Showing posts with label training. Show all posts
Showing posts with label training. Show all posts

Thursday, April 1, 2010

Back to High School: EMS Style

1 April, 2010. 1432.

I’m applying to Paramedic school!

Happy April, everyone. Yesterday, I did something kind of fantastic. I talked to a few classrooms of high schoolers about EMS. When I was in high school myself, I took the sports medicine class because I needed another gym credit and didn’t want to play dodgeball for another half-year. In the class, we learned basic anatomy, cranial nerves, GCS, basic treatment of minor injuries (RICES, etc), CPR, splinting, and about electrical stimulation therapy and massage therapy. We also watched a lot of Man vs. Wild and Survivorman and videos of people getting injured on YouTube. While we had a lot of fun, we actually did work—I recall writing a paper about bleeding disorders and sports and reviewing an article about hypothermia as a treatment for spinal injuries.

When I was in EMT school, I found that knowing basic anatomy was really helpful in the first few lessons—I didn’t need to focus on memorizing which was way prone and which was supine and what the anatomical position looked like. I emailed the teacher, Mr. Scott, over the summer to thank him, while I was still training.

The other day, maybe two weeks ago, I had the idea to ask if he would be interested in having me come to talk to his classes about EMS. He thought it was a great idea, I made a powerpoint, prepared a presentation, got props from Dan, and went to the High School yesterday.

For 7:30 and 9:50 in the morning, the students paid attention. The second class even asked me questions—some were about how we don’t transport, many were along the lines of “what’s the worst thing you’ve ever seen?” but it showed that they were paying attention. My wonderful brother and sister, Matt and Rae, went to my presentation, which made me really happy.

I explained how I got into EMS, explained our scope of practice and listed some key BLS skills, talked about the training process, levels of certification and ALS/BLS differences, where EMTs work, and what meds we can give. I talked about BEMCo as well, since that’s where my experience is—how we operate, roles of each member of the crew, showed the inside of the truck and the inside of my jump kit, and then walked through a mock call. The call was for difficulty breathing with urticaria and angioedema. I walked them through the process of responding to a call, importance of BSI, the initial assessment, administration of an Epi-pen, SAMPLE history, vitals, physical assessment, and transfer of care to medics. I felt it was comprehensive but not too detailed. I had a lot of fun writing the presentation, and I realized as I was writing it that I didn’t need to make presentation notes for me to look on with—I knew what I wanted to say for each slide, and there was no way I was reading off of the slides. For props, I had a copy of one of our run sheets, vomit bag, gloves, CPR shield and mask, my scope, and my watch (I realize my watch is not a prop, but I made the point that much of patient assessment can be done by listening to the patient, touching the patient, and getting some basic vitals.)

My presentation lasted about an hour, which was perfect, as it left 5 minutes for questions, which was just enough time to keep them interested. If I could have done anything differently, I would have taken a moment to stress that it is not all lights and sirens, that it’s not all about being the hero—I talked about working transfer, but I wish I had emphasized that even if we’re not doing intense treatment with CPR or Epi-pens or using the LSB, we’re still helping someone to feel better.

I really like teaching—it’s a challenge and it reminds me of what I know. I wasn’t asked any technical questions, but I felt that any question that a student could ask me, I would be able to answer. That’s a good feeling. When the teacher asked at the end of my presentation what I want to do when I graduate, though—I have no idea. I didn’t plan on falling in love with EMS.

If anyone wants to see the powerpoint I made and used, let me know and I can send it your way.

Tuesday, March 9, 2010

Titles and Teaching

Dates and times, while beautifully simple and clean, give no information about the following post. From here on out, entries will have titles. Most likely alliterative titles or silly ones and clever ones.

So, that covers the "titles" part of the title. On to "teaching."

BU has been teaching the EMT class here at Brandeis since the beginning of the semester, and I have been volunteering as a TA assistant (A teaching assistant assistant? Sort of!) Basically, the class is divided into lecture and lab: lecture is, well, lecture. "This is glucose. This is how you administer it. This is when you administer it." Lab is learning how to use the skills learned in lecture as part of patient treatment and assessment. In some labs, it's very hands-on (O2, CPR, trauma, splinting, etc) and in others, it's mostly talking through a call.

