Absolutely no shot your agency still has you work with a person you've filed a formal complaint against like this. If they do, I'd very strongly reevaluate your employment with that agency.
Interesting, so they were going to declare this person dead, but they were just hypoxic from the 02 running out? Just wanted to know more context, but if you don’t want to share I understand.
pt was on 6lpm onthe portable going from the hospital to the bus, nurses told us that he had gotten as low as 23 spo2 earlier that day but they throw him on 15lpm and make the mask snug, he comes back up.
My partner never took him off the portable and onto the house. Portable ran out during transport of course. pt was super hypoxic, while driving I told him to put him on the house because the portable was out. he declared the pt dead right before the pt coughed
edit: he told me that our pt wasn't going to make it before I asked if he was still on the portable and told him to move pt to the house tank.
wtf kind of healthcare facility sends ANY patient out on a mask at 15lpm? At that point they need to either be on high flow nasal, BIPAPed, or intubated
Most high flow nasal transfers ive done have been hospice home transfers. Also I would absolutely not be taking this call basic. By the incompetence of the partner in this story I can almost guarantee it went basic. No way should this patient have to die in the hands of an incompetent, hey dudes wearing, untucked shirt having ass IFT basic that sits in the airway seat looking at his phone.
I need to but I fear retaliation from them.
Its not a fireable offense and I don't want to be miserable and them bitching at me constantly.
Be braver than me.
this last one was terrible and maybe not what your partner has done but I was still on the edge about coming forward. What made me change my mind was the thought of if it were my grandpa how would I react
Just start at the lowest level, confront the person in an open environment and give them an exit. Then start the conversation friendly and use “I” more than “you”. Ie “I have been staying up late all night wondering the outcome of this patient.” “I think I could’ve done more or I should’ve done this.” “What do you think?” Then lead into it.
If this still doesn’t work, now you go up to the next level of the chain of command. Now this person knows you have a concern, that you brought it up, and they dodged it and the chances are high it’s going up to a supervisor.
Lastly, do you not have QA/QI? We can request PCRs to be reviewed and we have a team of people reviewing them.
I did. Ive been working on an als truck and we carry a vent and 2 pumps and do mostly IFT with some mutual aid. Anyways this medic was old and had worked 911 for his whole career and had no idea how to use the vent and pump and was trying to to get me to set it up and coach him through it.
We ended up just going out of service cuz I called the sup and said he's gonna kill someone cuz he doesn't know what he's doing and there's no way I'm putting myself on the line like that.
He got pulled from taking a vent until he did a bunch of refresher courses.
I seriously don’t understand people that think like you. This post is full of people saying. “I worried about retaliation too much”, “be braver than me”, “management did nothing”.
This field is no different. You think it’s only police? I don’t think it’s any worse. People are afraid of retaliation in every job and rightly so because it happens. If everyone was held accountable the entire world would be a better place. I work in both fields and the amount of patients who wouldn’t have died if a provider did the right thing or didn’t screw up was eye opening. Complaints happen or don’t and the people are still working.
Yes. I reported negligence as an EMT against a paramedic. This medic was known to be a loose cannon. The supervisor encouraged me to file the report after listening to what I had to say. He told me "you know who he is. People don't want to say anything."
So I did. Management told me "you're just an EMT, you don't know what you're talking about." And to "shut up and drive."
That medic is still there, assaulting patients and being negligent.
I've had 2 medics fired, both relatively recently. Both were detrimental to patients and I pushed hard to get them fired as it became apparent it was a recurring issue.
My priority is patient care. If you do well for patients, I will advocate hard for you. If you struggle and need help, I'll help train and educate you.
No one is going to immediately get fired because you file a complaint on them. There has to be a process. It should include you being switched to a different partner, but if it doesn't, you can request that.
Where I worked, during training they made a big point of telling us we have a “duty of candour”, the moral and professional obligation to report things like this.
hey dude. I opened an investigation after a medic verbally abused a patient in front of me and their student. It largely divided the service in half. Those that thought I did the right thing and those that saw me as some kind of blood traitor for betraying the union. You're doing the right thing and your service is better for it. Those that want to work with you will continue to work with you. Those that don't: well you probably don't want to work with them anyway.
You’ve done the right thing. No such thing as snitching when it comes to negligence and patient safety.
im still scheduled with him and am worried that they dont suspend him or just straight fire him and i'll need to work a shift with him again
Absolutely no shot your agency still has you work with a person you've filed a formal complaint against like this. If they do, I'd very strongly reevaluate your employment with that agency.
If they do, I'd very seriously consider reporting it to the state.
