Re: Speaking of nurses...& being critical

[Guest guest]

The more years I spend in the business the more I realize how

inappropriate and potentially destructive criticism can be (and is). And

how commonplace it is. The EMS medical practice (and it IS a distinct

medical practice) has been loaded with it. But all of medicine seems to

be. Is it because of the stress of the job? And long hours? Being short

of sleep? Is it a natural part of the job? I really hope not. It exists

company to company, fire department to fire department (althought at the

same time I've never seen more of a brotherhood anywhere than in the

fire industry), shift to shift, truck to truck, field provider to

controller/dispatcher, air staff to ground staff, ground staff to air

staff, student to student, student to preceptor, speciality to

speciality, etc., etc. And, of course, we definitely bash the heck out

of the nursing " homes " . And we're always right I'm sure!!

Leisha Tinsley, LVN, NREMT-B wrote:

" Isn't it in the best intrest of all concerned that ALL of the medical

field work together to better the understanding and to teach each other

all that we can to help our patients? I feel that if we would quit

knocking each of the fields and help them understand the importance of

each of our jobs, it would better help all concerned. It's just a

thought. "

Boy is she ever right. I hope I can convey to my paramedic students not

to be so hypercritical. And to better handle ED staff that (during their

own stressful days) seem short-tempered with them. Not to always just

sit back and take it either (when it's wrong) but handle it the right

way. We've all been guilty. I'm not proud of my own share of bashing

others when I saw something I thought was wrong. I can look back and see

where I was wrong instead. Serious inequities in care need to be fixed

by the right way but none of us (that I know of) are the designated

police officers for the correction of other health care providers.

Everyone first has the obligation of assuring their own health care

management is up to speed. And then secondly of working with others to

improve healthcare in general.

This is a good time of year for remembering words like forgiveness and

peace. And when forgive - we have more peace. Thanks for the thought

Leisha.

Sincerely,

Don Elbert, Tyler

Don't miss EMStock 2005 (http://www.EMStock.com

<http://www.emstock.com/)

[Guest guest]

The more years I spend in the business the more I realize how

inappropriate and potentially destructive criticism can be (and is). And

how commonplace it is. The EMS medical practice (and it IS a distinct

medical practice) has been loaded with it. But all of medicine seems to

be. Is it because of the stress of the job? And long hours? Being short

of sleep? Is it a natural part of the job? I really hope not. It exists

company to company, fire department to fire department (althought at the

same time I've never seen more of a brotherhood anywhere than in the

fire industry), shift to shift, truck to truck, field provider to

controller/dispatcher, air staff to ground staff, ground staff to air

staff, student to student, student to preceptor, speciality to

speciality, etc., etc. And, of course, we definitely bash the heck out

of the nursing " homes " . And we're always right I'm sure!!

Leisha Tinsley, LVN, NREMT-B wrote:

" Isn't it in the best intrest of all concerned that ALL of the medical

field work together to better the understanding and to teach each other

all that we can to help our patients? I feel that if we would quit

knocking each of the fields and help them understand the importance of

each of our jobs, it would better help all concerned. It's just a

thought. "

Boy is she ever right. I hope I can convey to my paramedic students not

to be so hypercritical. And to better handle ED staff that (during their

own stressful days) seem short-tempered with them. Not to always just

sit back and take it either (when it's wrong) but handle it the right

way. We've all been guilty. I'm not proud of my own share of bashing

others when I saw something I thought was wrong. I can look back and see

where I was wrong instead. Serious inequities in care need to be fixed

by the right way but none of us (that I know of) are the designated

police officers for the correction of other health care providers.

Everyone first has the obligation of assuring their own health care

management is up to speed. And then secondly of working with others to

improve healthcare in general.

This is a good time of year for remembering words like forgiveness and

peace. And when forgive - we have more peace. Thanks for the thought

Leisha.

Sincerely,

Don Elbert, Tyler

Don't miss EMStock 2005 (http://www.EMStock.com

<http://www.emstock.com/)

[Guest guest]

The more years I spend in the business the more I realize how

inappropriate and potentially destructive criticism can be (and is). And

how commonplace it is. The EMS medical practice (and it IS a distinct

medical practice) has been loaded with it. But all of medicine seems to

be. Is it because of the stress of the job? And long hours? Being short

of sleep? Is it a natural part of the job? I really hope not. It exists

company to company, fire department to fire department (althought at the

same time I've never seen more of a brotherhood anywhere than in the

fire industry), shift to shift, truck to truck, field provider to

controller/dispatcher, air staff to ground staff, ground staff to air

staff, student to student, student to preceptor, speciality to

speciality, etc., etc. And, of course, we definitely bash the heck out

of the nursing " homes " . And we're always right I'm sure!!

