April, 2009 Archive

August 28, 2016, 9:00 pm

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the-handover-logoWelcome to The Handover – the Carnival of EMS!

Emergiblog is proud to host this edition of the best of the EMS blogosphere!

The theme for this month is “Emergency”.

Is there a single paramedic/EMT alive today who didn’t love this show? Is there a single nurse “of a certain age” who didn’t wish she was Dixie McCall?

That’s what I thought!

So let’s get going with Johnny and Roy and the guys of Rescue 51 as we begin The Handover…..


crewI know Medics who eventually become firefighters, estrace 2mg pills $273.00 but sometimes it happens the other way around. Estrace 2mg pills $273.00 Lt.Michael Morse of the Providence, estrace 2mg pills $273.00 Rhode Island Fire Department looks back at how he found himself working rescue in Stay Safe Out There, estrace 2mg pills $273.00 from his blog (and book!), estrace 2mg pills $273.00 Rescuing Providence.



Ambulance driver? No way does anyone still think this!  Do they?  Chris Kaiser NREMT-P, estrace 2mg pills $273.00 EMT-PS, estrace 2mg pills $273.00 EMT-P, estrace 2mg pills $273.00 EMT-P has heard it all and begs to differ in Oh no you didn’t…, estrace 2mg pills $273.00 posted at Life Under the Lights. Estrace 2mg pills $273.00 As Chris notes, estrace 2mg pills $273.00 “information saves lives”.


There comes a time when every medic has to ask themselves just what type of medic they really are. Estrace 2mg pills $273.00 Steve at The EMT Spot asks Are You the Opening Act or the Rock Star?


1288489382554958381It’s easy to laugh at “Emergency” when we watch it these days, estrace 2mg pills $273.00 but Happy Medic takes away a different message as described in the poignant post They Don’t Make Them Like They Used To at You Called 911…For This?

Suicide is devastating.  For all who are impacted by it, estrace 2mg pills $273.00 including the medics.  Medic999 discusses his feelings about this horrible tragedy in a sensitive post that raises more questions than answers.

When it’s the death of a co-worker, estrace 2mg pills $273.00 the question is simply “Why?”. Estrace 2mg pills $273.00 Manchmedic shares his feelings about this in Marathon, estrace 2mg pills $273.00 at Life in Manch Vegas. Estrace 2mg pills $273.00 For background, estrace 2mg pills $273.00 read A Slap in the Face.



Medic/Nurse has seen the system from both sides of the ambulance entrance. Estrace 2mg pills $273.00 Another poignant story awaits at Medic/Nurse’s Blog in 94 Years Old.

Ever feel like you have a black cloud over your head? Meet Black Cloud ER Tech.  He has 12 years of EMS experience behind him (and he isn’t even thirty!).  In a guest blogger post on Emergiblog, estrace 2mg pills $273.00 he looks back on his career and shares tips on how he manages to handle it all in Riding the Storm – a 12 Year Storm.



Estrace 2mg pills $273.00 Jamie Davis produces a podcast for EMS at MedicCast.com. Estrace 2mg pills $273.00 The lastest episode looks at Ambulance MVA’s in the News.

Estrace 2mg pills $273.00 Epijunky takes a looks at her latest shift in Today, estrace 2mg pills $273.00 by the Numbers at Pink, estrace 2mg pills $273.00 Warm and Dry. Estrace 2mg pills $273.00 It’s a list, estrace 2mg pills $273.00 and it’s beautiful. Estrace 2mg pills $273.00 For when you need to remember why you do what you do.



Estrace 2mg pills $273.00 Safety net or free ride? No matter how many stories you hear like this, estrace 2mg pills $273.00 your jaw still drops. Estrace 2mg pills $273.00 Paramedic Supermonkey takes on the Oregon Health Plan in “Free” Health Care.

Estrace 2mg pills $273.00 This. Estrace 2mg pills $273.00 Is. Estrace 2mg pills $273.00 EMS. Estrace 2mg pills $273.00 Truths (II) at Drug-induced Hallucinations.

