Thursday, February 9, 2006

Another Day

Another day on shift. Right off the bat we got a priority call in Deerfield. Almost 20 miles later or so we were on scene. It was the same nursing home that we joked about previously for deciding to check on their patients for once. This call was for a lethargic patient with a fever. Nothing too good. The nursing home said her blood pressure was 80/60, but we got 114 systolic. She was already being treated for pneumonia, and other than being pretty much unresponsive, she was doing good as far as we could tell. 

Then we did a call for a doctors' appointment. We took this 380 pound lady, who only needed a wheelchair van, on our stretcher to the doctor. The doc was in awe that the nursing home asked for an ambulance. Thank God she let us keep the patient on the stretcher for the exam. Whew. That was a long one.

I think I did another one up north, and then I headed back south. One of the hospitals was "dumping." There were at least four rigs from my company in and around the ambulance bay. We took a 20 year old to Evanston for psych. He seemed like a good kid.

I can't talk about most of the rest of the day...I have a feeling the information would get to the wrong place and I would be out of a job. Let's just say that I plan on transferring stations; if not companies. I am sick of the bullshit. Anyways, I didn't finish out the shift and I got home around 2300.

Wednesday, February 8, 2006

Customer Service

School again today. My classes were uneventful, as usual. The only thing I did notice is that my muscles don't hurt so much after class anymore and I'm getting more flexible. It's about time. I will be buff by summer :).

I got out of school around 1430 and headed home. Once again, I didn't get a whole lot done, but maybe shift will be slow tomorrow and I can work on it. I am such a procrastinator...Ugh. 

I went to fire training at 1800. Tonight was a lecture on customer service-taught by a Captain from a neighboring department. His lectures are usually pretty good, but tonights was especially so. I can't wait until I get to use some of his suggestions out in the community. I especially love working with kids, and I think this just might be my chance. I tried to get into a class at the National Fire Academy for the summer, but my application was too late. Instead, I am taking several certificate courses online through the NFA, including public education.

I am back on shift tomorrow. It doesn't even feel like I had any time off. It seems like I've been saying that a lot recently. My doc put me on Ambien, so hopefully I will get some decent sleep. I'm sick of being tired all the time.

I thought I was completely off on Friday, but I remembered that I had a physical for the fire department at a local clinic for spyrometry and auditory testing, and then I have my state Hazmat test at 1900 in Mundelein. Saturday I am working at a "Polar plunge" in Wisconsin-working in an ice rescue suit and helping people out of the water. They are trying to find certified divers to do it because several of us that are going aren't divers, but either way I will be there. A few of our guys are jumping, so if I don't work there, I will probably take the dive with them. Only time can tell.

Tuesday, February 7, 2006

Road Trip

I got off around 0900. Yet another day of being held over. Whatever-I'm off until Thursday. Yeah! The only bad thing is that I had to lug myself to Elmhurt today to get my banking account squared away. 

The trip was actually not too bad. By the time I left there wasn't too much traffic. The only bad part was that the "open tolling" is in effect, and I don't have an I-PASS; basically I had to go into the lane furthest to the right and wait in line and a toll booth. I didn't realize it, but it is like 38 miles to Elmhurst. Wow. The bank fixed my debit card and is sending me a new pin; they also reordered my checks, got me signed up for online banking, and I used a temporary check to transfer funds. Whew. I'm glad that's over with. Banks are right around the top of my list of least favorite places to go. Also up there are post offices and the hospital.

I didn't accomplish much after that. I ran a few errands, such as purchasing the paint for my apartment. The paint store was really cool. I guess the store is mainly for contractors; he said, "you're a firefighter? I'll give you contractor's price." Nice. I only spent $30 for $65 worth of paint-the day is getting better.

I also tried to do some homework, but I made very little progress. I kept getting distracted. Oh well. I will get some sleep and try again tomorrow. 

Back to school, back to school...

