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Ambulance & Hospital Internship experiences.......
In the ambulance were not as exciting as i though they would
be. The first ride along was with "Bower's" this company that works
for inter-facility transportation. It's not as exciting and interesting
but the good part is that my crew members kelly and andrea made it
fun for me. It was cool to be myself around them though but i felt like
an important person around people when i was working for them. On
this ridealong i did like six runs of transportation of mostly people
from the convalescent homes, hospital and doctor appointments
where a patient can't regularly get there for their appointments with
a mental and physical disability. I did had to do some dirty jobs like
changing a diaper on a 400 pound woman about five feet tall. I know
that i'm particularly a rookie but hey what can i do? there gonna
treat me like that until i showed them that i'm a hard worker and i'm
doing my job properly. It was an ok ride along!
AMR was one of the biggest worldwide that are contracted to
the emergency medical responses and sending a call from dispatcher
from trauma and medical situations. I though that we were going to
get alot of calls during a friday i showed up in cerritos. I was wrong. I
was in the back of the ambulance at the jump seat for 13 hours so the
only call we got to was a three car collision with two injured victims
not critical! It was cool though because i could the scene the way it
was and i don't have to rubber neck any scene because of course i
am there to help not like other drivers look around in what's going
on. I was looking forward for the full arrest because we were at the
sirens and i just see people letting us go by. I was like haha! see ya
suckers! well i pretty much said in my head! After, we were canceled
because ALS the parademics were near the area so it was better for
them to take the call and get their as soon as possible. I was mad
because i didn't got that much experience as i should but oh well i
better look next time.
CARE is another company that i got experience for in orange
county. It wasn't as exciting as i thought it would be either. The
dispatcher there Ben told me that i was going to ride along with ALS
to get more experience from them but it changed because i didn't
have an appointment. They kept giving me delays that i would start
till 10am because i was there at 7 am in the morning. I was pist off!
Well my crew members were mostly guys they were cool! pretty
much they were just not as talkative because they bearly known me
for the first time. Saul one of the emt's he was really helpful with the
my intial and physical assessments, opgrst and the whole "pen mans
glare" criteria! i will explain about it later! yeah so it has something
common with the sample history too so it was mostly interfacility
transportation only! no emergencies just transportation so it was as
exciting but they were really nice. I just can't relate to someone who
works for interfacility companies and doesn't take the emergency
calls to make the job more exciting and interesting. I just don't get it!
that's all with them!
In Presbyterian Intercommunity Hospital was one of the most
challenging place to get yourself out there. It's completely different
with these EMT's that work there because it's a different
environment and they don't usually be there at first at the scene of
an incident like we do. I did about 10 weeks of hospital experience
and 3 hours a day for those particular days of the week. There's
some things that i have encountered in my life until then. I have seen
things that i never seen before like someone having a Pneumothorax
( collapsed lungs) it basically makes their lungs collapsed and gets
completely swollen with full of air that where you breath it escapes.
They pretty much surgically put a chest tube on the patient to breath
in and they feel like rice-krispies on their upper chest cavity when
you feel them. Almost the last day of hospital hours i have done.
There was a call emergency from AMR about this lady in a
convalescent that was abandoned of about 24 hours in the restroom
with no assisted staff to take care of her. She was about 80 y.o
patient and i had to clean up with these feces in her hands and it was
dry though. I have seen when they put full catheter to urinate that
was just smelliest thing i have smelled in my life. I remember that
one of the paramedics from LACounty were asking to check for a
pedal pulse and when i did. I saw the longest fingernails in my life
like this patient is abused without any care from anyone else. I felt
bad though. AMR made a dispatch call that they have:
a 27 y.o female of about 200 pounds, unresponsive c/c: chest pain, and with a full arrest, general impression: cyanotic, moist, no breathing, no pulse. BP: higher than 145, additional resources: backboard, c-spine, hx: hypertension, high blood pressure, temp: poor capillary refill tx: 15 liters of oxygen in supine position with a BMV, intubated and CPR was established in the ambulance with AED ready! note: T, P, B/P was not added for my unfortunate memory of their readings!
This was the first time i have ever seen anyone die infront of me. I
felt so bad for the family though. The only thing that i could do was
do one set of CPR compressions and that's all from there until the
physician took over those 20 minutes of CPR constant with
ventilations of 12-20 minutes. I had another emergency with a
patient of a diagnosis with dymenthia somewhat similar to alzeimer's
disease. She was hard to stay put though because we had to use soft
restraints to keep where she should be. well, i did got urine in my
pants also. i was like damn it! oh well later on these days i am going
to get vommit on my steel toe boots but oh well! whatevers i don't
think it's not as bad! i have seen worse stuff.
About 45 y.o female c/c: chest pain, additional impression: dry,pale,cool. responsive and aware somewhat confused! hx: hypertension, high cholesterol, diabetic perhaps, temp: poor capillary refill tx: 15 liters of high flow oxygen from a rebreather mask! surgical decisions were made to put a line thru the blocked artery to give her circulation and oxygen. epinephrine was given and vikaden (don't know to spell that). note: T, P, B/P was not added for the circumstances in the hospital!
This patient didn't make after all either! so it was a hard for two
patients to die at the same day of a heart problem. I did felt the
sympathy though and it took days to get over and move. Basically
understand that there comes a time where you are going to save
lives and sometimes your not. That's the way it is! If you keep
putting yourself in that position to feel sympathy for yourself you will
get burned out easily when you start working in the outside field with
cases like these! that's what my professor said about loosing lives
once a while or sometimes more than you can expect.