Estrace 2mg pills $273.00 When it isn’t supposed to be “bad one”…take a ride with Kal, estrace 2mg pills $273.00 a Scotland medic, estrace 2mg pills $273.00 and see if your adrenaline doesn’t start flowing as you read along with Qismet, estrace 2mg pills $273.00 at Trauma Queen.

Estrace 2mg pills $273.00 LOL! I’m sure there’s a great story behind this post at Ridin’ the Bus, estrace 2mg pills $273.00 but I think we’ll need to read between the…uh…lines of Attention L&D Nurses…


And now let’s hear from Dixie McCall, estrace 2mg pills $273.00 the medics’ friend.  Look behind the overacting emotion and listen to the message.

No, estrace 2mg pills $273.00 nurses don’t resent paramedics or EMTs.

They have our respect.

And we will defend them just as passionately today.

We just don’t get to wear totally cool caps when we do it.

Thanks guys (and gals)…and be careful out there.


The next Handover will be held over at Michael’s place, estrace 2mg pills $273.00 Rescuing Providence, estrace 2mg pills $273.00 and the theme is “Partners”.

Many thanks to Mark at Medic999 for allowing me to host.

Thanks for reading!

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8:02 pm

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Lincocin 500mg pills $425.00 chief-roy-wont-let-me-friveIn honor of the The Handover, lincocin 500mg pills $425.00 the new EMS carnival to be hosted here at Emergiblog on April 24th, lincocin 500mg pills $425.00 I invited guest blogger (and long time reader) Black Cloud ER Tech to write about his EMS experiences.

Lincocin 500mg pills $425.00 Many thanks to Black Cloud for taking the time share his story and perspective!


“Rampart, lincocin 500mg pills $425.00 this is Squad 51.  How do you copy?”

Orders for D5W, lincocin 500mg pills $425.00 Lactated Ringers, lincocin 500mg pills $425.00 etc would follow.  Being born ten years after this show first debuted, lincocin 500mg pills $425.00 “Emergency” wasn’t on my radar… until I set foot in the firehouse where I held my first EMT/Firefighter job.  After I saw the first 5-minutes of this show, lincocin 500mg pills $425.00 I was hooked.  It was, lincocin 500mg pills $425.00 and still is, lincocin 500mg pills $425.00 the COOLEST show I have ever seen!  It should be a prerequisite to watch seasons 1 and 2 on DVD before starting any EMT course. Lincocin 500mg pills $425.00 It teaches the lingo and culture behind EMS, lincocin 500mg pills $425.00 as well, lincocin 500mg pills $425.00 and more importantly, lincocin 500mg pills $425.00 the rudiments of EMS… and of course, lincocin 500mg pills $425.00 seeing Johnny and Roy getting their butts kicked, lincocin 500mg pills $425.00 missing lunches and being up all night.

Ok, lincocin 500mg pills $425.00 so maybe I am an EMS dork…


I have been in EMS for over 12 years.  I started as an Explorer for the local fire department, lincocin 500mg pills $425.00 then as an EMT/Firefighter, lincocin 500mg pills $425.00 and finally as an ER Tech.

Since day one, lincocin 500mg pills $425.00 I have had a black cloud.

Starting as an Explorer, lincocin 500mg pills $425.00 I would ride along on the Engine Co’s. Lincocin 500mg pills $425.00 We would bag plenty of runs. Lincocin 500mg pills $425.00 As an EMT/Firefighter, lincocin 500mg pills $425.00 other crews would sleep through the night, lincocin 500mg pills $425.00 while my crew would bag 3 or 4 after midnight. Lincocin 500mg pills $425.00 As an EMS coordinator for sporting events, lincocin 500mg pills $425.00 no adverse incidences would have occurred in 25 years, lincocin 500mg pills $425.00 but the year I coordinate the medical, lincocin 500mg pills $425.00 we get not one, lincocin 500mg pills $425.00 but two cardiac arrests. Lincocin 500mg pills $425.00 Finally, lincocin 500mg pills $425.00 as an ER Tech, lincocin 500mg pills $425.00 I get the ugliest shifts out of all of the techs in the ER. Lincocin 500mg pills $425.00 The black cloud has followed me all around the great state of California.

