Paramedic National Registry IV & IV Med Administration

[mustanglp50]

god those gloves are loud

[76nagle]

My skill sheets for medic class say you don't have to don PPE until right before performing the venipuncture. But as always....BSI, scene safety!!

[santos011]

um gloves 1st? dumbass

[AiliraAOS]

@santos011 the book says you don't have to put on gloves until right before you put the tourniquet on. how bout him securing the catheter in place before making sure he wasn't putting fluid into the tissue space instead of the vein :)

[victormig1]

he should have put the gloves on

[ades857]

he would have fail the station, he let go the hub of the catherer

[vickiormindyb]

I had an I.V. that infiltrated on me once.

When they finally noticed, they acted like it was my fault.

I said I didn't do anything, it just all of a sudden started leaking around the needle and the needle acted like it was trying to push itself out of my arm.

[2100km]

@vickiormindyb They never got the catheter advanced into the vein in the first place. It "acted like it was trying to push itself out" because the catheter was coiled up in the tissue under the skin. Thus it acted like a spring and pushed back.

Somebody didn't start your IV correctly and didn't want to admit it to himself... or herself.

[2100km]

@vickiormindyb Oh I just looked at your profile. You already knew that. :-)

[vickiormindyb]

I forgot most of what I learned, b/c I was in a car accident. I was hit head-on at 50 mph by a drunk driver who wasn't even trying to stop.

I had a 'near-death' experience, but none of the drs believe me. I went into a coma after they brought back my heartbeat, then woke up w/ no memory of who I am. I had to relearn everything.

Of course the drunk driver only had a few scratches and bruises.

[2100km]

Isn't that the way it always is? I swear the drunk guy never gets injured. Doesn't surprise me that the docs didn't believe you either. A true near death experience would mean they aren't the most powerful things in the universe.

Sorry to hear about your accident.

[broman313]

ok are the drugs real ? or is it just saline?

[N1GR4]

They r just saline. if they do happen to have real meds they r past there experation date.

[canadianboy40]

is the national registry exam the same everywhere in america or does it vary? can this video be used as a standard guide to what the actual exam will be like?

[m2inla]

Canadianboy, most states are national registry states. the videos from this publisher are all of the NREMT skills, however some are now outdated. one notable state that is not NREMT state is New York, last i checked. NREMT certification is 2 fold: a practical and a written exam. these videos can be used as a guide for the practical test, except for the cardiac megacode; the american heart association no longer recommends 3 stacked shocks for pulseless VF/VT.

[carazo321]

pulseless vf/vt (pea)...puseless electrical activity

[psychocloud]

NATIONAL registry.

[EmergencyMedicine]

The first step in ANY procedure is to wear proper BSI. I wear BSI on EVERY single call. No matter what it is...a paper cut to a major trauma. Use common sense. BSI ain't going to hurt you :P

[DarkMagik0]

Yeah me too, but I couldn't help but notice that he put on his gloves AFTER he set up the IV stuff. I think it would be contamination of equipment to do all that without gloves on, wouldn't it?

[gibsongod123]

No, because all of the parts that need to remain sterile are covered

[DarkMagik0]

That's right. A little rusty on the knowledge but I am finally using my IV skills with this new job I have =)

[gibsongod123]

Oh, awesome! what are you donig these days?

[DarkMagik0]

I'm just working for a private transfer service right now. I am trying to get back on with the FD I used to volunteer for. I hope they hire me... if not then there are other places I can go. If I wanted to I could just stick with transfer, bc I can live off what they pay me, but I like staying busy so I'd like another job. What are you doing these days my friend?

[trey9008]

@EmergencyMedicine but it will if you dont wear it

[crisbratt]

OMg what i saw while preparing and inserting the IV from the Isotonic solution is unsterile te chnique because the man just drop the IV host in the ground and i know that the evaluator see that one.. A BIG TRAGEDy.. And I know that Even nurses Cant Do that Unsterile thing anyway. wahahahahaaaaaaaaaaaaaaaaa

[tommellon2]

Why would a firemen use a IV. Are Firemen medically trained in the USA

[bravonov]

Yep. In most US cities EMS is run by the Fire Department. Firefighters are either EMTs or Paramedics too

[cckland]

yess they are

[chrossmark]

nicknamed firemedics

[dirtbagdarrell2008]

My arms are black and blue from firemen practicing on me. =@

[CmdrCrank]

IV Admin. sets are packed in sterile packages, and If you don't do all your work with your feet which I might not expect, you touch everything with your hands and so you got the danger and/or posibility of contaminating the admin set on parts (e.g. Luer-Lock or the pick at the end) that have invasive contact with patient.

Also in germany normaly nurses don't puncture veins, they just prepare the administration set and bags.

[CmdrCrank]

Nurses see these things stricter;)

[go4broek]

What's the value of wearing gloves when the equipment you are touching is not sterile or even clean in some cases? All you have succeeded in doing is getting your gloves contaminated. I would venture to say that waiting until the last moment would be the best/cleanest tecnique. We don't ALL work in nice clean hospitals. Just my two cents.

[AnthonyM83]

BSI, you're touching a patient and the patient is touching you.

[CmdrCrank]

Without beeing a smartass

Isn't it wrong to touch the administration set without gloves?

[rn1gt2]

as long as you dont touch the 'spike' that goes into the bag, then you dont need gloves (in Australia anyway), its just a clean technique.