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Working in the emergency field definitely has its ups and downs, but it so exciting. There is a wide variety of different things to be seen on a daily basis. Emergency Medical Technicians (EMT’s) And Emergency Medical Technician Paramedics (EMTP or Medic) work together as a team to get one job accomplished; saving your life. Arriving on scene, we always assess the situation first. Scene safety is a big concern. If the call does not appear safe to the dispatchers when they receive it, they will tone out the police officers. Once entering the scene, whether that be a home, street, parking lot, etc., we will make patient contact. After determining the severity of our patient by doing a quick assessment and taking their vital signs, they will typically be transported to the …show more content…
Once we get them into the back of our ambulance unit we further assess our patient and at that time administer any medication that he or she may need. Most of our job duties are transferrable like; taking a patient’s blood pressure, placing the patient on oxygen (O2), hooking up the heart monitor and placing it on the patient, and setting up an intravenous line (IV). The severity of the patient’s physical condition depends on how the call shall be ran. If the patient is within normal limits on their blood pressure and their oxygen levels, the EMT will usually set up the IV and …show more content…
While we both can perform cardiopulmonary resuscitation, the Paramedic has the more specialized job. The EMT will hook the patient up to the heart monitor and start compressions, while the Paramedic has to try and establish intravenous access and drop a tube into the lungs so we can get adequate perfusion and bag the patient much easier. In doing so, the paramedic must keep up with all of the drug doses and when they were given and when the next dose is to be given, and watch the heart monitor for a change in
and giving medicine and IVs. A RN makes sure the patient has knowledge of their situation and
In the event of a disaster, EMS and other professional must be prepared to come together and help each other provide care to help the victims and their families. EMS develops response plans, policies, and procedures that provides guidelines and prepares EMS for any emergencies that arise ("POSITIONING AMERICA’S EMERGENCY HEALTH CARE SYSTEM TO RESPOND TO ACTS OF TERRORISM."). Training makes perfect is what some people would say, Disaster EMS medicine also uses that saying as they test their disaster medical response plans through periodic exercises with the local, state and federal levels ("POSITIONING AMERICA’S EMERGENCY HEALTH CARE SYSTEM TO RESPOND TO ACTS OF TERRORISM.").Disaster EMS medicine includes many different departments from all over the world. Training is also now including the Viper system to allow communication from county to county and state to state in case of a catastrophic event that requires immediate action. 9/11 was a major terrorist attack that changed the world’s perspective and showed the world how unprepa...
Working in the Emergency room for Norwegian American Hospital was a very memorable experience. Throughout my service I got the opportunity to meet people, hear their stories and provide compassion to them in their time of need. Working in the emergency is just not treating medically treating a patient, but rather connecting with them on a personal level. I have always desired a job that helped people on a medical and social work aspect. The Emergency combines both aspects and through this experience I further affirmed my calling in life. I have so much gratitude for the people I 've met, for allowing me to be a part of their worst moments and providing them with hope and compassion. I have always believed that when you help and hear peoples
The nurse needs to recognize the limitations of each staff member and learn what assignments are within the scope of their practice and what are tasks that need delegation. Delegation is defined as a complex process that requires clinical judgment and final accountability for patients’ care (Weydt, 2010). An assignment is defined as “giving someone else a task within his/her own practice and is base on job descriptions and policies” (NCSBN, 2005, p. 1). The Board of Registered Nursing (BRN) and the Board of Vocational nursing & Psychiatric Technicians (BVNPT) website, lists what duties the RN and the LVN can legally do and is within their scope of practice, this is called the ‘nurse practice act’. A nurse assistant personnel (NAP) or Unlicensed Assistive personnel (UAP) may perform different tasks depending on the state that they reside in, but most include tasks that are considered activities of daily living (ambulating, hygiene, grooming)(NCSBN, 2005). The LVN can perform tasks that the nursing assistant can do, as well as other tasks which include: medication administration (oral, subcutaneous, intramuscular), simple dressing changes, wound care, suctioning, catheter insertion, drawing blood from a patient, and starting an IV and intravenous fluids. IV and blood draws are dependent on the LVNs certification, competence, and
“Emergency medical technicians and paramedics employment is expected to grow much faster that the average for all occupations through 2014, as EMTs and paramedics full-time paid replaced
“Next to creating life, the finest thing a man can do is save one.” This quote means a lot in the career of a paramedic. Being able to help someone in a time of need is important to me. Being a paramedic isn't just a career it’s a passion I have. There are a lot of things required to be a paramedic. You need to be able to be calm in stressful situation. If you want to make a difference in someone’s life this is a great career. Paramedics work in all kinds of conditions at all times of the day. The schooling to be a paramedic isn’t too long but it is a hard program.
