April, 2009 Archive

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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, arcoxia 120mg pills $146.00 but sometimes it happens the other way around. Arcoxia 120mg pills $146.00 Lt.Michael Morse of the Providence, arcoxia 120mg pills $146.00 Rhode Island Fire Department looks back at how he found himself working rescue in Stay Safe Out There, arcoxia 120mg pills $146.00 from his blog (and book!), arcoxia 120mg pills $146.00 Rescuing Providence.



Ambulance driver? No way does anyone still think this!  Do they?  Chris Kaiser NREMT-P, arcoxia 120mg pills $146.00 EMT-PS, arcoxia 120mg pills $146.00 EMT-P, arcoxia 120mg pills $146.00 EMT-P has heard it all and begs to differ in Oh no you didn’t…, arcoxia 120mg pills $146.00 posted at Life Under the Lights. Arcoxia 120mg pills $146.00 As Chris notes, arcoxia 120mg pills $146.00 “information saves lives”.


There comes a time when every medic has to ask themselves just what type of medic they really are. Arcoxia 120mg pills $146.00 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, arcoxia 120mg pills $146.00 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, arcoxia 120mg pills $146.00 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, arcoxia 120mg pills $146.00 the question is simply “Why?”. Arcoxia 120mg pills $146.00 Manchmedic shares his feelings about this in Marathon, arcoxia 120mg pills $146.00 at Life in Manch Vegas. Arcoxia 120mg pills $146.00 For background, arcoxia 120mg pills $146.00 read A Slap in the Face.



Medic/Nurse has seen the system from both sides of the ambulance entrance. Arcoxia 120mg pills $146.00 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, arcoxia 120mg pills $146.00 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.



Arcoxia 120mg pills $146.00 Jamie Davis produces a podcast for EMS at MedicCast.com. Arcoxia 120mg pills $146.00 The lastest episode looks at Ambulance MVA’s in the News.

Arcoxia 120mg pills $146.00 Epijunky takes a looks at her latest shift in Today, arcoxia 120mg pills $146.00 by the Numbers at Pink, arcoxia 120mg pills $146.00 Warm and Dry. Arcoxia 120mg pills $146.00 It’s a list, arcoxia 120mg pills $146.00 and it’s beautiful. Arcoxia 120mg pills $146.00 For when you need to remember why you do what you do.



Arcoxia 120mg pills $146.00 Safety net or free ride? No matter how many stories you hear like this, arcoxia 120mg pills $146.00 your jaw still drops. Arcoxia 120mg pills $146.00 Paramedic Supermonkey takes on the Oregon Health Plan in “Free” Health Care.

Arcoxia 120mg pills $146.00 This. Arcoxia 120mg pills $146.00 Is. Arcoxia 120mg pills $146.00 EMS. Arcoxia 120mg pills $146.00 Truths (II) at Drug-induced Hallucinations.

Arcoxia 120mg pills $146.00 When it isn’t supposed to be “bad one”…take a ride with Kal, arcoxia 120mg pills $146.00 a Scotland medic, arcoxia 120mg pills $146.00 and see if your adrenaline doesn’t start flowing as you read along with Qismet, arcoxia 120mg pills $146.00 at Trauma Queen.

Arcoxia 120mg pills $146.00 LOL! I’m sure there’s a great story behind this post at Ridin’ the Bus, arcoxia 120mg pills $146.00 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, arcoxia 120mg pills $146.00 the medics’ friend.  Look behind the overacting emotion and listen to the message.

No, arcoxia 120mg pills $146.00 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, arcoxia 120mg pills $146.00 Rescuing Providence, arcoxia 120mg pills $146.00 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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Adalat 10mg pills $118.00 chief-roy-wont-let-me-friveIn honor of the The Handover, adalat 10mg pills $118.00 the new EMS carnival to be hosted here at Emergiblog on April 24th, adalat 10mg pills $118.00 I invited guest blogger (and long time reader) Black Cloud ER Tech to write about his EMS experiences.

Adalat 10mg pills $118.00 Many thanks to Black Cloud for taking the time share his story and perspective!


“Rampart, adalat 10mg pills $118.00 this is Squad 51.  How do you copy?”

Orders for D5W, adalat 10mg pills $118.00 Lactated Ringers, adalat 10mg pills $118.00 etc would follow.  Being born ten years after this show first debuted, adalat 10mg pills $118.00 “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, adalat 10mg pills $118.00 I was hooked.  It was, adalat 10mg pills $118.00 and still is, adalat 10mg pills $118.00 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. Adalat 10mg pills $118.00 It teaches the lingo and culture behind EMS, adalat 10mg pills $118.00 as well, adalat 10mg pills $118.00 and more importantly, adalat 10mg pills $118.00 the rudiments of EMS… and of course, adalat 10mg pills $118.00 seeing Johnny and Roy getting their butts kicked, adalat 10mg pills $118.00 missing lunches and being up all night.

Ok, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 then as an EMT/Firefighter, adalat 10mg pills $118.00 and finally as an ER Tech.

Since day one, adalat 10mg pills $118.00 I have had a black cloud.

