Well… Here we go again. Up there is gear, clothes, and uniforms for the next month. I deploy tomorrow morning at 0955 to NH as a relief medic. Should be rather fun and the protocols are very broad. I’ll be gone for the next month and might be there a little longer. I can’t wait to get this started.
So I don’t do this much… but I bought a new toy and wanted to talk about it for a second. As most of you know I work rural 911 (both paid and volunteer) and urban IFT/CCT. I was looking around on Amazon for a few things for my camera and somehow this came up on my recommendations.
It’s the NAR Boa Contricting IV band. It looked interesting so I decided I’d order it and give it a try. I have used it the past three weeks on all sorts of calls. And compared it to a standard tq like comes in most start kits. So far I like it.
I had a couple tough sticks, including a diabetic that is seizing who had really crappy veins. I had known this from past experience running on this patient. I tried a standard tq and couldn’t find anything, then I remembers that I clipped the boa onto my pants and decided to give it a try. Put it on rather high up, then rolled it down and ‘bam’, a vein popped up that was enough for me to find a place to stick.
Used it on and off on a lot of patients, especially renal failure and oncology patients that I’ve run into the past few weeks and it works amazing. I really have to hand it to them, they have put out a product that is pretty damned cool. And so far it has held up to cavi wipes and just generally being carried by me (I’m pretty hard on things).
All-in-all, a good piece of kit. Especially if you don’t have the money for a veinlite
I can’t believe somethign that happened today… Ok first a little update on everything… then a rant.
I’ve been volunteering quite heavily at my FD the past few weeks, because I’ve been doing my HAZMAT A&O class in preparation for doing Fire 1 next month. It’s actually be rather fun, and I think I might like playing firefighter some days. Not more than my medical calling, but still. We had our final test for HAZMAT this morning and I think I did ok. I’m always up for learning new things, so let’s see if I passed lol
Although it now looks like I won’t be doing Fire 1 w/ the people I’ve gotten to know in my HAZMAT class. I was asked if I wanted to volunteer for a temporary Duty Assignment w/ the Evil Empire to the NE of the US. Of couse I said yes. It’ll be 6 12/hr shifts in a row, then a day off, then back to work. That’ll last at least a month. Should make some decent money. Waiting to find out if I’m going to NH or ME though, as I had to fill our reciprocity paperwork for both states. The general consensus is that they’re very short handed or maybe a strike is approaching. They prefer our DRT people, and you have to be a NREMT-P. Luckily I’m both. I’ll keep everyone updated on what’s going on, as this sounds fun.
Now for my rant… I was in jeans and my FD t-shirt this morning for class, and after my test I went to get coffee to study for my FP-C. I was sitting there minding my own business when an older woman, about my parent’s age, came up to me and said something that blew my mind;
“Why are you wearing that shirt, it’s not like you can ever do that job with all those nasty tattoos”
I honestly didn’t know what to say to her. I’ve never had someone be that rude or judging of me for my tattoos before. She asked me then what I did for a living.
I got a little satisfaction when her jaw dropped when I told her I’m a career Paramedic w/ over 5 years on an ambulance or in a hospital enviroment. And I am also a volunteer firefighter/paramedic w/ the county whose shirt I was wearing. She left in a huff w/ the parting comment of “Well I’d never let you work on me looking like that”
Granted, today I looked pretty scruffy, weaing a t-shirt and jeans, not shaven for the past three days… But still. I’ve never had anyone while I’m on duty be anything but complimentary of my ink, if they even notice them. Generally if I’m treating the patient they’ve got a few more important things on their mind. And honestly I have always felt that the younger generations, even my parents, was more accepting of tattoos. And for the most part I’ve been right.
