the 100% directionless thread

usalsfyre said:
There's a bit of an urban legend (it's probably happened but I would imagine rarely) that letting people know your name as ED staff is setting yourself up to get murdered, raped, assaulted, robbed, stalked, ect. Why they think the violent felons in question won't simply wait for them to leave the hospital and follow them home remains a mystery.
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We are strongly encouraged to only use names in our comm center. There have been issues with stalkers in the past, and we deal with some very unhappy people on LE side of the room. We also work beside a jail and our sheriff office. People tend to not distinguish between us and the deputies or COs when they have a grudge. I've even been followed from work on one occasion, luckily I caught on before I got home.

I'll give my last name sometimes, but that's usually it unless it's an extreme circumstance where I need to develop a relationship real quick.
 
usalsfyre said:
There's a bit of an urban legend (it's probably happened but I would imagine rarely) that letting people know your name as ED staff is setting yourself up to get murdered, raped, assaulted, robbed, stalked, ect. Why they think the violent felons in question won't simply wait for them to leave the hospital and follow them home remains a mystery.
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At my hospital, the badges for emergency department staff is either first initial, last name for physicians or first name, last initial for everyone else.
 
Well, you have to snap three children's arms and then curbstomp an elderly patient on a major holiday to do that.

That or sound like an uneducated jackass and blow off the family citing "HIPPA" when they ask what's wrong with Mom and where you're going.,.
 
Last night/this morning, I applied to 8 different 911 positions at all 6 911 ambulance companies in LA Co, plus Hall up in Kern.

I figure the chances of me going to AmeriCare are slim to none lol but I'd rather get an interview and ask them the billion or so questions I'd want to know if it'd be worth it to switch or not.

I also figure that if/when I get a job offer from Hall I'll take that over any other offers I get, but I still applied to the others just in case I don't get into Hall lol
 
DEmedic said:
It annoys me to no end when staff ED intentionally wears their name tag backwards. When I show up, I want to know who you are and what your job is. I hate when I transfer a patient and then get that expectant look from a person at the bedside, I'll give a handover and then she says, "oh, I'm just a tech". Now I have to ask every time, "are you the RN taking report?" I also get the, "oh just tell me, I'll pass it on to the nurse." Sorry. It doesn't work that way.

I'm really happy that one of our primary hospitals has mandated standard colored scrubs for staff levels. RNs wear navy blue, techs in light blue, radiologists wear gray...

On a personal level, I find it irritating too. If I'm a patient, I want to know the name and certification level of my caregiver. My wife was in the ED the other day and I had to continuously ask people coming into the room who they were and what they did. An Advanced Practice Nurse was a little upset when I asked who she was. I said, "it's my right to know who is providing care, isn't it?" She said, "my name is Jane and I'm a nurse. That's all you need to know." Really? I made a call to the administrative nursing supervisor, who promptly came down to the ED, chewed "Jane's" *** and then came in and apologized.

Ridiculous.
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I'd have lost it. Lets be professional here....especially from an APN. After that I'm not gonna lie I'd probably refuse to be cared for or have my family cared for by "Nurse Jane".
 
I'll also like to add to the discussions regarding badges that I never intentionally flip my badge around. However, it's on a retractable cord so it flips around on it's own and I don't normally check to see if it's flipped.

I also don't introduce myself with my last name ("Hello, I'm Joe, the medical student in the ED today, how can we help you), but if someone asks I'll give it.
 
JPINFV said:
I'll also like to add to the discussions regarding badges that I never intentionally flip my badge around. However, it's on a retractable cord so it flips around on it's own and I don't normally check to see if it's flipped.

I also don't introduce myself with my last name ("Hello, I'm Joe, the medical student in the ED today, how can we help you), but if someone asks I'll give it.
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Sure. But many here clip them on backwards and obscure their name. Now I almost always ask if I do t recognize the person, "hi there, what's your name and and what do you do?"
 
I just maxed out a Nitro drip @ 200mcg/min...That was fun
 
Chase said:
I just maxed out a Nitro drip @ 200mcg/min...That was fun
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Ever listen to Weingarts podcast on SCAPE, that's some big numbers he is talking about with Tridil!
 
I've been such a negative Nancy lately. I need to cheer up! Blaahhh!
 
I'm growing increasingly convinced being a decent human being is the fast track to ending up single and lonely if you're s guy.
 
My son made the varsity football team. He's more excited than me the first time I intubated someone.