Leisha Tinsley, LVN, NREMT-B wrote:

" Isn't it in the best intrest of all concerned that ALL of the medical

field work together to better the understanding and to teach each other

all that we can to help our patients? I feel that if we would quit

knocking each of the fields and help them understand the importance of

each of our jobs, it would better help all concerned. It's just a

thought. "

Boy is she ever right. I hope I can convey to my paramedic students not

to be so hypercritical. And to better handle ED staff that (during their

own stressful days) seem short-tempered with them. Not to always just

sit back and take it either (when it's wrong) but handle it the right

way. We've all been guilty. I'm not proud of my own share of bashing

others when I saw something I thought was wrong. I can look back and see

where I was wrong instead. Serious inequities in care need to be fixed

by the right way but none of us (that I know of) are the designated

police officers for the correction of other health care providers.

Everyone first has the obligation of assuring their own health care

management is up to speed. And then secondly of working with others to

improve healthcare in general.

This is a good time of year for remembering words like forgiveness and

peace. And when forgive - we have more peace. Thanks for the thought

Leisha.

Sincerely,

Don Elbert, Tyler

Don't miss EMStock 2005 (http://www.EMStock.com

<http://www.emstock.com/)

[Guest guest]

In Utopia, the nurses, doctors, and EMS providers love each other, all of

them have great relationships, and all of them conspire to improve health care

continuously.

Unfortunately, we don't live in Utopia.

All of us exist in a whirlpool of stresses that threatens us with drowning

almost all the time. We struggle to do what's right for our patients, but we

do it unilaterally because the systems we work in are not designed for us to

work as team members with the other levels of care givers. Instead of working

together, we too often work against each other.

Each level of care and each care site has its prerogatives, and they are

almost always exclusive of those of the other care levels and sites.

When EMS enters the nursing home, conflicts immediately arise. EMS looks at

the patient only as they find him/her, but nursing home staff have a

different perspective. They have this patient in addition to perhaps 10 or

more

other patients, all of whom have competing needs. NH staff are overloaded and

prone to missing changes in patient condition because of the sheer impossibility

of one person taking care of the number of patients assigned to them. It's

not the individual nurse's fault often, but it is the fault of the terrible

system that we have. Yet, we in EMS tend to lash out against those we see as

having failed the patients we are called to deal with.

In a perfect world, EMS would work with NH people to develop improved plans

for patient care, and both NH staff and EMS would profit from the cooperative

effort. We don't live in a perfect world. There is practically no

interaction between EMS and NH staff outside our arrivals as a result of a 911

call or

when we're called to transfer a NH patient. Unfortunately, the majority of

EMS/NH contacts have significantly negative aspects.

In Utopia, when we transport a patient to a hospital, the ED personnel would

welcome us as members of their team, treat us with respect, and engage us in

the care of the patient as a part of a continuum of which we are a recognized

and vital part. Doesn't happen very often.

How many of the EMS people on this list can say that their contacts with ER

personnel are 90% positive?

Why do we not develop interactive programs between EMS/NH/ER/Dialysis and

other caregivers in order to improve relations and thereby improve patient care

at all levels? Because nobody wants to pay for it. There's no funding for

anything but direct patient care even if that exists. Too often it does not.

The People of the United States of America have never been required to

decide that EMS is a necessary and mandated service. So payment for EMS is

optional. The politicians who direct the funding for services like EMS do so

reluctantly, and they always fall prey to the promises of those who offer

something

for nothing.

So we struggle on, bashing each other, rationalizing our own needs and

responses, and never improving our relations with those we interact with.

I currently work in a system where the ER staff at a certain hospital are as

hostile to EMS as the Palestinians are to the Israelis. The ER director at

this hospital has made the statement recently that EMS is not needed. All he

needs is for the " Ambulance Drivers " to bring him the patients. They don't

need to do anything to them before they bring them to him.

How can we in EMS deal with attitudes like that? We cannot. We have no

effective lines of communication nor effective methods of dealing with those who

refuse to acknowledge the value that we have.

EMS services exist outside the greater medical community of hospitals,

individual physicians, and even nursing homes. We lack lines of communications

with them.

Picture the EMS Director of a rural volunteer EMS service trying to get an

appointment with the CEO of a large hospital to discuss conflicts between

Paramedics and ED staff. Won't happen. EMS is a shadow entity to those

people.

Even the medical directors of small rural EMS services often cannot gain

access to and get meaningful communication with hospital personnel in many

instances.

