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Monday, January 28, 2013

A few months...

So it has been a few months since I last posted. It feels like things have calmed down since I started, I don't know if we get more calls in the Summer, but I have been sleeping through the night more on shift, which isn't bad.


I can already feel the effects of skills and knowledge decay(Flowers for Algernon anyone?). I was thinking about ways that I can keep this from happening. I intend to apply to work part time some where that has a little higher call volume, as well as in a place that there is teh opportunity for discourse about patient treatments at the Paramedic level.

Being the most knowledgeable provider all the time has it's ups and downs, and I have seen among other Paramedics that have worked longer that if you assume your knowledge is infallible, eventually you will be wrong, and no one will be around to speak up and tell you as such. So I operate under the conditions that I continue to look for signs that my treatment and diagnosis is wrong, as much as I look for signs that my treatment is right.

Is it V-Tach?


I never work on the same truck as another Paramedic, and rarely are there 2 on shift at once. I keep in mind that getting though the Paramedic School gauntlet only allowed me to begin this journey, by no means was it an end.

I underestimated how widespread the "Para-God Ego Asshole" attitude is among other Providers.

To be fair, from the stories I hear there were some truly terrible Paramedics that have come (and gone) before me, so I guess the attitude is justified. Sometimes I feel like the unvented frustration towards them are directed at me but whatever.

While working, I try to be fair to my co-workers, as well as doing what is best for our patients, but oftentimes it feels like I am going to get shit from somebody no matter what decision is made, but I guess that is my burden to bear, earning the extra $2 an hour and all.


I have yet to kill anybody (that I know of).


I have given plenty of Fentanyl.

I have had calls that what I did was all the patient needed(see above 12-leads).

I am researching Critical Care Education programs, they seem really interesting.

I have learned that sometimes the best treatment is Diesel Therapy. I know this because the treatment that the ED made once I was there was a bolus dose of waytanzee.