Thursday thought of the day

[Guest guest]

Practice:

1 a :CARRY OUT ,APPLY <practice what you preach> b:to do or perform

often, customarily, or habitually < practice politeness> c:to be

professionally engaged in < practice medicine>

2 a :to perform or work at repeatedly so as to become proficient <

practice the act> b:to train by repeated exercises < practice pupils

in penmanship>

Mistake:

1:to blunder in the choice of < mistook her way in the dark>

2 a :to misunderstand the meaning or intention of :MISINTERPRET <don't

mistake me, I mean exactly what I said> b:to make a wrong judgment of

the character or ability of

3:to identify wrongly :confuse with another <I mistook him for his

brother>

If it is a common PRACTICE for that ambulance service NOT to have a BVM

on their unit, that is their trained repeated exercise but somehow I

think it is not. I would consider this carelessness.

Carelessness:

1 a :free from care :UNTROUBLED <careless days> b:INDIFFERENT

,UNCONCERNED <careless of the consequences>

2:not taking care

3:not showing or receiving care: a:NEGLIGENT ,SLOVENLY <careless

writing> b:UNSTUDIED ,SPONTANEOUS <careless grace> cobsolete :UNVALUED

,DISREGARDED

-care·less·ly adverb

-care·less·ness noun

On Friday, Jul 16, 2004, at 08:46 US/Central, Supervisor composed:

> Do you think that would hold up in a lawsuit?  I understand the

> concept of

> " practicing " medicine.  And, I agree that many mistakes are valuable

> learning tools.  But when those mistakes become detrimental to the

> patient,

> they become a problem.  I am aware of services that don't allow

> paramedic

> students to intubate or defibrillate during field rotations.  Yes, the

> students need the " practice " ; but when a patient's life is at stake,

> you

> can't take time for " practice " .  These students do perform the tasks

> in the

> clinical setting where there is more control and supervision.  Here

> are two

> real examples of mistakes that taught the medics a valuable lesson but

> resulted in consequences.

>

>

>

> 1.      Patient coded during a routine, nonemergency transfer.  Medics

> claimed they could not find a BVM (AMBU bag for you Yankees). 

> Resuscitation

> was delayed.  Patient expired.  This company's trucks are normally

> stocked

> with 2 adult BVMs.  Company settled suit out of court.

>

> Lesson Learned: Properly inventory your truck on a daily (or more

> often)

> basis. 

>

>

>

> 2.      Stretcher fell over on rough terrain while crew taking patient

> to

> truck.  Patient suffered some rib injuries.  Eventually died of other

> causes.  Company settled suit out of court.

>

> Lesson Learned:  Watch your terrain.  Hang on to your cot with both

> hands.

>

>

>

>

>

>

>

[Guest guest]

Practice:

1 a :CARRY OUT ,APPLY <practice what you preach> b:to do or perform

often, customarily, or habitually < practice politeness> c:to be

professionally engaged in < practice medicine>

2 a :to perform or work at repeatedly so as to become proficient <

practice the act> b:to train by repeated exercises < practice pupils

in penmanship>

Mistake:

1:to blunder in the choice of < mistook her way in the dark>

2 a :to misunderstand the meaning or intention of :MISINTERPRET <don't

mistake me, I mean exactly what I said> b:to make a wrong judgment of

the character or ability of

3:to identify wrongly :confuse with another <I mistook him for his

brother>

If it is a common PRACTICE for that ambulance service NOT to have a BVM

on their unit, that is their trained repeated exercise but somehow I

think it is not. I would consider this carelessness.

Carelessness:

1 a :free from care :UNTROUBLED <careless days> b:INDIFFERENT

,UNCONCERNED <careless of the consequences>

2:not taking care

3:not showing or receiving care: a:NEGLIGENT ,SLOVENLY <careless

writing> b:UNSTUDIED ,SPONTANEOUS <careless grace> cobsolete :UNVALUED

,DISREGARDED

-care·less·ly adverb

-care·less·ness noun

On Friday, Jul 16, 2004, at 08:46 US/Central, Supervisor composed:

> Do you think that would hold up in a lawsuit?  I understand the

> concept of

> " practicing " medicine.  And, I agree that many mistakes are valuable

> learning tools.  But when those mistakes become detrimental to the

> patient,

> they become a problem.  I am aware of services that don't allow

> paramedic

> students to intubate or defibrillate during field rotations.  Yes, the

> students need the " practice " ; but when a patient's life is at stake,

> you

> can't take time for " practice " .  These students do perform the tasks

> in the

> clinical setting where there is more control and supervision.  Here

> are two

> real examples of mistakes that taught the medics a valuable lesson but

> resulted in consequences.

