Flightmed archive for November-2002
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Flightmed archive for November-2002


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Flightmed digest, Vol 1 #366 - 38 msgs

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Today's Topics:

   1. RE:I-STAT (Carriere, Brian)
   2. Scenario (Ken Lawson-Williams)
   3. Re:Scenario (Sam Thurmond)
   4. The MRL Pic is Garbage - those looking for new monitors be warned! (flightmedicmike@cox.net)
   5. RE:The MRL Pic is Garbage - those looking for new monitors be warned! (David Summers)
   6. Re:The MRL Pic is Garbage - those looking for new monitors be warned! (Jean Cragg)
   7. Re:Scenario (mike)
   8. RE:Posting Confusion (Michael Cox)
   9. RE:i-STAT (Pickett, Debra L.)
  10. Turn-Key operations (mvojtko@juno.com)
  11. Re:Scenario (Barbara Dunham)
  12. RE:Scenario (Dr. John L. Meade)
  13. Re:Re:RE: Pic Of Zoll Mount (Mike Scott)
  14. Re:Scenario (Lisa Heinz)
  15. Re:Scenario (Linda J. Wise)
  16. (no subject) (Bob Johnson)
  17. RE:(no subject) (sgram0529@cs.com)
  18. Re:(no subject) (Ronald Bolen)
  19. Re:(no subject) (Tom Waters)
  20. RE:Scenario (Slemp, Andrew A.)
  21. Re:(no subject) (Ken Lawson-Williams)
  22. Re:Scenario (Deb Milliner)
  23. Re: (no subject) (Deb Milliner)
  24. Re:Scenario (susan nittinger)
  25. (no subject) (Ted6016@aol.com)
  26. Re: (no subject) (Jeremy Hawk)
  27. Trauma team activation (Randy L'Heureux)
  28. Re:(no subject) (Robert Humphreys)
  29. Re:Trauma team activation (Ted6016@aol.com)
  30. Re:(no subject) (Barbara Dunham)
  31. Re:Scenario (Jeff Brosius)
  32. Re:Trauma team activation (Jeff Brosius)
  33. Re:Hiring Logistics of Flight Programs (Michael Getz)
  34. Re:Trauma team activation (DavidT8525@aol.com)
  35. Re:(no subject) (KReninger@aol.com)
  36. RE:(no subject) (Terry Foutch)
  37. RE:(no subject) (David Pilkenton)
  38. Re:Hiring Logistics of Flight Programs (mikeshuken@mail.value.net)


We use them extensively for longer flights. Limited utility for scene calls.
We have problems with temperature extremes.

-----Original Message-----
From: Campbell, Don [mailto:CampbeDK@sutterhealth.org]
Sent: Tuesday, October 29, 2002 9:36 PM
To: Flightmed (E-mail)
Subject: i-STAT


I know several providers are using the i-STAT at hospitals/clinics for
IFT's.  Anyone using the i-STAT during actual transport on scene flights?
Any problems/challenges with this device?  Is it easy to use?  Our average
flight time is < 20 minutes.  It's a little hard to imagine doing this at
night in a Twin Star w/ light restrictions.  

Any feedback would be greatly appreciated.

Thanks - DC  


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More information - this time evacuation related

+++++

It is now a further two days on. A call back to your company has come up blank. You are about twenty miles from the neighbouring state which is undergoing a break down in peace talks at the moment. Rebel troops are known to be armed with ground to air infantry portable missiles and  airspace is now no-fly for civilian aircraft.

They can send you a team by road, two days, but will not allow transport
from site until after expert advice has been given. A doctor from the World Health Organisation and can also bring extra supplies to base. An adivosry has been received that all precautions must be used and patients will be under full isolation until otherwise directed.

Patient 1: Fever, visible rash, constant headache, has passed blood in
faeces, blood shot eyes, vomiting, diarhhea and GI pain
Patient 2: Fever, has not left bed in the last day, totally lethargic, has had two tonic-clonic seizures, eyes are red, continuous epistaxis
Patient 3: Fever, complains of itching, headache continues, diarhhea and
occassional vomitting.
Patient 4: Mild fever, rash is disappearing, nausea.

With the arrival of the man from the WHO, you have the opportunity for
further supplies and equipment. What would you like?

Over to you. Good luck,

+++++

This (fortunately) is something we do not have to deal with over here yet. I do not envy the author of this scenario if this has any connection to their workplace environment!!

Fly Safe. 
Ken L-W CCEMT-P/WMT

Duct tape is like the force, it has a light side and a dark side, and it holds the universe together.




Possibly dengue fever or dengue hemorrhagic fever - if it is then fluid 
replacement therapy and acetaminophen (no aspirin).

Could also be Ebola, Marberg, typhoid or a malarial fever.

In any case, don't share their water glasses!!

