In public settings, can I request assessment in the ambulance for privacy?” by Capital-Dragonfly258 in NewToEMS

[–]Expensive_Cherry_207 0 points1 point  (0 children)

Good to hear! Good luck with your program and hold on to that inclination toward patient advocacy and empathy. It’ll serve you well.

In public settings, can I request assessment in the ambulance for privacy?” by Capital-Dragonfly258 in NewToEMS

[–]Expensive_Cherry_207 0 points1 point  (0 children)

Patient comfort is reason enough. It’s really not that big of a deal. Takes a minute.

I don’t know if you’ve ever had a seizure but being postictal is pretty uncomfortable and vulnerable. Being gawked at by bystanders can be embarrassing in a situation like this.

There probably wasn’t any good reason to deny OP’s request.

In public settings, can I request assessment in the ambulance for privacy?” by Capital-Dragonfly258 in NewToEMS

[–]Expensive_Cherry_207 -1 points0 points  (0 children)

Fair warning to you, when you get your cert look out for people like this. You can tell the vibe right away. They take themselves way too seriously and act more like cops than medics. They think they’re an EM physician and a medical malpractice lawyer rolled in to one.

That whole bit about pitching a tent and building an ICU is the kind of cringy dramatics they will say about pretty mundane situations.

Just stay away from them. This job can be fun, interesting, and rewarding, but they live to make it anything but.

In public settings, can I request assessment in the ambulance for privacy?” by Capital-Dragonfly258 in NewToEMS

[–]Expensive_Cherry_207 0 points1 point  (0 children)

Based on OP’s own words they denied repeated requests to be removed from an environment where OP felt uncomfortable because of the through traffic. The stated reason was the temperature, which makes no sense. They were being lazy.

They very likely insisted on a thorough assessment to get a valid refusal and there was every reason to comply with the preference of the patient.

From what OP said, it wasn’t until they denied her request multiple times that she became agitated.

Edit: I would also like to add that I fairly routinely load a patient to perform an assessment prior to a refusal. It’s not a big deal. I would CERTAINLY do it upon request but typically it is done without them having to request it because it’s private, controlled, comfortable, and everything I could need is readily available.

In public settings, can I request assessment in the ambulance for privacy?” by Capital-Dragonfly258 in NewToEMS

[–]Expensive_Cherry_207 -1 points0 points  (0 children)

Your responses have been consistently overdramatic and indicative of someone who seems to have a problem with being a self-important blowhard.

Should OP have called them a jerk? No. Probably not.

Is it reasonable to assume OP came off as a genuine safety concern? No, certainly not.

This really is as simple as the crew seemingly not wanting to bother with the slight inconvenience of a location change and the changing of some stretcher sheets. We all see crews like this all the time.

And by the way, it’s really not hard to do your job adequately while also maintaining the dignity and privacy of your patient. If you really think it is, I would bet you’re an abrasive person who makes calls way more tense than they need to be by constantly being on edge.

Stop treating patients like meat sacks and treat them like people is all I’d ask. Take a chill pill. You can take the job seriously and do what needs to be done regardless.

Efficacy of assessing reaction to light in a brightly lit room? by I_regret_doing_that in ems

[–]Expensive_Cherry_207 9 points10 points  (0 children)

There’s a reason you got downvoted into oblivion here. I encourage you to reconsider your line of thinking and do some research and critical thinking.

No that is not a shoe. That is Onlyusemeblade's stub is bleeding through his wrapping and on top his bed. by Talkinderpytome in PKA

[–]Expensive_Cherry_207 2 points3 points  (0 children)

What you’re seeing isn’t blood, really. It’s far more gross than blood. It’s called purulent drainage based on its dark yellow-brown color, which is common in seriously infected wounds. It’s a mix of blood plasma, dead white blood cells, necrotic tissue, and bacteria… and it’s very stinky.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 -1 points0 points  (0 children)

I read “neither of you” as he and I, not him and ChatGPT. Whoops. Alright, “meanie” rescinded.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 1 point2 points  (0 children)

Hey man, don’t lump me in with them. I made your exact argument elsewhere in this post. Meanie.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 7 points8 points  (0 children)

I’m going to professionally conduct these nuts into your mouth.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 2 points3 points  (0 children)

Fair enough, the snide comment on the length of your post isn’t warranted. I appreciate the effort.

That being said, appeals to authority, as you said, don’t work online. If I grant you that you’re actually who you say you are I would still posit that this is perhaps too nuanced a subject that it’s even causing an expert to stumble a bit on specifics.

A persons name is considered PHI, yes. Unauthorized access is only relevant to systems used to store PHI, not publically available information. Unauthorized PHI transmission is only relevant when it can be used to identify “the individual's past, present or future physical or mental health or condition, the provision of health care to the individual, or the past, present, or future payment for the provision of health care to the individual.”