>

>

>

> 1.      Patient coded during a routine, nonemergency transfer.  Medics

> claimed they could not find a BVM (AMBU bag for you Yankees). 

> Resuscitation

> was delayed.  Patient expired.  This company's trucks are normally

> stocked

> with 2 adult BVMs.  Company settled suit out of court.

>

> Lesson Learned: Properly inventory your truck on a daily (or more

> often)

> basis. 

>

>

>

> 2.      Stretcher fell over on rough terrain while crew taking patient

> to

> truck.  Patient suffered some rib injuries.  Eventually died of other

> causes.  Company settled suit out of court.

>

> Lesson Learned:  Watch your terrain.  Hang on to your cot with both

> hands.

>

>

>

>

>

>

>

[Guest guest]

Practice:

1 a :CARRY OUT ,APPLY <practice what you preach> b:to do or perform

often, customarily, or habitually < practice politeness> c:to be

professionally engaged in < practice medicine>

2 a :to perform or work at repeatedly so as to become proficient <

practice the act> b:to train by repeated exercises < practice pupils

in penmanship>

Mistake:

1:to blunder in the choice of < mistook her way in the dark>

2 a :to misunderstand the meaning or intention of :MISINTERPRET <don't

mistake me, I mean exactly what I said> b:to make a wrong judgment of

the character or ability of

3:to identify wrongly :confuse with another <I mistook him for his

brother>

If it is a common PRACTICE for that ambulance service NOT to have a BVM

on their unit, that is their trained repeated exercise but somehow I

think it is not. I would consider this carelessness.

Carelessness:

1 a :free from care :UNTROUBLED <careless days> b:INDIFFERENT

,UNCONCERNED <careless of the consequences>

2:not taking care

3:not showing or receiving care: a:NEGLIGENT ,SLOVENLY <careless

writing> b:UNSTUDIED ,SPONTANEOUS <careless grace> cobsolete :UNVALUED

,DISREGARDED

-care·less·ly adverb

-care·less·ness noun

On Friday, Jul 16, 2004, at 08:46 US/Central, Supervisor composed:

> Do you think that would hold up in a lawsuit?  I understand the

> concept of

> " practicing " medicine.  And, I agree that many mistakes are valuable

> learning tools.  But when those mistakes become detrimental to the

> patient,

> they become a problem.  I am aware of services that don't allow

> paramedic

> students to intubate or defibrillate during field rotations.  Yes, the

> students need the " practice " ; but when a patient's life is at stake,

> you

> can't take time for " practice " .  These students do perform the tasks

> in the

> clinical setting where there is more control and supervision.  Here

> are two

> real examples of mistakes that taught the medics a valuable lesson but

> resulted in consequences.

>

>

>

> 1.      Patient coded during a routine, nonemergency transfer.  Medics

> claimed they could not find a BVM (AMBU bag for you Yankees). 

> Resuscitation

> was delayed.  Patient expired.  This company's trucks are normally

> stocked

> with 2 adult BVMs.  Company settled suit out of court.

>

> Lesson Learned: Properly inventory your truck on a daily (or more

> often)

> basis. 

>

>

>

> 2.      Stretcher fell over on rough terrain while crew taking patient

> to

> truck.  Patient suffered some rib injuries.  Eventually died of other

> causes.  Company settled suit out of court.

>

> Lesson Learned:  Watch your terrain.  Hang on to your cot with both

> hands.

>

>

>

>

>

>

>

[Guest guest]

Manifest plainness,

Embrace simplicity,

Reduce selfishness,

Have few desires.

-- Lao-tzu