But ma’am, if you ever happen to find this (which I sincerely doubt), I hope that you’ll give me a chance. Come ride along w/ me on my 911 truck. See me in uniform and how I carry myself in it and present myself to the general public. See how I treat my patients that disrespect me with the utmost of respect no matter what. See how little the people who’s lives are in my hands actually care that the provider has tattoos. Come see a paramedic in action, and don’t judge them based on appearances. You can judge me all you want, but do it on substance, not appearance. Judge me on my skills, my personality, my empathy.
In short, stop judging a book by it’s cover. You made yourself look like a naive fool, and honestly I hope that if something happens to you, you’re in my county. In my district. And you’ll see first hand how little tattoos matter. The world is changing, and for the better.
I just realized that as of next month, I will have been a medic for one year. It’s been a hell of a ride. There’s been some first for me in this year too. A lot of them actually.
I got my first write-up in regards to patient care. And it was for doing the RIGHT THING BY MY PATIENT! I had a distal shaft femur fx, gave him narcotics (50mcg fent, 10mg MS) and it still wasn’t helping. Talked to a doc and got orders for 2mg of valium for muscle spasms around the fx (I was actually worried about the bone shards cutting an artery). Gave the 2mg Valium and low and behold it helped out a lot. Got written up for it.
Ran my first vent and multiple drip CCT style transfer two weeks after I became a medic. Transfer from a small rural facility to the state lvl 1 trauma. A vented patient on Levophed and Dobutamine drips. Talk about nerve wracking. I was so out of my league it wasn’t even funny. But it was fun! It’s what made me take my critical care class.
I worked my first code as a medic and got ROSC. I have gotten 3 NTI’s (a new record at my service). I have obtained a reputation as a good, aggressive medic. I do whatever I can to do right by my patient. I have continued to educate myself and expand my horizons in terms of where I want to go.
And on the non-medic side, I have become a published photographer. I have gotten photos published for a publicity brochure for my division of the Evil Empire.
I have worked under some damn good medics and worked with some amazing EMT partners at my 911 service, and I got to admit, I learned a lot from both sides of the fence.
In the past year everything seems like it has changed, and a lot of it has been good. Now that I’m approaching the end of my first year as a medic… I have a lot to learn still. But I have learned a lot and will continue to learn every day at work and off. It’s been a hell of a ride, but I am proud to be where I am and doing what I do. I am damned proud to be a Paramedic.
Ok, as I’m typing this, I’m seriously debating curling up into a ball. I’ve been working out pretty hard, trying to start on the path of being generally healthier and making flight weight. I just got an email from the local rotor-wing service that I use at work, asking me to call them to try and set up a fly along, which is omething I have been wanting to do for months Should be fun.
At this point I’m also realizing that I might actually have a chance at this FP-C exam. I’m shooting for the end of next month to take it and I’m doing quite a lot of studying. a lot of it is making sense and seems like I’m retaining the knowledge. I’m catching a lot of flak at work though for taking the test this early. I will have been a medic almost 1 year (doing busy rural 911 and urban/long-distance IFT, with some bordering onto critical care level calls) by the time I take the exam. I know I can’t likely get a job for another year or more, but it’s a cert I want. And if I know the knowledge and can apply it in the field, then why the hell not?
I’m already considered a damned good medic at my 911 service, even if me not being a cookbook medic has gotten me into trouble in the past, even recent past. I learned early on from some amazing medics that trained me to look at what I have available, then look at the pathophys behind what I’m doing. IF what I’m doing will help the patient, then that is a valid reason for doing something. Of course I don’t completely violate SOP… but I am getting quite good at bending it to suit my needs.
Lol just like a lot of newer medics, I think it’s time to break out of traditions. WE don’t want to be like the fire department in a lot of places “100 years of tradition, unimpeded by progress”
It’s been almost a year since I updated this… and I hadn’t realized I’d neglected this so bad. So just a quick update today and I’l start hopefully doing more regular posts. My tumblr has kinda gotten my short rants lately.
So I’ve been a medic almost 1 year. And what a year it’s been. I still work rural 911 for the private company I’ve been with since I moved back to NM, and I’m still with the Evil Empire doing IFT. I am studying and getting ready to take my FP-C examination, with my personal goal to take it by the end of March.