Starting as an Explorer, adalat 10mg pills $118.00 I would ride along on the Engine Co’s. Adalat 10mg pills $118.00 We would bag plenty of runs. Adalat 10mg pills $118.00 As an EMT/Firefighter, adalat 10mg pills $118.00 other crews would sleep through the night, adalat 10mg pills $118.00 while my crew would bag 3 or 4 after midnight. Adalat 10mg pills $118.00 As an EMS coordinator for sporting events, adalat 10mg pills $118.00 no adverse incidences would have occurred in 25 years, adalat 10mg pills $118.00 but the year I coordinate the medical, adalat 10mg pills $118.00 we get not one, adalat 10mg pills $118.00 but two cardiac arrests. Adalat 10mg pills $118.00 Finally, adalat 10mg pills $118.00 as an ER Tech, adalat 10mg pills $118.00 I get the ugliest shifts out of all of the techs in the ER. Adalat 10mg pills $118.00 The black cloud has followed me all around the great state of California.

Adalat 10mg pills $118.00 We all know EMT’s, adalat 10mg pills $118.00 medics, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 or the shifts where they get the patient who takes 4x the amount of time and energy to keep them alive, adalat 10mg pills $118.00 or the crew who deals with the social drama that ends up ruining their shift, adalat 10mg pills $118.00 we all know them.

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


Black clouds inevitably lead to burn-out. Adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 “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, adalat 10mg pills $118.00 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. Adalat 10mg pills $118.00 Take care of yourself. Adalat 10mg pills $118.00

As Fire/EMS, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 we were usually gone about 2 hours.  With my black cloud luck, adalat 10mg pills $118.00 we would bag back to back calls.  I eventually learned to get a small cooler, adalat 10mg pills $118.00 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). Adalat 10mg pills $118.00 I see crews on a weekly basis who don’t pack snacks, adalat 10mg pills $118.00 run multiple back to back calls, adalat 10mg pills $118.00 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. Adalat 10mg pills $118.00 Even on the busiest shifts, adalat 10mg pills $118.00 I can slam down a Gatorade and half of a peanut butter sandwich.

We, adalat 10mg pills $118.00 by nature, adalat 10mg pills $118.00 are programmed in EMS land to go-go-go. Adalat 10mg pills $118.00 Between shifts, adalat 10mg pills $118.00 you have to rest.  And I mean rest.  SLEEP.  I am guilty of not doing this, adalat 10mg pills $118.00 going to work on a 12 hr night shift, adalat 10mg pills $118.00 going to a chemistry lecture, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 I am able to survive the inevitable black cloud shift much better.

2. Adalat 10mg pills $118.00 Know your coworkers. Adalat 10mg pills $118.00

If you are on a bus, adalat 10mg pills $118.00 in an ER etc, adalat 10mg pills $118.00 know their work habits.  This will allow you to stay one step ahead of them.  By being able to stay ahead of them, adalat 10mg pills $118.00 the flow of patient care will be smoother, adalat 10mg pills $118.00 getting the patient to their destination or discharge from the ER more efficiently.  The quicker the flow, adalat 10mg pills $118.00 the quicker you may be able to catch that break.  By getting to know your coworkers, adalat 10mg pills $118.00 you learn their idiosyncrasies and personalities.  I knew that when my Engine Co. Adalat 10mg pills $118.00 captain was up all night with his infant son that he would be tired, adalat 10mg pills $118.00 and certain “fun” things usually acceptable in the EMS world, adalat 10mg pills $118.00 weren’t so kosher.

3. Adalat 10mg pills $118.00 Have a comrade in EMS.

In EMS (and studies have proven this), adalat 10mg pills $118.00 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. Adalat 10mg pills $118.00 It helps to have a close friend, adalat 10mg pills $118.00 whether you work with them or not, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 I still have a couple close friends in EMS who I can talk to and bounce things off of.

4. Adalat 10mg pills $118.00 Work with the new kid. Adalat 10mg pills $118.00

When I work with paramedic interns and nursing students who do their rotations in my ER, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 on the other hand, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 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. Adalat 10mg pills $118.00 Don’t let the little things get to you. Adalat 10mg pills $118.00

If you let the little things get to you, adalat 10mg pills $118.00 the black cloud will win. Adalat 10mg pills $118.00 Working with slackers is just one of many of the “little things”. Adalat 10mg pills $118.00 We all have coworkers who kick ass and give 110%, adalat 10mg pills $118.00 but we also have those who give 55%.  Slackers are my pet peeve, adalat 10mg pills $118.00 but if I let the slackers get to me, adalat 10mg pills $118.00 I would end up in “The Bin.”

6. Adalat 10mg pills $118.00 Go the extra mile.

Everyone has a crappy day.  When you get to work, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 I had a Code 3 return to the ER for a post cardiac arrest.  While we were busy caring for the patient, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00 I went the extra mile.  A simple smile, adalat 10mg pills $118.00 a cup of coffee, adalat 10mg pills $118.00 a teddy bear for the scared child, adalat 10mg pills $118.00 that is all it takes.  Late one night, adalat 10mg pills $118.00 some time later (during a black cloud shift, adalat 10mg pills $118.00 of course), adalat 10mg pills $118.00 the family was exiting the hospital and stopped by the ER to say hi.  The elderly husband of the patient remembered me by name, adalat 10mg pills $118.00 shook my hand, adalat 10mg pills $118.00 and thanked me and the ER team for their care and compassion.  A lot of times the little things go unnoticed, adalat 10mg pills $118.00 but when they are noticed, adalat 10mg pills $118.00 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, adalat 10mg pills $118.00” 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, adalat 10mg pills $118.00 go to school for my nursing prereqs, adalat 10mg pills $118.00 enjoy time off with my fiancé, adalat 10mg pills $118.00 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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July 29, 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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