Well thank goodness Christmas is over, sadly I missed it.
My schedule had me working Friday, Saturday and Sunday. Which was kind of a shaft of a deal because everyone knows the holidays are crazy for EMS.
On Friday I was called in to cover because the crew was going out on a transfer to another facility. So from like 3pm until 10 pm I was awake I quickly found a bed and left my parter awake and in charge of things. I slept about 3-4 hours then was back up again. I went home at around a little after 7AM. Nothing all day Saturday that needed my attention other then sleep. I woke up feeling well and rested. Good thing!
Saturday night my partner and I get a call for an unresponsive patient who is breathing, and now alert. OKAY? We arrive on scene to find the location we hoped the patient was with it enough to walk to the cot. I had never been to the residence before and realizing the age of the house I knew from the outside that the halls would be narrow and the patient would have to be in the most back of the house. We knock and identify ourselves no answer, we slowly enter the door, and proceed to yell EMS! The patients husband shouts, "in here!" we find her in bed, and he is holding her legs on the bed. I am like oh great CODE!!! But I was wrong. The patient was alert. She had just fell out of bed and the husband had got her back into bed. He told us he just couldn't hold her in bed anymore. She kept saying she could stand up. Which she could just not very well. She had a small abrasion on her leg. She was fine other then the confusion that she wanted us to put her into her own bed and let her go home. I knew it..... She has taken the pain meds again. I remember seeing this woman before. I know some of the other guys had taken her to another hospital for treatment before she had a pain pump and it kicked her butt and they had D/C'ed it and put it saline to flush it, and now she is on other PO drugs, she has chronic pain and uses the narcs like candy! She then nearly suppresses her respiratory drive. Gets snoring and sputtering respirations. They push the narcan she wakes up fighting then passes out again. I guess her Kidneys are going to crap and she can't metabolize the narc's anymore!
We manage to get her to her feet while the freaking dog barks and just about became stuffed dog per my partner later! The husband says that he has a wheelchair but it won't fit through the house. We said we will try. We put her into it and go through the doorways backwards, it works very tight but works. Luckily it is one of those narrow wheelchairs! Even though her butt was squeezed into there! She weighed nearly 350 or so likely. They have a set of French doors at the back and we want to open them both so we can get down the stairs to our cot. We can't get it so finally my partner picks up the recliner near the open door and moves it aside. I proceed to move rugs and other things! Then we realize the wheelchair has those stupid wheelie bars to keep from falling backwards, my partner and the husband find out they will pull off. We are ready. I hold the patient's feet as my partner lowers the chair down the stairs. He must have done this before! We land her near the cot. We place her on the cot all while hearing her complain. We load her up and my partner says I will do it on the run. LOL She was fighting him the whole way. We get to the hospital. Unload and finish up the paperwork. Still awake at 7AM ready to go home. Come to find out the hospital has a transfer. The patient we took in earlier is no tubed and needs and ICU. We got to take her! What a Christmas. We load her a few hours later and take her on the nearly 2 hour trip to a facility she usually deals with. We leave her there with the staff. We go back with our truck, we look for a place to eat on the way back. NOT one single place is open! Christmas day I guess! We go back and clock out and go home. Around 1400 hrs. We come in at 1900hrs. We run a low back pain call for a guy who wants to bypass the local hospital and go to another. Not sure what sense that makes considering the roads to the other hospital are rough and under construction, and his wife is freaking annoying me and my partner not to mention the patient. My partner is unable to get an IV because the guy is twitching and bearing down so much. Medical control gives us an order for Morphine IM. He calms down and handles the trip until we get into the hospital drive. We leave him with the ER staff. We head back, we arrive back in service. I take a nap on the way back. Then I call it quits at midnight and slept until around 0500 when we get our call around 0530. Another back pain. We run hot to the call and then get there to find an older woman with some freaking steep steps out front. We load her and take her to the hospital. I guess an ER doc had given her some pain meds and her primary doctor had told her he didn't want her on those so he stopped them. Nice! Anyways she says she hasn't slept in 3 days! I know the feeling lady! We load her and drop her at the hospital. We end out the shift finishing paperwork from the last few days so when the billing people make it in Monday morning they have our reports and billing things. They will love it. I head home and sleep!
