Ten (or so) things that you should try to do with every patient

 

I am not a perfect medical provider. In fact I’m really only practicing prehospital medicine (Ha ha!) but there are a few things that I try to do with every patient to improve my care for them and improve their comfort level as I care for them. I can’t claim that I always remember to do these things, but I really try to. I think that you should too.

Here they are (in no particular order other than ZIP code):

  1. Always introduce yourself and your partner to the patients and their loved ones using your first name. I wouldn’t want some upstart guy in some uniform type thing just randomly poking at me. I think that it reduces patient anxiety when you properly introduce yourself to your patient. I say “Hi, I’m Chris and I’m a paramedic with F&B Ambulance Service and Taxi Squad. This is my partner Fuzzy McGee. What is your name Sir/Madame?”

     

  2. When you’re in the back transporting the patient after you’ve given them most of the care you were planning to give them, go over your assessment again. Ask the patient questions that get them to expand on their original answers. Challenge yourself to find anything that you may have missed. 
  3. Play a game with yourself. Try to have the patient diagnosed by the time that you get them to the ER. If you can’t figure it out, fire up the internet when you get back to quarters and look it up. You’ll learn a lot of good medical information by doing this. I have.

     

  4. Once you get the patient in the back of the ambulance if they’re not facing an immediate “Life-or-Death” crisis ask them “Is there anything I can do to make you more comfortable?” Maybe another pillow or moving the head of the cot up or down would help them. Do it if they ask.

     

  5. Try not to have the pillow stuffed under the patient’s shoulder blades. It makes it uncomfortable when they’re lying on the cot. Moving the pillow up from under their back and placing it under their heads makes them a lot happier. They won’t know to ask for it. Just do it.

     

  6. If you find a patient down with an isolated fracture or dislocation get pain meds in their system before you start splinting or packaging them. It does take a bit more time, but you’re not being very humane if you don’t.

     

  7. You are the patient’s advocate when you walk in to the imposing world of ER care. Your job is to present them to a medical system that is overworked and overtired. Stick up for them and make sure that the medical care providers that are following you learn about what is wrong with the patient before you throw him or her to the wolves… er, um, nurses. I mean nurses.

     

  8. Before you hand off your patient to the ER, ask them: “Is there anything that I haven’t addressed? Is there anything that you would like me to be sure and tell the ER about?”

     

  9. Explain to the the patient WHAT you are going to do and WHY you are going to do it.

     

  10. Approach EMS with a servant’s heart. No matter what some EMTs may think, we are here for the patients. It’s not the other way around.

     

By trying to do these things you’ll provide better patient care. I think that I’ve grown as an EMS professional by doing these things. I’ve also grown as a person by doing these things. Let me know how this works out for ya.

  • EMS Chick

    This is a great post, thank you! I do a lot of these things now but there are some that I don’t and this is a great reminder.

  • http://transportjockey.blogspot.com/ Transport Jockey

    Great list. I think some of my partners need to read this.

  • MarkUK

    Can't fault you on that at all.

  • Pingback: Tweets that mention Ten (or so) things that you should try to do with every patient | Life Under the Lights -- Topsy.com

  • Pingback: uberVU - social comments

  • http://twitter.com/Jeramedic Jeremiah Bush

    Great advice CK. There are no exceptions with this list. Many people forget that little technicality about how you can only make a first impression once. This is 2x true for us (EMS/Fire/PD/RN/MD) because it's not just our fist impression, it's our industries. The one time you treat that patient may be their first (and hopefully only) experience with EMS. Your first impression will set in motion a life time of beliefs and opinions about all of EMS. It's up to you to make it a positive one.

    When ever someone tells me that they were in an accident or came in contact with EMS, I ask if the crew was nice. We may have a different uniform or be from another city or country, but we are all on the same team working towards the same goal.

  • http://www.safety-gear.com.au/ Safety gear

    Great list, will pass this on.

    SG

  • http://www.safety-gear.com.au/ Safety gear

    Great list, will pass this on.

    SG

  • Pingback: Behind the Seams: “Chronicles of EMS” Premiers, Public Safety Budget Cuts and More | Tactical Pants Blog

background image Blogger Img

Chris Kaiser aka "Ckemtp"

I am a paramedic trying to advance the idea that the Emergency Medical Services can be made into the profession that we all want it, need it, and know it deserves to be.

