the 100% directionless thread

EMSLaw said:
And that COPD patient who is getting along just fine at 88%?
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"Standing orders are to be utilized as clinically indicated. Not every standing order in a treatment protocol must be carried out on every patient treated under that treatment protocol. Discretionary judgment is required."

Of course that's in conflict with the rest of the protocol book that treats EMS providers like complete idiots who traveled to their EMS class on a short bus. Riverside, I used to like your protocols, but now it's written at such a dumbed down level that even Orange County paramedics look intelligent, protocol wise, compared to you.
 
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Okay now I'm confused, I guess in non-IFT we can use SPo2, but not during IFT?

In 5501 page 15, it says Spo2 monitoring is ALS and higher leve. But in 4102-c it says it is... Maybe it's because it's not on the required equipment list?
 
exodus said:
Okay now I'm confused, I guess in non-IFT we can use SPo2, but not during IFT?

In 5501 page 15, it says Spo2 monitoring is ALS and higher leve. But in 4102-c it says it is... Maybe it's because it's not on the required equipment list?
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Could be a typo. Also, page 15 is a guide for facilities and the intro part ("Interfacility transport" section above "Procedures" on page 1) makes it clear that this is for acute care to acute care or sub acute to acute (so not discharges, doctor's office, or dialysis calls) in addition to saying that these procedures are "suggested."
 
JPINFV said:
Could be a typo. Also, page 15 is a guide for facilities and the intro part ("Interfacility transport" section above "Procedures" on page 1) makes it clear that this is for acute care to acute care or sub acute to acute (so not discharges, doctor's office, or dialysis calls) in addition to saying that these procedures are "suggested."
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That's what I'm thinking I"m gonna copy the PDF to my kindle land spend my downtime reading through everything. I'm looking at the drafts of 7502 and it seems Basics will be able to obtain BGL's only after a medic asks them to. At this point we use a loop hole where we take the BGL off of the needle so we're not actually touching the patient. Seems to be the best way so far.
 
PoeticInjustice said:
Just got a save with a high likelihood of recovery. Kinda disheartening that my first legit save in a while was on a drug addict...
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My first legit save was on a drug addict also. In fact, all of the "saves" I have been on were arrests secondary to opoid overdoses. :wacko:
 
lightsandsirens5 said:
My first legit save was on a drug addict also. In fact, all of the "saves" I have been on were arrests secondary to opoid overdoses. :wacko:
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My partner was just talking about his 4-month streak of repeat saves/ opioid reversals of the same woman. Apparently, on the last one, her 4 y/o grandson called 911 to report that "Grammy isn't moving and she has a pointy thing in her arm". A bit heartbreaking, but nice to know her grandkid has more sense than she did.
 
lightsandsirens5 said:
My first legit save was on a drug addict also. In fact, all of the "saves" I have been on were arrests secondary to opoid overdoses. :wacko:
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That tends to be the norm around here as well.
 
Also, I got the email from our clinical director about my field training. Cleared it! Also scored a full time spot in the next shift bid if I want it.
 
Sold my totally awesome Jeep with leather seats for some piece of crap that doesn't suck gas like it's going out of fashion, bummer, I loved my Jeep but it just cost too damn much to run.

I'm going to attempt some more sleep, anybody who wakes me fear death, or worse. Not that I dont like early morning jobs, but when you get a shout early in the morning you sort of wake yourself up and off you go but it's just a pain in the arse getting back to sleep. No more nights after tonight thankfully.
 
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Why must i be awake during the day? Curse you sunlight!
 
Rettsani said:
Time passes too fast ....:unsure:
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You are telling me!

Christmas break always FLIES by! I wonder how it will be next Christmas now that college is done and I'll me a paramedic by then. :-S Christmas break will be like 3 days long. :-(
 
So, last night I dreamed I showed back up at class in Texas and had forgotten my pocket drug guide. Then they kicked me out of the class. :wacko: I woke up in a near panic. Ha ha ha!

On a side note, I don't know if I said this yet. But last semester, our instructor came into our dorm at 0300 and woke up the entire paramedic class, marched us into our study and gave us our dopa and epi tests. At the time is seemed horrible, but later that day we were all laughing about it. He said we would not always be using our drugs in a comfortable classroom at 1100 in the morning after a good night sleep. I actually liked it.
 
God I wish I got to sleep through last night stupid shout at 4am!!!

Our watch system sucks, two days and two nights, no way to get out of it because of the union clause that you cannot replace somebody with somebody less qualified, grrrr!!! The only way to escape is to relocate to a day only vehicle but their scum or defy God and get into the motorcycle unit.

I'm wide awake and complaining to people on the internet, I feel weird.
 
lightsandsirens5 said:
So, last night I dreamed I showed back up at class in Texas and had forgotten my pocket drug guide. Then they kicked me out of the class. :wacko: I woke up in a near panic. Ha ha ha!

On a side note, I don't know if I said this yet. But last semester, our instructor came into our dorm at 0300 and woke up the entire paramedic class, marched us into our study and gave us our dopa and epi tests. At the time is seemed horrible, but later that day we were all laughing about it. He said we would not always be using our drugs in a comfortable classroom at 1100 in the morning after a good night sleep. I actually liked it.
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Where do you go to school that your entire class all lives in the same dorm?
 
lightsandsirens5 said:
You are telling me!

Christmas break always FLIES by! I wonder how it will be next Christmas now that college is done and I'll me a paramedic by then. :-S Christmas break will be like 3 days long. :-(
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I feel The older one becomes, the faster time goes by.
When I was in middle of the year healthy written, I had a look into my Patient record in hospital and was surprised . 5 years have elapsed flown by ... and I thought It would been less. That's a weird feeling. But because life is beautiful, one should not think about the passing of time. You have a great future in front of you. My instructor always said, the real learning begins when the school is over. He was right. :)
 
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