So even though we acknowledge that we ought to be more outgoing and

accommodating to other healthcare workers, we cannot do it unilaterally. Where

is the

impetus for NH and hospital people to acknowledge our issues and engage in

meaningful discussion with us? It doesn't exist.

Query: How can we change this situation? How can we help to improve the

care in nursing homes to prevent the development of many of the emergency

situations we're called to deal with?

How can we deal with hospital staff who view us as " ambulance drivers? "

Generally, we cannot. We lack the clout and status to gain the respect of

the folks who could change this, meaning the big administrators of these

systems. They can ignore us because we cannot threaten them in any way.

So yes, we ought to be nice to all the nurses and physicians we come into

contact with. But they ought to be nice to us also. And too often they are

not. Some people are hard to like.

Let us all resolve to be more understanding, more accommodating, more

forthcoming to all the other people in medicine that we encounter in our work.

But

let us also stand up and demand from them the sort of respect that we deserve.

I think we give a whole lot more respect than we get. How do we get

respect? Through an organization with NUMBERS. We don't have it.

EMSAT has fewer than 1% of the certified/licensed EMS personnel in Texas as

members. Are you a member?

Best,

GG

>

> The more years I spend in the business the more I realize how

> inappropriate and potentially destructive criticism can be (and is). And

> how commonplace it is. The EMS medical practice (and it IS a distinct

> medical practice) has been loaded with it. But all of medicine seems to

> be. Is it because of the stress of the job? And long hours? Being short

> of sleep? Is it a natural part of the job? I really hope not. It exists

> company to company, fire department to fire department (although at the

> same time I've never seen more of a brotherhood anywhere than in the

> fire industry), shift to shift, truck to truck, field provider to

> controller/dispatcher, air staff to ground staff, ground staff to air

> staff, student to student, student to preceptor, specialty to

> specialty, etc., etc. And, of course, we definitely bash the heck out

> of the nursing " homes " . And we're always right I'm sure!!

>

>

> Leisha Tinsley, LVN, NREMT-B wrote:

>

> " Isn't it in the  best intrest of all concerned that ALL of the medical

> field work together to  better the understanding and to teach each other

> all that we can to help our patients? I feel that if we would quit

> knocking each of the fields and help them understand the importance of

> each of our jobs, it would better help all concerned. It's just a

> thought. "

>

>

> Boy is she ever right. I hope I can convey to my paramedic students not

> to be so hypercritical. And to better handle ED staff that (during their

> own stressful days) seem short-tempered with them. Not to always just

> sit back and take it either (when it's wrong) but handle it the right

> way. We've all been guilty. I'm not proud of my own share of bashing

> others when I saw something I thought was wrong. I can look back and see

> where I was wrong instead. Serious inequities in care need to be fixed

> by the right way but none of us (that I know of) are the designated

> police officers for the correction of other health care providers.

> Everyone first has the obligation of assuring their own health care

> management is up to speed. And then secondly of working with others to

> improve healthcare in general.

>

> This is a good time of year for remembering words like forgiveness and

> peace. And when forgive - we have more peace. Thanks for the thought

> Leisha.

>

> Sincerely,

>

> Don Elbert, Tyler

>

>

> Don't miss EMStock 2005 (http://www.EMStock.com

> <http://www.emstock.com/)

>

>

>

>

>

>

>

>

[Guest guest]

How can we as a people allow NH nurses to have this nurse/patient ratio?

Are we completely impotent to stop this?

GG

E.(Gene) Gandy

POB 1651

Albany, TX 76430

wegandy1938@...

[Guest guest]

How can we as a people allow NH nurses to have this nurse/patient ratio?

Are we completely impotent to stop this?

GG

E.(Gene) Gandy

POB 1651

Albany, TX 76430

wegandy1938@...

[Guest guest]

How can we as a people allow NH nurses to have this nurse/patient ratio?

Are we completely impotent to stop this?

GG

E.(Gene) Gandy

POB 1651

Albany, TX 76430

wegandy1938@...

[Guest guest]

hi,

Needed to make this correction. In nursing homes, day nurses have

some 26 patients each to take care of. Night nurses can have up to a

100.