As an assistant TA, I work with a lead TA, someone who has been leading lab groups for a while and knows what to do. We get a set of scenarios and talk the students through it. "You are dispatched to a 38 year old female who was in a car crash on the highway at 8 AM. Go."

It's interesting being in the teaching position so soon after having been in the student position. When the students completely didn't know what to do in their first assessment lab, I remembered what it was like on that lab--I was the kid who didn't know what the instructor wanted to know. "I don't know what you're asking--I just want to know about the pulse."

They're learning the little acronyms for things and sure enough, a few assessment labs later, they're no longer struggling to remember things like "color, temperature, condition" and "rate, rhythm, quality." It's also very reassuring for me--as someone with very little field experience, I haven't had the opportunity to do most of the things I learned about--but the lead TAs tell me that I know my material very well. My only problem TAing? Telling people when they're doing something correctly. I ought to write "COMPLIMENT SANDWICH" on my hand next time.

It's fun, I get CE hours, I'm technically getting job training.

(Also, EMT students: "Common complaints" ARE NOT THE SAME AS "pertinent negatives.")

Sunday, October 25, 2009

25 October, 2009. 9:07 PM.

At approximately 2:30 PM on Saturday, October 24th, I was handed my EMT-B license. I walked out of the exam building, realized what just happened, and proceeded to do a little happy dance in the back streets of Charlestown. (Followed by going the wrong way on the Orange line but still making it to North Station in time for my train home.)

My summer is over now.

Thanks to Dan, Matt, Vince, Kassie and everyone else who helped me out during this process. There's nothing quite like getting quizzed on pediatric vitals via text message during work.

So, where from here? BEMCo, applying to places around my hometown. Next summer looks hectic as well, but I've got enough backup plans to ensure that I don't end up working as a property clerk again.

Thursday, October 8, 2009

FINALLY.

At approximately 11:30 AM on Wednesday, October 7, 2009, I received notification that I had passed my Massachusetts State Practical Exam.



HOORAY!

I'm going to take my written exam next week and then I will be finished!

Wednesday, August 12, 2009

12 August, 2009. 8:21 AM.

I finished class (two weeks ago). Ignore the huge time gap--in spite of being done with class, I've still been busy, among other things.

Firstly, the night before class ended was ambulance night. I knew that Dan was going to be there on one of the trucks, but when we went outside to go to our assigned vehicle, I didn't expect to be assigned to his! The battery died, so we were sitting in the back of the ambulance, with no lights and certainly no AC. Howwever, that didn't stop us from getting a flashlight tour of the back, and it certainly didn't stop Dan from making jokes about Matt and I in front of my group. Being the attention whore that I am, I got a kick out of it. In a few words, we joked about getting the 'DEAD' triage tag for me to put on the doorknob of my room for certain situations. I was amused.

Flash to the next day! Exam time! I got a 100. The instructors were "not surprised" and did a little excited dance after they graded my exam. My comments sheet was all good things--I was very happy. Christine said that if I want to be an instructor, I should talk to her about getting into training. I'm definitely thinking about it--especially if BU comes to teach at Brandeis, which they should.

Went across the street to Sunset after with my classmates. Jesse and Brittany and I decided to start an EMS-themed bar, with drink sizes being No Neck, Short, Regular, and Tall. That was basically as far as we got. I left before the instructors came--needed to drive home and didn't want to fall asleep doing so.

So, I thought that not having class would make my life easier--wrong. I miss class. When I had it to look forward to, a bad day at work could end quickly. A few tears in the little park down Commonwealth and I'd go to FitRec and it wouldn't matter anymore. I could, strangely enough, be alone during lecture. I didn't have to interact with people.

Now, I go home, see my family (but lots of them are travelling), walk the dog, talk to Matt online, go to sleep. I know I've said this a million times, but work is killing me. I never used to have bad days like this--last night, for instance, I went to bed at 9:30 just because I wanted the day to end. I consider it a good day if I don't break down into a puddle during the day. And my family either doesn't care or doesn't understand. Like I'm making this up. Yes, I know we've all had bad summer jobs, I'm not saying that I'm the only one who's had this happen. But it's still made my significantly less happy. I feel like that should count for something.