Lincocin 500mg pills $425.00 We all know EMT’s, lincocin 500mg pills $425.00 medics, lincocin 500mg pills $425.00 RNs and MDs who have black clouds… the ones who get the proverbial sh*t thrown their way.  Whether it be the night where they run their rear ends off due to sheer volume of patients, lincocin 500mg pills $425.00 or the shifts where they get the patient who takes 4x the amount of time and energy to keep them alive, lincocin 500mg pills $425.00 or the crew who deals with the social drama that ends up ruining their shift, lincocin 500mg pills $425.00 we all know them.

And the perfect storm? Two health care providers with black clouds working together.


Black clouds inevitably lead to burn-out. Lincocin 500mg pills $425.00 Somehow I am still standing… and am even going to nursing school to return as an ER or Trauma nurse.  More than one person has asked, lincocin 500mg pills $425.00 “how do you keep doing this after getting kicked every shift?”  Are you a glutton for punishment?

And my favorite question of them all… WHY!?!?


So, lincocin 500mg pills $425.00 how does one ride the storm and stay interested in EMS without burning out?  I’ll share several ways that have worked for me.

1. Lincocin 500mg pills $425.00 Take care of yourself. Lincocin 500mg pills $425.00

As Fire/EMS, lincocin 500mg pills $425.00 I worked a system in the rural Sierra foothills.  Transport times were a minimum of 45 minutes; from time of dispatch to time of going in quarters, lincocin 500mg pills $425.00 we were usually gone about 2 hours.  With my black cloud luck, lincocin 500mg pills $425.00 we would bag back to back calls.  I eventually learned to get a small cooler, lincocin 500mg pills $425.00 and put snacks and drinks in it for my medic and I (this also won major brownie points when working the occasional shift with the EMS coordinator of the department). Lincocin 500mg pills $425.00 I see crews on a weekly basis who don’t pack snacks, lincocin 500mg pills $425.00 run multiple back to back calls, lincocin 500mg pills $425.00 and complain CONSTANTLY about being hungry.We were able to hydrate and eat even though we didn’t have time.

I have carried this habit with me into the ER. Lincocin 500mg pills $425.00 Even on the busiest shifts, lincocin 500mg pills $425.00 I can slam down a Gatorade and half of a peanut butter sandwich.

We, lincocin 500mg pills $425.00 by nature, lincocin 500mg pills $425.00 are programmed in EMS land to go-go-go. Lincocin 500mg pills $425.00 Between shifts, lincocin 500mg pills $425.00 you have to rest.  And I mean rest.  SLEEP.  I am guilty of not doing this, lincocin 500mg pills $425.00 going to work on a 12 hr night shift, lincocin 500mg pills $425.00 going to a chemistry lecture, lincocin 500mg pills $425.00 sleeping 6 hours and then going back for another 12 hr night shift… and I’m paying for it.   I found that when I get my rest, lincocin 500mg pills $425.00 I am able to survive the inevitable black cloud shift much better.

2. Lincocin 500mg pills $425.00 Know your coworkers. Lincocin 500mg pills $425.00

If you are on a bus, lincocin 500mg pills $425.00 in an ER etc, lincocin 500mg pills $425.00 know their work habits.  This will allow you to stay one step ahead of them.  By being able to stay ahead of them, lincocin 500mg pills $425.00 the flow of patient care will be smoother, lincocin 500mg pills $425.00 getting the patient to their destination or discharge from the ER more efficiently.  The quicker the flow, lincocin 500mg pills $425.00 the quicker you may be able to catch that break.  By getting to know your coworkers, lincocin 500mg pills $425.00 you learn their idiosyncrasies and personalities.  I knew that when my Engine Co. Lincocin 500mg pills $425.00 captain was up all night with his infant son that he would be tired, lincocin 500mg pills $425.00 and certain “fun” things usually acceptable in the EMS world, lincocin 500mg pills $425.00 weren’t so kosher.

