Thursday, October 4, 2012
Get Me A Coca-Cola!
Here is another week in the truck.
Day One: My normal basic is gone today so we just have a sub in. She is a funny little cookie, should make for a fun day. So I was talking with my medic and he asked about my weekend and I had said I went grocery shopping and he said at Target with the dead guy? I was like ha no but I did hear about the shooting. He goes apparently the dead guy was just in the parking lot for awhile before anyone came. Oh boy. So the first call goes out as breathing problems but we show up to the jail to this man complaining of leg pain. History of arthritis and it is a crappy day out so nothing to worry about. He apparently was just getting released from jail. We drop him in triage and mousy on our way. My medic says he just wanted a place to go. ( as we were walking out of the jail some other guys walked out and said do you have a cigarette my basic goes yes cause we are an ambulance and carry those! Gotta love it ) Second call was for a fall at a nursing home. Third call we get was kind of fun. We show up and the patient yells at us to leave she had called her guy to take her to the hospital for back pain and he had called us. Patient refuses as she is laying on the couch under a blanket and just continues to yell at us to leave we have to get her to sign refusal because we made patient contact and we need some basic info. Her an her boy start fighting and he says I'm done and leaves. She won't give us info but finally tells us her birthday is "kiss my @$$" so my basic goes wow really we are done and then someone who knows them comes by and he signs as a witness but we try again to get her to sign and the other guy says stop messing with her your just trying to make her mad and my medic looks at him and goes you need to stop telling me how to do MY job I got you to sign as a witness but I still need her to sign and he was getting mad telling us what to do an my medic had to put him in place and we left. The patient tried yelling at us the whole time as we left and such. Whaterr. Car accident in the parking. Those are the best calls.... Sike. Usually they aren't bad enough to injure anyone as long as they are in the car. Anyways these patients all seemed fine and didn't want to be transported. So this basic I have been working with today is basically just awesome. Every time we get a call she will be like you gonna follow us or we will see you there. Haha I'm right behind no worries. Next is for another fall and this patient injured her ankle she was so nice but nothing too fun. Next call was for a little boy who fell on the playground at the mall and injured his arm. Him or his mom didn't speak English so it made it a little hard to communicate. Our last call was to a funeral home. Weird huh? Patient was not dead just complaining of chest which subsided as we arrived. At the end of the shift the basic I worked with told me I was her favorite because I could occlude a vein when I did the IV. She was like that's why the first IV you did I hovered so bad because others I have worked with seem to practice blood letting and that is not cool cause I have to clean it up so thanks for your great skills. :) Yay
Day Two: First day of October! Yay and it was cooler this morning. I got it my car and the low tire light comes on I was like ah man. super way to start my morning but none of the tires were obviously flat. I check the pressures and they were all borderline fine. Anyways.. I get to work "late" but I was still there "early". Our first call is a fall. Wow don't worry I'm a professional at those. Although this guy had a bloody nose as well that had resolved by the time we got there as we were about to pull into the hospital he says he needs to spit but he is back boarded so not so easy. We hand him some paper towels but that wasn't cutting it so we pull the suction out. And let me tell you I do not do suction. It was all I had in me not to not gag. The next call was for a "stroke". When we showed up the patient had no s/s of a stroke and things had resolved. So after we drop him off we were about to leave the hospital when they dispatch us a transfer from that hospital clear across town. This patient had textbook perfect Wenckebach but was not symptomatic. That was an easy transfer. We then ran on a patient with breathing problems but did not want to be transported so we just have her a breathing treatment and went on our merry little way. The last call was a car accident. And you never know whether to be excited about it or not. Most of the time they are just back/neck pain and nothing fun and others are more fun. So my medic tells me to grab the vest and so I was thinking maybe it's a little more serious we pull up and the firefighter opens the side door and this little girl walked in. All she had was a little bump on her head but she was fine. No transport there either.