Monday, February 6, 2006

Paranoid

I spent my first 8 waking hours at school. It went relatively well...I'm still glad I'm done until Wednesday.

I got to work at 1500. Right away I got a call for a return to a nursing home-nothing special. The lady had a hip fracture and was going for rehab. We were told to post a hospital about 10 miles away and right before we got there they cancelled us. We sat at the station for a while getting some paperwork done and chatting with our regional manager. Then dispatch called back and said to go post the same hospital, once again. We didn't make it there this time either. We were told to go to a nursing home down the road (about 5 miles) on priority for vaginal bleeding. Needless to say, the bleeding wasn't severe and it had been going on for two days. Another day of risking my life to act as a taxi.

We didn't even clear from that call when we were paged out to take a patient from the same ER to another hospital for surgery. Our patient was using a table saw and it slipped, partially amputating his right index finger and lacerating the others. We took him directly to the OR at a hospital about 20 minutes outside of Chicago.

We got back to our quarters and got to rest for about two hours. Then we got dispatched for a psych transport. The lady was a paranoid schizophrenic. She was walking around in circles around the nurses station muttering to herself. She asked many questions and kept saying, "I can walk...I can walk." She also asked me why she had to wear all the seatbelts, and that she couldn't help anyone if she was strapped down. She was very concerned that the doors were locked and that no men were in the ambulance. She asked if she could go home. When I said she had to go to the hospital she said, "I can't go home? Is that what my mom said?" I just told her it was the hospital's policy and that they would work everything out there. I was glad to finish the call-my hand was getting tired from all the times she made me unlock and relock the back doors to prove to her that they were, indeed, locked.

Back to quarters again for about an hour. We were called for a return to a nursing home from an ER for a patient that had abdominal pain that was cured with a GI cocktail. Great. Easy enough, right? Nope. She weighed almost 500 pounds. Before we left quarters I asked my dispatcher for a lift assist because they included the weight on the page. She said she was sending one from the Glenview area and that they would meet us at the hospital. We were about 1 mile from the hospital when one of our company's ambulances passed us-with both people in the front. The rig wasn't from my station so I figured it was our lift assist-having missed the hospital. My dispatcher kindly turned them around and they got to the ER about 10 minutes after we did. I can't believe they missed the hospital. As if the big blue signs with the "H" on them means anything but hospital. Oh well. We got the lady to the nursing home without incident. She was a big one and I was glad that was my last call.

(back dated)

Saturday, February 4, 2006

Late

I got home around 0900, took a shower and headed back out to Volo. I ended up getting an old set of pyrex bowls, a few children's books and a cedar chest. Good times.

I fell asleep around 1530 or so. I figured I didn't have to be to work until 2000, so I could get in a bit of a nap. I woke up at 1730 to the sound of my officers voice on the phone. I was supposed to be there at 1700. Yikes! I got dressed and ran for my car. I checked my voicemail on my way to the station-three messages all from the department wondering where the hell I was. The worst part was that I had the phone on vibrate in my hand and I didn't feel it go off until 1730. That's reassuring. I also spoke to my partner at the ambulance company that told me I had been bitching about having a short day off because I had to be at the firehouse at 1700-I don't even remember that. I also never heard the reminder go off on my palm pilot. This is really getting out of hand. I think I have early onset dementia or something-I have been really, really forgetful recently. Usually I either forget where I put something or mess up my schedule somehow-every once in a while. This past week or so I have been botching up all over the place. I have been losing just about everything possible, like my keys, wallet, etc. I have forgotten to feed the cat several times (but he's fat, he can handle it), and forgotten several appointments, not to mention tonight. Ugh. I think I need my head examined.

I'm finally at the firehouse and ready to go. I think I am going to bed right at 2000 when "night shift" officially starts. I should take what I can get. The only bad thing is that the bunk room is freezing cold tonight. We checked the boiler and it is fine, but both of the bunkrooms are like 40 degrees. Our deputy chief is bringing in space heaters...hopefully we don't burn down the fire station.

