"If endotracheal intubation is included in the scope of practice for the given advanced provider, they MUST successfully perform basic and advanced airway management including intubation on at least 50 patients in the OR setting under the mentorship…"
"I currently use an iPad for school and work, not so much for charting, but as a reference. About 1 1/2 years ago I started back to school for my masters program, and almost simultaneously had massive problems with my windows based products…"
"I would have to agree with Scott, no indication to use a neuromuscular blocking agent if the patient is in arrest, these are indicated only if the patient is able to mobilize a muscular response. So absent that, don't waste your time or…"
" Charlene, It isnt really that bad. As I mentioned, most states accept NR. I know North Carolina and Wyoming dont. Be sure to keep your school records, not just your graduation certificate. Things like intubation records, other…"
"Charlene, first off, good luck on your testing and congratulations on completing your program. What you need to understand is that the National Registry of EMT's is a national, non-governmental certification agency. This means they develop an…"
"Just to throw another model and example in to the mix, the third service municipal or county model seems to work well in many instances. I, too, have worked in every one of the aforementioned operating models, and believe there is no one right…"
"What jumps out at me from your entire statement was that you guys have to endure a 24/7/365 american TV channel. Ouch! From the depth of my heart, I am sorry. Wasn't the indignity of the whole American Revolution enough? Spare these poor Brits…"
"For one thing, and understand that this is going to be regionally dependent, but I have had HORRIBLE luck with Zoll customer service. I used to fly for a program that used the Zoll CCT. What a piece of feces! The B/P pressure would fault on almost…"
"I agree that EMS needs to be a mandated service, however, you mention municipalities. The area I work in is by far and away predominantly super-rural/frontier so no municipalities, would fall to the counties, and they are the ones refusing to…"
"I think it may depend upon your perspective. For instance, if you live in a community traditionally served by a private ambulance service and you are employed there as a paramedic, then the city decides that EMS would best be provided by the city…"
"Just another point regarding transmission of 12 leads. It does not necessarily have to do with "trust" by a medical director. In several midwestern states, the AHA program "Mission:Lifeline" is being fully implemented and…"
"Raquel, I certainly feel your pain, I have long advocated for increased use of the V4R lead to help rule in/rule out RVI in the presence of inferior wall STEMI. I hate to say it, but it sounds like you work with a bunch of people that don't…"
"In addition to the issues brought up by other commentators, I would think you are opening yourself and your agency up to huge liability by leaving your monitor/defibrillator in the ambulance, unless you need it. Perhaps you get more reliable…"
"When you say maritime, exactly what do you mean? Are you operating in international waters, exclusively? or coastal operations? Riverine? US or foreign? The answers to these questions could significantly change the legal issues and scope of…"
"Skip, This is such a topical question, it begs a response. I have been a flight paramedic/flight nurse for the last 15 plus years. I recently resigned my position over a concern I had regarding the safety of operations and the competency…"
Sturgis SD Vol. Fire Dept., Spearfish SD Emergency Ambulance Service, Air Link, Valley Ambulance Service Scottsbluff, NE, Mitchell NE Volunteer Fire Department, Thibodaux LA Volunteer Fire Department, etc. etc. etc.
RN, BSN, NREMT-P, EMS Instructor, AHA BCLS-ACLS-PALS instructor, PHTLS Instructor
pursuing my masters in nursing as a family nurse practitioner
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