Shahla

> >

> > " Isn't it in the  best intrest of all concerned that ALL of the

medical

> > field work together to  better the understanding and to teach

each other

> > all that we can to help our patients? I feel that if we would quit

> > knocking each of the fields and help them understand the

importance of

> > each of our jobs, it would better help all concerned. It's just a

> > thought. "

> >

> >

> > Boy is she ever right. I hope I can convey to my paramedic

students not

> > to be so hypercritical. And to better handle ED staff that

(during their

> > own stressful days) seem short-tempered with them. Not to always

just

> > sit back and take it either (when it's wrong) but handle it the

right

> > way. We've all been guilty. I'm not proud of my own share of

bashing

> > others when I saw something I thought was wrong. I can look back

and see

> > where I was wrong instead. Serious inequities in care need to be

fixed

> > by the right way but none of us (that I know of) are the

designated

> > police officers for the correction of other health care providers.

> > Everyone first has the obligation of assuring their own health

care

> > management is up to speed. And then secondly of working with

others to

> > improve healthcare in general.

> >

> > This is a good time of year for remembering words like

forgiveness and

> > peace. And when forgive - we have more peace. Thanks for the

thought

> > Leisha.

> >

> > Sincerely,

> >

> > Don Elbert, Tyler

> >

> >

> > Don't miss EMStock 2005 (http://www.EMStock.com

> > <http://www.emstock.com/)

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

hi,

Needed to make this correction. In nursing homes, day nurses have

some 26 patients each to take care of. Night nurses can have up to a

100.

Shahla

> >

> > " Isn't it in the  best intrest of all concerned that ALL of the

medical

> > field work together to  better the understanding and to teach

each other

> > all that we can to help our patients? I feel that if we would quit

> > knocking each of the fields and help them understand the

importance of

> > each of our jobs, it would better help all concerned. It's just a

> > thought. "

> >

> >

> > Boy is she ever right. I hope I can convey to my paramedic

students not

> > to be so hypercritical. And to better handle ED staff that

(during their

> > own stressful days) seem short-tempered with them. Not to always

just

> > sit back and take it either (when it's wrong) but handle it the

right

> > way. We've all been guilty. I'm not proud of my own share of

bashing

> > others when I saw something I thought was wrong. I can look back

and see

> > where I was wrong instead. Serious inequities in care need to be

fixed

> > by the right way but none of us (that I know of) are the

designated

> > police officers for the correction of other health care providers.

> > Everyone first has the obligation of assuring their own health

care

> > management is up to speed. And then secondly of working with

others to

> > improve healthcare in general.

> >

> > This is a good time of year for remembering words like

forgiveness and

> > peace. And when forgive - we have more peace. Thanks for the

thought

> > Leisha.

> >

> > Sincerely,

> >

> > Don Elbert, Tyler

> >

> >

> > Don't miss EMStock 2005 (http://www.EMStock.com

> > <http://www.emstock.com/)

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Well, yeah. How many good paramedics have been canned from jobs over doing

what was ETHICAL and morally right in being advocates for their patients,

and reporting the problems that arise from inadequate care at a nursing

home? A ton. One of the quickest ways to run afoul of EMS management is to

have a DON from a nursing home call to complain that a medic acted

" unprofessionally " and initiated a complaint against the NH, or told

patients family members the conditions in which their loved one was found,

or the circumstances surrounding an injury. When my patient is covered in

feces and has been septic for 2 days while the chart records normal VS and

temp. somebody really ought to look into that. Is it my place to say

something? If not me...then who?

I have been in a few really outstanding nursing homes, where the staff cared

and did a good job, but most of them are the dregs.

magnetass sends

Re: Re: Speaking of nurses... & being critical

>

> How can we as a people allow NH nurses to have this nurse/patient ratio?

> Are we completely impotent to stop this?

>

> GG

>

>

>

> E.(Gene) Gandy

> POB 1651

> Albany, TX 76430

> wegandy1938@...

>

>

>

>

[Guest guest]

LOL I do live in Utopia and the Dr. nurses and EMS have a wonderful

relationship! That is because they are also on our EMS. But Gene I do agree

with you the relationships need improvement else where.

-- Re: Speaking of nurses... & being critical

In a message dated 12/19/2004 12:19:32 A.M. Central Standard Time,

wegandy1938@... writes:

Unfortunately, we don't live in Utopia.

I thought it was in south central eastern west Texas?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

LNMolino@...

(Home Office)

(Cell Phone)

(TEEX Office)

" A Texan with a Jersey Attitude "

The comments contained in this E-mail are the opinions of the author and

the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

[Guest guest]

LOL I do live in Utopia and the Dr. nurses and EMS have a wonderful

relationship! That is because they are also on our EMS. But Gene I do agree

with you the relationships need improvement else where.

-- Re: Speaking of nurses... & being critical

In a message dated 12/19/2004 12:19:32 A.M. Central Standard Time,

wegandy1938@... writes:

Unfortunately, we don't live in Utopia.

