Standby EMT at Baseball Camp

alleghenylover

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I will be starting a job tomorrow as a standby EMT-B at a baseball camp. I'm a little nervous as this is my first real job as an EMT (I've been working as a volunteer for the past year with my local FD and usually with an experienced crew member).

I have to supply my own bag any suggestions beyond the basics on what to include?

Any advice would be appreciated!
 
I will be starting a job tomorrow as a standby EMT-B at a baseball camp. I'm a little nervous as this is my first real job as an EMT (I've been working as a volunteer for the past year with my local FD and usually with an experienced crew member).

I have to supply my own bag any suggestions beyond the basics on what to include?

Any advice would be appreciated!

Well.

Ice packs, heat packs, bandaging equipment, sling, splint, pen light, stethoscope, BP cuff, a towel, a blanket, sterile saline.

Also, a glucometer would also be a great addition if you're qualified to use one and have one available to you.

Yep, that's what I'd take. That covers about every Basic emergency I can think of in a Baseball game.
 
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oral glucose and and iv kit with your IV cert.
 
Perhaps (not in your bag) a collar and LSB.

How long would it take for EMS to arrive (for tx)?

iv kit with your IV cert.

wouldn't that require a medical director & protocols to start IVs?
 
Perhaps (not in your bag) a collar and LSB.

How long would it take for EMS to arrive (for tx)?



wouldn't that require a medical director & protocols to start IVs?

Yes, it would. And even so, an EMT-B admitting to having no experience? I'm going to pass on letting said person start IVs in my camp. Not to mention IV materials are ungodly expensive and must be kept 100% sterile. And since when can EMT-Basics start IVs? Just no.

Forget the IV comment by mikey. Bring a collar though, that was a good idea.
 
Are you going to be the only EMT on site at a given time?

Bring some bottles of water, sunscreen, bandaids, and some athletic tape. (cloth tape) I know these things don't seem like EMS related items, but if my understanding is correct, you'll be functioning in a setting a bit removed from the standard EMS, ambulance / hospital, paradigm.

Also, just as a cya issue, as an EMT, how will you be functioning? As a first aid provider, or as an EMT-B with medical direction, protocals, and a medical director? This is something you need to be clear on in case it becomes an issue, although it probably will not.
 
Wonder how come its a big deal to use a glucometer. Its not that hard to use one, I don't see why sometimes B's can't use them. Just :censored::censored::censored::censored::censored: and go.
 
It's considered an invasive procedure since it penetrates the epithelium. Let's not get this thread off topic though, I'm sure either a search (hint) or just starting a new topic would be great way to answer this.
 
Thanks for all your suggestions. I actually don't really know my specific duties (first aid vs. EMT-B with medical director, specific protocols etc...), I will find out more when I get there tomorrow.
And yeah I'm not certified to use an IV anyway....and protocols say the glucometer is out as well. Thanks again everyone!
 
get a standard jumpkit from any site, beef up some of the supplies(icepacks etc) and call it a day.

things to keep in mind:
your alone with no guarantee that there will be qualified providers to assist you, so thing that require more than one person(i.e. longbaord) are out..
if your being hired as a first aider(sans medical direction etc) you need to be sure of where that line is. iv's, glucometry, medications(yes o2 glucose asa and epi are drugs) are out.

theres more but thats all i can think of at the moment
 
It's considered an invasive procedure since it penetrates the epithelium. Let's not get this thread off topic though, I'm sure either a search (hint) or just starting a new topic would be great way to answer this.

yes apologize for hijack.
 
An adjustable C-collar will often fit inside the bag, between the dividers and the outside liner... mine is on one side and the back.

There are some liability hazards to this sort of work... are you really working as an EMT, or as something else, and who is employing you - the camp, or a local ambulance company. An EMS agency will have paperwork for refusals, assessments, etc... the camp might not. Additionally... an EMS agency will probably have some form of communications with you... and a dispatcher you can call to request 1 BLS unit to your location... vs. having to spend time on the phone with 911 telling them where you are and answering their EMD script.
 
Been there done that...peewee football and cheerleaders.

Hot topics:
1. They will probably try to get you to work at your utmost capability or beyond without adequate administrative infrastructure. Get a copy of your contract and see what level you are working at. Insurance? "We got you covered"...hah. Have someone else with background examine your contract. I'll bet you a quarter they list your duties as "first aid". They will not be trying to screw you, they are just trying to save money and their experience will be that somone was willing to do this in the past. Even if you are "only" doing first aid, you will be bringing training and eyes to assess and initiate proper treatment.
2. Need to preplan documentation. Do they have a standard form? If so, will it take you out of action for the rest of the day to stop and fill it out? (And don't you dare let them do it for you, ever). When you make your pre-employment visit to your responding EMS provider to make sure about their response time, historic relations with the event, etc., ask them for a copy of their information form and ask if you can, say, make xeroxes on a different color paper or some such so when you hand a pt off, the info is all there for them? And keep copies for yourself. Once you get that first dollar, Good Sam just left the building.