At 01:08 PM 10/30/2002 -0800, you wrote:
>More information - this time evacuation related
>
>+++++
>
>It is now a further two days on. A call back to your company has come up 
>blank. You are about twenty miles from the neighbouring state which is 
>undergoing a break down in peace talks at the moment. Rebel troops are 
>known to be armed with ground to air infantry portable missiles 
>and  airspace is now no-fly for civilian aircraft.
>
>They can send you a team by road, two days, but will not allow transport
>from site until after expert advice has been given. A doctor from the 
>World Health Organisation and can also bring extra supplies to base. An 
>adivosry has been received that all precautions must be used and patients 
>will be under full isolation until otherwise directed.
>
>Patient 1: Fever, visible rash, constant headache, has passed blood in
>faeces, blood shot eyes, vomiting, diarhhea and GI pain
>Patient 2: Fever, has not left bed in the last day, totally lethargic, has 
>had two tonic-clonic seizures, eyes are red, continuous epistaxis
>Patient 3: Fever, complains of itching, headache continues, diarhhea and
>occassional vomitting.
>Patient 4: Mild fever, rash is disappearing, nausea.
>
>With the arrival of the man from the WHO, you have the opportunity for
>further supplies and equipment. What would you like?
>
>Over to you. Good luck,
>
>+++++
>
>This (fortunately) is something we do not have to deal with over here yet. 
>I do not envy the author of this scenario if this has any connection to 
>their workplace environment!!
>
>Fly Safe.
>Ken L-W CCEMT-P/WMT
>
>Duct tape is like the force, it has a light side and a dark side, and it 
>holds the universe together.
>
>_______________________________________________
>Flightmed mailing list
>To unsubscribe or change your email address, go to 
>http://www.pairlist.net/mailman/listinfo/flightmed

Sam Thurmond
thurmond@cfl.rr.com





The MRL Pic is the biggest piece of shit ever created to monitor a patient.  It looks good, and its cheap, but the modules independantly fail, there was no invasive line software to run the 2 ports on the unit for three years, I am not sure if they ever finished that or not.  The batteries last about 30 minutes with a cycling pressure, sometimes less.  The support respresentatives know little if anything about the product they sell, and the overall support is terrible.  I would highly recommend you reconsider the Zoll CCT M-series or the Physio Lifepack 12.
Both more reputable companies that obviously know what they are doing.

Michael Getz, NREMT-P
Flight Paramedic
Med Air One







flightmedicmike@cox.net
Subject: The MRL Pic is Garbage - those looking for new monitors be
warned!


The MRL Pic is the biggest piece of s&^Q#% ever created to monitor a
patient.

Michael Getz, NREMT-P


_______________________________________________

Michael,

Lets keep this list rated "G".  Tact and diplomacy will get you more
respect.
Obviously, you have had negative experiences with the MRL Pic.  Your opinion
is heard. Now perhaps the manufacturer will contact you for some product
improvement consultations!

Play Safe
David Summers RN, etc.
Jupiter FL





David,

Well said, thank you.

Jean  SR Para


----- Original Message -----
From: "David Summers" <copterrn@bellsouth.net>
To: <flightmed@flightweb.com>
Sent: Thursday, October 31, 2002 2:06 AM
Subject: RE: The MRL Pic is Garbage - those looking for new monitors be
warned!


>
>
> flightmedicmike@cox.net
> Subject: The MRL Pic is Garbage - those looking for new monitors be
> warned!
>
>
> The MRL Pic is the biggest piece of s&^Q#% ever created to monitor a
> patient.
>
> Michael Getz, NREMT-P
>
>
> _______________________________________________
>
> Michael,
>
> Lets keep this list rated "G".  Tact and diplomacy will get you more
> respect.
> Obviously, you have had negative experiences with the MRL Pic.  Your
opinion
> is heard. Now perhaps the manufacturer will contact you for some product
> improvement consultations!
>
> Play Safe
> David Summers RN, etc.
> Jupiter FL
>
>
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to
http://www.pairlist.net/mailman/listinfo/flightmed
>






>From day one (first posting) these patients warranted full isolation precautions. Anyone not already
exposed should stay away unless absolutely essential for their care. Transport would be inappropriate due
to potential spread of the disease to the crew and other contacts along the way. Treat these patients and
their contacts at the location they are at. Items requested from WHO.1. IV solutions, colloids and
associated supplies. 2. Gowns, gloves, masks basic sanitation supplies. 3. Chlorine bleach.  4. A good
,preferably secure communication system with a competent health care facility ,if it doesn't already
exist. 5. perhaps an i-stat. 6. Blood specimen containers. Viral and bacterial culture specimen supplies.

    The problem here is not having a good diagnosis. Send out blood work (ELISA) and cultures as best you
can. Treat symptomatically until DX is made. Assume the worst (one of the hemorragic fevers) and post
quarantine signs to keep others out.
Prayer would be useful too.