I also am volunteering in a very rural county just east of me, and I am starting Fire School for FF1 in March. Yes, I allowed myself to be talked into becoming one of those hosemonkey’s I’ve always told myself I wouldn’t be. After volunteering there since just after I got my medic, I realized I want to do more there, and play around some more. I am also in the running for one of the EMS Officer positions. I’m helping them to update and modernize their protocols, and to incorporate ALS treatments, as I’m only the second medic to volunteer in this county.
Oh, and I just started to pick up overtime at an Evil Empire Operation about three hours away. Hopefully a twenty four every other week. So I’m still keeping myself being a busy TransportMonkey.
In addition to all of this, I also just had my first photography efforts published. I took some pictures at the Evil Empire for a PR brochure, and every photo in it is one that I took That has been one hell of a highlight.
So in short, I’m still here, just barely giving myself time to breathe still. I’m still working to gain experience and my FP-C, and prove that I’m the damned good medic I know I am. Hell, the boss at my small private 911 job admits that the reason he hasn’t smacked me for being a pain in the ass is that I’m a damned good medic. And also, with the busy rural experience I am working towards my dream job with a flight service. Although that is also forcing me (which is not a bad thing) to start to change my life and take care of myself more, and eat better and get excercise. Gotta make flight weight.
Stay safe out there y’all, I’ll post more later.
And about me page I knew I was forgetting to update somewhere… but the picture below should explain everything and why I’ve been so scatterbrained out of sheer happiness lately
Now to just get my state certs (including taking my NM written to get my NM certification), and see about getting those raises at my current job. #DiscoPatchAchieved!
Well, yesterday has seemed like the day that will never end. I bet today will seem much the same. I just wanted to post a quick update before I clock in and find something to distract me, like tormenting newbies .
I took the NREMT-P written exam yesterday morning. It cut me off around the 75 or so question mark, in about 45 minutes. So now I’m just stressing until I find out tomorrow sometime. Heh I didn’t want to take it on a weekend, but it was either that or wait another two weeks lol.
From what everyone has told me, with 75 questions or so, either I failed almost every question or I passed… So lets see
As I sit here typing this I can’t stop thinking how early I’m awake. But there’s a good reason for it. In a little over 2 hours, I am sitting for the NREMT-P written examination. This is everything I’ve worked so hard for the last three years. I’ve been looking forward to today so very much and I just can’t believe it’s here.
Lets do this. Hopefully by Monday I won’t be TransportJockey, EMT-I… I’ll be TransportJockey, NRP I’ve come this far, I won’t let anything as silly as a computer based test stop me.
To the woman driving the big SUV that almost took off my head on scene:
I’m sorry that we inconvenienced you in the fact that we had a lane shut down before a crest. I’m sorry that it slowed you down so much that you figured as soon as you got past the blocking pumper that you had to swing back into your normal lane. I’m sorry that you probably had to change pants when you realized you were about to hit an EMT-I who was just doing his job, and lit up like a reflective christmas tree at that. And most of all, I’m NOT sorry in the least that you got chased down by a deputy, or for the twenty minute lecture I’m sure that Sgt gave you, or for the very expensive ticket (or, knowing him, ticketS) you received.
Seriously though, that was one of the scariest things that’s happened to me on this job. I was leaned into a wrecked car about to worm my way in so fire could extricate, when all of a sudden I feel a *WHOOSH* of air rush past my head and I see a large SUV with a panicked looking driver. The mirror literally went about six inches over my head and the body probably missed my body by about a foot. I know our callouts at roadside are among the most dangerous calls we can run because of other people, but this is the first time this has almost happened to me.
I’m so happy we have good LEOs in the area, and that she DID get freaked out. People, be safe out there. I know the safety vests are retarded sometimes, but wear them. There’s a reason they’re mandated, and we all want to come home to our families.