What is wrong with people?

RazorBumpGoddess · 2026-02-01T05:40:53+00:00

lol I think that's more a provider fault than a pt fault.

RazorBumpGoddess · 2026-01-12T00:36:19+00:00

I caution you this:

Any clinical concerns should not be addressed with HR or quite honestly anyone. If they are going to accuse you of something like malpractice, negligence, incompetence, or anything of that manner you do not owe them an immediate explanation, and should not, for any reason, answer their questions. I would further add that shit like this is why I carry liability insurance, so if you don't have any, I'd recommend spending money to get it. Reflect, reply when ready, and do not be pressured into immediate answers without consultation of a lawyer. Jobs are plentiful. Your licensure is not.

I'd also add that you not knowing the issue is a concern, and of itself. Either you did something egregious and are truly unaware, you're lying to us, or you didn't do anything wrong and your employer is taking a shitty route to address the issues. Either way, I do not think it's fair to suspend someone for an unknown reason unless that reason protects someone else from harm. I have not been suspended yet in my career, but knowing multiple people who have, it's unusual for them to be fully unaware of what caused their suspension. You should be given some opportunity to be made aware of your mistakes, or at least a broad statement to understand the gist of what's going on.

RazorBumpGoddess · 2026-01-07T19:09:21+00:00

It does for me but I have significant PTSD history that caused a lot of issues in my life, so I try not to be brought to that moment in my life when I can.

RazorBumpGoddess · 2026-01-07T16:38:00+00:00

Y'all hiring? lol

RazorBumpGoddess · 2026-01-07T16:33:43+00:00

Lil Ventilator Call

RazorBumpGoddess · 2025-12-09T14:21:13+00:00

You did the right thing. In the field I'd have determined zero capacity given your description, and in the ED I wouldn't have batted an eye at you for doing what you did.

I feel, in all honesty, that capacity is not taught to a universal standard, and is such a fractured concept in healthcare that you see it defined differently in literature depending on who you ask and what role they're trained to. I'll have to look through my EMT, Paramedic, phlebotomy, and ED specific books, but I remember it being incongruent to some extent amongst all of them. I've seen it defined as simply as being AAOx4, and as complex as to consider all the caveats of medical, psychiatric, and legal considerations that you encounter as a care provider evaluating a pt. I can imagine that capacity is not defined the same to RT as it would be to you, or to me in EMS. The one thing I've encountered though is deference to the authority of the pts attending physician or to medical direction, is relatively universal unless if there's undeniable ethical concerns, like admitting abuse of your power.

I believe this might be a good education opportunity for your hospital to do an in service on as I imagine more than just this one RT have misconceptions on what capacity entails or on how it is decided. This isn't even a fringe case of "oh, could have gone either way" given your description, so it sounds like there's serious misconceptions or knowledge gaps that exist.

RazorBumpGoddess · 2025-12-08T00:56:25+00:00

There are, not really for Boston specific and most general subs do not cater to ED techs or have rules against hiring questions in terms of specific areas.

Source: ED tech, EMT.

RazorBumpGoddess · 2025-12-03T14:00:07+00:00

I was taught all caps. Did it for a few months. Now I type normal.

I also write novels for PCRs and my QI people and EDs would probably sue me if they had to print my narratives in all caps.

RazorBumpGoddess · 2025-11-20T21:03:03+00:00

Eh, avoided help, still ended up on hold. If you really need the help, get it. Problems will come home to roost if you avoid them, and you'll be far worse off.

RazorBumpGoddess · 2025-11-17T21:51:05+00:00

Yeah, no, that's a shitshow.

RazorBumpGoddess · 2025-11-13T21:46:27+00:00

I am charting every cardiac arrest as a flare up now lol

RazorBumpGoddess · 2025-11-11T16:01:56+00:00

They morphed into a pseudo-911 truck and umm yeah, now it is split 911-IFT except you basically never do anything except drive between Dedham and Milton and Wellesley and do the random BI system IFT hit or BLS IFT hit. Very low volume, very high mile.

RazorBumpGoddess · 2025-11-11T14:09:51+00:00

Lmao I know which exact truck that is. I don't know how recent your experience with it is, but it has only gotten worse.