Thanks for making us think about this type of problem.
Mike Earnheart, R.N.

Sam Thurmond wrote:

> Possibly dengue fever or dengue hemorrhagic fever - if it is then fluid
> replacement therapy and acetaminophen (no aspirin).
>
> Could also be Ebola, Marberg, typhoid or a malarial fever.
>
> In any case, don't share their water glasses!!
>
> At 01:08 PM 10/30/2002 -0800, you wrote:
> >More information - this time evacuation related
> >
> >+++++
> >
> >It is now a further two days on. A call back to your company has come up
> >blank. You are about twenty miles from the neighbouring state which is
> >undergoing a break down in peace talks at the moment. Rebel troops are
> >known to be armed with ground to air infantry portable missiles
> >and  airspace is now no-fly for civilian aircraft.
> >
> >They can send you a team by road, two days, but will not allow transport
> >from site until after expert advice has been given. A doctor from the
> >World Health Organisation and can also bring extra supplies to base. An
> >adivosry has been received that all precautions must be used and patients
> >will be under full isolation until otherwise directed.
> >
> >Patient 1: Fever, visible rash, constant headache, has passed blood in
> >faeces, blood shot eyes, vomiting, diarhhea and GI pain
> >Patient 2: Fever, has not left bed in the last day, totally lethargic, has
> >had two tonic-clonic seizures, eyes are red, continuous epistaxis
> >Patient 3: Fever, complains of itching, headache continues, diarhhea and
> >occassional vomitting.
> >Patient 4: Mild fever, rash is disappearing, nausea.
> >
> >With the arrival of the man from the WHO, you have the opportunity for
> >further supplies and equipment. What would you like?
> >
> >Over to you. Good luck,
> >
> >+++++
> >
> >This (fortunately) is something we do not have to deal with over here yet.
> >I do not envy the author of this scenario if this has any connection to
> >their workplace environment!!
> >
> >Fly Safe.
> >Ken L-W CCEMT-P/WMT
> >
> >Duct tape is like the force, it has a light side and a dark side, and it
> >holds the universe together.
> >
> >_______________________________________________
> >Flightmed mailing list
> >To unsubscribe or change your email address, go to
> >http://www.pairlist.net/mailman/listinfo/flightmed
>
> Sam Thurmond
> thurmond@cfl.rr.com
>
> _______________________________________________
> Flightmed mailing list
> To unsubscribe or change your email address, go to http://www.pairlist.net/mailman/listinfo/flightmed






After several backchanneled inquiries some clarification is in order:

No "flightmedicmike@cox.net" IS NOT Mike Cox.


Thanks,

Michael Cox
michael@seaox.com






We use it on scene and IF flights.  The only problems that we have had is
the machine is very temperature sensitive.  It can not be left on the
aircraft during non transport times.
Debbie Pickett, R.N., C.E.N.
Chief Flight Nurse
UT Lifestar Aeromedical Services
Phone: (865) 544-8992
Fax:     (865) 544-8868
E-mail:  dpickett@mc.utmck.edu





Can you folks out there in cyberspace help?

Our program is in the process of negotiating a turn-key
takeover of our program with our aircraft vendor in an
attempt to head off an administrative proposal that will
be our program's end (and force the entire flight staff
to look elsewhere, lose tenure, be absorbed into the
system, etc.).  Essentially, our hospital wants to relieve
themselves of the financial responsibility of our current
aircraft and it's maintenance.

Here's some of the info we need:

1.  Where did you start?  We have been in dialogue with
our current vendor and they are gonna bite on the deal.
Perhaps others in the group will have that little bit of
information that we haven't considered.

2.  Did you turn the program over completely, or did
you maintain medical control and turn over the aircraft
operations only?  If you maintained medical control and
medical staff, what problems did you encounter and how
did you go about establishing medical control with your
vendor?

3.  What problems did you encounter? Feel free to elaborate. 

4.  How did you prepare your presentation to administration?
Again, we're looking for those missing puzzle pieces.


Any and all information is greatly appreciated.

Mark




Mark Vojtko,RN,BSN,CCRN
Inova AirCare





Okay,  Here's a question for the group - how many of you have prayed during 
treatment/transport of critically ill/injured patients?  And if you have, do 
you credit the prayer with making "the difference"?

(This is in reference to the comment that "Prayer would be useful too".)  
Thanks in advance to any replies!  Feel free to answer privately, if you 
prefer.

Barb Dunham
rotormed77@hotmail.com


"Remote for detachment, narrow for chosen company, winding for leisure, 
lonely for contemplation, the Trail leads not merely north and south, but 
upward to the body, mind, and soul of man."
                  - Harold Allen, The Appalachian Trail Conference

_________________________________________________________________
Surf the Web without missing calls! Get MSN Broadband. 
http://resourcecenter.msn.com/access/plans/freeactivation.asp





Barbara,
Interesting question!!