I thought it was in south central eastern west Texas?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

LNMolino@...

(Home Office)

(Cell Phone)

(TEEX Office)

" A Texan with a Jersey Attitude "

The comments contained in this E-mail are the opinions of the author and

the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

[Guest guest]

LOL I do live in Utopia and the Dr. nurses and EMS have a wonderful

relationship! That is because they are also on our EMS. But Gene I do agree

with you the relationships need improvement else where.

-- Re: Speaking of nurses... & being critical

In a message dated 12/19/2004 12:19:32 A.M. Central Standard Time,

wegandy1938@... writes:

Unfortunately, we don't live in Utopia.

I thought it was in south central eastern west Texas?

Louis N. Molino, Sr., CET

FF/NREMT-B/FSI/EMSI

LNMolino@...

(Home Office)

(Cell Phone)

(TEEX Office)

" A Texan with a Jersey Attitude "

The comments contained in this E-mail are the opinions of the author and

the

author alone. I in no way ever intend to speak for any person or

organization that I am in any way whatsoever involved or associated with

unless I

specifically state that I am doing so. Further this E-mail is intended only

for its

stated recipient and may contain private and or confidential materials

retransmission is strictly prohibited unless placed in the public domain by

the

original author.

[Guest guest]

No one I know will say that nursing homes have ideal conditions, because

everyone knows they don't. But no matter how many patients they have, there is

no excuse for some of the failures they have, and in my humble opinion, most of

the people who work in nursing homes just don't care. I am NOT saying that

everyone who works in a NH feels that way, but many do.

Before I get blasted for this, let me just say that the failures I am refering

to are the situations where the staff IGNORE a problem, or just don't take the

time to notice. I do understand that it is hard to notice every minute detail

about everyone when you have between 20 and 100 pts to deal with....BUT.....when

I am called to pick up a pt with a suspected femur fracture (a patient that

hasn't gotten out of bed in weeks, not even to sit in a chair) and the hospital

says the fracture is over a week old and in that week someone has been changing

the diaper of that pt, why has no one noticed in a week that one leg is shorter,

deformed, and has an outward rotation? Why are we picking up pts who haven't

had a diaper change in several days and has roaches in their bed and maggots in

their decubitis ulcer on their back? I am not saying that all NHs suck, but

many of them do. There are a select few that really do try to take good care of

the patients despite the conditions they have to work with. However, having

personally witnessed each of these things, I must say that there are many that

do not.

JMHO

Re: Speaking of nurses... & being critical

hi,

Needed to make this correction. In nursing homes, day nurses have

some 26 patients each to take care of. Night nurses can have up to a

100.

Shahla

> >

> > " Isn't it in the best intrest of all concerned that ALL of the

medical

> > field work together to better the understanding and to teach

each other

> > all that we can to help our patients? I feel that if we would quit

> > knocking each of the fields and help them understand the

importance of

> > each of our jobs, it would better help all concerned. It's just a

> > thought. "

> >

> >

> > Boy is she ever right. I hope I can convey to my paramedic

students not

> > to be so hypercritical. And to better handle ED staff that

(during their

> > own stressful days) seem short-tempered with them. Not to always

just

> > sit back and take it either (when it's wrong) but handle it the

right

> > way. We've all been guilty. I'm not proud of my own share of

bashing

> > others when I saw something I thought was wrong. I can look back

and see

> > where I was wrong instead. Serious inequities in care need to be

fixed

> > by the right way but none of us (that I know of) are the

designated

> > police officers for the correction of other health care providers.

> > Everyone first has the obligation of assuring their own health

care

> > management is up to speed. And then secondly of working with

others to

> > improve healthcare in general.

> >

> > This is a good time of year for remembering words like

forgiveness and

> > peace. And when forgive - we have more peace. Thanks for the

thought

> > Leisha.

> >

> > Sincerely,

> >

> > Don Elbert, Tyler

> >

> >

> > Don't miss EMStock 2005 (http://www.EMStock.com

> > <http://www.emstock.com/)

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

No one I know will say that nursing homes have ideal conditions, because

everyone knows they don't. But no matter how many patients they have, there is

no excuse for some of the failures they have, and in my humble opinion, most of

the people who work in nursing homes just don't care. I am NOT saying that

everyone who works in a NH feels that way, but many do.

