protocol.pdf
Maybe it is not in your NYC Protocols...but it is according to NYS, as it is in those protocols, and it still is in my region's (Monroe Livingston) Protocols.
I agree, calm your nerves...
study the parts you did the worst on, like you are doing.
The NY test is tricky, I have taken it too...Read the question carefully, but don't read too far into it. Go with your gut instinct...