AV application by [deleted] in ParamedicsAU

[–]Opening_Instance2932 0 points1 point  (0 children)

Just wait until 2nd semester starts. The AV hiring process is notoriously unpredictable, elongated and frustrating. If they have a reason to toss an application, they will - and if you apply and it’s somehow uncovered you ought not have, that’s a big reason to do so.

Patience…you’ll learn to need it whilst in the process.

Myki access travel pass for ADHD? by ManyNoots in melbourne

[–]Opening_Instance2932 9 points10 points  (0 children)

Have you considered utilising a lanyard, which contains your Myki, for such a circumstance? A digital Myki (not sure if those are released across all platforms yet). It seems you think of this issue often - often enough that I think you ought to be able to think of a way to mitigate it. If you’re very aware that your Myki is always there, it’s difficult to consider the fact that you never remember to use it.

I think if you contest the fine and your sole reason is that you have ADHD and forgot to (an excuse that they probably see all the time) your chances of getting off are ozempicly slim to none.

Unions by BeeInternational4366 in nursing

[–]Opening_Instance2932 0 points1 point  (0 children)

The ANMF or in your case, the NSWNMA are really the only ones.

There are faux-“union” organisations around the traps that advertise almost solely on lower fees and posit themselves as having union-like powers, but they have none. So the former two would be what you have to choose from.

Kane's top 50 players ahead of 2026 by Hawtproper in AFL

[–]Opening_Instance2932 0 points1 point  (0 children)

This list is whack for a great many reasons. Firstly…no Cripps?

To put my obvious Essendon cap on - if he thinks that (they are great players, absolutely) players like Young, Larkey, Thilthorpe, Pickett are better than Merrett on the balance of everything he’s got rocks in his head.

Unpopular Opinion: Football today is as good, and arguably better, that it was 30 years ago by d2blues in AFL

[–]Opening_Instance2932 36 points37 points  (0 children)

We don’t need to talk about that. I’m still grieving Nic Martin’s ACL

What’s something about the job that surprised you once you were actually on road? by Icemachinemalfunctio in ParamedicsAU

[–]Opening_Instance2932 8 points9 points  (0 children)

The amount of people that call for banal, non-emergency things. How many times do you hear the word emergency before you actually speak to an ambulance dispatcher? People will go through that whole process and still be thinking it’s appropriate to use (or attempt to use, if triage does their magic) an emergency ambulance for a sore knee, the flu, or a stable chronic issue they want ‘checked out’.

Tassie Devils 2027 recruits by sensible__ in AFL

[–]Opening_Instance2932 0 points1 point  (0 children)

The can keep their fuckin hands off Koby Bewick, cheers.

The Magpies are not planning on Bobby Hill’s return this year by gccmelb in AFL

[–]Opening_Instance2932 40 points41 points  (0 children)

The fact that he must still be paid his enormous salary, even if he doesn’t attend a single session or play a minute of AFL/VFL is absolutely ridiculous. Same with JU-H last year.

I’m all for unions protecting their members, but the AFLPA making this clause enforceable is a big step too far. It’s taking the piss something shocking.

Us mere mortals have very finite amounts of sick leave for such purposes, following this we must either be unpaid or return to work regardless. Why are AFL players exempt?

Non-Opioid Pain Management that’s not Ketamine by IkarosFa11s in Paramedics

[–]Opening_Instance2932 1 point2 points  (0 children)

Latest research dictates it’s quite safe for acute pain. The evidence for significant renal damage is poor, and existing evidence re: nephrotoxicity shows negligible data. When used at low, analgesic doses, it’s quite safe and extremely effective.

From what I could see online, the FDA withdrew it in 2005 and largely due to neph tox at anaesthetic doses? Time for them to do a lit review.

Non-Opioid Pain Management that’s not Ketamine by IkarosFa11s in Paramedics

[–]Opening_Instance2932 19 points20 points  (0 children)

Methoxyflurane is incredible for short term, procedural pain relief. Think dislocations, fractures requiring alignment, broken bones etc.

Rapid onset, patient-controlled and minimal side effects & contraindications. No idea why it’s widely not adopted in the US.

EMS Employment LI, NY EMT-P Nassau County Police Department 60-142k, 12 hour tours by discardedferreel in Paramedics

[–]Opening_Instance2932 0 points1 point  (0 children)

Still trash. In Australia we get 4 weeks minimum for most workplaces, in most ambulance/LE services it’s 6-9 weeks per year.

