Latest Comments by sir.shocksalot

Latest Comments by sir.shocksalot

sir.shocksalot 1,229 Views

Joined Nov 13, '10 - from 'Denver, CO'. sir.shocksalot is a Paramedic. Posts: 11 (27% Liked) Likes: 6

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  • 0

    I read a study where it was documented that trendelenburg caused no improvement in perfusion in settings of shock. Right now PHTLS and ITLS are both recommending that trendelenburg not be done at all. It sounds like it has gone the way of the MAST pants.

    I will echo applewhitern and say that I still see it get done by those that really haven't kept up with the times.

  • 0

    We recently got told by our billing people that a patient must sign our Hippa and billing authorization forms even if they are blind or don't speak English. My understanding was that if the patient can't understand what they are signing their signature is invalid. At one place I worked we had the HIPPA form in different languages so the patient could read it and sign. And I also understood that you would have to read the entire document to a blind person before they could sign.

    Our billing people say that being blind or having a language barrier is not adequate for being "physically or mentally incapable of signing". I'm pretty sure they are breaking the rules. Anyone have any idea where I can find information that defines being blind or non-english speaking as NOT "physically or mentally incapable", anyone else have similar rules?

  • 0

    14g in the ACs are fairly common in traumas and cardiac arrests. Most AC veins in a relatively healthy person can accommodate a 16g, when you donate blood they use 16g needles.

    I would say my most common spot that I hit with a 14g is an external jugular vein, I have found smaller needles have a hard time puncturing the vessel wall.

    I know that in the local ERs the average IV size is an 18g or 20g, most adults in the ER don't get anything smaller than a 20g unless they are a tough stick and thats all you can get.

  • 1
    nightengalegoddess likes this.

    What a kick to the groin! I agree with the other posters, you are better off out of that job. It almost sounds like you were set up to fail, how is your preceptor supposed to know that you aren't progressing if they are never there to watch you? Also, is it just a coincidence that the second you ask for a different preceptor they let you go? hmm...

    I wouldn't let it get you down, you probably weren't the only one to receive a similar treatment. Look for another ICU job and keep at it.