Enough whining--I go back to school in 13 (!!!) days. I see Matt this weekend. I am done with this summer. I quit.

Sunday, July 26, 2009

26 July, 2009. 5:21 PM.

I am exhausted. Constantly. I sleep less than I did in high school and way less than I do in college. I'm awake at 6 AM weekdays, and on weekends if I have class, anywhere from 6:30-8. I haven't seen my family or friends for more than 6 hours at a time since May. I see Matt when I can, which is about every 2 weeks.

But hell, this is great. I took my class practical exam today. Passed everything on first try except KED, and I know what I did wrong. Assessments were stressful but straightforward, and everything else was cake. I love CPR, by the way.

Tuesday we have emotional well being of the EMT-B and special operations. Wednesday is ambulance day and lifting and moving day. Thursday is final written exam.

This past Saturday was extrication day--play with damaged cars and practice getting people out. I was the first one KEDed and taken out--the bruises on my hips aside, it was fun. And really good motivation for me to not get into a car accident. After being KEDed three times in two days, I'm all set, thanks.

Going to lie down. FOREVER.

Thursday, July 9, 2009

9 July, 2008. 11:26 AM.

At work now, taking a break and figured I would update whoever is still reading this.

Had exam 4 last night, on (get this): OB/GYN with a focus on childbirth, WMD/terrorism, poisoning, drug/alcohol use/abuse, allergic reactions, environmental emergencies, acute abdomen. Such an odd mix of things. Got a 95. Still amused at how I'm doing better in this than in all of my academic classes this past year.

Observation hours at the BI this friday, and hopefully Armstrong ride-alongs next weekend. Then class on Sunday, then the 25th is extrication and 26th is our practical. This will be over and I will have to find something to do with my weekday nights.

Work is still excruciatingly boring, and class is still making my days worth it.

I've lost contact with most everyone--this whole "not being home" thing is taking its toll. If you read this, drop me a line, let me know how you are, and if you're an area friend, let's make plans to hang out in August.

I'm a little displeased with how this blog is turning out--in the beginning, there were more stories and less "blog-type" entries. Might fix that once I start doing things again. At this point, there's nothing poetic or romantic to write about. Going from work to class to sleep doesn't lend itself to dramatic writing.

I miss Brandeis. I am, however, very glad that I took this course. I might have died by now. Boredom is definitely worse that not having time to sleep.

Friday, July 3, 2009

3 July, 2009. 12:12 AM.

Sorry for the lack of updates. Life is insane, as I expected. Work is soul-crushing and more motivation to become and EMT so that I don't have to do the same job again next year.

Class is going well--we did childbirth tonight. Might add pictures, the manikins (mannequins?) were pretty cool. Grade-wise I'm doing well.

Some people are idiots, and some people really shouldn't be in the class for other reasons.

I'm so tired. I'm going to bed. I'll make a real update sometime, I promise.

For anyone who's considering taking a course--Boston University's program is fantastic. I'll rave more when I'm conscious.

Wednesday, June 3, 2009

3 June, 2009. 10:56 PM.

I love class. I am excited to be there. After working 8 hours taking inventory, actually using my brain and learning something useful is fantastic. I still close my eyes and see bar codes and inventory labels, but that’s another story.

Our first exam was today, on Intro to EMS, Med/Legal, Anatomy, and Airways. I got a 98/100. Also, got to go home early because I finished my exam early. Sleep will follow soon, so soon.
We’re learning things that are legitimately interesting. I studied during lunch today, and it was a weird feeling—I haven’t really been invested in studying like this, ever. Maybe it’s just that I haven’t taken a multiple-choice exam since high school.

I have CPR this weekend (and the boy is visiting, a much-welcome luxury) and tomorrow we’re covering BSI and scene safety and protecting ourselves and our partners.

Tuesday, May 26, 2009

26 May, 2009. 11:02 PM.

I just returned from my first EMT training class at Boston University. Terrified of parking and getting there on time, I left an hour and a half early. After much shouting and panicking madly, I got there. Found the room. Sat down. We began. Classroom filled, and then overfilled. There are close to 100 people in the class, so they split us into two rooms. Logistical issues were sorted out. Paperwork began. Immunization records (turns out that it’s okay that I’m not immune to Hep B), consent, waivers, things like that. Oh, the joys of being about to sign my own forms.

