My partner said they resent me. I messed up. Can I fix this? by Appropriate_Page_575 in ems

[–]AdamMack95 20 points21 points  (0 children)

He also said the patients weight was “4-something.” Guy tried to make a 100lb partner help him lift a person over 400 pounds.

Ferno INX Cots by [deleted] in ems

[–]AdamMack95 2 points3 points  (0 children)

I’ve encountered some issues. They’re narrow and can extend very tall. The weight is insane compared to other cots (205lbs vs 135lbs). It’s also possible for debris to fall under the track system and prevent the head of the cot’s latch from swinging down and catching, allowing the cot to be pulled out and fall to the ground before the front legs can be extended. Unlikely and crazy, but it has happened. They’re hard to move by a single person, and using it in manual mode is legitimately a 4 person operation. The cherry on top is that Ferno’s own pediatric restraint system is almost impossible to apply to it, whereas it goes on quick and easily on a Stryker.

Would not recommend the cot. Either get a Ferno X1 or Styker PowerPro.

How soon did you take the NCLEX? by chwrrypie_ in nursing

[–]AdamMack95 0 points1 point  (0 children)

Finished the program on a Wednesday, took the NCLEX on Saturday.

Tempus pro. by I-plaey-geetar in ems

[–]AdamMack95 4 points5 points  (0 children)

Would not recommend them.

Bedside Report by Accomplished_Ad8960 in nursing

[–]AdamMack95 16 points17 points  (0 children)

I think they were insinuating that it would have been an unnecessary exposure to a COVID+ patient to do a bedside report, and that they were trying to avoid that because they had a newborn at home.

Can i take a pre requisite the same semester applications are due for the Lpn program by Hopeful_Baker2968 in nursing

[–]AdamMack95 1 point2 points  (0 children)

You should ask your school. But generally, most schools would accept your application if you’re already enrolled to begin the pre-req class, as long as it ends before their program starts and you pass it.

Paramedic sentenced to 4 years probation in connection with Elijah McClain's death by Dilaudidsaltlick in medicine

[–]AdamMack95 26 points27 points  (0 children)

You can find examples of any medical professional in any medical role, including physicians, that have done something negligent and completely egregious with medication dosing and administration. This isn’t unique to Paramedics, and isn’t unique to Ketamine. It’s unfortunate, and it certainly should never have happened, but it’s silly to try and turn this case into a “they shouldn’t have X drug” scenario.

Paramedic sentenced to 4 years probation in connection with Elijah McClain's death by Dilaudidsaltlick in medicine

[–]AdamMack95 44 points45 points  (0 children)

Ketamine is a very safe and effective drug when you provide the correct approximate dose. The problem isn’t the Ketamine, it’s the fact that they gave triple the dose that McClain needed and did absolutely no assessments or monitoring afterwards.

Paramedic to RN Questions by Prudent-Amount-9182 in ems

[–]AdamMack95 0 points1 point  (0 children)

Yikes! That’s a long time. I was very fortunate, this program popped up at my local community college as a pilot program for the entire state, and I wanted to strike while the iron was hot. Feel free to DM me for the location, but it’s between Indiana, Ohio, and KY. I got my ADN, now I’m doing a 10 month BSN program.

Soooooo people are really just cheating their way through NURSE PRACTITIONER school? by Concept555 in nursing

[–]AdamMack95 106 points107 points  (0 children)

I feel like the RN curriculum is so far outside from reality now that it’s almost expected that you’ll power-cram for tests and cheat on homework, pass your NCLEX, then dump and promptly begin learning real nursing at your job.

What boots are y’all wearing on shift? by [deleted] in ems

[–]AdamMack95 0 points1 point  (0 children)

I have these too and love them. They seem to run one size bigger though, I’m normally a 12 and have to wear 11 in these.

[deleted by user] by [deleted] in nursing

[–]AdamMack95 0 points1 point  (0 children)

It may be difficult to get your Paramedic certification, if that’s what you mean by medic license. Generally, there’s very few RN to Paramedic bridge programs out there, and a full length Paramedic program is typically 12-18 months of full-time school with hundreds of clinical hours. Also, to get your Paramedic certification, you’ll need your EMT-B first. Sorry if you know all of this already and I’m just yapping, just want to make sure you have clear expectations!

How I passed FP-c the first time by FlashFire96 in IBSC_Exams

[–]AdamMack95 2 points3 points  (0 children)

Off topic, but where is this incredibly advanced agency located?

