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EDMEDIC

EDMEDIC

Georgia Paramedic
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EDMEDIC has 27 years experience and specializes in Georgia Paramedic.

EDMEDIC's Latest Activity

  1. EDMEDIC

    Paramedics in the ED

    I aint yelling at anyone. just want this to be a team effort!!!
  2. EDMEDIC

    Paramedics in the ED

    First of all, I was responding to a post made by an ancient RN that hated sharing her sand box with paramedics. I may have been at bit harsh and unfair in my statements. The whole purpose of EMS and hospital emergency services is to save lives and get them to unit or another appropriate facility viable. I have nothing, but the utmost respect for RN's. My main complaint is we dont get that back. Paramedics in Georgia, in the ED are nurse extenders. I cant speak for the other 49 states, But in Ga.. Paramedics are flooding the ED's as an extra arm for the RN's. We are not techs that update vitals when your tied up on a facebook chat. I work in what is called a vertical 3 4 5 zone. that's the acuity level we care for in the ED so the RN's are freed up to care for the higher acuity patients. We are allowed to work to our scope of practice to assist the nurses. When I take a vacation day. My phone blows up with my night *** nurses begging me to come in because " we dont have any medics tonight! That's because we do all their lines, labs etc and medicate all their pts with some exceptions. We dont give colloids, anti coags or insulin. It's not in our scope of practice. However, when that trauma rolls in. All you can hear down the hall is " Medic"... I dont claim to be an expert in emergency medicine, but I Know my nurses appreciate me. If you've got a problem with medics in the ED. Do it yourself! I do my own charting and I chart all the meds I give and all the procedures I do. You dont have to sign off on anything I do because the medical director in the ER has already set and approved what I am capable of doing in the ED so take an Ativan and quit worrying about your license. Like the previous commenter said before. We all have our skills and responsibilities & when the crap hits the fan. We are a team! I dont compare myself to a RN and RN's should not compare their selves to medics. It's 2 different disciplines. Booth should be understood and respected! I am not to sure what you do in the er, but its beyond my training & you damn sure dont know what I do on the streets because we do this *** by ourselves, on the side of the road. There are no Doctors, respitory therapist, 10 nurses or techs...…. Its just me in the back of the bus!!!!
  3. EDMEDIC

    Paramedics in the ED

    This is a rehash of an old article I found on the site from 2005. The article was just asking if RN's had experience working in the ED with medics. The responses varied from positive to mostly negative from the RN's at that time. Some responses from the nurses makes you wonder how they got a degree in anything, but times have changed. My career in EMS started with the fire dept where I retired after 20yrs working in a large metropolitan city. After my retirement, I started my 2nd career working in the ED as a Paramedic back around 2014. It was a new concept at the time in Georgia & myself as well as others were openly treated like EVS techs by the nurses. It was a kind of like, go play in your own sandbox, from the nurses. Now here it is 2020 and I get nothing but support from the ED providers and RN's (except for the fact that we eliminated LPN's from the ED's in Georgia). I work for a major healthcare system with hospitals, urgent care centers, managed health, ETC. ETC. all over Georgia. Mostly concentrated in the metro Atlanta area & like it or not. If you come into an ED in Metro Atlanta. You will most likely encounter a Paramedic who is not emptying the trash, but a major player in your care team. In Georgia, Paramedics have unrestricted licenses & whether working in the streets or in the ED. Our scope of practice is set by the medical director where we are employed & only after we have been trained and shown proficiency in the procedure or task. Where I work, when the crap hits the fan. No one cares what letters you have after your name and we all work as a team! Back to the original question. This is how things flow in my facility. You go to acute care or fast track based on your acuity. Only an RN can triage and assign an acuity and only an RN can discharge a pt. Everything in between, the paramedics do. We can see the same screen you see. We are legally able, trained and proficient at administering any medication ordered by the provider with some exceptions. In Georgia, Paramedics cannot give colloids (we can hang a second and further bags of blood, but not the first even though we are trained to recognize a hemolytic reaction , anti-coagulants( unless on a TPA program) or insulin. We can jack you B/P or glucose up, but we cannot lower it. We are proficient in endotracheal intubation, needle chest decompression, needle cricothyrotomy, intraosseous placement ETC ETC. Bottom line is. We all have our skills and the patients need all of us working together to save them. If you dont want a medic messing with your patient. Tell me and the charge nurse and I won't help you and after you've stuck the patient 10 times. I'll come and put an 18 EJ in for you because you have destroyed all their distal veins before you ask for help even though I know you won't says thanks. Also Paramedics pick up after themselves. We dont throw the crap in the floor or in the IV carts for others to pick up.
  4. EDMEDIC

    About paramedics

    In Georgia, Paramedics are licensed by the Ga Dept of Public Health. You will lose your paramedic license permanently with no reinstatement if convicted of a felony.
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