Real class started around 8:30 (class began at 6, goes until 10). Went over “What is EMS? What does it do? General overviews.” Textbooks and workbooks are on our desks. Verb tense is constantly changing. I played the EMS name game with Christine, one of our instructors, who apparently met Vince at some skills competition thing last year. Also, met a boy in Matt’s year, and asked him to be my partner.

So, the people in the class. ALL PRE-MED. I might be the only university student there who is not pre-med. There are a few “firefighter-wannabes” (to quote Matt), the police-equivalents (the instructors make fun of both groups), a few who have the TV illusion of EMS, and one who was referred to as “nasal Narcan guy,” because in the intros, he mentioned wanting to be able to administer it. I felt special because I didn't have to ask what it was. Thanks, Vince!

Real job starts next week, in the meantime, substitute teaching. Waking up at 6 or so in the morning and getting home around 11 = fun times.

Quote of the night: “[Individual] is taking all sorts of tactical EMS classes, where he’s learning to intubate himself in the dark while putting in an IV.” --Christine

Saturday, May 2, 2009

2 May, 2009. 11:15 AM.

Oh man, finals are evil. Have so much to do.

Got into a nice conversation with Vince yesterday about a variety of things. I thoroughly enjoy talking to him, and I’m hoping that I’ll be able to see him next year, since I think he’ll still be living around here. He’s a genuinely interesting person, and I like interesting people.

Kassie taught me how to take blood pressure yesterday, as well. It was not as difficult as I thought it would be, but it will take some practice before I feel comfortable doing it. I went over to see Matt after, and he had me practice on him, and pointed out the important fact that when you mess up, don’t say anything. The fact that I narrate much of my life out loud, especially when I’m under pressure, does not help with that.

“Oh, so that’s how it goes. Your cuff is different. Where do I put this? I’ll just rest it here. And…damn, missed the last number. Pump it up again and—okay, that seems right. How do I put this away?”

Monday, April 27, 2009

27 April, 2009. 8:58 AM.

Earlier this morning, when I should have been eating breakfast and getting ready for Lab final, I signed up for the EMT training at BU. Hooray! I will be working full time and then training in the evenings. I am very excited!

And here’s a thank you to Kassie and Vince, who helped me actually get around to training. I probably would have flailed around for another year, being indecisive, ended up training during the school year, and failed at everything.

Side note—going with Kassie to the BEMCo party this Wednesday. Matt is on call that night. This will be interesting, and awesome, I expect.

Saturday, April 25, 2009

25 April, 2009. 4:50 PM.

So, I seem to have a sick EMT on my hands again. He’s not as sick as last time, but he’s coughing quite a bit and sleeping otherwise. He took a nap in my bed while I worked and went out, and then he worked while I played manhunt. Saw that there was a call at Heller—Waltham Fire only, though. Went over and played Viva PiƱata instead of working, we went to sleep around 2. This was all last night.

Today, I had rehearsal (as always) and went back to his place around 1:15. He was still asleep, the orange tertiary bag still on the floor. No calls. He was sort of awake, and we went to Usdan for food. It’s always interesting being out around campus with him when he’s uniformed—people act differently when they see him like that. People hold doors, people pay more attention to that pale skinny boy walking by. But not to him, really—to the uniform, the bag, and the radio. I suppose I’ve learned to see past those things, and that’s why shifts are no big deal anymore.

Another utterly unproductive day—tried to sleep, might have, kept him from going home, it’s time for shift change now. Concert tonight. And two tomorrow. Homework and writing a minuet somewhere in there.

ALSO. I am planning on taking the EMT training course at Boston University this summer. It will be hell for my sleep schedule but what do I care? My parents are down with the idea and will hopefully help with tuition. I talked to Vince yesterday for a few minutes and he said that it’s a really good program and that one of the current supervisors trained there. I’m excited. More on this subject later.

On a completely different note—who read this? Not to beg for comments, but drop one and say hi so I know who you are!