April, 2009 Archive

June 30, 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…..

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

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

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

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1288489382554958381It’s easy to laugh at “Emergency” when we watch it these days, buying viagra 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, buying viagra 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, buying viagra the question is simply “Why?”. Buying viagra Manchmedic shares his feelings about this in Marathon, buying viagra at Life in Manch Vegas. Buying viagra For background, buying viagra read A Slap in the Face.

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Medic/Nurse has seen the system from both sides of the ambulance entrance. Buying viagra 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, buying viagra 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.

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Buying viagra Jamie Davis produces a podcast for EMS at MedicCast.com. Buying viagra The lastest episode looks at Ambulance MVA’s in the News.

Buying viagra Epijunky takes a looks at her latest shift in Today, buying viagra by the Numbers at Pink, buying viagra Warm and Dry. Buying viagra It’s a list, buying viagra and it’s beautiful. Buying viagra For when you need to remember why you do what you do.

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Buying viagra Safety net or free ride? No matter how many stories you hear like this, buying viagra your jaw still drops. Buying viagra Paramedic Supermonkey takes on the Oregon Health Plan in “Free” Health Care.

Buying viagra This. Buying viagra Is. Buying viagra EMS. Buying viagra Truths (II) at Drug-induced Hallucinations.

Buying viagra When it isn’t supposed to be “bad one”…take a ride with Kal, buying viagra a Scotland medic, buying viagra and see if your adrenaline doesn’t start flowing as you read along with Qismet, buying viagra at Trauma Queen.

Buying viagra LOL! I’m sure there’s a great story behind this post at Ridin’ the Bus, buying viagra but I think we’ll need to read between the…uh…lines of Attention L&D Nurses…

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And now let’s hear from Dixie McCall, buying viagra the medics’ friend.  Look behind the overacting emotion and listen to the message.


No, buying viagra 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, buying viagra Rescuing Providence, buying viagra 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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Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 chief-roy-wont-let-me-friveIn honor of the The Handover, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 the new EMS carnival to be hosted here at Emergiblog on April 24th, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I invited guest blogger (and long time reader) Black Cloud ER Tech to write about his EMS experiences.

Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Many thanks to Black Cloud for taking the time share his story and perspective!

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“Rampart, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 this is Squad 51.  How do you copy?”

Orders for D5W, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Lactated Ringers, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 etc would follow.  Being born ten years after this show first debuted, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 “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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I was hooked.  It was, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 and still is, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 It teaches the lingo and culture behind EMS, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 as well, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 and more importantly, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 the rudiments of EMS… and of course, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 seeing Johnny and Roy getting their butts kicked, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 missing lunches and being up all night.

Ok, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 so maybe I am an EMS dork…

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I have been in EMS for over 12 years.  I started as an Explorer for the local fire department, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 then as an EMT/Firefighter, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 and finally as an ER Tech.

Since day one, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I have had a black cloud.

Starting as an Explorer, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I would ride along on the Engine Co’s. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 We would bag plenty of runs. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 As an EMT/Firefighter, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 other crews would sleep through the night, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 while my crew would bag 3 or 4 after midnight. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 As an EMS coordinator for sporting events, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 no adverse incidences would have occurred in 25 years, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 but the year I coordinate the medical, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 we get not one, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 but two cardiac arrests. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Finally, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 as an ER Tech, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I get the ugliest shifts out of all of the techs in the ER. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 The black cloud has followed me all around the great state of California.

Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 We all know EMT’s, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 medics, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 or the shifts where they get the patient who takes 4x the amount of time and energy to keep them alive, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 or the crew who deals with the social drama that ends up ruining their shift, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 we all know them.

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

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Black clouds inevitably lead to burn-out. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 “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!?!?

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So, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Take care of yourself. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00

As Fire/EMS, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 we were usually gone about 2 hours.  With my black cloud luck, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 we would bag back to back calls.  I eventually learned to get a small cooler, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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). Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I see crews on a weekly basis who don’t pack snacks, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 run multiple back to back calls, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Even on the busiest shifts, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I can slam down a Gatorade and half of a peanut butter sandwich.

We, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 by nature, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 are programmed in EMS land to go-go-go. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Between shifts, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 you have to rest.  And I mean rest.  SLEEP.  I am guilty of not doing this, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 going to work on a 12 hr night shift, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 going to a chemistry lecture, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I am able to survive the inevitable black cloud shift much better.

2. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Know your coworkers. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00

If you are on a bus, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 in an ER etc, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 know their work habits.  This will allow you to stay one step ahead of them.  By being able to stay ahead of them, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 the flow of patient care will be smoother, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 getting the patient to their destination or discharge from the ER more efficiently.  The quicker the flow, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 the quicker you may be able to catch that break.  By getting to know your coworkers, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 you learn their idiosyncrasies and personalities.  I knew that when my Engine Co. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 captain was up all night with his infant son that he would be tired, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 and certain “fun” things usually acceptable in the EMS world, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 weren’t so kosher.

3. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Have a comrade in EMS.

In EMS (and studies have proven this), anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 It helps to have a close friend, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 whether you work with them or not, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I still have a couple close friends in EMS who I can talk to and bounce things off of.

4. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Work with the new kid. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00

When I work with paramedic interns and nursing students who do their rotations in my ER, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 on the other hand, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Don’t let the little things get to you. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00

If you let the little things get to you, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 the black cloud will win. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Working with slackers is just one of many of the “little things”. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 We all have coworkers who kick ass and give 110%, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 but we also have those who give 55%.  Slackers are my pet peeve, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 but if I let the slackers get to me, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I would end up in “The Bin.”

6. Anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 Go the extra mile.

Everyone has a crappy day.  When you get to work, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I had a Code 3 return to the ER for a post cardiac arrest.  While we were busy caring for the patient, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 I went the extra mile.  A simple smile, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 a cup of coffee, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 a teddy bear for the scared child, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 that is all it takes.  Late one night, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 some time later (during a black cloud shift, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 of course), anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 the family was exiting the hospital and stopped by the ER to say hi.  The elderly husband of the patient remembered me by name, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 shook my hand, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 and thanked me and the ER team for their care and compassion.  A lot of times the little things go unnoticed, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 but when they are noticed, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 it makes the black cloud a little more bearable.

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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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00” 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, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 go to school for my nursing prereqs, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 enjoy time off with my fiancé, anti-anxiety wellbutrin sr 150mg pills (generic) $90.00 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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June 30, 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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