New adventures, Familiar Place

So I have alluded to a new job several times in the past few months on here. And I figured it’s past time to talk about it. As you can tell from the new banner, I have TX and NM represented in that star of life. That’s because I’m now, once again, workin in the state of Texas.

Some of you might remember that three years ago I worked in a small rural TX community as an EMT-I. Well, now I’m back in the same community working as a Paramedic :). I work 7 days on/7 days off. It actually works out well for me. I’ll go into some detail as to what it’s like down here too. But suffice to say, it’s one of my dream jobs. And I’m having a lot of fun overall.

When I worked here before, it was a city run, third service, with pretty typical protocols for this area of Texas. Now, I’m working under flight protocols on a frontier 911 truck. We have some of the broadest sets of guidelines outside of my good friends to the south in Presidio. As a Paramedic I have free reign to use clinical judgement and best practice to deviate from our guidlines, and out critical care medics (more on that in a bit) can perform CVC placements, pericardiocentesis, chest tube insertion, and several other things. The running train of thought is that we can do more in the short term than our little community hospital can, and that they only do scans and give blood (the two things we can’t do at this point).

We regularly transport straight to the airport from scene to meet up with one of our company’s fixed wings for transport of hte patient to a tertiary facility or trauma center (nearest major hospital is a level 2. Closest Level 1 is over 200 miles in any direction). The flight team runs under our same protocols, so in this instance, the flight team doesn’t bring any additional tools (except they carry an ultrasound, ours are coming for ground) or skills to the patient. We use them strictly because we are so far from definitive care.

We also fly out quite a few by rotor. Part of this is that we cover 3000 sq mi of territory, a lot of it is pretty rugged desert. We also have one major interstate running through our county. One of our most common reasons for flying people out by rotor is that we just can’t get safely back down the road the patient is on with any sort of speed, like an oil rig lease road. We have one of the highest numbers of oil rigs in the state of texas here in my county. And with all this, I haven’t seen much abuse of air medical, it’s pretty typical for frontier Texas.

One of hte nice things about our company is that they want all medics to be certified as critical care. And we are 90% paramedic agency (we only have a handful of EMT-I and EMT-B providers. Once myself and four others go through the critical care class, we will be at 100% of paramedics certified as critical care. And I’m in that weird spot because I’m currently an FP-C, which is generally considered critical care level. And the best part is the company will pay for the critical care training. And with the schedules we work, an extra class (like UMBCs 2 weeks course) are easy enough to do trades togo to.

All-in-all I’m excited to be back here. It’s a great place to learn, and I get to play sometimes as a flight medic on our fixed wings. It’s already making me a better provider and it is my favorite type of EMS, rural with great protocols. Plus we have a great crew here. I can’t wait to see what my future holds down here.

We lost a good man yesterday

NM EMS suffered a terrific blow yesterday. We lost one of our best educators, Cy Stockhoff. I met Cy close to seven years ago when he helped proctor one of my first practical exams for EMT-B. Then I got to have him when I attempted my EMT-I cert for the first time. The man knew what he was talking about, and always pushed for us students to question the norm and push to make our profession better.

Cy taught a good portion of my first try through paramedic school, and was my biggest supporter when I withdrew from the program and took my EMT-I exam instead. He told me that life will never let you follow your plans exactly, and that sometimes things happen and you have to make do as best you can.

The last time I saw him, it was a fun little reunion when I came by his office to ask about starting their degree program with my current paramedic cert. He remembers nearly all his students, it seems, and I was no exception. He asked me how it was going, and congratulated me on my paramedic cert and asked how I was liking my rural 911 service (I  was in uniform at the time, so it was an easy jump).

Even then, he asked if I had thought about doing any further training and education, including getting my instructor certs. After those years away from being his student he still wanted me to do better than the status quo.

Cy, you’ve helped mentor me, helped me learn how this EMS thing works. You’ve made me question the ‘why’ about why we do things. I’m grateful to have been one of your students, and I will keep striving to be better, and to make our chosen profession better. Thank you for everything you’ve done for us. You’ve helped teach a state full of providers who will fight to the last, with what little we have to work with.

