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 Emma Peel
      
Location: Ahowah
Gender: Female
Ghosting you like you've never been ghosted before.
 |  | Re: Simple UER First Aid
<Reply # 40 on 2/18/2008 7:57 AM >
|  | | | Posted by RochesterUE
Okay Emma, so technically I am not an EMT, but I do play one on TV.
But really, I've been a "Second-Medic" for two years, and have about 250 calls under my belt, with about the last 100 being ran by me with a certified EMT-P looking over my shoulder.
So technically am I an EMT? No.
But do I have more expierience then most basic EMT's in my area? Yes.
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1) I'm pretty sure there is no such thing as a "Second-Medic." That kind of title would imply that you're a "medic" as in "paramedic" or "emergency medical technician." Which you are not.
2) Did you mean, "First Responder?" Or "First Aid Certified?"
3) You haven't been in an EMT-B class for 2 years (as they're generally a semester long, esp. if you're 17 1/2 and in high school), so you can't possibly be a "Second-Medic" or any other made-up term you wish to use.
4) You may have been OBSERVING on ambulances for two years! Lots of people do that! Some even "volunteer" but generally have to be OF LEGAL AGE to do much. Has to do with that patient-provider confidentiality sort of thing, and how as a minor, you're not legally able to enter into a contract that says you'll keep your lips zipped and won't violate someone's HIPAA rights.
5) The calls that you HAVE gone on with a Paramedic "looking over your shoulder" I'm sure are the ones you've done in your clinicals for your EMT-B class. And it has to be a "paramedic," and they're more appropriately referred to, by you, as your "preceptor."
6) The only calls you should have been able to do anything at all on (besides observe) are the ones with your preceptor -- because THEN, you're covered by your school's insurance. Anything beyond that? Nobody's insurance. And nobody is going to let you go near a patient w/o being covered.
7) Oh, you ran the calls? Did you also write the reports? Because the person who ran the call has to do the documentation (the real documentation -- not your practice patient care reports). Or did they not tell you that you're not actually ALLOWED to do that documentation? Another sad fact about HIPAA policies. You WERE allowed to (and were graded on) use the radio and make reports! And assist in the care of patients! But all of those calls are on the shoulders of your preceptor - NOT you. And I have a difficult time believing that your school's insurance is allowing for you to "run" ONE HUNDRED calls -- wayyyyy more hours than required for you. That's closer to the level a Paramedic might do but ... a Paramedic student is also already certified and covered under their employer's insurance.
Seriously ... you can volunteer, and you can do ride-alongs, and you can observe and talk through the knowledge that you're building but ... I seriously doubt that you've got more experience than "most EMTs" in your area. Unless for some reason you volunteer OUTSIDE of your "area" to observe calls, and your "area" only gets 2 calls per week.
Dude ... The rules are almost exactly the same for 46 of the United States. If what you're saying is "true," what I'd like to know is, who the HELL is bending the rules for you, and how many people are going to get sued/go to jail/pay HUGE fines when everyone is found out?
Oh, and while I don't know Rochester's individual stats, I'd assume that, since it is a fairly good-sized area, MOST EMS providers are at the Paramedic or above level. In most urban areas, nowadays, the field is saturated with EMT-Bs and most EMT-Bs continue to get their Paramedic certification. EMT-Bs are kind of obsolete, unless you're in a rural area. But ... that's why Basics make about HALF as much as Paramedics do. Which is hilarious, when you think that it is only another semester-long class that gets you that DOUBLE in hourly wage.
