the 100% directionless thread

Not that I was ever returning to our local AMr because of the badges, but now theyre giving merit awards (military style ribbons).

No, just no.
 
GMCmedic said:
Not that I was ever returning to our local AMr because of the badges, but now theyre giving merit awards (military style ribbons).

No, just no.
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Just think, you too could wear a big ole board above your badge to proudly display your hard earned ribbons like the Purple Papercut, the PCR Promptness, the Bronze Mop Bucket with Nitrile Glove Clusters (for cleaning duties performed), the Gold Dollar (for keeping the billing clerk happy), and the Lightbar (for passing EVOC).
 
Apparently MDAs don’t like when you end your 20 minute handoff with the words good luck.
 
Well it appears that snowaggedon 2021 has ended. Shoveled close to 2 feet of snow.
 
CALEMT said:
The snow berm on the side of my driveway is getting a little ridiculous. 3rd shovel of the day is in the books.
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I’m up in Sedona for a couple of days. We got pounded pretty good
 
It’s been pretty mild here in central PA. Not much snow.
I’m moving Monday.
Next snow storm, Sunday into Monday.
FML.
 
Peak said:
Apparently MDAs don’t like when you end your 20 minute handoff with the words good luck.
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I know it wasn't the point of your post, but I am genuinely curious what you would ever have to say that is relevant to anesthesia that takes longer than a few minutes? I honestly would have cut you off after 5 minutes and if you hadn't yet gotten to the important parts, and either asked those things specifically or much more likely, said "thanks, I got it" and looked it up myself.
 
Carlos Danger said:
I know it wasn't the point of your post, but I am genuinely curious what you would ever have to say that is relevant to anesthesia that takes longer than a few minutes? I honestly would have cut you off after 5 minutes and if you hadn't yet gotten to the important parts, and either asked those things specifically or much more likely, said "thanks, I got it" and looked it up myself.
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We do a full sign out of all of our hearts and complex patients at the bedside going to and coming back from surgery. Nursing to anesthesia, perfusionist to ECMO specialist, and medicine to surgery (and vice versa when they return). It has been a huge piece of how we keep our intra op codes and post op complications very low, it isn’t uncommon for handoff to take an hour between everyone. Chart review may work well for simple cases, but it isn’t worth risking patient safety by rushing through complex cases.
 
Got my in-lab sleep study scheduled for the 7th of Feb. Have to be COVID tested on the 3rd and then quarantine until the study. Maybe they'll let me see what my brain waves look like... then I'll know for sure I have one ;)
 
If intraoperative
Peak said:
We do a full sign out of all of our hearts and complex patients at the bedside going to and coming back from surgery. Nursing to anesthesia, perfusionist to ECMO specialist, and medicine to surgery (and vice versa when they return). It has been a huge piece of how we keep our intra op codes and post op complications very low, it isn’t uncommon for handoff to take an hour between everyone. Chart review may work well for simple cases, but it isn’t worth risking patient safety by rushing through complex cases.
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If intraoperative "codes" are very low because of bedside reports, there's something very odd going on. Sounds like a university setting where learners outnumber teachers and turnover is relatively high compared with a true private practice setting. Efficiency doesn't mean rushing and it has more to do with 'patient safety' than listening to groups trying to out do each other with how much they know about a patient/procedure (I know of what I speak). What could people possibly talk about for an hour? Do your bedside rounds never end?
 
pretty gnarly (for Northern California) storms here. We've had worse in Texas, no doubt, but it's pretty bad for this area. trees down, power lines down, still having 50mph winds. yikes.

I did an AMR interview. I think it went ok enough. part time, I can do 3-4 shifts a month. if the price is right, it may be worth the drive. 50 minutes each way. I am always stuck with a long commute.
 
fm_emt said:
pretty gnarly (for Northern California) storms here. We've had worse in Texas, no doubt, but it's pretty bad for this area. trees down, power lines down, still having 50mph winds. yikes.

I did an AMR interview. I think it went ok enough. part time, I can do 3-4 shifts a month. if the price is right, it may be worth the drive. 50 minutes each way. I am always stuck with a long commute.
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50 min is long? im around 90 but its a 48/96. If this job is good enough, totally worth it
 
jgmedic said:
50 min is long? im around 90 but its a 48/96. If this job is good enough, totally worth it
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90? Pffffftttt. I’m at 3 hours.
 
I'm at like 20 minutes. Total. Work and back home 😁😎

Used to be in the hour+, each way club.... this is so much better
 
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