the 100% directionless thread

ICU transports are always exciting. For instance, I had to do a bariatric (440lbs) transport with 2 EMTs, an RN, and an RT on board. Patient was intubated and on a ventilator, had IV pumps going with Fentanyl, Propofol, Nimbex, and Procainamide. Prior to our arrival, the patient had kept going into runs of VTAC and was cardioverted 8 times in 5 hours. During our 20 minute transport, the patient was cardioverted 2 times. A lot of sphincter puckering occurred during that wild ride.
 
exodus said:
Sounds sketchy, I don't know why they don't just use a paramedic or CCT/RN and make it safer. Not like they're paying for it!

ICU transports are always fun, when I worked in diego we ALWAYS had 5150's out of the ICU!
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There's a hospital in Chino that boards their 5150s in the ICU. I've never figured it out and no one has been able to give an actual answer why the 5150s are in the ICU. Thankfully (on multiple levels), there aren't many ICU patients there generally.
 
I love critical care type ift runs. As i sit, I'm monitoring a patient on a propofol, norepi, and potassium drip.. plus prbc running in, and on my vent.
 
JPINFV said:
There's a hospital in Chino that boards their 5150s in the ICU. I've never figured it out and no one has been able to give an actual answer why the 5150s are in the ICU. Thankfully (on multiple levels), there aren't many ICU patients there generally.
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All of ours were because the 5150's tried going crazy like destroying equipment in the ER status so they intubated them and let them think about it a few days. Not one of my 5150's from the ICU ever gave me trouble...
 
Party in chat by the way yall.
 
Just got home from writing my EMR registration exams. Passed the practical (despite my best efforts to the contrary), now the long 2-3 week wait for the written exam results.

It's funny how you can be confident as hell walking out of the exam room, and then your brain starts using the time to worry. :unsure:
 
Anjel1030 said:
Everything that was done was a specific doctors orders.

They wanted her on the board for transport precaution. The IVs we could take were NS so BLS. And the PCA was locked.

So it was a BLS transport technically, and OKd by our medical director.
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That's shady as heck. No tele?

In PA, flowing IV's are ALS, but I'm pretty sure my company would have done it ALS just because of common sense. :).
 
Lol no the pt wasn't on a monitor and all VS stable. I argued till I was blue that it should go ALS just in case, but I was surrounded by doctors who said they couldn't justify an ALS transport.

Edit: I said if she was unstable enough that she needed a code transport, then it should go ALS
 
TransportJockey said:
I love critical care type ift runs. As i sit, I'm monitoring a patient on a propofol, norepi, and potassium drip.. plus prbc running in, and on my vent.
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Wait - you can watch blood?

By the state, I can only do the Vent and Potassium. Rest would need to be stopped or I'd need our RN.
 
So bored! Been sitting at the station for 3 hours watching TV because my partner went home early.

Atleast I got to sedate a violent drunk earlier. Sadly he got blood all over my sleeve. :/
 
Jon said:
Wait - you can watch blood?

By the state, I can only do the Vent and Potassium. Rest would need to be stopped or I'd need our RN.
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I can monitor blood with no pump, and our state aske has a broad scope
 
Anjel1030 said:
Lol no the pt wasn't on a monitor and all VS stable. I argued till I was blue that it should go ALS just in case, but I was surrounded by doctors who said they couldn't justify an ALS transport.
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Pit me with those doctors and I'd be justifying an ALS transport... They clearly don't know what qualifies as what.

It's probably being paid for by the hospital so they want to pay the lower rate.


Jon said:
Wait - you can watch blood?

By the state, I can only do the Vent and Potassium. Rest would need to be stopped or I'd need our RN.
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I've transported blood before. No need for an RN (Not like they add anything to the game...) Infact, one of my transports out when I was in Dallas at another agency was a patient with 2 bags of packed red blood going, a bag of platlets, a bag of calcium gluconate, a bag of potassium, and 2 bags of saline.... all at the same time... while he was fighting the restrains from one ICU to the other.
 
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Seriously, after being okayed to go BLS by "Doctors" with patients of chief complaints of "Possible CVA", "Chest Pain", "Abdominal pain", etc. I think it would behoove a provider to go with their gut and use their judgement. Think about all the things that could have gone wrong on that call. What could a Basic do as opposed to a RN/Paramedic? Always err on the side of caution, no matter what. Don't get caught in a extremely risky situation. No matter what, us prehospital personnel usually get the blame. We should do our part and prevent those situations. Ok, I'll get off my soapbox.
 
I know of one paramedic crew that had a similar transport they thought should be flown instead of ground transport. Doc insisted on ground transport, so they started. Once they got out of town (and state) they called for a helo to meet them at an interchange on the interstate. Patient was then flown to the next hospital. Sending doc was furious, but evidently patient condition changed during transport so the paramedic crew felt justified in calling for flight.
 
JPINFV said:
Even California allows paramedics to monitor blood on CCTs.
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You mean there is something a CA medic can do that others cannot?

Interesting though, I thought blood was an RN thing in CA.
 
Chris07 said:
You mean there is something a CA medic can do that others cannot?

Interesting though, I thought blood was an RN thing in CA.
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It sounds like CCT only not all medics.
 
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