[last edit 2/18/2008 8:03 AM by Emma Peel - edited 2 times]
Sorry, I probably forgot my <sarcasm> tags. |
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RochesterUE
Gender: Male
I'm a piggie!
| | Re: Simple UER First Aid
<Reply # 41 on 2/18/2008 3:44 PM >
| | | | Posted by Emma Peel
1) I'm pretty sure there is no such thing as a "Second-Medic." That kind of title would imply that you're a "medic" as in "paramedic" or "emergency medical technician." Which you are not. |
First of all, that title is agency-specific, and not an official title that NYS or any other agency would probably recognize. A second medic (at my agency) is traditionally there as an assistant to the Medic, making a crew of three (Driver, medic, second medic.) Being a second medic doesn't really mean shit, but allows me to ride on the ambulance as a role that is more involved than an "observer"
| Posted by Emma Peel2) Did you mean, "First Responder?" Or "First Aid Certified?" |
Officially my highest level of certification is "First Aid: Responding To Emergencies" Issued by the Red Cross.
| Posted by Emma Peel3) You haven't been in an EMT-B class for 2 years (as they're generally a semester long, esp. if you're 17 1/2 and in high school), so you can't possibly be a "Second-Medic" or any other made-up term you wish to use. |
My EMT-B class is through school, and is one year long. I started in September and finish in June. I never said I have been in class for two years, I said that I have been riding an ambulance for two years, which is completely true. I ran my first year as an observer, and am now what our agency calls a "Second Medic"
Posted by Emma Peel
4) You may have been OBSERVING on ambulances for two years! Lots of people do that! Some even "volunteer" but generally have to be OF LEGAL AGE to do much. Has to do with that patient-provider confidentiality sort of thing, and how as a minor, you're not legally able to enter into a contract that says you'll keep your lips zipped and won't violate someone's HIPAA rights. |
This is true, and one of the reasons NYS would not let a person of my training be the only person providing care. No matter what, I always have either an EMT-B or EMT-P by my side.
| Posted by Emma Peel5) The calls that you HAVE gone on with a Paramedic "looking over your shoulder" I'm sure are the ones you've done in your clinicals for your EMT-B class. And it has to be a "paramedic," and they're more appropriately referred to, by you, as your "preceptor." |
Let me specify. The calls that I have run while riding with a Paramedic are usually priority 3 or 4 (Non life-threatening). If anything takes a twist, the Paramedic takes over.
| Posted by Emma Peel6) The only calls you should have been able to do anything at all on (besides observe) are the ones with your preceptor -- because THEN, you're covered by your school's insurance. Anything beyond that? Nobody's insurance. And nobody is going to let you go near a patient w/o being covered. |
I am not riding the ambulances under my schools gudiance, I am riding under my agencies training and qualifications. Therefore the insurance is NOT done through my school, rather my agency. Therefore I am treating under the EMT-B or EMT-P's supervision, so it's their ass on the line if I mess up.
Posted by Emma Peel
7) Oh, you ran the calls? Did you also write the reports? Because the person who ran the call has to do the documentation (the real documentation -- not your practice patient care reports). Or did they not tell you that you're not actually ALLOWED to do that documentation? Another sad fact about HIPAA policies. You WERE allowed to (and were graded on) use the radio and make reports! And assist in the care of patients! But all of those calls are on the shoulders of your preceptor - NOT you. And I have a difficult time believing that your school's insurance is allowing for you to "run" ONE HUNDRED calls -- wayyyyy more hours than required for you. That's closer to the level a Paramedic might do but ... a Paramedic student is also already certified and covered under their employer's insurance. |
Yes, I run BLS calls. To the State, the certified medic on duty is running and providing care. In real life, I am providing the BLS aspect of the call, under the direct supervision of the medic.
As for the paperwork... I write the REAL PCR (Epcr now) and then have it read-over by the Medic. They sign it if they approve it, or make changes if neccesary. To the state, THEY made the PCR, due to THEIR signature on the document, not mine.
| Posted by Emma Peeland your "area" only gets 2 calls per week. |
What, you think I am out in fucking hick-ville?! Pittsford runs on average 4 calls a day, for an average of 42 PER WEEK. NOT 2.
| Posted by Emma PeelWhich is hilarious, when you think that it is only another semester-long class that gets you that DOUBLE in hourly wage. |
When the hell did I ever say anything to that extent?! On average, Rochester Rural Metro BLS providers make around $8-$10 an hour. ALS make around $12-$14.