I am often struck by the fact that I can sometimes pull some odd trick
out of my hat, or perform some difficult procedure with apparent ease,
in the midst of a crisis. I have no illusions that it is because I am
far superior to every other doctor on Earth. I know that I often have
some help from God. God obviously works through us to save lives, and a
prayer for guidance now and again is not wrong.

In my opinion.

JM 
  
John L. Meade, MD, FACEP 
Emergency Medicine Specialist
Emerald Healthcare Group, P.A. 
http://www.statdoc.com/  
 
Try not. Do! Or do not. There is no try!--Yoda, Return of the Jedi.



 
 

-----Original Message-----
From: flightmed-admin@flightweb.com
[mailto:flightmed-admin@flightweb.com] On Behalf Of Barbara Dunham
Sent: Thursday, October 31, 2002 20:57
To: flightmed@flightweb.com
Subject: Re: Scenario

Okay,  Here's a question for the group - how many of you have prayed
during 
treatment/transport of critically ill/injured patients?  And if you
have, do 
you credit the prayer with making "the difference"?

(This is in reference to the comment that "Prayer would be useful too".)

Thanks in advance to any replies!  Feel free to answer privately, if you

prefer.

Barb Dunham
rotormed77@hotmail.com


"Remote for detachment, narrow for chosen company, winding for leisure, 
lonely for contemplation, the Trail leads not merely north and south,
but 
upward to the body, mind, and soul of man."
                  - Harold Allen, The Appalachian Trail Conference

_________________________________________________________________
Surf the Web without missing calls! Get MSN Broadband. 
http://resourcecenter.msn.com/access/plans/freeactivation.asp


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Hey Ron,
    FYI: Metro Aviation is the company that does our EMS conversion man.

Mike Scott, RN
CFN MAF


yes, i have and i am not ashamed of giving credit where it is due!

 Barbara Dunham <rotormed77@hotmail.com> wrote:

Okay, Here's a question for the group - how many of you have prayed during
treatment/transport of critically ill/injured patients? And if you have, do
you credit the prayer with making "the difference"?

(This is in reference to the comment that "Prayer would be useful too".)
Thanks in advance to any replies! Feel free to answer privately, if you
prefer.

Barb Dunham
rotormed77@hotmail.com


"Remote for detachment, narrow for chosen company, winding for leisure,
lonely for contemplation, the Trail leads not merely north and south, but
upward to the body, mind, and soul of man."
- Harold Allen, The Appalachian Trail Conference

_________________________________________________________________
Surf the Web without missing calls! Get MSN Broadband.
http://resourcecenter.msn.com/access/plans/freeactivation.asp


_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://www.pairlist.net/mailman/listinfo/flightmed


Do you Yahoo!?
HotJobs - Search new jobs daily now


absolutely!!

>>> flytrn117@yahoo.com 11/01/02 09:41AM >>>

yes, i have and i am not ashamed of giving credit where it is due!

 Barbara Dunham <rotormed77@hotmail.com> wrote:

Okay, Here's a question for the group - how many of you have prayed during
treatment/transport of critically ill/injured patients? And if you have, do
you credit the prayer with making "the difference"?

(This is in reference to the comment that "Prayer would be useful too".)
Thanks in advance to any replies! Feel free to answer privately, if you
prefer.

Barb Dunham
rotormed77@hotmail.com


"Remote for detachment, narrow for chosen company, winding for leisure,
lonely for contemplation, the Trail leads not merely north and south, but
upward to the body, mind, and soul of man."
- Harold Allen, The Appalachian Trail Conference

_________________________________________________________________
Surf the Web without missing calls! Get MSN Broadband.
http://resourcecenter.msn.com/access/plans/freeactivation.asp


_______________________________________________
Flightmed mailing list
To unsubscribe or change your email address, go to http://www.pairlist.net/mailman/listinfo/flightmed


Do you Yahoo!?
HotJobs - Search new jobs daily now 


A ? for the group, Does any flight services have any rules about spouses ( 
Nurse/medic )flying together as full time partners.






_________________________________________________________________
Get faster connections-- switch toMSN Internet Access! 
http://resourcecenter.msn.com/access/plans/default.asp





Our company has an unwritten policy that doesn't allow family members to fly on the same aircraft together due to the fact that if there were a crash (god forbid), there would be 2 losses in the same family instead of one and if there were children involved........imagine the tragedy. My husband and I both are flight nurses for the same company and due to scheduling issues our crews may fly nurse/nurse occasionally. However, we do not work together on the same aircraft. We, along with management, both agree that it is definantly in our best interest not to fly together nor sign narcotics together. Most of these "guidelines" have been initiated by my husband and I due to the fact that it is not a common situation and we want to protect ourselves. You could see how a jury, or even a supervisor,  could look at a husband/wife team who had a bad outcome with a patient and wonder if there were any issues that were not revealed because they were trying to protect each other. I can't say that I wouldn't think the same way in the their shoes. As I said before, this is not a written policy for our company, but I would definantly recommend that you not fly together for liability reasons. Fly safely!  