3. OK, assuming you take this gig, some stray shots:

ASTHMA: what-if? Going to happen. Sticky issues, giving meds, even with a parent's approval form.

Resist people trying to pressure you, especially transporting in POV's. People get excited and even aggressive. Some freeze up. Know what to do, calmly insist that the right thing be done while you are doing it, and never hold off sending a peds sports injury pt out. Keep track and officially advise the boss when a trainee leaves that you say they must have a physician's release to resume play if that is appropriate.

Get in tight with whoever is running the gig. Be proactive, be everywhere, help prevent injuries and heat exhaustion etc., tip off the boss when things are getting dicey. There are standards for exercise based on air quality, temp, etc., and if you can keep them on the right side of these rules, they will love you or fire you.

It can be fun, too. Dress distinctively so you are readily visible and findable. Be adult but have a sense of humor. Stock ScoobyDoo bandaids, My Little Pony, whatever, to boost morale in the event of an "owie". Carry some still- sealed bottles of drinking water, some kid or other will come without water and need it, cheap insurance and a kid pleaser. A length of O2 tubing will convert a standard drinking fountain into a water bottle filler. (So will stethoscope tubing...ask me about that later).

Stock for immediate treatment which will be of benefit in the time until EMS arrives, or in cases where EMS will not be needed...about 99% of the time. If therapeutic stuff like heat or joint-supporting elastic wraps are called for, this kid should be sidelined. Know what to do about asthma, anaphylaxis (who's allergic to foods, bees, sunshine?). Have the number for whichever child protective service you need to call if something bad is going on, as you can be held responsible and, ab ove all, it's the right thing to do. If the operation does not meet YOUR standards, QUIT.
 
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And since when can EMT-Basics start IVs? Just no.

Forget the IV comment by mikey. Bring a collar though, that was a good idea.
you're joking right...since the training brought forward called EMT-IV cert. you can start and administer sodium chloride...don't disbar the comment if you had the cert it would have been a great idea to have....lets see a bunch of kids running around in the heat....hmmmm nah they wouldn't need fluid replenishment in case they collapse from heat exhaustion.
 
A few more thoughts, since people have mentioned medication...

If it's a camp then most likely they will have a record of which campers have Epi-Pens, inhalers and other medical history...at least the camp I work at we do

So if anything, you would just like a bystandard (if not under medical control) aiding in the administration of the camper's prescribed meds

Also, how far out is EMS if there was a true emergency (other than a booboo from getting hit by the ball)?
 
you're joking right...since the training brought forward called EMT-IV cert. you can start and administer sodium chloride...don't disbar the comment if you had the cert it would have been a great idea to have....lets see a bunch of kids running around in the heat....hmmmm nah they wouldn't need fluid replenishment in case they collapse from heat exhaustion.
There is a difference between EMT-B (as the OP stated the job was) and an EMT-IV. In addition, administering ANY drug (including O2, ASA, NS) without medical control will at a minimum cost you your cert if not some other things.

Allegheny, the best advice has already been given. See what they expect of you, and find out under whose authority you'd be operating as an EMT-B. If there is no doctor involved as medical control, then you will be operating at the first aid level and should plan accordingly.
 
There is a difference between EMT-B (as the OP stated the job was) and an EMT-IV. In addition, administering ANY drug (including O2, ASA, NS) without medical control will at a minimum cost you your cert if not some other things.

Allegheny, the best advice has already been given. See what they expect of you, and find out under whose authority you'd be operating as an EMT-B. If there is no doctor involved as medical control, then you will be operating at the first aid level and should plan accordingly.
you have to call med control to administer O2? wow your lines must be busy all the time. does this place have any standing orders? or are you just to work first aid like ffemt suggested?
 
you have to call med control to administer O2? wow your lines must be busy all the time. does this place have any standing orders? or are you just to work first aid like ffemt suggested?

No, I don't have to call to administer O2...but that's because it's part of our protocols (aka offline medical control). Medical control takes many forms, including online (calling) and offline (protocols). You need one or the other to administer ANY drug in EMS.

That's what we don't know about the OP's situation - if medical control is involved or not.
 
No, I don't have to call to administer O2...but that's because it's part of our protocols (aka offline medical control). Medical control takes many forms, including online (calling) and offline (protocols). You need one or the other to administer ANY drug in EMS.

That's what we don't know about the OP's situation - if medical control is involved or not.
;) alright, i gotcha now.
 
No one calls medical control to administer O2... we have standing orders for it in our protocol.

But if the OP isn't under an EMS orginization... then they can't necessarily treat to protocol.

BTW - AlleghenyLover - Are you from PA?
 
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