The agency I work for is one of the last surviving 100% volunteer corps. NOBODY gets paid, not even our adminstators (who we call operations staff).
http://cat.org.au/~predator/approach.txt
There is a time when the operation of the machine becomes so odious, makes you so sick at heart, that you can't take part; you can't even passively take part, and you've got to put your bodies upon the gears and upon the wheels, upon the levers, upon all the apparatus, and you've got to make it stop... |
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RochesterUE
Gender: Male
I'm a piggie!
| | Re: Simple UER First Aid
<Reply # 42 on 2/18/2008 3:46 PM >
| | | | Emma, let me also clarify that I refer to myself as an "EMT" to the general public, due to the fact that almost everyone knows what an EMT is and does. Therefore, by referring to myself as an "EMT" I save the hassle of writing the above reply to everyone who asks what I do in my spare time.
http://cat.org.au/~predator/approach.txt
There is a time when the operation of the machine becomes so odious, makes you so sick at heart, that you can't take part; you can't even passively take part, and you've got to put your bodies upon the gears and upon the wheels, upon the levers, upon all the apparatus, and you've got to make it stop... |
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TrixieSparrow
Location: Hamilton, ON
Gender: Female
I guess.
| | Re: Simple UER First Aid
<Reply # 43 on 2/19/2008 8:04 AM >
| | | | Posted by Boyington's bastard
"Posted by Tracy.
Dude, I don't even bring a respirator."
Me neither, I hate them.
If your working with silica and such, they're mandatory
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They are? Opps!
When I die you can have my respirator if you want. apparently that isn't going to be too long.
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Clockwork
Location: Minneapolis, MN
Gender: Male
I WILL KILL THIS MONKEY! I'M CRAZY!
| |  | Re: Simple UER First Aid
<Reply # 44 on 2/19/2008 9:17 AM >
| | | | Posted by Boyington's bastard
Anyone who's really concerned about asbestos exposure, the first thing they need to do is stop smoking; smoking is a potent catalyst for cancer and other lung diseases when mixed with asbestos. Almost everyone has breathed in asbestos; it's everywhere.
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I can't believe I'm saying this, but Blackhawk is absolutely right.
Respirators are a laughable fad here on UER. An explorer fashion statement, and a mostly pointless one. While there is bound to be plenty of dust and even asbestos (oh noes!!!) in certain abandonments, respirators are just plain overkill 99.9999% of the time. In the Twin Cities, respirators are akin to tabby boots on the UER cheese meter.
Oh yeah... And we explore silica caves all the time. No respirators, face masks, ninja hoods, or motorcycle helmets required!
[last edit 2/19/2008 9:19 AM by Clockwork - edited 1 times]
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blackhawk
 
This member has been banned. See the banlist for more information.
Location: Mission Control
UER newbie
| |  | Re: Simple UER First Aid
<Reply # 45 on 2/19/2008 5:46 PM >
| | | | Posted by RochesterUE
Emma, let me also clarify that I refer to myself as an "EMT" to the general public, due to the fact that almost everyone knows what an EMT is and does. Therefore, by referring to myself as an "EMT" I save the hassle of writing the above reply to everyone who asks what I do in my spare time.
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That's a whole lot of double talk you got going on there.
You need to get it treated ASAP.
Left to fester, it may become totally unbelievable.
Posted by Clockwork
I can't believe I'm saying this, but Blackhawk is absolutely right.
Respirators are a laughable fad here on UER. An explorer fashion statement, and a mostly pointless one. While there is bound to be plenty of dust and even asbestos (oh noes!!!) in certain abandonments, respirators are just plain overkill 99.9999% of the time. In the Twin Cities, respirators are akin to tabby boots on the UER cheese meter.
Oh yeah... And we explore silica caves all the time. No respirators, face masks, ninja hoods, or motorcycle helmets required!
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Yeah, you feeling ok?
Ha-ha, you need to eat a real lot of silica, for a real long time before you get even a lung spot from it.