JEMS Talk: Google Hangout

Categories
  • 2009 (2)
  • 911 (4)
  • 911 fail (20)
  • accident (4)
  • ACLS (3)
  • Administration & Leadership (86)
  • aed (2)
  • AHA (3)
  • Als (9)
  • ALS Intercept (14)
  • Ambulance (95)
  • Ambulance cleaning (4)
  • Ambulance Driver (6)
  • ambulance humor (21)
  • Ambulance maintenance (5)
  • ambulance report (3)
  • American Heart Association (3)
  • amulance (1)
  • appreciation (13)
  • attack (2)
  • bad calls (6)
  • Bed pan (1)
  • Bed pans (1)
  • bedpan (1)
  • bernoulli (1)
  • blog (5)
  • blogger (4)
  • blogosphere (3)
  • boy scouts (1)
  • camaraderie (2)
  • Case law (2)
  • cat puke (1)
  • cats (1)
  • CCC (5)
  • CCR (7)
  • CDC (1)
  • change (21)
  • chart (1)
  • CISD (3)
  • ckemtp (14)
  • ckemtp rants (30)
  • cnn fail (1)
  • code-3 (2)
  • comfort (1)
  • Command & Leadership (54)
  • cool pics of thunderstorm (1)
  • courtesy (2)
  • cpr (10)
  • cpr fail (4)
  • cpr save (4)
  • crisis (6)
  • dave barry (2)
  • dextrocardia (1)
  • disaster (2)
  • disinfection (4)
  • Dispatch & Communications (2)
  • DNR (5)
  • Do Not Resuscitate Order (5)
  • domestic violence (1)
  • Dr. Bledsoe (1)
  • drive fast (2)
  • duty boots (2)
  • Economics (17)
  • edemse (28)
  • EKG (11)
  • Emergency Communications (5)
  • Emergency Medical Services (194)
  • Emergency Nurse (11)
  • Emergency room (11)
  • Emergency Room Nurse (5)
  • emotions (17)
  • EMS (254)
  • ems 2.0 (68)
  • EMS Blog (19)
  • EMS Blog Carnival (3)
  • EMS blogosphere (11)
  • ems boots (1)
  • EMS Conference (4)
  • EMS Dispatch (3)
  • ems education (55)
  • EMS ethics (55)
  • ems garage (2)
  • EMS Health & Safety (69)
  • EMS Humor (41)
  • EMS Management (52)
  • EMS Motivation (22)
  • EMS motivational posters (1)
  • ems narrative (7)
  • EMS narrative report (6)
  • ems pants (1)
  • EMS paramedics (25)
  • ems patient care report (6)
  • EMS pay sucks (7)
  • ems pcr (1)
  • EMS pep talk (21)
  • EMS practice (8)
  • EMS protocol project (1)
  • EMS protocols (12)
  • EMS rant (27)
  • ems report (3)
  • EMS safety (10)
  • ems salary (8)
  • ems scenario (9)
  • ems scenario based education (12)
  • EMS system (9)
  • EMS Topics (242)
  • EMS training (59)
  • ems uniforms (1)
  • EMS week (10)
  • EMS Week 2009 (2)
  • ems week 2010 (8)
  • EMT (73)
  • emt narrative (3)
  • EMT-Intermediate (6)
  • EMT-Paramedic Specialist (5)
  • ER (8)
  • ET Intubation (3)
  • Ethics (27)
  • everyday ems ethics (29)
  • explosion video (1)
  • extrication (1)
  • ez-io (2)
  • FEMA (2)
  • fire (13)
  • fire boots (2)
  • Fire department (38)
  • fire department taser training (1)
  • Fire Dispatch (1)
  • Fire Prevention & Education (4)
  • Fire Rescue Topics (98)
  • fire truck (1)
  • Firefighter (21)
  • Firefighter Safety & Health (20)
  • firefighter Tazed (1)
  • Firefighting Operations (4)
  • Fires (2)
  • first call (1)
  • first day of school (1)
  • first responder (3)
  • friendly (1)
  • Funding & Staffing (15)
  • funny (8)
  • grumblemedics (6)
  • Happy Medic (2)
  • harry reid (1)
  • HazMat (1)
  • hospital (5)
  • humor (15)
  • hurricane (1)
  • idph (3)
  • illinois (4)
  • In the Line of Duty (13)
  • infection control (5)
  • information (1)
  • inside the mind of a paramedic (16)
  • intraosseous (3)
  • Introduction (1)
  • intubation (3)
  • IO (3)
  • Iowa (4)
  • Iowa EMS (4)
  • ireland (1)
  • Irish EMS (1)
  • IV (3)
  • jaws of life (1)
  • kindergarten (1)
  • kneeling (1)
  • las vegas review journal (1)
  • Letter (2)
  • letter to the editor (4)
  • lights and sirens (2)
  • Line of Duty (12)
  • link (3)
  • MABAS (1)
  • Magnum boots (2)
  • magnum elite equipment (2)
  • mainstream media sucks (3)
  • Major Incidents (3)
  • Management (10)
  • Mass Casualty Incident (1)
  • medical ethics (19)
  • medicblog999 (7)
  • mental illness (2)
  • mental imagery (6)
  • Mission Lifeline (1)
  • Music (1)
  • narrative (4)
  • narrative report (3)
  • new perspective (16)
  • News (23)
  • newspaper (3)
  • NOAA (1)
  • northern illinois (3)
  • nursing home (2)
  • obama (1)
  • odansetron (2)
  • Paramedic (197)