The first duty is to monitor all patients assigned to you. Other duties include being responsible for equipment and maintaining a professional image and attitude at all times. Examples of requirements are being able to lift at least 100 pounds being able to react calmly in emergency situations. There are also warnings about the environment that you are working in. There are “frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, inclement weather and other conditions common to a pre-hospital environment”. When I was doing my research I found an article of personality types that often are paramedics or EMTs. A lot of people working in emergency medical services are Type A personalities. The article explains the traits of a Type A personality to be someone who is competitive, self-critical, and feel a sense of urgency constantly. “There is little room for error in this profession, which is why a self-critical, competitive and organized person is the perfect fit for EMS” (Type A). This would be a job that is satisfying for the indicial that craves excitement. I think that not everyone is able to withstand the pressure of this specific job and emergency services in general. Both the goal of the company and the individual need to be helping the
The scope of practice includes performing semi-automated external defibrillation, interpretation of 4-lead ECG's, administration of Symptom Relief Medications for a variety of emergency medical conditions (these include oxygen, epinephrine, dextrose, glucagon, salbutamol, ASA and nitroglycerine), performing trauma immobilization (including cervical immobilization), and other fundamental basic medical care. Primary Care Paramedics may also receive additional training in order to perform certain skills that are normally in the scope of practice of Advanced Care Paramedics. This is regulated both provincially (by statute) and locally (by the medical director), and ordinarily entails an aspect of medical oversight by a specific body or group of physicians. This is often referred to as Medical Control, or a role played by a base hospital. For example, in the provinces of Ontario and Newfoundland and Labrador, many paramedic services allow Primary Care Paramedics to perform 12-lead ECG interpretation, or initiate intravenous therapy to deliver a few additional
Being a paramedic has been a long term goal for me upon graduating high school. As I was planning my future and looking at the different career choices, I began discussing my interest in the public safety and medical field with one of my sisters. My sister suggested I should look into becoming an EMT and using it as a stepping stone for a future career. I thoroughly enjoyed the knowledge and skills I obtained upon becoming an EMT, I have decided that I want to further my education in order to provide a higher level of care to my patients and grow in the medical field.
With proper skills, certifications and where applicable, nurses assume other roles like a doctor and pharmacist advising the patient about their home care and take home medications. In some cases, nurses draw blood and collect excrement samples when phlebotomists and medical technologists are not around. We also assist patients in doing range of motion exercises when physical therapists are not around. And when the respiratory therapist is out and the patient needs nebulisation badly, the nurse usually takes over.
A paramedic’s work is physically challenging as well as emotionally stressful, sometimes involving suffering patients and life threatening situations. Elizabeth Mesick, EMT-P, Guilford County Emergency Services, states, “…although the work is very stressful, it’s exciting and I enjoy the opportunity to help people. This position is very rewarding and I would recommend it to others who have a passion for helping people and a strong stomach.”
Being a paramedic requires patience, care and the ability to act/think on the spot. It is also an incredibly dangerous profession. According to Safe Work Australia (SWA), in 2007 paramedics have the sixth highest rate of occupational injuries and for men, the sixth highest rate of new mental health stress claims (The Medical Journal of Australia 2014, pp. 477). Most of these injuries are injuries resulting from violence against paramedics by bystanders or the patient, back injuries and transportation-related injuries (The Medical Journal of Australia 2014, pp. 477). Shockingly, over 17 Australian paramedics per year receive severe injuries due to violence (The Medical Journal of Australia 2014, pp. 478).
The rapid response team (RRT) main purpose is to save lives and decreases the risk for harm by providing care to patients before a respiratory or cardiac arrest occurs (Ignatavicius, 2013). All facilities have different protocols when it comes to activating the Rapid Response Team and Code Team. The rapid response team are on-site and always available, the rapid response team usually includes ICU nurses, intensivist, respiratory therapist, and a hospitalist. In most cases a nurse will call for the rapid response team, but the patient’s family also have the authority to activate the rapid response team. A nurse may activate the rapid response team if the patient has an acute change in heart rate, acute change in systolic blood pressure, acute change in respiratory rate, acute drop in O2 saturation, acute change in mental status, major drop in urine output (Resuscitation Central , 2010).The rapid response team does not replace the Code Team, who responds to a client who is actively in cardiac or respiratory arrests.
In ED, we are the people that rush to aid the sick and wounded no matter the circumstances. During my Emergency Medicine clerkship, I received a call from an ambulance making its way to the ED. The paramedic sent us the EKG and there was obvious ST elevation in lead V3-V6, which pointed to a severe heart vessel blockage. As a team, the nurse prepped the room, my attending notified the on-call cardiologist, and within three minutes of arrival in the ED, he was transferred to cardiology OR where he received the balloon catheter that saved his life.
After completing my first aid course, I have learned many things that I could put to use if I ever encounter a situation involving life or death. I learned that the first thing to do before performing CPR on an unconscious person is to check, call and care. First of all, I must check for hazards. Next, I have to tap the person’s shoulders and call out to them along with checking for any signs of breathing. If all of a sudden, the person takes a breath, this does not mean the person is conscious; in fact this is a sign of cardiac arrest. Cardiac arrest means that the heart has stopped beating; therefore it cannot pump blood to the rest of the body. Immediately, I have to call 911. If I do not have my phone with me, I must call someone else for help. For example, if I see a person wearing a blue shirt, I must speak boldly: “Hey you, in the blue! There is an unconscious person lying on the ground. Call 911 immediately, and get back to me!” Even though I know that help is on the way, I still need to perform CPR. I can either give two breaths by tilting the head and lifting the chin, or I...