Slipping CMA

This is an outpatient care setting with a walk in care clinic. But I work in immediate care. The patient was just in for a regular 6 month follow up. He was walking with the assistance of a cane and looked down for a second and that made him dizzy. I sat him down right away and took vitals. I reported all of them to the doctor but asked if I should get the oxygen because the O2 was 90. Doctor said yes. At the time my manager happened to be in the department and called other managers in because of her concerns for the patient but IMHO doctor is the one in charge of the situation because well he’s the doctor. The managers of the building and department started correcting the doctors. the managers are the ones who also decided to take away the nasal candelas because of covid. Not my decision I just have to deal with it.

I was told anything below 94-93 isn’t a good sign. So 90 was low. But fake nails, nail polish cold hands can affect the O2 reading.

We aren’t using nasal candula because of covid. Don’t ask me why it was a rule handed down by the higher ups. as for why the oxygen it was ordered by the doctor because of his o2 level and patient felt dizzy.

We had a pt with O2 of 90. Hand are warm and this is a hospital grade pulse ox. Dr says get oxygen and set it at 2 litters. The head managers and other head staff started barking orders too and say he’s on a rebreather not a nasel candela so it should be 10 litters and the bag should blow up. I don’t now about how many liters I just follow Doctors orders. But I thought the rebreather bag did not have to be full? anyone want to educate me.

Just wondering if I’m the only one and maybe I have a problem. I brush my teeth twice a day try to floss everyday and use mouthwash twice a day per my dentist. With the masks I notice at the end of the day my breath smells bad. Do I normally have bad breath at the end of the day or is this a mask thing?

Cheaper Dickier. More expensive kio.

Thank you for your insight I didn’t think about scene safety.

Obligatory I’m not a nurse. I work in a larger office building in a doctors office but we do have crash carts “just in case”. Yesterday we had a code blue drill. ( a patient drops to the floor and tells you they don’t have a pulse, you take it from there). One thing that shocked me from the meeting afterwords is they want us to do three things before starting chest compressions. Have someone call 911( yes OK I get it). Call a code blue and announce it twice over the intercom ( yep we need nurses and doctors and someon needs to bring the crash cart) third get into full PPE before touching the patient. This I don’t know about. Full PPE takes away precious time everyone has a mask and I would just do chest compressions no mouth to mouth. Plus patient should be with a mask or it’s easier to temporarily put one on the patient. those of you with more knowledge and experience than me what do you say.

Oh I can’t handle that my nerves.

OMG let’s not talk about someone watching me. It could be as simple as taking a pulse and I’ll mess it up.

I am a CMA with ADHD both inattentive and hyperactive. I am medicated which does help. my problem is I’ve been fire from 3 different places and I think it has to do with my ADHD and I’m looking for advice to help me out. The 1st place I was fired from I was told by the person teaching me not to take height on every patient and later I was caught not taking height and found out it was company policy to take height on everyone every time. 2nd time I was rooming a patient and for a second forgot what room I was going to so I stopped in the hallway then turned to the patient apologizing and went on to the room. Someone told my supervisor that I entered the wrong room which is not true but they let me go because of it 3rd time I was written up for saying umm when leaving a message for a patient. I talked to my doctor about this and he says it part of my anxiety that I have. In reality there was a girl who didn’t like me because of my ADHD and how I would have to really go over stuff because I am forgetful. I went to HR 2 times because one time she yelled at me that I’d never make it and was a horrible CMA. The other time She was telling me to just go home early when she had no authority to do so. She would also say “excuse YOU” in the hallways when passing each other but I just let that go because it’s stupid middle school crap. I have a new job I’m starting in a few weeks and really want this to work out. Any tips you can give that will help with my ADHD and getting along with others. I use a flow sheet when rooming patients so I learn to remember everything and I do take notes. I also take pictures of procedure trays so I know exactly what is needed. I could really use some advice because I think the real reason I’ve been let go from do many places is my ADHD.

In my spare time I make homemade soap and candles. I do notice my supplies are out of hand sanitizer.

I am a CMA (AAMA). That being said there is no real difference. But I highly suggest becoming either CMA or RMA. I see medical assistance without certifications all the time and just think if you need to be licensed to be a nurse we should have a governing body too. Even something as simple as a blood draw can have serious consequences if you don’t know what you’re doing.

Things like anatomy, physiology intro and 2 would transfer.

Let me start by saying I’m just a CMA so I have no real medical training like you nurses do when it comes to seizures. I grew up with an uncle that had epilepsy ( he lived with us ) my DH is type 1 diabetic, my daughter had febrile seizures as a baby and my son inherited my uncles epilepsy. Depending on the reason for the seizure will depend on your reaction. If this is an epileptic seizure like my son and uncle it can take a while to come back out of it. For my son after a grand mal type of seizure it takes him at least 30 minutes to be himself again. ( same with my uncle ). If after an hour he is not himself we call 911 because for them it means another seizure is on its way, and who knows when it will really stop. In my experience hospitals will give 1000 mg Keppra IV and an anti anxiety medication that I can’t think of the name of right now but it can also help with seizures.( it’s related to clonozapam ) I’m just saying a trip to the ER is not a waist of time, they can be very helpful. My one question is, if she is having them this frequently why aren’t they adding to her medication? I am only speaking from personal experience and not medical knowledge, but most neurologist that I have interacted with have a goal of trying to completely control the seizures. Sometimes one medication isn’t enough. I guess you could try asking for her to get an action plan from her neurologist. This would answer a lot of questions. With both my son and my uncle a seizure itself lasting 5 minutes is a call to 911, but we’ve never experienced that. ( knocking on wood ).