First ride-along experience was odd..

GreenRanger55

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First off, hello! I'm new here. I am currently doing ride-outs after having finished my EMT class. I am already enrolled in AEMT classes. This forum has been a great help, so far.

Anyway, on to my experience. This was my first ride-along after completing EMT class. I arrived about 20 minutes early, in hopes of helping stock the truck, get to know the other EMS providers and whatnot.
When I arrived, the new shift was not there, so I sat down at the main desk and listened to a few paramedics exchanging stuff about the day. A few minutes later, the crews for the next shift started to come in. I smiled, hoping to get at least a hello. No such luck. A paramedic I had previously met came in and I said hello to him. Next thing you know, the tones drop. No one has said who I'm supposed to be riding out with that night, much less told me their names. I would have introduced myself, but nobody had given me so much as a second glance, except those I knew. The medic I was familiar with asks another student to follow him, so I turn to the paramedics still at the table and say, "So I guess I'm with you guys?" No answer. Just a blank look. A minute later, tones go off, again. The 2 seated medics get up and go for the door. I follow.
Throughout the course of the night, I could barely hear the radio (I was in the back of the rig and there was only a small window to the front) and often had no clue what we were being called to. If that doesn't make a newbie paranoid, I don't know what will.
After the first call, I talked to the paramedic and asked what he wanted me to do. His answer was "Anything up to your level." l asked him if it was ok if I watched the next call to get a better idea of how they do assessments and the like (helping when he wanted me to, of course). He said that would be fine. I admit I'm a slightly timid person, but the last thing I wanted to do was be a wallflower. I am there to learn. I was very worried about getting in the way, though. I felt like I was more of a bother to those two than anything else.
First call down and we get back to the station. The two work on their reports, as expected, while I study. I wait till they are done and mention, "You know this is my first ride out." "Oh," was the reaction. I then asked if I could get a look around the rig, so I knew where things were. The AEMT directed me to the paramedic and said, "He'll show you after we finish the next call" (We were about to be called out, again). That never happened. Not in an entire 13 hour shift. I also made sure to say I wasn't very confident in taking BPs, yet, but they didn't seem to care. They never double checked me.
Next call comes in and it is of a serious nature, so I stay out of the way. On the way back, the paramedic asks me to hand him a nebulizer. I guess the panicked look on my face didn't get my point across. After asking where it was and a quick search through the area to find it, I set it up (took some trial and error to figure out exactly how to use the oxygen on the rig as it was different than the set up from class) and hand it over and watch him continue his work.

By the third call, I was getting annoyed (maybe they were just waiting for me to jump in there, but they really gave no indication). I asked if I could take the vitals on the call and was told it was alright.
Calls were pretty much all the same, after that. I took vitals on all the patients and was given no pointers on my work, so I assume I was doing it right. All the BPs were only 4 or less off from the hospital monitors, so I was pretty happy with that. Skills of the night consisted of putting a non-rebreather on a patient and a nasal cannula on the other. Most of the time, the medic would just reach over the patient for what he wanted, rather than ask me to get it. It was faster, I suppose.
The most awkward part of the night was during a break. I popped my dinner in the microwave and noticed complete silence. The two medics talked to eachother most of the night, so I knew something was up. I turned around to see both of them staring at me. "What? Did I do something wrong," I asked. They explained that when the microwave is working, they can't send their reports. It messes up the internet connection. I am supposed to know this, how? I apologized and slinked back over to the edge of the table.
By the end of the night, I learned virtually nothing (I did watch what they did, but they never said why they were doing particular interventions, unless I asked). The only things I learned were how to write a narrative (which was great, as that was the longest conversation I had with the paramedic, all night) and how to set up the cot for new patients, and that was only after I completely ignored the AEMT when he said, "I've got it." It's folding a sheet. I think I can do that. I just felt so left out of the loop. I know I was new, but ANY interaction would have been appreciated.
So, I guess my questions are: Did I do something wrong? Did I not show enough initiative? Is there anything I should have done differently? On the next shift (tomorrow) I intend to ride out with someone else, but are there any pointers you guys have for me?
 
Unfortunately some crews are just like that and don't like students. From our perspective I don't get anything for having a student ride with me other than more liability and another person to keep an eye on. With that said I enjoy having a student but it's really up to them to be proactive about their education which it sounds like you were.

From what I'm reading it sounds like you got a crew that wasn't student friendly which is unfortunate. It doesn't sound like it was anything you did or didn't do. I still have yet to figure out why they schedule riders with medics and EMTs that don't like having a student around.

Hope tomorrow works out better for ya bud!
 
Unfortunately some crews are just like that and don't like students. From our perspective I don't get anything for having a student ride with me other than more liability and another person to keep an eye on. With that said I enjoy having a student but it's really up to them to be proactive about their education which it sounds like you were.

From what I'm reading it sounds like you got a crew that wasn't student friendly which is unfortunate. It doesn't sound like it was anything you did or didn't do. I still have yet to figure out why they schedule riders with medics and EMTs that don't like having a student around.

Hope tomorrow works out better for ya bud!

^ this
 
Unfortunately thats just the way it with some crews, dont take it personally. Trust me, they've forgotten all about you by now.
 
This might be something common in EMS. I'm new myself and for every hard-working, professional, and courteous paramedic/emt I've met, there have been 20 individuals who were antisocial or impersonal.

Maybe it's just me
 
Quite often the crews that aren't good "preceptors" or mentors whatever you want to call them, aren't confident in their own abilities.