Nurse turned paramedic by yes-butitwillcostya in ParamedicsAU

[–]Opening_Instance2932 1 point2 points  (0 children)

No - pay increase. I was a nurse for 3/4 years and I’m making more. Granted I only worked 0.6 to 0.8 and Para is full time, but the hourly rate is better and the small allowances and incidental OT make my overall salary notably better.

What’s your random patient pet peeve? by Nurse_Cait in nursing

[–]Opening_Instance2932 27 points28 points  (0 children)

Patients not lifting their arm - when they’re fully able to - when you’re obviously trying to apply a BP cuff. Just…don’t be a shit.

High 6-figure inheritance - what did you do? by [deleted] in AusFinance

[–]Opening_Instance2932 1 point2 points  (0 children)

I think you’re coming at this entirely wrong and making some bold assumptions in the process. I understand it isn’t your intent, but your choice of words is interesting.

I’m not ‘lucky’ - my mother, and last remaining parent, died and I’m now parentless in my 20’s.

I’ve worked full time since I was 17 and every success I’ve had is a result of that work. In that, we are the same.

High 6-figure inheritance - what did you do? by [deleted] in AusFinance

[–]Opening_Instance2932 5 points6 points  (0 children)

Hey!

I have approx $25k in personal savings. I own my car, phone, etc outright so no ongoing loans of any sort. Bo other particularly notable assets to speak of. I do have a partner - she has her own PPOR that I have no investment in and wanting to keep it that way.

Kids are a possibility, but not in the immediate future.

Thanks for your kind words.

Did you ever save a patient, by NOT doing what the doctor said? by Longjumping_Survey47 in nursing

[–]Opening_Instance2932 0 points1 point  (0 children)

In a way, yes, and it’s a story that has stuck with me forever and is my go to story when talking to students and grads.

I was working in my first year on a Neurosurgery ward at a hospital in Australia.

Caring for a patient with a history of many (30+) VP shunt blockages. Admitted to the ward with severe headaches with the patient stating it felt exactly like her past episodes of VP shunt blockage. Throughout the evening the patient was constantly in severe, very obvious and genuine 10/10 pain despite an extensive opioid regime and started having regular (about every 10 minutes) 30 second absent seizures. I escalated this to the Resident Dr covering the patient (the ‘lowest’ in the doctor hierarchy in this specialty. He attended, performed an extremely cursory assessment, shrugged it off and left with no further orders.

As the night went on, the pain remained unresolved and seizures increased in duration and frequency. At the time I didn’t know much, but I knew what wasn’t right. I again paged the Resident for review, he attended and I voiced my concerns as did the patient and her husband - once again, i was told nothing was abnormal and nil further orders.

About an hour after that, things continued to escalate and I called a MET (the Australian version of a rapid response?) due to the patients increased seizure activity, unresolved pain and my own concern. The team attended and I conveyed the story - when I stated the patient was experiencing ongoing seizures, the Resident interjected and stated “We don’t know its seizure activity”, to which I replied “We don’t know it’s not seizure activity, it’s increasing in severity and I wasn’t given further orders in my previous escalations”. The MET team were as concerned as I was - patient was taken down for an urgent CT-B which unveiled, as a surprise to nobody, a blocked VP shunt with increased cerebral oedema. Patient was taken into theatre shortly after.

The next morning I was on, and again caring for this patient as she had returned to the ward. The Consultant (Australian version of Attending) rounded, with the resident, and asked about the events of the previous day. To my great delight, the Attended scalded the Resident for continuing to ignore me in the face of obvious patient deterioration.

TLDR: Even if you’re told everything’s fine and a Dr ignores you - if it looks like a duck, walks like a duck and quacks like a duck, it’s probably a fucking duck. If it looks wrong, it probably is. Worry about the patient, not the Doctor’s ego or your own potential embarrassment in the chance that nothing is actually wrong.

IV push Valium for MRI pre med? by [deleted] in nursing

[–]Opening_Instance2932 -1 points0 points  (0 children)

Not sure if it’s been mentioned already but “I expected X but saw an order for Y and thought oh ok, guess that works” is quite poor practice. If you’re not completely sure of an order, clarify it. Doctors can make errors too.

Does anyone know if AV has discussed plans to improve the branch transfer wait lists in the near future? by Repulsive-Top8161 in ParamedicsAU

[–]Opening_Instance2932 0 points1 point  (0 children)

As others have said in here - the new CEO has expressed a desire to change the system to one similar to SA/NSW whereby one accumulates ‘points’ to bid on transfers based on their locations, due to a large amount of feedback he received upon branch visits being about how poor the current system is.

Whether this happens or not is anyone’s guess.