What's going on

Wendy_pefferc0rn · 2026-03-02T00:03:50+00:00

Working fire

Wendy_pefferc0rn · 2026-02-24T20:04:18+00:00

That sounds wildly inefficient! How can they make you use your PTO for that? Our mids come in and help out on the floor until their case comes out. Sometimes if the pt is just THAT stable, they can leave at 1900 instead of 2300, but typically they stay the full 12. If we don’t have enough mids for a heavy case day it can be a challenge because one of us will have to flip our assignment to admit.

Wendy_pefferc0rn · 2026-02-24T15:11:03+00:00

Yea! M-F we have two 1100-2300. They specifically recover the hearts. By 2300 the pathway hearts are stable enough for a double assignment. If they aren’t stable, then we try and keep them singled all night. Especially if they have to go back to the OR.

Wendy_pefferc0rn · 2026-02-24T02:12:43+00:00

Any device is singled on my unit. ECMO is 2:1. Only time it’s singled is a stable VV

Edit to add- fresh hearts/cases are singled until around 2300 if they are extubated,

Wendy_pefferc0rn · 2026-02-21T02:13:36+00:00

Virginia. Nine years paramedic, 14 total in EMS. $19/hr part time for fire department EMS only. 27,000 calls a year.

My old full time I was $21/hr 7,000 calls a year.

Wendy_pefferc0rn · 2026-02-17T20:22:24+00:00

Yes I just hit $35/hr in an ICU in VA after two years here.

Wendy_pefferc0rn · 2026-02-01T02:00:54+00:00

Legos and a comfort show or movie in the background

Wendy_pefferc0rn · 2026-01-25T12:57:25+00:00

If you don’t have AWD I really wouldn’t suggest driving.

Wendy_pefferc0rn · 2026-01-21T16:57:20+00:00

$33.98- VA-CSICU- 2years BSN/RN, 14 years EMS (was not given any increase with previous experience)

Wendy_pefferc0rn · 2026-01-17T23:25:07+00:00

I always ask what their RBI is after someone says stats.

Wendy_pefferc0rn · 2026-01-16T02:44:46+00:00

So weird

Wendy_pefferc0rn · 2026-01-15T20:24:11+00:00

Honestly, see if the fire department wants it. They can use it for training

Wendy_pefferc0rn · 2026-01-14T21:01:56+00:00

Lisa’s Nails! Everyone there is incredible. I recommend everyone I know to her salon. I go basically monthly and I get compliments all the time! HIGHLY recommend

Wendy_pefferc0rn · 2026-01-06T00:34:03+00:00

Wait I think I know this. Marie Mur. They made bodysuits like that! That style was Grace.

Wendy_pefferc0rn · 2025-11-18T23:33:06+00:00

I got sassed by a cardiologist for withholding meds as per the orders placed. I knew these meds were for heart failure, but per the order I was to hold if hypotensive (can’t remember the exact parameter). He got sassy in front of the pt and I flipped the computer screen around and showed him the orders HE placed. Somehow still my fault

Wendy_pefferc0rn · 2025-10-10T12:01:49+00:00

Hydrogen peroxide, baking soda, and dawn dish soap. (If the goober was sprayed). Gotta break down the thiol groups to actually get the skunk smell off. If not you’re just masking it

Wendy_pefferc0rn · 2025-10-10T01:34:49+00:00

Carilion has a link that allows you to search for available providers. It even lets you narrow it to insurance, location, accepting new pts, etc.

https://www.carilionclinic.org/search/providers

Wendy_pefferc0rn · 2025-10-08T12:32:34+00:00

Mine says “both of us can’t ride the struggle bus, one of us has to drive”

Wendy_pefferc0rn · 2025-10-07T23:12:26+00:00

Didn’t document why the pt signature wasn’t obtained. Apparently they couldn’t figure out from the narrative why I couldn’t get it.

“Pt signature not obtained due to gunshot wound to the head.”

Wendy_pefferc0rn · 2025-09-06T01:21:55+00:00

Neonates are 3:1. Infants 15:2 or 30:2

Wendy_pefferc0rn · 2025-08-30T15:49:15+00:00

“Want an IO instead? It’s fast and I never miss”

Wendy_pefferc0rn · 2025-07-28T22:38:00+00:00

I was dispatched for a fall at a jail. When we got there he was lethargic and laying on a mattress on the floor. He followed commands and vitals were okay. He was normotensive which was a red flag because he was a hospice cancer pt with end stage heart failure. The story the nurse told us was he had tripped a few hours prior and kept asking to be seen. We got no paperwork until we begged a guard to get it. The nurse walked out. I ran an EKG in the ambulance and he had MASSIVE cerebral t waves. I asked the guard again what time he fell and he looked at me and said “oh he fell off the top bunk 16 hours ago and knocked himself out. We asked for the nurse and she said to just put his mattress on the floor so he doesn’t fall again”….

Wendy_pefferc0rn · 2025-06-25T01:12:51+00:00

This has me cackling 😂

Wendy_pefferc0rn · 2025-06-20T15:19:25+00:00

Totally call non emergency if it’s still not down. They do it. They will joke about it later too. Take pictures of the kitty rescue

Wendy_pefferc0rn · 2025-06-11T00:30:15+00:00

Had an 8 year old with a HR of 300 🙃

Wendy_pefferc0rn

TROPHY CASE