A 1500-0300 shift, got a call @ 0228, cleared it @ 0505, had an hour+ drive back to station and about 1/2 way there responded to a MCI. Five vehicles, busy freeway, we're the 1st on scene, 1 casualty, airbags deployed but no facial/head trauma, complains of neck pain and LUE pain. Started extricating him with a KED and 2 engines roll up, take my report, say 'let's wait for medics'. Medics roll up 2 minutes later, say 'oh he ambulates ?', rip off the c-collar, put him on a chair and take him away. ****ing fire... Clocked out @ 0630.
the 100% directionless thread
- Thread starter KEVD18
- Start date
Pretty much what they did. Although I would lay it on the air horn until it broke, the police started to move them, or they moved on their own.
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ViolynEMT
Forum Chiefess
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Guess I'll be sleeping with the windows closed tonight.
Least they apologized
ViolynEMT
Forum Chiefess
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The recycling fire near me is so intense it was pick up on doppler radar.
Jim37F
Forum Deputy Chief
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Meanwhile we just had ringing bells here at my hotel just now (must be a firefighters equivalent of the most BLS of BLS "I don't feel well, I wanna go to the hospital by ambulance so I don't have to wait in line at the ER" lol)
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Sadly, that 8 hour ride every other year (maybe) is about all the actual field work the MICN may get...
DesertMedic66
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Our new MICNs have to do 16 hours before they are able to work as a MICN. I have no idea how many hours per year they need to have (I've only ever seen new MICNs in the field).
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@DesertMedic66 and @Akulahawk
MICN.....I gather that's a California thing? Is it just a prehospital credential for RN's, similar to Pennsylvania's PHRN?
MICN.....I gather that's a California thing? Is it just a prehospital credential for RN's, similar to Pennsylvania's PHRN?
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Wow! I'm impressed that your new MICNs get 16 hours. Really! That's 2x more than I've seen recently. Usually you'll find the MICN requirements in the same area of the policies that you find a Paramedic's accreditation.
I just looked up Kern County's MICN policy and they require an 8 hour class along with 16 hours of ride time before an RN is certified as an MICN. However, as much as I have searched, there doesn't appear to be any provision for an MICN to function in the field nor is there any mention (that I could find) of how to deal with other medical providers in the field... except physicians and that seems to be simply requiring the Doc to be hands off unless the Doc accompanies the patient to the hospital.
Everywhere I've worked there's at least a provision for an MICN to do ALS care in the field alongside a Paramedic.
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MICN = Mobile Intensive Care Nurse.
Yeah, it's a California thing, not quite similar to a Pennsylvania PHRN. The PHRN is more like a way for an RN to function as a Paramedic, using the same protocols without requiring the RN to go through an entire EMTP course. The MICN isn't usually "mobile" other than that movement necessary to reach the Base Hospital Radio. They're instructed in prehospital protocols and may authorize Paramedics to implement standing orders in the protocols where those protocols state "must make Base Contact before proceeding" or something along those lines. They do (usually) 8 hours ride time on an ALS ambulance mostly to familiarize the MICN with the realities of prehospital care. The MICN may be allowed to implement ALS therapies in the field either with Base Hospital approval on a case by case basis or by protocol but usually isn't allowed to provide patient care direction in the field.
Flight Nurses may also be certified as an MICN but they function in a different capacity and usually are treated differently, usually under a "most medically qualified" provision in policies where multiple agencies are involved.
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Ugh. It is much worse than I feared.
DesertMedic66
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Aku already stated it. MICNs are the nurses we talk to when we do radio call ins to the hospital. We are not able to receive orders from any other nurse. When we need a base hospital order for something that order will get cleared through the MICN and sometimes the doctor (depends on what the order is).
The MICNs have to know the protocols for EMS providers in their area so they know what we have, what they can approve, and what needs to go to the doctor for approval.
I would much rather talk to the doctor when we do call ins but it is rare when we actually talk to the doctor.
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Great day of OT. Only one call, and it was a raging STEMI. Proximal LAD occlusion, and I was lucky enough to transport to the one local PCI facility that lets us bypass the ED on our stretcher and observe the catheterization if we choose to. Definitely a lot to learn from those folks in the cath lab.
COmedic17
Forum Asst. Chief
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71 degrees yesterday, over 2 feet of snow today.
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Calls between 2:00 am and 4:30 am:
-"My wife locked me out"
-"I drank some juice and now I feel queazy"
-*PD cancelled as soon as we got there, stated system abuser that they were taking in*
-"I saw y'all drive by, so I wanted to go to the hospital too." For what? "Oh... I don't feel good..."
Sometimes I really hate being downtown.
-"My wife locked me out"
-"I drank some juice and now I feel queazy"
-*PD cancelled as soon as we got there, stated system abuser that they were taking in*
-"I saw y'all drive by, so I wanted to go to the hospital too." For what? "Oh... I don't feel good..."
Sometimes I really hate being downtown.
Sounds just like Austin.
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At least you're suffering too