3. Lincocin 500mg pills $425.00 Have a comrade in EMS.

In EMS (and studies have proven this), lincocin 500mg pills $425.00 the divorce rate is extremely high.  I have experienecedmy share of break ups due to the stressors of working in EMS and the lack of interest by the other party in the relationships. Lincocin 500mg pills $425.00 It helps to have a close friend, lincocin 500mg pills $425.00 whether you work with them or not, lincocin 500mg pills $425.00 who is in EMS.  It’s good to know that you can talk things over when you have the shift from hell or are questioning something that happened during your work week.  Even though my fiancé is in pediatric critical care are a local children’s hospital and understands my job, lincocin 500mg pills $425.00 I still have a couple close friends in EMS who I can talk to and bounce things off of.

4. Lincocin 500mg pills $425.00 Work with the new kid. Lincocin 500mg pills $425.00

When I work with paramedic interns and nursing students who do their rotations in my ER, lincocin 500mg pills $425.00 I accomplish two things.  I am able to pass along my knowledge and experiences to these eager beavers.   What most students don’t realize is that I am gaining something from them.   Their extreme energy level and eagerness may annoy some people;  I, lincocin 500mg pills $425.00 on the other hand, lincocin 500mg pills $425.00 suck up that energy.  I feel more energized when I have the new kid with me in the ER.  Their enthusiasm is greatly appreciated during the particularly bad black cloud shifts.  Because they are new, lincocin 500mg pills $425.00 they always want to be where the stink is (figure of speech that is… not a code brown).They just want to do everything!  I love it!

5. Lincocin 500mg pills $425.00 Don’t let the little things get to you. Lincocin 500mg pills $425.00

If you let the little things get to you, lincocin 500mg pills $425.00 the black cloud will win. Lincocin 500mg pills $425.00 Working with slackers is just one of many of the “little things”. Lincocin 500mg pills $425.00 We all have coworkers who kick ass and give 110%, lincocin 500mg pills $425.00 but we also have those who give 55%.  Slackers are my pet peeve, lincocin 500mg pills $425.00 but if I let the slackers get to me, lincocin 500mg pills $425.00 I would end up in “The Bin.”

6. Lincocin 500mg pills $425.00 Go the extra mile.

Everyone has a crappy day.  When you get to work, lincocin 500mg pills $425.00 step up to the plate and do the best job you can.  Your patients will notice that you go the extra mile and so will family and friends.

Several years back, lincocin 500mg pills $425.00 I had a Code 3 return to the ER for a post cardiac arrest.  While we were busy caring for the patient, lincocin 500mg pills $425.00 I kept thinking of the family members in the next room.  Once we got the patient settled and the family was allowed to come be with the patient, lincocin 500mg pills $425.00 I went the extra mile.  A simple smile, lincocin 500mg pills $425.00 a cup of coffee, lincocin 500mg pills $425.00 a teddy bear for the scared child, lincocin 500mg pills $425.00 that is all it takes.  Late one night, lincocin 500mg pills $425.00 some time later (during a black cloud shift, lincocin 500mg pills $425.00 of course), lincocin 500mg pills $425.00 the family was exiting the hospital and stopped by the ER to say hi.  The elderly husband of the patient remembered me by name, lincocin 500mg pills $425.00 shook my hand, lincocin 500mg pills $425.00 and thanked me and the ER team for their care and compassion.  A lot of times the little things go unnoticed, lincocin 500mg pills $425.00 but when they are noticed, lincocin 500mg pills $425.00 it makes the black cloud a little more bearable.


These are just a few things from your friendly neighborhood Black Cloud ER Tech.

I do have shifts once every blue moon that have me saying “I am too old for this stuff, lincocin 500mg pills $425.00” and I’m only 26 years old (keep in mind I started at 14 as an fire explorer).

Somehow I am able to make it through the rest of my work week, lincocin 500mg pills $425.00 go to school for my nursing prereqs, lincocin 500mg pills $425.00 enjoy time off with my fiancé, lincocin 500mg pills $425.00 and come back to work the next week ready to give 110% to my patients and coworkers.

{Editor’s note: and he does! : ) }

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August 28, 2016, 9:32 am

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About Me

My name is Kim, and I'm a nurse in the San Francisco Bay area. I've been a nurse for 33 years; I graduated in 1978 with my ADN. My experience is predominately Emergency and Critical Care, and I have also worked in Psychiatry and Pediatrics. I made the decision to be a nurse back in 1966 at the age of nine...

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