I work again tomorrow. I made the mistake of picking up an overtime shift. It is only for eight hours, but I am working with an EMT-B. That means we will probably get all ALS calls and I will be run ragged. Damn it.

Friday, February 3, 2006

Lost in Space

First call was for a transfer from the ICU at one hospital to an ICU at another. The page said, "monitor...IV." Nothing special. We got to the hospital and I started talking with the RN. I asked routine questions including the drip rate and what was running. She was like, "well, we don't really know. It's a study drug." I explained to her that I was only a medic and that we cannot take most drugs, especially not study drugs. She proceeded to explain to me that she asked for ALS so we needed to take the patient, and asked if we were nurses. I told her she needed at CCT (critical care team) rig to transport or they needed to send a nurse from the hospital with us. After about 15 minutes of figuring out who was doing what, a CCT rig was called and the patient would be transported then. The RN still didn't understand ALS, BLS etc., but at least we found her the proper rig. The weird thing about it was that nobody had any idea what was in the IV. Oh well, a cancelled call for me.

We were told to head back up to Waukegan to take a psych. When we got to the hospital I started paperwork and my partner ran up to the pharmacy to fill our drug order. I got nearly everything done, and the nurse said, "now all I have to do is find your patient." What? Yeah, she wasn't in her room. Security swept the premises and couldn't find her. They called the police the watch for her and to bring her back if they found her since she was "dangerous to herself." I knew it was just a matter of time before we were called back for her-her clothes and shoes were still in a bag behind the nurses station. She was out, in the cold, in a gown and bare feet. We went back to quarters, ate lunch and, sure enough, got called back to the ER. I redid the paperwork, got the patient on the cot and started on our way to the psych hospital. I asked her why she left. She said, "I was hungry, so I went home to eat lunch." Wow. Pretty hungry, huh? She said the police knocked on her door and brought her back, but not before she could finish eating. 

I also did a wait and return MRI. Besides that the woman was pretty big, everything went pretty well. The call lasted quite a long time because we waited for films, but all in all it was okay.

After I cleared from that, I was sent to a local nursing home for a patient with "general weakness." My partner was supposed to be off at 1700, so her relief met us at the nursing home. We did our normal work-up, didn't find a whole lot and transported. There were barely any beds in the ER- she ended up in a hall bed. 

The ER was quite a spectacle tonight. I never pay much attention, but for some reason tonight was different. There was a man, maybe about sixty roaming the halls in work boots and a gown with all the monitor leads hanging down his back-nobody paid him any attention. There was a woman on a vent that weighed at least 700 pounds that was playing with her blanket. A woman was lying in bed with a c-collar on yelling in a very annoying voice; I soon found out that she had a C-2 fracture and a C-3, C-4 subluxation. There were two others on backboards still-probably from the same accident. One woman was lying completely still in bed. She had two teddy bears on top of her, and a car seat with no baby. I guessed she was our next psych, but I noted later that she was on a backboard, and a nurse was entertaining her kids. There was a man with restraints in the hallway. Two women in one bed-one of which I later transported to the psych hospital. There was a guy in a hall bed that I recognized-they showed up at our post (which is an old hospital) asking for an ER because he "couldn't walk." He was walking just fine at the hospital. There were also a ton of people with horrible coughs-and none were covering their mouths. Yuck.