Day Three: So today marks my one month being in Oklahoma. I still don't feel like I'm here it's so weird. I'm sure ill get used to it soon one could hope. My medic today keeps asking me if we are going to get anything good today I just keep saying one could hope! First call of the days is for breathing problem aka an asthma patient who didn't get their inhaler filled yesterday as he should have. So our second call was for the same thing. Short of breathe. We walk into this motel and it was the same patient we picked up from the jail on Sunday. This time he had a nice bottle of vodka on the night stand empty and boy you could smell it on him. He was not a fan of us this time he thought we played to many games with him. We take him to a different hospital from Sunday and we walk in and the whole staff knows him name. It's a dang shame! Our next call was for a seizure. Shocker it's not a breathing problem. She seems pretty alert you just couldn't understand a word she said we got her in the ambulance and she starts "convulsing" but is telling us at the same time that she is having a seizure, we said most people when they have seizures don't talk and she stopped talking. Weird how that happens. So she kept saying four different hospitals so we just take her to the closest one again the staff knows her by name. Aye yie yie. Fourth call was for palpitations. We show up and she is in a fib but has no history of it. She was waiting for her grandson to get home but then she had to call us as we were in the truck he came home so needless to say he found out and he came with us. We took her in nothing too significant happened. Our last call was a GSW (gun shot wound) but it was a transfer from one hospital to the level 1 trauma center. Apparently this guy was walking down the street minding his own business when he heard 4 or 5 gun shots and felt something hit him and he stated that his body went numb for a minute. He had his parents drive him into the hospital. We then transferred him. But this patient was completely alert and oriented x 4 and the bullet was still in his head. They are guessing it was just a little gauge bullet. I felt bad for him if that was a true story of how it happened. We aren't too sure if there was more he wasn't telling us.
Day Four: My Friday!! First we start by sitting at a post for 3 hours. Then we get a call for a fall and this patient was so adamant that she was fine and did not need to go. After hearing the same story for 20 minutes we finally get her to talk to the supervisor and clear the refusal with him and then we got her the coca cola she had been asking for and put her to bed. The whole time we had to listen to her say y'all are just so nosey. Why thank you I will take that as a compliment it is my job :) Next call was at a doctors office for short of breathe aye yie yie. Literally the office building was connected to the hospital. We show up and her sats were 82% on room air. Not good so we finally get her up to 96% on a mask with 10 lpm of oxygen. She is also in A Fib with RVR and no history of it. So we do our two minute transport and be done with her. Next call my basic goes its another fun one. So this guy "broke in someone's back yard and is drunk and high" we show up and he is a little wasted off his butt hard! So he doesn't want to go to the hospital but he is too drunk for us to leave him. We get him in the truck and start and IV and hang a line. My medic just messes with him but we start down the road and he is just staring at me. Gosh. So finally I say do you need something he responds you I said excuse me no you can't have me. My medic kicks the cot and yells at him to behave and that that was inappropriate. He was a mess. We get him in the hospital and two of the nurses that were help checking him in he looked at the blonde and said "you ugly" she took it as a compliment and didn't care and was like thanks that made my day the other nurse was brunette and he looked at her and said "you pretty lord that blonde hair mmm I love you" and she was like ha thanks he makes his rounds to me and says "you ugly" I said thank you. He goes from wanting me to thinking I'm ugly awesome. I hate drunk people and how they are abusing the system using his social security/disability check to buy alkeehol and get so wasted that he is a potential threat to society to where we have to take him in. We get another call for a patient who drank too much alcohol but now wants help and wants to sober up. What is it with these people today it's mid Wednesday sheesh. The cop ends up taking him in to get sobered up. Next call was just for a transport. Last call for the week was an elderly lady unconscious. We load her up and she is only responsive to pain. So of course when I stick her with a needle she flinches. That's all well and good. By the time we arrived at the hospital she started talking to us.
Overall a good week. My medic keeps bugging for something good instead of all these little bs calls. Stupid white cloud. Maybe next week!
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