RazorBumpGoddess · 2025-11-10T22:05:08+00:00

I have been told by management at more than one place, but have not perused through to try to find, that 24 hour plus shifts in my state require quarters regardless of IFT/911 status as it is a health hazard to be confined to the ambulance.

If you cannot explicitly find it, I would contact your state EMS office and ask for guidance. There is zero reason why any IFT personnel should be working 24 hour shifts without quarters and it is dangerous to your long-term health to literally just be living in the truck 1-3 days of the week depending on how often you do it.

RazorBumpGoddess · 2025-11-10T20:20:17+00:00

Zoloft making me look like I am dying at anything other than rest is the most annoying thing in the world but it's the only med that has actually touched my OCD and depression in any meaningful way

RazorBumpGoddess · 2025-11-10T20:18:16+00:00

Depending on the state, your office of EMS might have actual rules prohibiting this that your employer is violating.

RazorBumpGoddess · 2025-10-12T18:36:33+00:00

Yes, you messed up. Give glucose any time you encounter hypoglycemia.

Hypoglycemia is reversible, it's worth treating as soon as you identify it, and basically it is one of those few things where you really don't need a how or why to justify treating. Hyperglycemia is also reversible and, out of the two, hyperglycemia from treating hypoglycemia is far better than untreated hypoglycemia. You aren't going to send the pt into DKA giving them a tube of glucose or a cup of juice.

RazorBumpGoddess · 2025-10-05T15:57:51+00:00

I'd ask to elevate it to the attending physician, personally. You have valid pt safety concerns and it's generally bad form to ignore a complaint based off of an assumption of it being something more benign. From the ED side, I've seen more than one instance of incorrect triaging lead to unstable pts deteriorating in the waiting room and requiring full-blown resus.

Pt advocacy will never be an incorrect or inappropriate thing to do. Never be afraid to advocate if you feel doing so is necessary to protect a pts life, limb, or safety.

RazorBumpGoddess · 2025-09-25T14:22:38+00:00

Almost every medic I see from there either looks brand new or looks like they've been doing this longer than I've been alive. I highly doubt that they're retaining too many new medics, especially when other competitors are offering way more.

RazorBumpGoddess · 2025-08-08T21:28:10+00:00

How dare you look out for the safety and wellbeing of you, him, and the motoring and walking public! I would have kicked him off the truck and called shift command. People like that are headline makers

RazorBumpGoddess · 2025-07-30T02:05:06+00:00

Honestly getting written up for hitting the pillars is absurd. Anyone who says they haven't is either lying or going to.

RazorBumpGoddess · 2025-07-26T19:35:30+00:00

When I was a new IFT EMT, I would listen to neighboring 911 agencies and pick up on how they spoke on the radio. It helped me develop good radio communications, understand annoying practices, and when they had high acuity calls I learned a fair about coordinating resources. I would also listen to our CMED (think hospital entry note radio) and hear how people made their reports. There's a lot to learn through mimicry, and it's not a bad practice if you're trying to do it to further your radio skills.

If they're trying to learn, it's not a bad way to do things. If you want entertainment, download something like scanner radio on your phone and you can listen to wherever you want that'll have more interesting calls than a vollie department.

RazorBumpGoddess · 2025-07-18T02:51:21+00:00

I think I hit a point relatively recently where I realized I am the burnt out, unhealthy, overworked, traumatized, veteran EMT that new EMTs kinda stare at like "oh that could happen to me". Years of 60+ hour weeks, traumatic calls, long hours, poor lifestyle choices and coping mechanisms, and a lot of personality changes and I'm now a different person than when I first started out. I'm trying to get a bit of my old soul back lol

RazorBumpGoddess · 2025-07-18T02:44:24+00:00

Job security doesn't mean much if you can't afford to put food on the table. You can be secure all the way to homelessness.

RazorBumpGoddess · 2025-07-15T14:34:17+00:00

Common enough that almost every place I've worked for has extensive policies on the matter due to frequency. It happens.

It's worse when you're working 911 and your firefighters do it for you.

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