Before I get blasted for this, let me just say that the failures I am refering

to are the situations where the staff IGNORE a problem, or just don't take the

time to notice. I do understand that it is hard to notice every minute detail

about everyone when you have between 20 and 100 pts to deal with....BUT.....when

I am called to pick up a pt with a suspected femur fracture (a patient that

hasn't gotten out of bed in weeks, not even to sit in a chair) and the hospital

says the fracture is over a week old and in that week someone has been changing

the diaper of that pt, why has no one noticed in a week that one leg is shorter,

deformed, and has an outward rotation? Why are we picking up pts who haven't

had a diaper change in several days and has roaches in their bed and maggots in

their decubitis ulcer on their back? I am not saying that all NHs suck, but

many of them do. There are a select few that really do try to take good care of

the patients despite the conditions they have to work with. However, having

personally witnessed each of these things, I must say that there are many that

do not.

JMHO

Re: Speaking of nurses... & being critical

hi,

Needed to make this correction. In nursing homes, day nurses have

some 26 patients each to take care of. Night nurses can have up to a

100.

Shahla

> >

> > " Isn't it in the best intrest of all concerned that ALL of the

medical

> > field work together to better the understanding and to teach

each other

> > all that we can to help our patients? I feel that if we would quit

> > knocking each of the fields and help them understand the

importance of

> > each of our jobs, it would better help all concerned. It's just a

> > thought. "

> >

> >

> > Boy is she ever right. I hope I can convey to my paramedic

students not

> > to be so hypercritical. And to better handle ED staff that

(during their

> > own stressful days) seem short-tempered with them. Not to always

just

> > sit back and take it either (when it's wrong) but handle it the

right

> > way. We've all been guilty. I'm not proud of my own share of

bashing

> > others when I saw something I thought was wrong. I can look back

and see

> > where I was wrong instead. Serious inequities in care need to be

fixed

> > by the right way but none of us (that I know of) are the

designated

> > police officers for the correction of other health care providers.

> > Everyone first has the obligation of assuring their own health

care

> > management is up to speed. And then secondly of working with

others to

> > improve healthcare in general.

> >

> > This is a good time of year for remembering words like

forgiveness and

> > peace. And when forgive - we have more peace. Thanks for the

thought

> > Leisha.

> >

> > Sincerely,

> >

> > Don Elbert, Tyler

> >

> >

> > Don't miss EMStock 2005 (http://www.EMStock.com

> > <http://www.emstock.com/)

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Unnamed?

My profile is listed, and my name comes up on the messages that I get back

from myself.

I'm surely not attempting to mysterious or cryptic in any way.

S. Brown

Houston, TX

Several people have asked me the origin of my sobriquet. 2 things. I took a

..22 round in my L gluteus maximus once, and I have awesome karma. I'm one of

those people, if anything stupid can happen, it will happen to me. I'm the

reason there are warning labels on ketchup....my patients all have something

drastic and extremely rare.....right now, as we speak, my laptop is locked

up because I have it on the Air Force internet, and it requires password

control that changes every 2 weeks and I can't remember the clever password

I used last time! I tried to drown at a house fire once. Stuff like that

happens to me. Some of my friends tried Schlep Rock for a while (remember

that guy from the Flintstones?) but it just didn't stick.

You have 2 choices when you get tagged with a nickname.....fight it, and get

it 10 times worse, or embrace it and move on. So, at the risk of appearing

to be....what was it that Larry called me...immature I think it was....on

the oh so mature Yahoo message board, obviously embracing it was the choice

I made. Now, some 10 years later, its just part of who I am.

I've written WAY more salient stuff than that man, LOL!

magnetass sends

Re: Re: Speaking of nurses... & being critical

>

>

>

> Below is perhaps the most salient writing from the unnamed author to

> date!

>

> In a message dated 12/19/2004 2:11:32 A.M. Central Standard Time,

> magnetass@... writes:

>

> Well, yeah. How many good paramedics have been canned from jobs over

> doing

> what was ETHICAL and morally right in being advocates for their patients,

> and reporting the problems that arise from inadequate care at a nursing

> home? A ton. One of the quickest ways to run afoul of EMS management is

> to

> have a DON from a nursing home call to complain that a medic acted

> " unprofessionally " and initiated a complaint against the NH, or told

> patients family members the conditions in which their loved one was found,

> or the circumstances surrounding an injury. When my patient is covered in

> feces and has been septic for 2 days while the chart records normal VS and

> temp. somebody really ought to look into that. Is it my place to say

> something? If not me...then who?

>

> I have been in a few really outstanding nursing homes, where the staff

> cared

> and did a good job, but most of them are the dregs.

>

>

>

>

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

> LNMolino@...

