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Accessing ports are considered a Critical Care skill and should be written as such, above the normal Paramedic level skills and training.

R/r 911

Actually it's considered a Med-Surg nursing skill in many hospitals since that is where most of these patients are. But you are right it is above the normal Paramedic skills and training. Since these patients with Port-A-Caths are fairly common and are transported via a variety of different ALS teams, some do have pretty good policies and have been trained for access. Although, many of these teams do include an RN. However, not all teams are created equal in skills or training, no matter the credentials.

Unless you were referring to the CCT paramedic and not Critical Care Unit, then my apologies Rid, you are correct.
 
I do believe that Heparin and flushes etc.. is a personal or rather institutional choice. Like Bongy describes it is a minute amount, however; when one already has a bad PTT or skewed INR, every little bit should be considered, especially repeat draws and meds.

Yes, it is routine med-surg.. but like you described Vent most of the tume it is considered an advanced CCT procedure.

P.S. ... just returned from Disney World.. great trip.. too short!

R/r 911
 
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