Random question, and knowing full well that their use during typical paramedic care would be rare, but are IV pumps robust enough for daily life in an ambulance?
 
Jambi said:
Soliciting some opinions.

For my recert class, I've decided to cut out some face-to-face hours (we're talking 8 saturdays and 2.5 semester credits) and replace then with 4 written assignments. All 4 are relevant and designed to both reinforce assessment, treatment, and evaluation of changing status at the EMT basic level while also requiring some critical thinking and evaluation/synthesis (education buzzwords). I think it will be a nice change from the same old lecture stuff, while also exposing students to some interesting content. The requirements are moderate at initial responses requiring between 400 and 600 words depending on the assignment, and 2 200 word response/discussion with other students.

You all think that's a fair trade off for cutting 4-6 hours of face to face boring lecture time? Especially considering these people are already providers?

Of course I've correlated these videos with content from the course, and I've provided guideline rubrics for the responses.

here are the videos I'm using

Bondi Beach

Chris Solomons

Empathy

Boston EMS radio traffic
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So no opinions or wrong thread? I tossed it in here because I kinda wanted the input of those that hang out in here because I respect you all. Should I toss this question in the education forum?
 
Jambi said:
Random question, and knowing full well that their use during typical paramedic care would be rare, but are IV pumps robust enough for daily life in an ambulance?
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What do you mean? It's used multiple times a day for CCT transfers in ambulances and in helicopters already. I don't imagine it would be rarely used, but used unnecessarily with normal saline.
 
Aprz said:
What do you mean? It's used multiple times a day for CCT transfers in ambulances and in helicopters already. I don't imagine it would be rarely used, but used unnecessarily with normal saline.
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In our area the only times IV Pumps are used are during CCT transports (staffed with a nurse and not medics). They aren't used at all by medics in our area.
 
Jambi said:
My son made the varsity football team. He's more excited than me the first time I intubated someone.

Random question, and knowing full well that their use during typical paramedic care would be rare, but are IV pumps robust enough for daily life in an ambulance?
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All of our ambulances carry a three channel Alaris Minimed. Hardly ever leaves the ambulance in the first place and for most of our CCT type transports we use the hospital's pumps. We use it mostly for starting nitro drips for MI patients (orders required but still done in the truck), and occasionally for dopamine and lidocaine drips.
 
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DesertEMT66 said:
In our area the only times IV Pumps are used are during CCT transports (staffed with a nurse and not medics). They aren't used at all by medics in our area.
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This is why I was asking, because your area is essentially my area too, and it's really unheard of. Also of note is the fact that we really don't have any med that needs to be calculated over time like Dopamine used to be anymore unless you want to include MagSulf over ten minutes. Thus I have little exposure to them outside of my hospital time and the RNs telling me that I'm learning to use them so I can be more useful (yeah, yeah, I know).

With the more I read and listen too (EM crit, etc) in-the-head-calcs for drips are really becoming a no-no, and having an IV pump where I can just punch in the infusion rate seems like a good idea. I'm not saying that we shouldn't know how to do the math. we should, especially as a check-and-balance, but to rely on it, and an ultimately limited accuracy drops/seconds best estimation seems silly. especially in the light of the march of technology and decreased costs for the devices.

But are such devices rugged enough to be exposed to such a rough environment, and then function within parameters when needed?

Now this all may be crazy talk induced by a Spaten bolus, so fire away if I need a smack down.
 
Jambi said:
This is why I was asking, because your area is essentially my area too, and it's really unheard of. Also of note is the fact that we really don't have any med that needs to be calculated over time like Dopamine used to be anymore unless you want to include MagSulf over ten minutes. Thus I have little exposure to them outside of my hospital time and the RNs telling me that I'm learning to use them so I can be more useful (yeah, yeah, I know).

With the more I read and listen too (EM crit, etc) in-the-head-calcs for drips are really becoming a no-no, and having an IV pump where I can just punch in the infusion rate seems like a good idea. I'm not saying that we shouldn't know how to do the math. we should, especially as a check-and-balance, but to rely on it, and an ultimately limited accuracy drops/seconds best estimation seems silly. especially in the light of the march of technology and decreased costs for the devices.

But are such devices rugged enough to be exposed to such a rough environment, and then function within parameters when needed?

Now this all may be crazy talk induced by a Spaten bolus, so fire away if I need a smack down.
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I don't know what brand we use for our CCT transports but all I know is they break rather easily. I would not want to use those in a 911 setting.
 
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