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This is weird…

So… it’s my first night as an ER Paramedic at the state’s trauma center… So far all I can say is;
This is weird… Very weird. It’s kinda fun though, since there are only two of us (counting my trainer) here on the floor, and we are responsible for not only primary patient care on up to 6 patients at once, but also we are the go-to people to help in the rest of the unit and the trauma bays.
I honestly never thought I wanted to go back to working in a hospital again, but this could be fun. Plus there’s the amazing benefits and the option of free education on a pretty consistent basis. I’m still going to be working the truck at least a few shifts a month (or one a week I hope) but this will become my primary job. It’s also easy to transition to a flight team job after I’ve been here a while, since the hospital runs a fixed wing program.
But this is also my first night shift in a long time that going to bed when I’m not doing anything isn’t an option. THAT I don’t like. But here we go. Another chapter opened, another door taken. Let’s see what kind of trouble I can get myself in.
-TJ

Also, please be sure to check out my facebook photography page, or look on my Tumblr page for more of my photos. Links are attached to my about me page.

 

And as an aside, I’m not sure why comments are being disabled on certain posts. If you have a comment or concern, post it to either my facebook page for the blog (Life of a Transport Jockey) or email to me at transportjockey@gmail.com

Guess I need a new Banner…

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!

Update from the test

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 :)

Keeping Promises

I’m big on keeping any promises I make. In my eyes, if I tell you I’m going to do something, I wouldn’t consider myself much of a person if I didn’t do it. And to that extent, one of my promises to someone is getting closer to fruition.

I took my classroom Paramedic Final Exam… 196 questions, all multiple choice, with parts from every section of that giantass purple book. I finished it in just under an hour… I’ve spent the last two weeks going over every page of notes, every review and exam online. I’ve looked at books that aren’t required reading, some that I’ve been told are way above what I need to know (which of course makes me even happier to read them). All to be ready for this exam. When I finished, I was tempted to go over all the questions, just to double check. Then I remembered that I am much better at trusting my gut instinct than to question what I do.

To that end, when I finished, I made sure the Scantron was ready to go, and then damn near flung it at my instructor and walked out. I was so freaking nervous when I walked out. I spend time pacing outside and I think my first twitter was… wait, let me pull it up.

“Oh dear god oh dear god… 196 questions in just under an hour… Either I suck or I kicked ass… One of the two. Freaking out now!”

I was so freakign worried about it… I just don’t like tests, I get almost physically sick… and I almost puked afterwards. Oh? What’s that? What did I get on it? Well… my intructor that was testing us came outside to get me, and told me he needed to talk to me. He told me I didn’t do nearly as well as he’d hoped I would, and then showed me a score of 47. I swear my heart sunk in my chest and I felt like looking for the nearest cliff to jump off of. Then I noticed it said ‘Section Grade’. And I thought “Wait… there were 4, 50 question sections to that test” and I think he saw my face so he just started laughing at me.

Turns out…. 87% on the written final! I was so freaking happy I couldn’t get words out. Turns out I was also the highest written grade on the test :) Now I start the long process of clinical and internship shifts. Which my first 14 hour shift is in TX Saturday starting at 0800 or so. I plan on being done, tested, and raped by the state of NM and NREMT and be a TX, NM, and NR certified paramedic by the middle of Feb. Let’s do this shit :) Now it’s the fun part.

But first, tonight I get to have fun. I get to go to this beautiful girls graduation party tonight. She is graduating with her BS from a local university, and I figure I wanna spend time with her, plus it’s a chance to relax. I’m just glad I passed the final or this party would be a little less fun :p

Oh, and in other news…. Ya’ll know this yea has not been the best for me. And this holiday season feels rather empty for me as well. I was asked by a friend of mine, a medical professional that used to be quite active on Twitter under an older name, to help her and do a guest post on suicide prevention and recognition. I was flattered that Dani would ask me, and I said yes. It was a hard post to write, but it’s one that needed to be written. And in writing it, I think it helped me a little bit too. Ya’ll can go take a look here (click the image):

My guest post

For Some, Its NOT the Most Wonderful Time of the Year – Part One

 

Alright, well I’m out for now. I need a nap before tonight :p That drive to and from TX sucks lately :p Ya’ll stay safe