Serena Gramling
Native Air



"Bob Johnson" <scoobymedic@hotmail.com> wrote:

>A ? for the group, Does any flight services have any rules about spouses ( 
>Nurse/medic )flying together as full time partners.
>
>
>
>
>
>
>_________________________________________________________________
>Get faster connections-- switch toMSN Internet Access! 
>http://resourcecenter.msn.com/access/plans/default.asp
>
>
>_______________________________________________
>Flightmed mailing list
>To unsubscribe or change your email address, go to http://www.pairlist.net/mailman/listinfo/flightmed
>
>




You are not allowed to be on the same crew, but no problems working at the
same base.






Here at Wyoming Life Flight, we have 3 sets of husband/wife.  2 are
both-medic and 1 is medic/nurse.  As with most, no written policies exist,
but couples do not fly or go ground for that matter, together. It is usually
only at shift change that the 2 medic teams are ever even seen together, as
there is kid-turnover and one parent goes home.  I have worked several
places air and ground, and whether written or un, couples do not
supervise/work toghether, this includes when the pilot may be involved with
a medical crew member.  That happens too, occasionally too.

Good weekend all...
Tom Waters

----- Original Message -----
From: <sgram0529@cs.com>
To: <flightmed@flightweb.com>
Sent: Friday, November 01, 2002 11:48 AM
Subject: RE: (no subject)


> Our company has an unwritten policy that doesn't allow family members to
fly on the same aircraft together due to the fact that if there were a crash
(god forbid), there would be 2 losses in the same family instead of one and
if there were children involved........imagine the tragedy. My husband and I
both are flight nurses for the same company and due to scheduling issues our
crews may fly nurse/nurse occasionally. However, we do not work together on
the same aircraft. We, along with management, both agree that it is
definantly in our best interest not to fly together nor sign narcotics
together. Most of these "guidelines" have been initiated by my husband and I
due to the fact that it is not a common situation and we want to protect
ourselves. You could see how a jury, or even a supervisor,  could look at a
husband/wife team who had a bad outcome with a patient and wonder if there
were any issues that were not revealed because they were trying to protect
each other. I can't say that I wouldn't think the same way in the their
shoes. As I said before, this is not a written policy for our company, but I
would definantly recommend that you not fly together for liability reasons.
Fly safely!
>
> Serena Gramling
> Native Air
>
>
>
> "Bob Johnson" <scoobymedic@hotmail.com> wrote:
>
> >A ? for the group, Does any flight services have any rules about spouses
(
> >Nurse/medic )flying together as full time partners.
> >
> >
> >
> >
> >
> >
> >_________________________________________________________________
> >Get faster connections -- switch to MSN Internet Access!
> >http://resourcecenter.msn.com/access/plans/default.asp
> >
> >
> >_______________________________________________
> >Flightmed mailing list
> >To unsubscribe or change your email address, go to
http://www.pairlist.net/mailman/listinfo/flightmed
> >
> >
> X ?zvf-)-+-N<r>zS.{*.sSVv
> -m
> ZSb޷sSYsYbا~-(!g


I second Lisa's comment.
-----Original Message-----
From: Lisa Heinz [mailto:flytrn117@yahoo.com]
Sent: Friday, November 01, 2002 9:42 AM
To: flightmed@flightweb.com
Subject: Re: Scenario

yes, i have and i am not ashamed of giving credit where it is due!

 Barbara Dunham <rotormed77@hotmail.com> wrote:

Okay, Here's a question for the group - how many of you have prayed during
treatment/transport of critically ill/injured patients? And if you have, do
you credit the prayer with making "the difference"?

(This is in reference to the comment that "Prayer would be useful too".)
Thanks in advance to any replies! Feel free to answer privately, if you
prefer.

Barb Dunham
rotormed77@hotmail.com


"Remote for detachment, narrow for chosen company, winding for leisure,
lonely for contemplation, the Trail leads not merely north and south, but
upward to the body, mind, and soul of man."
- Harold Allen, The Appalachian Trail Conference

_________________________________________________________________
Surf the Web without missing calls! Get MSN Broadband.
http://resourcecenter.msn.com/access/plans/freeactivation.asp


_______________________________________________
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None here, but at last program were several couples - two married. No rules, but the married couple worked adjacent shifts (d d n n x12) so as a family they still had 2 days off, and could cover childcare. 

Young crew, so many couples forming/reforming etc amongst ground/air/flight/dispatch crews. No problems occured, but dispatcher once sent husband into axe-murder scene ahead of police. Confusion over status of patient and scene, apparently...