Every now and then don't mean nothing! (really)
Helmets?
I always thought that was the skull?
These damn soft shells
Seriously, anyone who's had to work with one for a living, 8 hours a day, won't be wearing a respirator on their days off! They are hard work. If you don't follow proper procedures, they are unless, and worse they give some a false sense of security.
Only a few here even know how to fit or buy one properly, let alone maintain it.
Most places there's no need for one anyway.
One site I know of that is saturated with asbestos to the point were your clothes will be completely covered with invisible, microscopic particles of it.
There these people of serial vandalize this site, stirring up as much of the fibers as possible, and sit and roll around on everything in sight.
They do a work out there, breathing deep and hard as they scurry around smashing the place.
If you fire a laser pointer in there, you see zillions of these little crystalized wonders dancing in it's beam.
These morons then wear the same clothes home, wash them with the common wash, and not only breath more themselves, but share it with loved ones!
Asbestos Warts baby! They're real!!!
Just when I thought I was out... they pulled me back in.
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nohbdy
Gender: Male
| | Re: Simple UER First Aid
<Reply # 46 on 2/19/2008 5:59 PM >
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nohbdy
Gender: Male
| | Re: Simple UER First Aid
<Reply # 48 on 2/20/2008 12:01 AM >
| | | | i really dont like using super glue, i think its more trouble then its worth, i mean it does work and all but i like using tape (3m transpore) to close stuff in the field that way its easier to clean out after you get to a doctor
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blackhawk
This member has been banned. See the banlist for more information.
Location: Mission Control
UER newbie
| | | Re: Simple UER First Aid
<Reply # 49 on 2/20/2008 12:17 AM >
| | | | Posted by nohbdyshome
i really dont like using super glue, i think its more trouble then its worth, i mean it does work and all but i like using tape (3m transpore) to close stuff in the field that way its easier to clean out after you get to a doctor
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If you close a wound with crazy glue, you leave it closed till healed.
Ripping it open again isn't a great idea unless it's a massive thing were your pasting someone's guts in.
Just when I thought I was out... they pulled me back in.
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junkyard
Location: LaCrosse, WI
Gender: Male
Strategic Beer Command where the metal hits the meat.
| | | Re: Simple UER First Aid
<Reply # 50 on 2/26/2008 4:39 AM >
| | | | Pappy's right about fitting and maintaining respirators. It is my firm belief that there is POSSIBLY 4 people here who know how to do this. EVERYONE else who THINKS they do is <insert your favorite Junkyard word here> But especially those that look down on us non-respirator-wearers because they are so superior to people with brains.
I drink gasoline for breakfeast and beer for dinner!
Any problem can be licked with a case of beer and a few sticks of dynamite.
Strategic Beer Command ruling the desert since 1995 http://www.strategic-beer-command.com |
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Atomsk813
Location: Portland, OR
Gender: Male
Personal Picture loading...
| | | Re: Simple UER First Aid
<Reply # 51 on 2/26/2008 5:06 PM >
| | | | well i seem to be lucky so far (worst injury was a bump on the head from not looking up when i climbed a ladder to a roof and hit my head on the rim of the opening...) but my main worry is small cuts that could get infected, and possibly nails thatn have been stepped on. i usually don't carry a pack of any sort, so i like to travel light. any recommendations for a very light basic ue first aid kit?
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nohbdy
Gender: Male
| | Re: Simple UER First Aid
<Reply # 52 on 2/26/2008 5:56 PM >
| | | | Posted by Boyington's bastard
If you close a wound with crazy glue, you leave it closed till healed.
Ripping it open again isn't a great idea unless it's a massive thing were your pasting someone's guts in.
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oh yea, if its clear to start with then its fine, but if there is dirt in it i try to get the dirt out
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piplnr65656
Location: World Wide
Gender: Male
| | Re: Simple UER First Aid
<Reply # 53 on 2/27/2008 2:00 AM >
| | | | Posted by Boyington's bastard
Seriously, anyone who's had to work with one for a living, 8 hours a day, won't be wearing a respirator on their days off! They are hard work. If you don't follow proper procedures, they are unless, and worse they give some a false sense of security.
