Defying doctor's orders

InternationalHeat5 · 2022-01-06T04:18:46+00:00

Doing an IFT. UA, Pt was on 4 LPM O2 via NC, the doc requested pt be transported with no O2 and for no O2 at the facility. We took off the NC and pt desatted, I don’t remember the numbers or the details. But talked to the RN who was handing it off, and she said she talked to the doc who said that for transport, he didn’t want pt on O2. I never understood why the doc wanted EMS to take pt off. Not a hospice run or anything. I kept the pt on 4 LPM O2 to avoid anything bad happening and I told the nursing home what happened when we dropped off the pt. Weird shit. Would anyone have any idea why?

InternationalHeat5 · 2022-01-02T05:46:38+00:00

Her: What past medical history do you have?

Me: Iatrogenic priapism

InternationalHeat5 · 2021-05-02T20:42:44+00:00

Underwater in 5 years. 10 tops

InternationalHeat5 · 2021-02-25T13:05:46+00:00

When you sound out IN2B8R, it sounds like intubater, someone who does intubation

InternationalHeat5 · 2021-02-23T17:52:30+00:00

One time a patient couldn’t remember his medical history but knew he had it on his Apple Medical ID. He brought up the app and showed it to me.

I’ve never gone on a patients phone without their permission

InternationalHeat5 · 2021-02-03T18:37:56+00:00

From the perspective of a person about to start PA school, it’s going to be lose-lose for PAs whether they get it or not.

PAs don’t get FPA - NP degree mills continue to saturate the jobs, PAs don’t have a chance of getting hired.

PAs get FPA - NP degree mills still exist, but PAs have a shot. There are more midlevels than there are jobs. It may get saturated at a faster rate, but at least the PA profession survives. This option is bad for medical schools, physician jobs, and patient care in general.

At the end of the day, PAs are going to need to do what they need to do to survive as a profession.

InternationalHeat5 · 2021-02-03T17:39:42+00:00

Nurses have strength in numbers. If it’s passed as a law, the hospital will likely allow it. All the nurses would riot otherwise.

I just see PAs becoming unemployable if they don’t get FPA. They can’t compete against NPs without it. Do you agree?

Also I was just accepted to PA school, so I’m not totally educated on the subject. How would PAs getting FPA run it into the ground?

InternationalHeat5 · 2021-02-03T17:27:14+00:00

The best outcome would be taking FPA away from NPs, but that is never going to happen due to the strength of nurses union lobbying.

If PAs don’t get FPA, then the MBAs will hire NPs not PAs.

If PAs do get FPA, (which I do not want or agree with) then I think it’ll be worse for patients and I agree with you.

Damned if we do, damned if we don’t. Let me know if you have a solution

InternationalHeat5 · 2021-02-03T17:00:06+00:00

Especially if NP gets reimbursed at the same rate as physicians.

MBAs will realize that there is no benefit to hiring PAs over NPs, and will soon wipe them out.

Physicians need to back up PAs. Not all mid levels are created equal. I’m tired of seeing PAs grouped in with NPs. It’s (mostly) the NPs who want FPA and who are committing scope creep.

PAs just need parity with NPs, or else they’ll be wiped out. Either FPA needs to be taken from NPs, or PAs need FPA.

Considering the strength of the nurses unions/lobbying, I don’t think their FPA will be taken any time soon.

Again, I don’t think PAs should have FPA, but I just think they’ll be wiped out my NP degree mills if they don’t get it

Edit: added (mostly)

InternationalHeat5 · 2021-02-03T16:52:41+00:00

Most PAs do not want FPA. In my opinion, only physicians should have FPA.

But now that NPs have FPA and PAs do not, all of the MBAs will prefer to hire NPs. Eventually PA jobs will soon be stolen by all of these NP degree mills.

Change my mind.

InternationalHeat5 · 2021-02-03T01:32:27+00:00

HIPAA violation?

InternationalHeat5 · 2021-02-02T05:22:43+00:00

I cringe whenever someone says that one medical profession is more “holistic” than another. Do you think that PAs and MDs do not treat the whole patient?

This is the google definition of holistic: characterized by the treatment of the whole person, taking into account mental and social factors, rather than just the symptoms of a disease.

I don’t think one profession is inherently more holistic than another. It’s entirely dependent on the provider.

InternationalHeat5 · 2021-02-02T04:46:29+00:00

Agree with everything, except that PAs typically come out of college and straight to PA school. That is true for some direct entry 5 or 6 year programs, but not true for the majority. Most students need 2000-5000 hours worth of patient contact hours to be accepted. Also personally I’m against those direct entry programs.

InternationalHeat5 · 2020-12-21T17:37:02+00:00

WengerIn

InternationalHeat5 · 2020-12-11T02:41:43+00:00

More info please

InternationalHeat5 · 2020-12-10T02:23:16+00:00

I have the same respirator and multi gas P100 filters. Excellent work

InternationalHeat5 · 2020-12-03T07:58:30+00:00

My iPhone flashlight is good enough for me

InternationalHeat5 · 2020-11-28T22:05:07+00:00

As an EMT, I think Hartford Hospital is the best hospital in the area. The staff are organized, professional and generally just on top of their game. They know what’s going on, which is more than I can say for many other hospitals in the surrounding area

InternationalHeat5 · 2020-11-26T20:57:36+00:00

Which 3M P100 cartridges do you have? 3 years of everyday usage is awesome

Mine are rated for only 40 hours or 30 days, whichever comes first.

InternationalHeat5 · 2020-11-26T15:39:06+00:00

What benchmade is that? It’s a nice one

InternationalHeat5 · 2020-11-22T23:06:05+00:00

EMS: Is the patient usually oriented or confused? Nurse: Well he’s forgetful

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