> (Home Office)

> (Cell Phone)

> (TEEX Office)

>

> " A Texan with a Jersey Attitude "

>

> The comments contained in this E-mail are the opinions of the author and

> the

> author alone. I in no way ever intend to speak for any person or

> organization that I am in any way whatsoever involved or associated with

> unless I

> specifically state that I am doing so. Further this E-mail is intended

> only for its

> stated recipient and may contain private and or confidential materials

> retransmission is strictly prohibited unless placed in the public domain

> by the

> original author.

>

>

>

[Guest guest]

Unnamed?

My profile is listed, and my name comes up on the messages that I get back

from myself.

I'm surely not attempting to mysterious or cryptic in any way.

S. Brown

Houston, TX

Several people have asked me the origin of my sobriquet. 2 things. I took a

..22 round in my L gluteus maximus once, and I have awesome karma. I'm one of

those people, if anything stupid can happen, it will happen to me. I'm the

reason there are warning labels on ketchup....my patients all have something

drastic and extremely rare.....right now, as we speak, my laptop is locked

up because I have it on the Air Force internet, and it requires password

control that changes every 2 weeks and I can't remember the clever password

I used last time! I tried to drown at a house fire once. Stuff like that

happens to me. Some of my friends tried Schlep Rock for a while (remember

that guy from the Flintstones?) but it just didn't stick.

You have 2 choices when you get tagged with a nickname.....fight it, and get

it 10 times worse, or embrace it and move on. So, at the risk of appearing

to be....what was it that Larry called me...immature I think it was....on

the oh so mature Yahoo message board, obviously embracing it was the choice

I made. Now, some 10 years later, its just part of who I am.

I've written WAY more salient stuff than that man, LOL!

magnetass sends

Re: Re: Speaking of nurses... & being critical

>

>

>

> Below is perhaps the most salient writing from the unnamed author to

> date!

>

> In a message dated 12/19/2004 2:11:32 A.M. Central Standard Time,

> magnetass@... writes:

>

> Well, yeah. How many good paramedics have been canned from jobs over

> doing

> what was ETHICAL and morally right in being advocates for their patients,

> and reporting the problems that arise from inadequate care at a nursing

> home? A ton. One of the quickest ways to run afoul of EMS management is

> to

> have a DON from a nursing home call to complain that a medic acted

> " unprofessionally " and initiated a complaint against the NH, or told

> patients family members the conditions in which their loved one was found,

> or the circumstances surrounding an injury. When my patient is covered in

> feces and has been septic for 2 days while the chart records normal VS and

> temp. somebody really ought to look into that. Is it my place to say

> something? If not me...then who?

>

> I have been in a few really outstanding nursing homes, where the staff

> cared

> and did a good job, but most of them are the dregs.

>

>

>

>

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

> LNMolino@...

> (Home Office)

> (Cell Phone)

> (TEEX Office)

>

> " A Texan with a Jersey Attitude "

>

> The comments contained in this E-mail are the opinions of the author and

> the

> author alone. I in no way ever intend to speak for any person or

> organization that I am in any way whatsoever involved or associated with

> unless I

> specifically state that I am doing so. Further this E-mail is intended

> only for its

> stated recipient and may contain private and or confidential materials

> retransmission is strictly prohibited unless placed in the public domain

> by the

> original author.

>

>

>

[Guest guest]

Unnamed?

My profile is listed, and my name comes up on the messages that I get back

from myself.

I'm surely not attempting to mysterious or cryptic in any way.

S. Brown

Houston, TX

Several people have asked me the origin of my sobriquet. 2 things. I took a

..22 round in my L gluteus maximus once, and I have awesome karma. I'm one of

those people, if anything stupid can happen, it will happen to me. I'm the

reason there are warning labels on ketchup....my patients all have something

drastic and extremely rare.....right now, as we speak, my laptop is locked

up because I have it on the Air Force internet, and it requires password

control that changes every 2 weeks and I can't remember the clever password

I used last time! I tried to drown at a house fire once. Stuff like that

happens to me. Some of my friends tried Schlep Rock for a while (remember

that guy from the Flintstones?) but it just didn't stick.

You have 2 choices when you get tagged with a nickname.....fight it, and get

it 10 times worse, or embrace it and move on. So, at the risk of appearing

to be....what was it that Larry called me...immature I think it was....on

the oh so mature Yahoo message board, obviously embracing it was the choice

I made. Now, some 10 years later, its just part of who I am.

I've written WAY more salient stuff than that man, LOL!

magnetass sends

Re: Re: Speaking of nurses... & being critical

>

>

>

> Below is perhaps the most salient writing from the unnamed author to

> date!

