I guess I didn’t write anything yesterday. Yesterday I had two calls… both the same patient. Once from Kaiser Sacramento South to Kaiser Sacramento North, then a few hours later, we took him back. The odd thing was on our return trip. As we were headed southbound on CA-99, just south of US-50, we came across a 3-car collision in the #1 lane (fast lane). We had a patient on board, but this was a major traffic hazard. Our patient was stable, so we stopped and one of my partners checked for injuries. Upon arrival of the CHP, we continued. We didn’t get very far though. Within a 1/2 mile, we came across a second 3-car collision in the #1 lane. My patient was still stable, so we again stayed until the CHP arrived. All in all, it didn’t delay us very much… it took us just over 30 minutes to go 14 miles. It took longer on our first trip, without stops.
This morning, I didn’t feel like going to the health club… actually, I had already decided not to go when I went to bed last night. Kellie and I went up to Thunder Valley Casino for breakfast.
Upon arriving to work today, I gave my partner, Dave, his Christmas gift. It was Season 1 of Jack Webb’s (unfortunately I don’t think he’s related) Emergency! This show is responsible for many people being firefighters, EMTs and paramedics today. I loved to watch it (syndicated re-runs) as a child. Looking back on it and knowing now how things are and used to be, I find it somewhat funny. The show was quite accurate for the day. Far more accurate than any medical shows on now. Thankfully, things have improved since then. The “Mother-May-I” approach to paramedicine has been phased out in most places in favor of standing protocols. In many areas, even MICN (Mobile Intensive Care Nurses… like Dixie McCall RN) have been phased out. A year or two ago, the Coastal Valley EMS Agency, from which Napa County is apart of, did away with their MICN program. I used to be an MICN at The Queen of the Valley Hospital. Back in the day, paramedics had to get permission to do any skill. That progressed to where paramedics could do SOME skills before contacting the hospital, but needed to run it by an MICN to do more. Now, the paramedics’ protocols cover more situations and if permission is needed, they have to speak directly with a busy ER doctor that may be in the middle of a sterile procedure and can’t leave to talk about a situation in which they don’t quite comprehend, since their training pertains to being INSIDE a hospital. As you can tell from my inflection, I don’t agree with the abandonment of the MICN program. In order to be an MICN, the nurse would have to take a class to understand what paramedics can and can’t do and includes ride-alongs with paramedics so the nurse can understand the limitations and restraints that paramedics have to deal with. The MICN was the greatest liaison between the ER doctor and the paramedics. O well, a few steps forward, a few steps backwards.
OK, I’ve stepped back off my soapbox. I guess I got on a rant there.
Currently, I’m sitting at a Starbuck’s on East Roseville Parkway, near Sunrise Blvd. in Roseville, since they have a T-Mobile Hotspot for me to get online. Dave and my other partner today, Adam, are sitting outside in the ambulance. We haven’t gotten a call yet today.