In the memory of Jose Luis Cisneros 1981-2005 R.I.P! one of my
T.A that has died last year in december from the day of finals from a
car accident. I will tell this till my next entry what really happen! I
just had too much to say on this case with hospital and ambulance! i
guess that's pretty much it!
be. The first ride along was with "Bower's" this company that works
for inter-facility transportation. It's not as exciting and interesting
but the good part is that my crew members kelly and andrea made it
fun for me. It was cool to be myself around them though but i felt like
an important person around people when i was working for them. On
this ridealong i did like six runs of transportation of mostly people
from the convalescent homes, hospital and doctor appointments
where a patient can't regularly get there for their appointments with
a mental and physical disability. I did had to do some dirty jobs like
changing a diaper on a 400 pound woman about five feet tall. I know
that i'm particularly a rookie but hey what can i do? there gonna
treat me like that until i showed them that i'm a hard worker and i'm
doing my job properly. It was an ok ride along!
AMR was one of the biggest worldwide that are contracted to
the emergency medical responses and sending a call from dispatcher
from trauma and medical situations. I though that we were going to
get alot of calls during a friday i showed up in cerritos. I was wrong. I
was in the back of the ambulance at the jump seat for 13 hours so the
only call we got to was a three car collision with two injured victims
not critical! It was cool though because i could the scene the way it
was and i don't have to rubber neck any scene because of course i
am there to help not like other drivers look around in what's going
on. I was looking forward for the full arrest because we were at the
sirens and i just see people letting us go by. I was like haha! see ya
suckers! well i pretty much said in my head! After, we were canceled
because ALS the parademics were near the area so it was better for
them to take the call and get their as soon as possible. I was mad
because i didn't got that much experience as i should but oh well i
better look next time.
CARE is another company that i got experience for in orange
county. It wasn't as exciting as i thought it would be either. The
dispatcher there Ben told me that i was going to ride along with ALS
to get more experience from them but it changed because i didn't
have an appointment. They kept giving me delays that i would start
till 10am because i was there at 7 am in the morning. I was pist off!
Well my crew members were mostly guys they were cool! pretty
much they were just not as talkative because they bearly known me
for the first time. Saul one of the emt's he was really helpful with the
my intial and physical assessments, opgrst and the whole "pen mans
glare" criteria! i will explain about it later! yeah so it has something
common with the sample history too so it was mostly interfacility
transportation only! no emergencies just transportation so it was as
exciting but they were really nice. I just can't relate to someone who
works for interfacility companies and doesn't take the emergency
calls to make the job more exciting and interesting. I just don't get it!
that's all with them!
In Presbyterian Intercommunity Hospital was one of the most
challenging place to get yourself out there. It's completely different
with these EMT's that work there because it's a different
environment and they don't usually be there at first at the scene of
an incident like we do. I did about 10 weeks of hospital experience
and 3 hours a day for those particular days of the week. There's
some things that i have encountered in my life until then. I have seen
things that i never seen before like someone having a Pneumothorax
( collapsed lungs) it basically makes their lungs collapsed and gets
completely swollen with full of air that where you breath it escapes.
They pretty much surgically put a chest tube on the patient to breath
in and they feel like rice-krispies on their upper chest cavity when
you feel them. Almost the last day of hospital hours i have done.
There was a call emergency from AMR about this lady in a
convalescent that was abandoned of about 24 hours in the restroom
with no assisted staff to take care of her. She was about 80 y.o
patient and i had to clean up with these feces in her hands and it was
dry though. I have seen when they put full catheter to urinate that
was just smelliest thing i have smelled in my life. I remember that
one of the paramedics from LACounty were asking to check for a
pedal pulse and when i did. I saw the longest fingernails in my life
like this patient is abused without any care from anyone else. I felt
bad though. AMR made a dispatch call that they have:
a 27 y.o female of about 200 pounds, unresponsive c/c: chest pain, and with a full arrest, general impression: cyanotic, moist, no breathing, no pulse. BP: higher than 145, additional resources: backboard, c-spine, hx: hypertension, high blood pressure, temp: poor capillary refill tx: 15 liters of oxygen in supine position with a BMV, intubated and CPR was established in the ambulance with AED ready! note: T, P, B/P was not added for my unfortunate memory of their readings!
This was the first time i have ever seen anyone die infront of me. I
felt so bad for the family though. The only thing that i could do was
do one set of CPR compressions and that's all from there until the
physician took over those 20 minutes of CPR constant with
ventilations of 12-20 minutes. I had another emergency with a
patient of a diagnosis with dymenthia somewhat similar to alzeimer's
disease. She was hard to stay put though because we had to use soft
restraints to keep where she should be. well, i did got urine in my
pants also. i was like damn it! oh well later on these days i am going
to get vommit on my steel toe boots but oh well! whatevers i don't
think it's not as bad! i have seen worse stuff.
About 45 y.o female c/c: chest pain, additional impression: dry,pale,cool. responsive and aware somewhat confused! hx: hypertension, high cholesterol, diabetic perhaps, temp: poor capillary refill tx: 15 liters of high flow oxygen from a rebreather mask! surgical decisions were made to put a line thru the blocked artery to give her circulation and oxygen. epinephrine was given and vikaden (don't know to spell that). note: T, P, B/P was not added for the circumstances in the hospital!
This patient didn't make after all either! so it was a hard for two
patients to die at the same day of a heart problem. I did felt the
sympathy though and it took days to get over and move. Basically
understand that there comes a time where you are going to save
lives and sometimes your not. That's the way it is! If you keep
putting yourself in that position to feel sympathy for yourself you will
get burned out easily when you start working in the outside field with
cases like these! that's what my professor said about loosing lives
once a while or sometimes more than you can expect.
In the memory of Jose Luis Cisneros 1981-2005 R.I.P! one of my
T.A that has died last year in december from the day of finals from a
car accident. I will tell this till my next entry what really happen! I
just had too much to say on this case with hospital and ambulance! i
guess that's pretty much it!
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