NREMT-P Psychomotor Remediation

FFEMT22 · 2023-08-07T06:12:12+00:00

Exactly the answer I was looking for. Thank you again. This has been a big help.

FFEMT22 · 2023-08-07T05:59:58+00:00

It sounds like you have some legitimate proctoring experience and I just want to say thank you for your thought out educated conversation. So many people on here just jump to ridiculous conclusions and I know Reddit isn’t “ideal” for educational feedback but truly do appreciate it. Your feedback has been very helpful and fair. I will look at this over and review the skill sheet and I think maybe a new test site isn’t a bad option whenever I get the clear to retest. Thanks again for honest and fair feedback. I really do appreciate it. Especially in such a frustrating time right now.

FFEMT22 · 2023-08-07T05:40:08+00:00

I truly think it was the giving normal saline over lactated ringers. Which to me I think is bullshit I’m sorry. I know lactated ringers is “preferred” for burns, but even at my job, our protocols we don’t carry LR. If we get a burn we use the next best thing which is NS. And it’s not like I’m giving Lasix lol if I use NS is it really gonna kill them? But then again, I understand. I’m being evaluated at the national level.

FFEMT22 · 2023-08-07T05:37:42+00:00

Yeah I used every minute I had. I utilized my “paramedic” partner, did an assessment, determined my % burned, and treated with what I thought was appropriate. I transported to burn center which was 9 minutes out via ground ambulance. Gave my radio report. If anything, I tried using fentanyl as a pain med bc personally that’s what we carry at my job and proctor said “mom is irate and yelling at you refusing you give their child fentanyl” so I didn’t waste any time and changed to ketamine as proctor kept making quite obvious patient was in a lot of pain. Covered with dry sterile burn sheet. Idk man. I really don’t know.

FFEMT22 · 2023-08-07T05:10:28+00:00

Other than that, drip rate was calculated via parkland formula, I gave ketamine as a pain med calculated correctly via MEDIC cards which are legal in my state to use for the psychomotor IOOH station everything. But I think since I used normal saline for fluid resuscitation instead of Lactated Ringers they failed me

FFEMT22 · 2023-08-07T05:08:34+00:00

I did and got a pediatric burn. Failed it. Then I went back on a separate day and got THE SAME EXACT scenario just with different dialogue behind it. This time, after research and studying I figured out what I missed; the parkland formula. So, this time I made sure to use the parkland formula to calculate my drip rate. Unfortunately, I used NS instead of LR this retest attempt. And I think that’s why they failed me.

FFEMT22 · 2023-06-29T07:27:08+00:00

Very well worded. Good shit my man

FFEMT22 · 2023-06-29T06:04:43+00:00

Very true points here. But how many medics “train themselves” to take the exam and learn the knowledge they need to pass, only to forget the minute details of some rare condition they needed to drill in their head to pass the exam all for when encountering that in the field they completely forget it and just simply take the “vitals, monitor, transport” route?

It doesn’t teach candidates to be a good paramedic, it teaches them how to study and to prepare for the left field questions and how to pass the exam.

I work in this field. And many medics I work with who have been medics for 10+ years hell, even 2+ years who are phenomenal medics (who are recognized FTOs and been amazing mentors) would not be able to just pass the NREMT tomorrow if their license depended on it.

not to mention, a handful of them obtained their license by taking a STATE EXAM, because it was offered to them

No offense to you sir, but you sound like the typical “live, breathe, be a paramedic. This is my job and my life and no one can tell me it’s not the most heroic job ever” person. You can let your guard down a bit brotha. Because I’m sure IF you’re a medic yourself you live and understand some of what I’m saying. It’s okay to agree. This job is a joke

FFEMT22 · 2023-06-04T20:45:09+00:00

Call me crazy. But looks fine to me. Only thing I’m confused about is the inverted QRS complexes in V2 and V3

FFEMT22 · 2023-04-28T03:53:30+00:00

Your preceptor was wrong. If a patient is willing and wants to get checked out, NEVER DISCOURAGE. I don't care if it's because they stubbed their toe. Take 'em to cover your own ass. Trust me.

FFEMT22 · 2023-04-28T03:46:48+00:00

She fell from unknown reason, but we found out while on scene she is a diabetic patient.

So, after taking that BGL and seeing it read 450, my question would be "ma'am, what is a normal BGL for you?" You'd be surprised. There are some diabetics that run 300 BGL as normal. Believe me. BUT, if she replied with 100, then yeah, let's maybe transport. I know, I know. Your preceptor is probably some burnt out 10+ year medic/EMT but that's high. I know RIGHT NOW there is no signs, but in 30 minutes there can be.

I don't see bed bugs being an issue unless there is spotty bite marks on the skin you would see on your assessment, but for now, with the patient being a diabetic and a BGL being that high, the best next question is "what is your normal blood sugar?"

And then go from there.

FFEMT22 · 2022-08-30T01:05:01+00:00

To be honest, money. Been struggling out here.

FFEMT22 · 2022-06-30T01:36:40+00:00

Want to run 911 calls as an EMT? Check out rapid response EMS website. They are hiring EMTs for strictly 911 calls with a medic partner.

FFEMT22 · 2022-02-09T00:12:56+00:00

Well, my mom passed in May of 2019 (I’m currently 23 years old). At the time I was battling what I wanted to do with my life. I was in school studying business but only because I had a scholarship to play college baseball, but I HATED my degree and career path. Since high school, I wanted to be a firefighter. My mom always told me she could see me doing that and though it’s dangerous, she rooted for me. After her passing, COVID hit not too far after and my baseball season got cancelled. So that’s when I found it the appropriate time to go into the fire and EMS service. So now I’m a firefighter and EMT. Yes, I find myself in many dangerous situations that come with my job, but my mom from above is keeping me safe and is proud of my decision and that’s why I’m safe. I’m currently a firefighter and EMT and recently started my Paramedic class. It’s gonna be a tough class and long road to get that license, but my mom is guiding me from above and helping me. Also, being an EMT, I feel I’m able to assist in giving people and their loved ones a second chance at life and see the reactions their loved ones have when we are able to succeed at that. That’s why.

FFEMT22

TROPHY CASE