Fly Safe. 
Ken L-W CCEMT-P/WMT

Duct tape is like the force, it has a light side and a dark side, and it holds the universe together.


--- "Tom Waters" <tom@tomwaters.net> wrote:
>Here at Wyoming Life Flight, we have 3 sets of husband/wife.  2 are
>both-medic and 1 is medic/nurse.  As with most, no written policies exist,
>but couples do not fly or go ground for that matter, together. It is usually
>only at shift change that the 2 medic teams are ever even seen together, as
>there is kid-turnover and one parent goes home.  I have worked several
>places air and ground, and whether written or un, couples do not
>supervise/work toghether, this includes when the pilot may be involved with
>a medical crew member.  That happens too, occasionally too.
>
>Good weekend all...
>Tom Waters
>
>----- Original Message -----
>From: <sgram0529@cs.com>
>To: <flightmed@flightweb.com>
>Sent: Friday, November 01, 2002 11:48 AM
>Subject: RE: (no subject)
>
>
>> Our company has an unwritten policy that doesn't allow family members to
>fly on the same aircraft together due to the fact that if there were a crash
>(god forbid), there would be 2 losses in the same family instead of one and
>if there were children involved........imagine the tragedy. My husband and I
>both are flight nurses for the same company and due to scheduling issues our
>crews may fly nurse/nurse occasionally. However, we do not work together on
>the same aircraft. We, along with management, both agree that it is
>definantly in our best interest not to fly together nor sign narcotics
>together. Most of these "guidelines" have been initiated by my husband and I
>due to the fact that it is not a common situation and we want to protect
>ourselves. You could see how a jury, or even a supervisor,  could look at a
>husband/wife team who had a bad outcome with a patient and wonder if there
>were any issues that were not revealed because they were trying to protect
>each other. I can't say that I wouldn't think the same way in the their
>shoes. As I said before, this is not a written policy for our company, but I
>would definantly recommend that you not fly together for liability reasons.
>Fly safely!
>>
>> Serena Gramling
>> Native Air
>>
>>
>>
>> "Bob Johnson" <scoobymedic@hotmail.com> wrote:
>>
>> >A ? for the group, Does any flight services have any rules about spouses
>(
>> >Nurse/medic )flying together as full time partners.
>> >
>> >
>> >
>> >
>> >
>> >
>> >_________________________________________________________________
>> >Get faster connections -- switch to MSN Internet Access!
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>> X ?zvf-)-+-N<r>zS.{*.sSVv
>> -m
>> ZSb޷sSYsYbا~-(!g
>
>
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I have also said a prayer or two and have always known that a hand greater than mine made the real difference.
Deb Milliner
University of Phoenix
rotorhead@uophx.edu
debmilliner@hotmail.com


We currently have no married couples in our program, but we do have a couple
that are dating and practically live together (who doesn't?). We do not have
specific rules, but at my last program, the couple had to sign a waiver to
fly together. I don't know if this would hold up in a court of law, but it
was a step.
Deb Milliner
Regional LifeFlight


 

Barbara,

I am very happy to tell you I pray enroute to most of my transports!

Sue Toberman


Do you Yahoo!?
HotJobs - Search new jobs daily now


why is it that some people get hired into flight services that have less experience and certs than others?  Just wondering.  And for those that are wondering...yes i was one that didnt get hired; probably opening up a can or worms I dont want to, just want opinions. 


At my service, (BLS ground, mostly) we generally TRY to keep people 
who are a couple off of the same unit. Mostly this is to reduce any 
chance of domestic problems arising in front of patients and also to 
reduce the chance of patient care differences from becoming a 
domestic issue. Actually, this has been the norm at every place I've 
worked, and in most cases, a written policy. Where there's a written 
policy, it's also standard to attempt to keep couples from being a 
supervisor to the other. Again, this reduces domestic problems. This, 
however, has rarely happened. No place where I've worked has had 
husband & wife in same company. Where we've had couples, we've rarely 
had problems when we have HAD to put them together, but this is NOT 
standard practice. Regardless, we absolutely require that they get 
along while in public or in front of clients (hospitals, patients, 
SNF's, families, etc.) and take any issues behind closed doors, out 
of sight, and leave it there once resolved. Seems to work, but this 
is my own experience with several small companies.

Jeremy Hawk, EMT-P
Stuck on the ground...