I did another wait and return-this one to the CT scanner. It was for a 40 year old woman with a possible PE. We got to the hospital and waited in the hallway for the technician. She said-it's going to be a while. I figured maybe 30 minutes. Wrong. I wasn't paying attention to the time, but our monitor has a timer on it that records how long it has been running for, and it will only count up to 99:99 minutes and start over. When we got to the hospital I plugged it into the wall to conserve the battery; it was on for over 200 minutes before we got her into the scanner. The scan took about 5 minutes. Then we were told to wait for report. This usually takes about 10-15 minutes while the doctor makes a preliminary report and sends us on our way. About 30 minutes passed and we checked back in the CT room to see what was taking so long. There was NOBODY in there! I walked down to ultrasound and spoke with a tech there-she contacted CT and we finally got the story. The doctor was going to read the films from home-then his computer crashed, so he had to drive to the hospital from home and read the films then. Great. It's nice that someone told us. I plugged in the monitor and used an O2 tank I found on a cart in the hallway since ours was nearly empty. The monitor had already gone for another 145 minutes before the tech gave us the okay to return the patient. All I got out of it to bring back to the ER, a piece of paper with a negative sign in a circle. Thanks. I told the receiving hospital how rude the staff was and that we were sorry about the long wait.

Now here's the best part. We do wait and returns all the time. Usually they run about an hour and a half to two hours. My dispatch sends a return page right away and I start my paperwork. I figured they just forgot and I would wait until I got out in the rig to start-I had a nine mile drive to do the paperwork. We recently got a computer in the rig called a "Nomad" that we use to communicate with dispatch, and when my parter hit the button to tell them we were at destination, the computer screen must have frozen and not sent the message to dispatch. The whole time we had no idea that they didn't even have us at this other hospital. So, I figured if the scan ran over two hours I would call them on a landline-our nextels didn't work in the hospital, and if they really wanted to get ahold of us they could use the pager. I didn't realize that even though the pager showed full signal bars that it wasn't functioning either. I called dispatch after the scan while we were waiting for results. My dispatcher answered the phone. I said, "This is 146...I'm just calling to let you know that we are still at the hospital-they are having problems with the computer and we have to wait for results." She said, "146? I thought we lost you. I have been trying to get ahold of you guys for hours. You never hit destination on the Nomad, I can't get through on the Nextel or your personal phones, and I have sent over 20 pages-none of which you have answered. I thought you were MIA." I explained to her that our Nomad must not be functioning, that wait and returns are typically long, and that I have never had a problem with the pager not functioning. Oh well. We will definitely make the log on this one. The stupid part is that both the Nextel and the Nomad have trackers. All she had to do was pop up our Nomad screen on her computer and see that our ambulance had been sitting in the same spot for the past several hours. What did she think we did-take the patient out for a beer? 

I also did a few calls that I really can't remember and a psych transport.

(back dated)

Wednesday, February 1, 2006

Pain in the butt

I got off this morning at 0800. Work was busy as usual. I headed straight to school. My jazz class went pretty well. We learned a piece from the 1920s. If you know what a flapper is-that is the kind of dancing we were doing. It was pretty fun. Psychology was okay. My instructor is still driving me nuts with her stupid "right there" "right here" bullshit. I don't think she can say a phrase without ending it with that. Talk about annoying. Some of my classmates are still getting on my nerves with their wannabe medical knowledge. Ugh. One lady kept talking about diabetes and how it causes psychological problems and symptoms. I have never heard of that-but she was convinced. Oh well.

I slept for 45 minutes on a bench in the performing arts building-then I was off to ballet class. We only did bar exercises and stretching-also at the bar. That sucked. Every bone in my body was cracking and I feel like I broke my butt all over again. My instructor had us doing all kinds of crazy moves. What does she think I am-a contortionist??? Ouch. The results will be posted tonight for the tryouts. We shall see. I think I did alright, but my availability was sort of limited because of fire training on the weekends. I guess I will find out tomorrow.

I ran a few errands and headed home to shower and get ready to go to the fire house. I got there for my shift at 1700. We got stuff ready for the evening-tonight is the association meeting/social night. The officers had their meeting first, which lasted nearly an hour. Usually anything over 30 minutes means we are in for a lecture about something. We talked a lot about fundraisers for the year, training and the treasury report. I checked out the ambulance and got my bed ready. I actually got the okay tonight from my officer to jump on any engine calls. Yeah! I hope we get one...that could get fun.

Anyways, I am going to try to sleep. Maybe that way I will be (gladly) rudely awakened for a call. Wish me luck.