They may be pushing you out of the way as a means to make themselves feel better at what they are doing.
 
I don't mean to come off as a scrooge by any means, but when I have third riders once we get through the day's objectives, I go back to what I usually do between calls. If the new hire (we don't usually take students) has questions I am more than happy to answer them, but I am not going to take the lead on the questions since a) I'm not an FTO so I'm not making any extra money and b) I enjoy my downtime between calls and sometimes I just wanna read my book.

That doesn't excuse a lot of the OP's crew's behavior though, as a preceptor you have a duty to set the expectations at the start of the shift and stick to them.
 
Don;t forget that alot of crew just get given '3rds' 'ride alongs' without any notices. They often aren't told what their level is etc

We work pretty hard in this job- shift work can be tiring. Showing up to work an being told you have more responsibility for the day can annoy some people.

I generally don't mind working with student but there are others out there that don't like it; see it as extra work for no reward. Hopefully next time you get a better crew to work with
 
As someone who's been on the planet for more than 3 decades now, I can tell you it's also that people are just becoming more apathetic these days.

It doesn't matter that at one time they needed help. "I got mines" is all they care about "Now leave me alone. Whatever."

Take this as a learning experience to not be like that and when you are in the position of supervising others, THEY aren't like that either.
 
As someone who's been on the planet for more than 3 decades now, I can tell you it's also that people are just becoming more apathetic these days.

It doesn't matter that at one time they needed help. "I got mines" is all they care about "Now leave me alone. Whatever."

Take this as a learning experience to not be like that and when you are in the position of supervising others, THEY aren't like that either.

As someone with more than 3 decades on this planet now, I can tell you that many people love throwing people on the bus that have no idea of what the actual circumstances are in the present situation.

Don't listen to those people.
 
Sounds like a lesson in what you don't want to be--lazy, apathetic,selfish, and lacking in humility and leadership. And manners. <_<
 
As someone with more than 3 decades on this planet now, I can tell you that many people love throwing people on the bus that have no idea of what the actual circumstances are in the present situation.

Don't listen to those people.

I've heard of "under the bus" but not "on the bus"
 
But to be fair I think it's just the field of medicine that is like this. The shifts are grueling, the work is emotionally and physically taxing. I think we're going to run into a lot of people who are generally unhappy or are just having a bad day/week and just as many people who are professional and upstanding.
 
I've heard of "under the bus" but not "on the bus"

Hah my attempt to be coy left me with a new phrase (not hat I don't like the idea of saying "throwing something on the bus," it evokes something bad too I think...) and a lie about my age (2+ decades). Hooray for proofreading!
 
Hah my attempt to be coy left me with a new phrase (not hat I don't like the idea of saying "throwing something on the bus," it evokes something bad too I think...) and a lie about my age (2+ decades). Hooray for proofreading!

I never proofread so you'll have your chance to get me back. But on a side note it looks like we both enjoy David Cross so you're okay in my book
 
Chances are the crew didn't know you were going to be there, which can be very off putting.

Also, for some partners it can be very intrusive and awkward to have a 3rd rider. Me and one of my favorite partners scared the crap out of a 3rd rider once after we forgot she was with us. She thought we were fighting and hated each other. In reality we were having a semi-serious discussion and she misunderstood the various threats of violence and inside jokes. For the record we did explain to her that we were not fighting and all was well.
 
I did my second ride out, today and had an amazing time! The paramedic had a great sense of humor (very similar to mine) and pushed my boundaries a little bit in having me do some stuff that, quite frankly, I was slightly unsure of exactly how to do (had only read how to do it in the book or had seen others do it in a non-EMS setting), but I did just fine. If I had any trouble, he hopped right in there and helped me out. I asked a few questions here and there, and he was even nice enough to print out an EKG for me to look over. I haven't gotten to that part of my studies, yet, but it looked incredibly interesting. Was good to feel like a member of the team. I helped stock the truck during down time and that helped me figure out the majority of where things were. By the end of the night I was loading and unloading the cot (when it was empty, of course. Insurance won't let me with a patient on it), setting up IV's, doing blood glucose, administering nitro and Asprin (those pills are slippery little boogers) and all sorts of fun stuff. As I was about to leave, I was complimented on my skills, ability to jump in there and try new things, and no fear in patient interaction. Was even invited back any time I cared to do a ride-along. Hearing that from a 30+ year paramedic veteran was a huge ego boost. Can't wait for the next one!
 
Aidey- Yeah, I had to find a healthy medium, tonight. The paramedic had an AEMT partner and I didn't want to step on her toes, so if there was something I knew she needed to do (at one point I was asked to set up a 12 lead and I had no clue where to start), I just moved out of the way and let her show me what to do.
The_negro_puppy- I had not thought of it from that angle before. Thanks for mentioning that. Puts it a bit more in perspective.
 
Aidey- Yeah, I had to find a healthy medium, tonight. The paramedic had an AEMT partner and I didn't want to step on her toes, so if there was something I knew she needed to do (at one point I was asked to set up a 12 lead and I had no clue where to start), I just moved out of the way and let her show me what to do.
The_negro_puppy- I had not thought of it from that angle before. Thanks for mentioning that. Puts it a bit more in perspective.

Glad to hear you had a better day! Keep it up!
 
Glad you had a better day , that first day must have been uncomfortable for you, That first crew sounded like a bunch of ****s.
 
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