  • paramedic education (74)
  • paramedic narrative (7)
  • paramedic pants (1)
  • paramedic salary (11)
  • Patient Assessment (7)
  • patient care (38)
  • Patient Handovers (3)
  • Patient Management (78)
  • pcr (2)
  • pediatric cardiology (2)
  • physician (10)
  • politics (36)
  • potential (14)
  • PR (5)
  • pride (15)
  • profession (27)
  • professionalism (32)
  • Protocol development (5)
  • psychology (6)
  • Public relations (14)
  • puke (2)
  • rant (7)
  • relationships (2)
  • renaisance (1)
  • rescue (1)
  • rescuing providence (1)
  • RN (3)
  • Rockford (1)
  • roll-over (1)
  • run sheet (2)
  • rural ems (3)
  • sadness (6)
  • safety (4)
  • salary (7)
  • sanitize (3)
  • save (3)
  • scenario (13)
  • scenario based training (15)
  • school bus (1)
  • Scope of Practice (4)
  • severe storm pictures (2)
  • sherman frederick (1)
  • shift length (2)
  • show tunes (1)
  • SitRep (1)
  • Skilled Nursing Facility (2)
  • SMG (7)
  • SMO (7)
  • soap (4)
  • soap charting (3)
  • socialized medicine (4)
  • southern wisconsin (4)
  • Special Operations (1)
  • STEMI (8)
  • stories (12)
  • swine flu (2)
  • Taser (1)
  • tattoo (1)
  • tattoo humor (1)
  • Technology & Communications (9)
  • technology-communications-ems-topics (10)
  • thank you (3)
  • The EMT Spot (2)
  • The Handover (3)
  • The Shine Factor (2)
  • thom dick (1)
  • thunderstorm (1)
  • train derailment (1)
  • train explosion (1)
  • Training (17)
  • Training & Development (50)
  • training-fire-rescue-topics (19)
  • Transfer of Care (1)
  • UK Child custody (1)
  • UK medic attacked (1)
  • UK paramedics (5)
  • Uncategorized (237)
  • united kingdom (4)
  • universal healthcare (5)
  • us (2)
  • US economy (11)
  • Vehicle Operation & Ambulances (3)
  • Vehicle Operations & Apparatus (1)
  • Videos (3)
  • volunteer fire department (9)
  • volunteer firefighter (6)
  • wall cloud (1)
  • Week (1)
  • whattaya do (4)
  • when god made paramedics (1)
  • wisconsin (3)
  • wolf parkinson white (1)
  • wpw (1)
  • wpw syndrome (1)
  • Your Happy Medic (5)
  • zofran (1)
  • Comments
    Jessica Krause
    Stop Feeding the EMS Tee Trolls
    I may take you seriously when you learn proper grammar and spelling. Until then, here's a lesson: It's either 'Don't take it TOO hard' or 'Don't take it To HEART' depending on what you were trying to say.... It's not 'fetal mind' it's 'feeble mind' and 'You're worried not 'your worries' If you are going…
    2015-05-22 18:49:00
    Mark Tyson
    Stop Feeding the EMS Tee Trolls
    Oh your that guy who thinks he stands out above all others in our profession and feels he has "seen the shit" LOL. Your "combat vet" and "20+ years" in EMS make you very suspect simply by how you just presented yourself. How old are you? Its seems those who say they have seen more…
    2015-05-22 18:22:00
    Joe Paczkowski
    Stop Feeding the EMS Tee Trolls
    Apparently someone is wearing them because people keep trying to sell them. I have to imagine if no one was buying them they'd be long gone by now. Am I blaming any of EMS's problems on a t-shirt? No, not by a long shot. However if I saw a medic wearing one of those shirts,…
    2015-05-22 17:58:00
    Shaxspear
    Stop Feeding the EMS Tee Trolls
    Didn't take long for the usual proverbial dick measuring post to come out. Thanks for your service, but you could use a healthy dose of professionalism. Of course people aren't wearing this garbage at work but if they're still wearing it in public, then it obviously identifies you as EMS. The shit is tacky, and…
    2015-05-22 15:59:00
    drkervorkianjr
    Stop Feeding the EMS Tee Trolls
    I spent 30 years as an EMT and I own a paddling shirt( did field testing for AED)plus a DNR t shirt worn only during drinking excursions at EMS conferences. Yup some of those shirts are dumb but what the heck it stimulates someone's economy. But here in the big city we have folks we…
    2015-05-22 15:03:00

    Care to Search the Blog?

    FireEMS Blogs eNewsletter

    Sign-up to receive our free monthly eNewsletter

    LATEST EMS NEWS

    HOT FORUM DISCUSSIONS