>

> In a message dated 12/19/2004 2:11:32 A.M. Central Standard Time,

> magnetass@... writes:

>

> Well, yeah. How many good paramedics have been canned from jobs over

> doing

> what was ETHICAL and morally right in being advocates for their patients,

> and reporting the problems that arise from inadequate care at a nursing

> home? A ton. One of the quickest ways to run afoul of EMS management is

> to

> have a DON from a nursing home call to complain that a medic acted

> " unprofessionally " and initiated a complaint against the NH, or told

> patients family members the conditions in which their loved one was found,

> or the circumstances surrounding an injury. When my patient is covered in

> feces and has been septic for 2 days while the chart records normal VS and

> temp. somebody really ought to look into that. Is it my place to say

> something? If not me...then who?

>

> I have been in a few really outstanding nursing homes, where the staff

> cared

> and did a good job, but most of them are the dregs.

>

>

>

>

>

> Louis N. Molino, Sr., CET

> FF/NREMT-B/FSI/EMSI

> LNMolino@...

> (Home Office)

> (Cell Phone)

> (TEEX Office)

>

> " A Texan with a Jersey Attitude "

>

> The comments contained in this E-mail are the opinions of the author and

> the

> author alone. I in no way ever intend to speak for any person or

> organization that I am in any way whatsoever involved or associated with

> unless I

> specifically state that I am doing so. Further this E-mail is intended

> only for its

> stated recipient and may contain private and or confidential materials

> retransmission is strictly prohibited unless placed in the public domain

> by the

> original author.

>

>

>

[Guest guest]

-- " Brown " wrote:

.....what was it that Larry called me...immature I think it was....on

the oh so mature Yahoo message board...

Better clarify which Larry you are talking about. I have never called you, nor

consider you immature.

But then again, when neither Larry has a distinctive nickname,that can create

confusion also.

" We sleep safe in our beds because rough men stand ready in the night to visit

violence on those who would do us harm. " - Orwell.

Larry RN LP

[Guest guest]

-- " Brown " wrote:

.....what was it that Larry called me...immature I think it was....on

the oh so mature Yahoo message board...

Better clarify which Larry you are talking about. I have never called you, nor

consider you immature.

But then again, when neither Larry has a distinctive nickname,that can create

confusion also.

" We sleep safe in our beds because rough men stand ready in the night to visit

violence on those who would do us harm. " - Orwell.

Larry RN LP

[Guest guest]

-- " Brown " wrote:

.....what was it that Larry called me...immature I think it was....on

the oh so mature Yahoo message board...

Better clarify which Larry you are talking about. I have never called you, nor

consider you immature.

But then again, when neither Larry has a distinctive nickname,that can create

confusion also.

" We sleep safe in our beds because rough men stand ready in the night to visit

violence on those who would do us harm. " - Orwell.

Larry RN LP

[Guest guest]

In a message dated 12/19/2004 12:19:32 A.M. Central Standard Time,

wegandy1938@... writes:

All of us exist in a whirlpool of stresses that threatens us with drowning

almost all the time. We struggle to do what's right for our patients, but we

do it unilaterally because the systems we work in are not designed for us to

work as team members with the other levels of care givers. Instead of

working together, we too often work against each other.

Gene sit back for one second and rethink that last line.

I dare say very often we do just the opposite. Every day Cop, Fireman and

Medics go to calls and do their respective jobs like the pros they claim to be

and every now and again not always mind you they have a positive outcome on a

victim weather they are a fire, crime or other victim. Same can be true in

the NH setting where it's public safety and the RN's working for the patient.

Again maybe not all the time but consider this.....

How many stories do you hear about the trouble with youth versus the stories

about that Eagle Scout that raised money for smoke detectors for a hundred

people or that Summa Cum Laude graduate that 18 years ago was a crack baby?

Like the media on more general things we in EMS and the rest of public

safety always seem to focus on the negative of the business, I know I am guilty

of

that, anyone that's seen me teach about LODD prevention in the fire service

or road hazards or any safety topic knows I use negative examples all the time

and I have a sarcastic bite about me on the topics that flair my passions.

Having seen you teach on one of your passion topics, airway I KNOW you make

the point that " you will never get successfully sued for failure to intubate

only for a failure to ventilate! " . How many times do you hear about the Basic

that did a simple Chin lift-Head Tilt maneuver followed by the insertion of

an OPA and proper use of a BVM, no one ever really writes him or her up yet

for that patient at that moment it's what they needed and it's what they got,

no more no less.

That's the real world even in the face of as you so well described as " All

of us exist in a whirlpool of stresses that threatens us with drowning

almost all the time " .

Time for a long neck for me, join me if Y'all want it's in the fridge.