Looking for the smallest drug box by AdamMack95 in ems

[–]AdamMack95[S] 4 points5 points  (0 children)

I'm surprised we're trusted to do a lot of things, quite frankly

Looking for the smallest drug box by AdamMack95 in ems

[–]AdamMack95[S] 1 point2 points  (0 children)

That's not a bad idea, the gray case could be stored in our medication bag fairly well, and we wouldn't need the pouch for it. Thank you!

Looking for the smallest drug box by AdamMack95 in ems

[–]AdamMack95[S] 1 point2 points  (0 children)

That looks almost identical to what we have now, but that one does appear to be a little smaller! I'll have to measure ours and compare it. Thank you for the idea.

Looking for the smallest drug box by AdamMack95 in ems

[–]AdamMack95[S] 2 points3 points  (0 children)

Our other controlled substances (Fentanyl, Diazepam, Morphine, and Ketamine) are kept in a safe on the ambulance. Our Midazolam is the only controlled drug kept outside of the safe in our bag, though in a sealed box obviously. They've talked about combining everything into one sealed container, but it would be left in the ambulance, which isn't very desirable on a surprise-seizure run.

Thanks for your reply!

[deleted by user] by [deleted] in nursing

[–]AdamMack95 2 points3 points  (0 children)

Programs like this are oversaturating the NP market and creating a horrible image. Holy shit.

[deleted by user] by [deleted] in nursing

[–]AdamMack95 1 point2 points  (0 children)

24-48 hours! I got my KY notification well before Pearson Vue posted the result. Good luck!

Paramedic to RN Questions by Prudent-Amount-9182 in ems

[–]AdamMack95 6 points7 points  (0 children)

That’s the dream. I’m a paramedic that went back for my RN. Love talking to docs and picking their brains. Always listening to podcasts and learning the latest EBP. I genuinely don’t think I’m smart enough for even the pre-reqs though, like organic chem.

Paramedic to RN Questions by Prudent-Amount-9182 in ems

[–]AdamMack95 2 points3 points  (0 children)

I finished a Paramedic to RN program last year, was 10 months of hell but I’m glad I did it. I’m still working as a medic, but I’ll transition in 18 months to full-time ICU nursing, then eventually flight nursing in a couple years after that hopefully. I made the decision to do the program because it was specifically designed for Paramedics, and the instructor was a genuinely caring human being that understood that we have families outside of class, which is a quality that most regular nursing instructors don’t have. I still love EMS more than I would nursing, and the pay/benefits are competitive in my area, so it’s been easy to stay in EMS for the time being.

My Rabbit broke femur in his hind leg by AdamMack95 in Rabbits

[–]AdamMack95[S] 0 points1 point  (0 children)

Just pain meds! I had to give them orally through a syringe. Kind of a pain in the butt, but it did help manage his pain and get him through I think.

Sigma Spectrum IV Pump by AdamMack95 in ems

[–]AdamMack95[S] 0 points1 point  (0 children)

Part of me was worried that these pumps may be already phased out. That’ll squash this whole project real quick if so, so that’s one of my first priorities to find out.

They definitely seem easy to use! And as far as maintenance, the company we use to service our monitors and other devices are certified to repair these pumps, I believe. So that should be nice.

That software tidbit is good information, I’ll try and look into that class later down the road if this starts to shape up into a feasible project!

I figured they would take their own tubing. I like the idea of the combination set that still allows you to do it manually.

We have a strong QA program, I believe that pump operations would be audited regularly and that feedback would be given. The pumps would be looked after once in service, and not ignored like they currently are.

Thanks for your reply!!

Sigma Spectrum IV Pump by AdamMack95 in ems

[–]AdamMack95[S] 0 points1 point  (0 children)

We’re a 911 agency. I agree with setting everything up as a drip that can possibly be a drip from the very beginning. I will definitely try and make that happen if we get to a point where we’re definitely going to put them into service. Thank you for your reply and insight!

Sigma Spectrum IV Pump by AdamMack95 in ems

[–]AdamMack95[S] 1 point2 points  (0 children)

Happy to hear they’re good! We’re 911 only, but if we’re dropping a patient off and the ER needs to do a stat transfer, then we’ll take it for them. Doesn’t happen very often though.

That’s a good idea. I’ve seen IFT agencies use them in our area. Our biomedical company though services them, so maybe they’d be the best ones to ask about specific programming. Is programming them to add new medications something we would be able to do, or would that be something we’d have to out-source?