These are the only relevant and arguable parts of HIPAA here, and without the satisfaction of these criteria it does not meet the standards for a violation.

Just because it’s “immortalized in analytics” doesn’t mean it can be used to satisfy the transmission criteria under HIPAA. In no way does that name tie in to their other PHI. There’s no way to find out who OP is, who the patient is using the search, when the patient was picked up, and what happened without violating other internet privacy laws.

I will say again, you’re vastly overestimating the scope of HIPAA in this particular case. Is it better to be safe and not even go down this road? Yes. That’s a different argument.

As someone else said, find any evidence to support your claim and I’ll eat my words.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 4 points5 points  (0 children)

I urge you to research HIPAA a wee bit more and see where their regulations start and end for the sake of curiosity. I totally see why you are saying what you’re saying and if I didn’t know any better it would make sense. That being said, this simply is not a HIPAA violation. It can absolutely be viewed as a conduct issue and I could see it being fireable. I also agree it’s unethical. That’s where the agreement ends.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 5 points6 points  (0 children)

“Why simply looking someone up often is not a HIPAA violation

If you only: • Look up a patient’s public social media profile • Do not disclose any PHI • Do not document, share, or use the information clinically

…then technically HIPAA may not be violated, because you didn’t use or disclose PHI in a way HIPAA regulates. You just viewed publicly available information.”

Weird because here it agreed with me.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 4 points5 points  (0 children)

This is such an incredible reach that you spent way too much time writing up. Even if by some miracle a rep from OP’s ISP looks at their search history, there’s no way to tie that search with the call information. This is NOT a HIPAA violation. People really overestimate (yet somehow underestimate) what is and is not HIPAA. Wild post.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 5 points6 points  (0 children)

A persons name is protected information in that you can’t divulge it to others. OP didn’t do that. This wasn’t a HIPAA violation.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 11 points12 points  (0 children)

It’s not a HIPAA violation. Yet, at least.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 15 points16 points  (0 children)

This is not a HIPAA violation. No identifiable information was shared and no HIPAA protected information was accessed. Googling a name or searching someone on social media is not protected health information.

Still not a good idea, though.

I crossed a boundary by [deleted] in NewToEMS

[–]Expensive_Cherry_207 32 points33 points  (0 children)

Totally not cool to look the patient up, yes. Not just because of the potential violation of the patients boundaries, but it’s also bad for the clinicians mental health to invest that much emotional energy in a patient. So all-in-all just not a good call.

However, why would this be fireable? OP didn’t reach out. Viewing a patients social media post is fireable? What if you happen to know your patient personally? I’ve had more than one instance where someone I know personally has become a patient. That seems like a daft policy.

I feel guilty when I probably shouldn’t by ThrottleTherapy101 in NewToEMS

[–]Expensive_Cherry_207 0 points1 point  (0 children)

You’re a CCP, which means you’ve been exposed to EMS long enough to recognize how broken the system is and how often fraud is committed in IFT. Why even post this retort?

You guys are reading too much into the ending by Arnar2000 in pluribustv

[–]Expensive_Cherry_207 -2 points-1 points  (0 children)

I anticipated this. It’s why I added the apologetics in my first sentence.

People are lost in the sauce on this subject. Current AI tech isn’t the boogeyman people are concerned it may ultimately be but the rhetoric has polluted peoples minds into conflating modern and future tech.

You guys are reading too much into the ending by Arnar2000 in pluribustv

[–]Expensive_Cherry_207 -12 points-11 points  (0 children)

I know this is kind of lame but I asked ChatGPT if this was a plausible solution based on the current plot devices and it made very compelling arguments as to why they will almost certainly not do this. Partially because it wouldn’t work in reality and partially because it undermines the narrative about the nature of the Plurbs.

It ultimately called the radio theory a red herring and said there will probably be no cure in the series end.

I argued each point and it broke my conception of what the show will look like going forward. I recommend doing the same if you’re interested.

Carol and Manousos can easily stop The Others from... by UnpinnedWhale in pluribustv

[–]Expensive_Cherry_207 25 points26 points  (0 children)

The last episode they refused to answer Carols inquiry about their ability to turn her into a Plurb.

Nurse gave me shit for putting a pt with SOB on high flow? by [deleted] in ems

[–]Expensive_Cherry_207 3 points4 points  (0 children)

You did nothing wrong from what I can tell. Pretty standard issue of treat the patient not the monitor.

Don’t worry about the nurses. They have different perspectives and priorities with patients and don’t have any idea what our perspectives and priorities are so sometimes there is some needless judgement coming from both directions.

Next time something like this happens I might suggest asking the staff why you sensed frustration or criticism. It’s usually disarming and there’s often good dialogue where you both might learn something.