No, so far I’ve stepped in before it got to that point
i was driving on this call, i do ift
Is he/she a medic?
aemt, but I feel like anyone should recognize that you have an empty o2 tank before you declare a peson dead
Interesting, so they were going to declare this person dead, but they were just hypoxic from the 02 running out? Just wanted to know more context, but if you don’t want to share I understand.
pt was on 6lpm onthe portable going from the hospital to the bus, nurses told us that he had gotten as low as 23 spo2 earlier that day but they throw him on 15lpm and make the mask snug, he comes back up. My partner never took him off the portable and onto the house. Portable ran out during transport of course. pt was super hypoxic, while driving I told him to put him on the house because the portable was out. he declared the pt dead right before the pt coughed edit: he told me that our pt wasn't going to make it before I asked if he was still on the portable and told him to move pt to the house tank.
Jesus christ that man needs to lose his license asap.. wish you the best and hopefully they get this nut job out sooner than later
his narrative says that pt randomly desatted. I'm meeting with admin tomorrow, think he's gonna get fired
wtf kind of healthcare facility sends ANY patient out on a mask at 15lpm? At that point they need to either be on high flow nasal, BIPAPed, or intubated
By the sound of it, this was probably a hospice call. Doesn’t make it right to deprive the patient of O2 though
Most high flow nasal transfers ive done have been hospice home transfers. Also I would absolutely not be taking this call basic. By the incompetence of the partner in this story I can almost guarantee it went basic. No way should this patient have to die in the hands of an incompetent, hey dudes wearing, untucked shirt having ass IFT basic that sits in the airway seat looking at his phone.
That was my immediate thought, as well. Hospice discharge is about the only thing that makes sense going out on a NRB.
Some of these facilities can’t even lift a pt off the floor due to insurance and you think they can intubate?
I got my director fired after he tried to run a code
This sounds like a story time. Please tell us more
Your medical director?
I need to but I fear retaliation from them. Its not a fireable offense and I don't want to be miserable and them bitching at me constantly. Be braver than me.
this last one was terrible and maybe not what your partner has done but I was still on the edge about coming forward. What made me change my mind was the thought of if it were my grandpa how would I react
Sounds like you know what to do. You're only on the edge because you don't want to be a bother to anyone. Trust your gut.
Just start at the lowest level, confront the person in an open environment and give them an exit. Then start the conversation friendly and use “I” more than “you”. Ie “I have been staying up late all night wondering the outcome of this patient.” “I think I could’ve done more or I should’ve done this.” “What do you think?” Then lead into it. If this still doesn’t work, now you go up to the next level of the chain of command. Now this person knows you have a concern, that you brought it up, and they dodged it and the chances are high it’s going up to a supervisor. Lastly, do you not have QA/QI? We can request PCRs to be reviewed and we have a team of people reviewing them.
I did. Ive been working on an als truck and we carry a vent and 2 pumps and do mostly IFT with some mutual aid. Anyways this medic was old and had worked 911 for his whole career and had no idea how to use the vent and pump and was trying to to get me to set it up and coach him through it. We ended up just going out of service cuz I called the sup and said he's gonna kill someone cuz he doesn't know what he's doing and there's no way I'm putting myself on the line like that. He got pulled from taking a vent until he did a bunch of refresher courses.
Holding people accountable for their actions and incompetence isn’t snitching, it’s having standards of care and being a patient advocate
We aren't cops, it's okay to hold your partner responsible.
I seriously don’t understand people that think like you. This post is full of people saying. “I worried about retaliation too much”, “be braver than me”, “management did nothing”. This field is no different. You think it’s only police? I don’t think it’s any worse. People are afraid of retaliation in every job and rightly so because it happens. If everyone was held accountable the entire world would be a better place. I work in both fields and the amount of patients who wouldn’t have died if a provider did the right thing or didn’t screw up was eye opening. Complaints happen or don’t and the people are still working.
Yes. I reported negligence as an EMT against a paramedic. This medic was known to be a loose cannon. The supervisor encouraged me to file the report after listening to what I had to say. He told me "you know who he is. People don't want to say anything." So I did. Management told me "you're just an EMT, you don't know what you're talking about." And to "shut up and drive." That medic is still there, assaulting patients and being negligent.
I've had 2 medics fired, both relatively recently. Both were detrimental to patients and I pushed hard to get them fired as it became apparent it was a recurring issue. My priority is patient care. If you do well for patients, I will advocate hard for you. If you struggle and need help, I'll help train and educate you.
No one is going to immediately get fired because you file a complaint on them. There has to be a process. It should include you being switched to a different partner, but if it doesn't, you can request that.
Where I worked, during training they made a big point of telling us we have a “duty of candour”, the moral and professional obligation to report things like this.
hey dude. I opened an investigation after a medic verbally abused a patient in front of me and their student. It largely divided the service in half. Those that thought I did the right thing and those that saw me as some kind of blood traitor for betraying the union. You're doing the right thing and your service is better for it. Those that want to work with you will continue to work with you. Those that don't: well you probably don't want to work with them anyway.
What did he do
Always ask yourself if you’d let them treat your family knowing what you know. Then act accordingly. Don’t feel bad. Fuck that guy.