Greetings from what is beginning to become the cold north.
We are continuing (and will be for some time)to work on our scene flights and trauma systems. There is good information from the flight programs regarding their launch criteria for scene flights. The question that was brought up this morning regarded activation of the trauma team at the trauma center. When you are inbound with a patient is the trauma team activated based on physical findings, history or a combination of both. If it is physical findings it would be beneficial to know what your parameters are, such as BP, GCS etc. As usual any information is greatly appreciated.
Fly safe
Randy L'Heureux
Ambulance Paramedics of British Columbia


Just because someone has more certifications (initials behind their name) doesn't automatically make them the best candidate or qualify them over someone with fewer.  As for "experience", depends on what type a person has, again more doesn't always mean better.  Sometimes an employer would rather have someone with less experience so they can train them to fit into their system and it's much easier to do this with someone with little experience then a seasoned veteran.  The other factors could be things like letters of reference, what ones application and or resume looked like when an employer reads them, how one presents themselves at the interview, dress, attitude, etc .... there could be any other number of things as well ...
 
 
----- Original Message -----
Sent: Saturday, November 02, 2002 1:59 AM
Subject: (no subject)

why is it that some people get hired into flight services that have less experience and certs than others?  Just wondering.  And for those that are wondering...yes i was one that didnt get hired; probably opening up a can or worms I dont want to, just want opinions.


The trauma center here activates the trauma team on any pt. that is brought in by air.  I have rarely seen them not activated. 


If I could chime in my $.02 - at my program, we have a panel interview with 
the candidates (usually the on-duty crew members & mgt), and then the 2nd 
round is when the possibles are invited back for an interview with our 
Medical Director.  At least for us, we tend to pick candidates that express 
viewpoints similar to the program mission, even though one may not have the 
most experience, he/she presents themselves better!  No, it's not just the 
certifications!

Barb

"Remote for detachment, narrow for chosen company, winding for leisure, 
lonely for contemplation, the Trail leads not merely north and south, but 
upward to the body, mind, and soul of man."
                  - Harold Allen, The Appalachian Trail Conference



From: "Robert Humphreys" <rdh33139@bellsouth.net>
Reply-To: flightmed@flightweb.com
To: <flightmed@flightweb.com>
Subject: Re: (no subject)
Date: Sat, 2 Nov 2002 06:01:31 -0500

Just because someone has more certifications (initials behind their name) 
doesn't automatically make them the best candidate or qualify them over 
someone with fewer.  As for "experience", depends on what type a person has, 
again more doesn't always mean better.  Sometimes an employer would rather 
have someone with less experience so they can train them to fit into their 
system and it's much easier to do this with someone with little experience 
then a seasoned veteran.  The other factors could be things like letters of 
reference, what ones application and or resume looked like when an employer 
reads them, how one presents themselves at the interview, dress, attitude, 
etc .... there could be any other number of things as well ...


   ----- Original Message -----
   From: Ted6016@aol.com
   To: flightmed@flightweb.com
   Sent: Saturday, November 02, 2002 1:59 AM
   Subject: (no subject)


   why is it that some people get hired into flight services that have less 
experience and certs than others?  Just wondering.  And for those that are 
wondering...yes i was one that didnt get hired; probably opening up a can or 
worms I dont want to, just want opinions.




_________________________________________________________________
Get a speedy connection with MSN Broadband. Join now! 
http://resourcecenter.msn.com/access/plans/freeactivation.asp





Slightly off topic, but it made me re-think my stand on religion:

Once picked up a rather ill elderly female.  Sepsis from long-term 
indwelling foley.  Anyway, enroute, she held her hand out towards nothing.  
I asked her what she was reaching for...

"His hand."
"Who's hand, ma'am?"
"Jesus."

I got a little tense, partner drove a little faster, and we arrived at the 
ER.

She died about three hours later.

To the original post:  Yes, and I don't care who knows it, either.

------------
JRB

Jeff Brosius,
Paramedic, etc.
Atlanta, GA
www.prehospital-perspective.com
brosius@prehospital-perspective.com
"Give me ambiguity or give me something else."





>From: "Deb Milliner" <rotorhead@email.uophx.edu>
>Reply-To: flightmed@flightweb.com
>To: <flightmed@flightweb.com>
>Subject: Re: Scenario
>Date: Fri, 1 Nov 2002 21:29:46 -0700
>
>I have also said a prayer or two and have always known that a hand greater 
>than mine made the real difference.
>Deb Milliner
>University of Phoenix
>rotorhead@uophx.edu
>debmilliner@hotmail.com


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For what it is worth (probably not much...)

Grady Memorial Hosptial (Level 1 in Atlanta, GA) will activate on 
physiological or anatomical criteria (ACS COT criteria... e-mail me 
privately if you don't know them.)

Rarely will they activate for mechanism alone if there are no associated 
physiol. or anatomic findings associated.  Once in a while they will (i.e. 
pt. is known to have HTN, take B-Blocker, Ca++ Channel blocker, and VS are 
on the lower end of normal.)  This, as mentioned, is rare.

Then too, we've got 24h in-house surgical staff who can be in the ER in five 
minutes or less.  At other hospitals, YMMV.

------------
JRB

Jeff Brosius,
Paramedic, etc.
Atlanta, GA
www.prehospital-perspective.com
brosius@prehospital-perspective.com
"Give me ambiguity or give me something else."