Shift END! 10-42!
My schedule had me working Friday, Saturday and Sunday. Which was kind of a shaft of a deal because everyone knows the holidays are crazy for EMS.
On Friday I was called in to cover because the crew was going out on a transfer to another facility. So from like 3pm until 10 pm I was awake I quickly found a bed and left my parter awake and in charge of things. I slept about 3-4 hours then was back up again. I went home at around a little after 7AM. Nothing all day Saturday that needed my attention other then sleep. I woke up feeling well and rested. Good thing!
Saturday night my partner and I get a call for an unresponsive patient who is breathing, and now alert. OKAY? We arrive on scene to find the location we hoped the patient was with it enough to walk to the cot. I had never been to the residence before and realizing the age of the house I knew from the outside that the halls would be narrow and the patient would have to be in the most back of the house. We knock and identify ourselves no answer, we slowly enter the door, and proceed to yell EMS! The patients husband shouts, "in here!" we find her in bed, and he is holding her legs on the bed. I am like oh great CODE!!! But I was wrong. The patient was alert. She had just fell out of bed and the husband had got her back into bed. He told us he just couldn't hold her in bed anymore. She kept saying she could stand up. Which she could just not very well. She had a small abrasion on her leg. She was fine other then the confusion that she wanted us to put her into her own bed and let her go home. I knew it..... She has taken the pain meds again. I remember seeing this woman before. I know some of the other guys had taken her to another hospital for treatment before she had a pain pump and it kicked her butt and they had D/C'ed it and put it saline to flush it, and now she is on other PO drugs, she has chronic pain and uses the narcs like candy! She then nearly suppresses her respiratory drive. Gets snoring and sputtering respirations. They push the narcan she wakes up fighting then passes out again. I guess her Kidneys are going to crap and she can't metabolize the narc's anymore!
We manage to get her to her feet while the freaking dog barks and just about became stuffed dog per my partner later! The husband says that he has a wheelchair but it won't fit through the house. We said we will try. We put her into it and go through the doorways backwards, it works very tight but works. Luckily it is one of those narrow wheelchairs! Even though her butt was squeezed into there! She weighed nearly 350 or so likely. They have a set of French doors at the back and we want to open them both so we can get down the stairs to our cot. We can't get it so finally my partner picks up the recliner near the open door and moves it aside. I proceed to move rugs and other things! Then we realize the wheelchair has those stupid wheelie bars to keep from falling backwards, my partner and the husband find out they will pull off. We are ready. I hold the patient's feet as my partner lowers the chair down the stairs. He must have done this before! We land her near the cot. We place her on the cot all while hearing her complain. We load her up and my partner says I will do it on the run. LOL She was fighting him the whole way. We get to the hospital. Unload and finish up the paperwork. Still awake at 7AM ready to go home. Come to find out the hospital has a transfer. The patient we took in earlier is no tubed and needs and ICU. We got to take her! What a Christmas. We load her a few hours later and take her on the nearly 2 hour trip to a facility she usually deals with. We leave her there with the staff. We go back with our truck, we look for a place to eat on the way back. NOT one single place is open! Christmas day I guess! We go back and clock out and go home. Around 1400 hrs. We come in at 1900hrs. We run a low back pain call for a guy who wants to bypass the local hospital and go to another. Not sure what sense that makes considering the roads to the other hospital are rough and under construction, and his wife is freaking annoying me and my partner not to mention the patient. My partner is unable to get an IV because the guy is twitching and bearing down so much. Medical control gives us an order for Morphine IM. He calms down and handles the trip until we get into the hospital drive. We leave him with the ER staff. We head back, we arrive back in service. I take a nap on the way back. Then I call it quits at midnight and slept until around 0500 when we get our call around 0530. Another back pain. We run hot to the call and then get there to find an older woman with some freaking steep steps out front. We load her and take her to the hospital. I guess an ER doc had given her some pain meds and her primary doctor had told her he didn't want her on those so he stopped them. Nice! Anyways she says she hasn't slept in 3 days! I know the feeling lady! We load her and drop her at the hospital. We end out the shift finishing paperwork from the last few days so when the billing people make it in Monday morning they have our reports and billing things. They will love it. I head home and sleep!
Shift END! 10-42!