Only a few here even know how to fit or buy one properly, let alone maintain it.
Most places there's no need for one anyway.
One site I know of that is saturated with asbestos to the point were your clothes will be completely covered with invisible, microscopic particles of it.
There these people of serial vandalize this site, stirring up as much of the fibers as possible, and sit and roll around on everything in sight.
They do a work out there, breathing deep and hard as they scurry around smashing the place.
If you fire a laser pointer in there, you see zillions of these little crystalized wonders dancing in it's beam.
These morons then wear the same clothes home, wash them with the common wash, and not only breath more themselves, but share it with loved ones!
Asbestos Warts baby! They're real!!!
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Posted by junkyard
Pappy's right about fitting and maintaining respirators. It is my firm belief that there is POSSIBLY 4 people here who know how to do this. EVERYONE else who THINKS they do is <insert your favorite Junkyard word here> But especially those that look down on us non-respirator-wearers because they are so superior to people with brains.
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Another quality trip down memory lane your friend Piplnr65656.
http://www.uer.ca/...rrpage=2&pp#post25
[last edit 2/27/2008 2:03 AM by piplnr65656 - edited 2 times]
It was in September, we saw their silhouettes fade away, outlined on the horizon against the rays of the setting sun. |
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matthew donathan
| | Re: Simple UER First Aid
<Reply # 54 on 2/27/2008 2:18 AM >
| | | | most injuries can be avoided by simply looking around, and if not that way just use your common sense, a human can do anything , well almost anything safely aslong as they stop for a secound and think about it. i've built stone stair cases 200 steps or more in the middle of the woods, the only time i ever got hurt i did something stupid, got infront of a bolder thinking it would be better for me to drop it on my self than let it tumble and maybe hit some one else... that was stupid. any way also most smaller injuries can be treated with basic first aide knowledge, if your goin to be doing this kinda thing often it might be a good idea to take a first aide class. but yeah, a cold beer makes anything feel better, unless your bleeding. even thin it might not hurt so much.
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Glass
Location: Chicago
as one does
| | | Re: Simple UER First Aid
<Reply # 55 on 3/1/2008 12:55 AM >
| | | | Posted by matthew donathan
i've built stone stair cases 200 steps or more in the middle of the woods
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Quoted for IMPACT.
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blackhawk
This member has been banned. See the banlist for more information.
Location: Mission Control
UER newbie
| | | Re: Simple UER First Aid
<Reply # 56 on 3/1/2008 1:59 AM >
| | | | Stonehedge all over.
Just when I thought I was out... they pulled me back in.
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Air
Location: Canada
| | Re: Simple UER First Aid
<Reply # 57 on 3/1/2008 2:00 AM >
| | | | Posted by Glass
Quoted for IMPACT.
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...and talent. That's a total turn on for me, a guy who uses his hands to do practical things.
"The extraordinary beauty of things that fail." - Heinrich von Kleist |
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Witek
Location: Everywhere.
Gender: Male
onwards.
| | | Re: Simple UER First Aid
<Reply # 58 on 3/1/2008 2:21 AM >
| | | | If I were worried about asbestos I'd be wearing a respirator at work the whole time, which would get quite lame. Stupid dusty old workplace.
V-tech = V-Tek = Veetek = Witek. Make it count, say it right. |
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blackhawk
This member has been banned. See the banlist for more information.
Location: Mission Control
UER newbie
| | | Re: Simple UER First Aid
<Reply # 59 on 3/1/2008 2:52 AM >
| | | | Posted by Witek
If I were worried about asbestos I'd be wearing a respirator at work the whole time, which would get quite lame. Stupid dusty old workplace.
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So how do you talk with one on? Take it off and suck up the asbestos?
Forced air fed masks and hoods are much better, some have air chiller/warmers for maximum productivity and comfort.
Just when I thought I was out... they pulled me back in.
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