>From: Randy L'Heureux <medicwest@shaw.ca>
>Reply-To: flightmed@flightweb.com
>To: flightmed@flightweb.com
>Subject: Trauma team activation
>Date: Fri, 01 Nov 2002 20:16:25 -0800
>
>Greetings from what is beginning to become the cold north.
>We are continuing (and will be for some time)to work on our scene flights 
>and trauma systems. There is good information from the flight programs 
>regarding their launch criteria for scene flights. The question that was 
>brought up this morning regarded activation of the trauma team at the 
>trauma center. When you are inbound with a patient is the trauma team 
>activated based on physical findings, history or a combination of both. If 
>it is physical findings it would be beneficial to know what your parameters 
>are, such as BP, GCS etc. As usual any information is greatly appreciated.
>Fly safe
>Randy L'Heureux
>Ambulance Paramedics of British Columbia


_________________________________________________________________
Get a speedy connection with MSN Broadband. Join now! 
http://resourcecenter.msn.com/access/plans/freeactivation.asp


To reply to Ted6016's remark of why programs may elect to hire certain candidates with fewer experience over himself, or less certification requirements there are perhaps many reasons, and being turned away the first or second time should not be entirely discouraging.  In my own search and discussion with a few programs, I have found there are simply logistical considerations not readily apparent to applicants.  If you are applying out of state, you may not get selected for issues arising out of relocation matters.  A long distance interview can be financially burdening for the applicant to travel to, or for the program to offer the cost of.  I am aware of some programs utilizing subjective psychological profiling during interviews and perhaps pervious flight experience is not as desirable for some programs as they may desire inexperience to better train a new employee without inheriting "bad habits".  I would encourage anyone applying for flight positions to be patient, as it may take some time and repeat applications to land the job you hope to acquire.


Here at VCUHS, there is a two tier activation. Essentially, any problem with the primary survey (ABC or D) they get the highest alert, and any issues such as mechanism, co-morbid factors, or high potential injury patterns (i.e. 2 long bone fx's, etc.) get a reduced response. About the only difference between the two is that you get a Trauma Attending with the higher alert vs. a Chief or Sr. Resident, the rest of the team stays consistent. The triage nurse can make the call based on report, or when unsure will confer with ED Physician.

David Trueman, RN
VCU LifeEvac


Ted,
 
I am a RN, Paramedic.  Was a paramedic first with Nashville Fire Department for six years, went to nursing school.  My nursing experience included manager of an ER/ICU.  Staff nurse in ER, staff nurse in ICU, three years cath lab, and house supervisor.  I am active in EMS education and hold instructor certs in PALS, ACLS, etc. 
 
I tell you this offer you some insight.  I was recently hired as a flight nurse at Erlanger Life Force.  I began applying in 1995, and counting the first four positions in 1995 when they opened a satellite base where I now work, have applied for 9 positions (every opening they have had since this base was opened).  My only advice is this - be persistent.  Prepare yourself, keep a good, positive attitude, and never give up on your goal.  I believe it has also helped me to pray a lot. 
 
Consequently, I feel in some ways, my career as a flight nurse will be much more successful after waiting these seven years.  I have had the opportunity to mature and gain experiences I would never have gained if I had been hired in 1995. 
 
Stay positive, and don't compromise.  I know how you feel.  Will be glad to discuss further if I can help.
 
Terry Foutch, RN, EMTP
Erlanger Medical Center
Life Force Air Medical Services
Chattanooga, TN
-----Original Message-----
From: flightmed-admin@flightweb.com [mailto:flightmed-admin@flightweb.com]On Behalf Of Ted6016@aol.com
Sent: Saturday, November 02, 2002 1:00 AM
To: flightmed@flightweb.com
Subject: (no subject)

why is it that some people get hired into flight services that have less experience and certs than others?  Just wondering.  And for those that are wondering...yes i was one that didnt get hired; probably opening up a can or worms I dont want to, just want opinions. 


Great response Ted; the power of positive thinking.....................




Here's a good tip: Try calling the service that didn't hire you and ask
why.  Don't ask, "Why did you hire someone else" but say, "Is there a
specific reason I didn't get hired?"  Let them know you are interested in
improving yourself in order to become a better qualified candidate.  Ask
them specifically what you would need to do to get hired next time.  Talk
to one of the managers themselves instead of one of the flight crew
members - even if it was a flight crew member that interviewed you.  There
is no guarantee that they will hire you next time either, but I would bet
that you will get some advice on ways to improve your desirability as a
potential new hire.  And like the last poster stated, try not to get
discouraged - It's an extremely competitive job position (some people say
for every one flight medic position there are 100 candidates).  It often
takes more than one or two interviews to get hired...
Good luck,

Mike

Mike Shuken
Paramedic
AMR
Oakland, Calif.









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