As a medical flight paramedic, you might have encountered a few sepsis patients on your missions. But have you had to deal with kids suffering from this problem? Sepsis treatment is already complicated and can be much more complicated in children. They can easily develop sepsis after developing an infection from a traumatic injury or an illness.
Pediatric Sepsis Assessment Tips for Medical Flight Paramedics
When you encounter a kid suspected of having sepsis, you can make use of the following tips to provide timely and accurate treatment:
- Assess complaints carefully – As you well know, there’s no test or clinical indicator for sepsis. So you need to carefully assess the various symptoms in your young patient to determine whether they’re suffering from the condition.
Fever, rash, vomiting, diarrhea, discharge or pus, foul-smelling urine, and runny nose are some of the common symptoms to look out for. If the patient is shivering, pale, sleepy, and suffering from shortness of breath and extreme discomfort, there’s a chance they have sepsis.
- Determine the patient’s medical history – In most cases, a patient’s medical history may make them more susceptible to sepsis. Try to determine if the patient has gone through anything that might decrease their immunity. For example, immunotherapy and chemotherapy as well as HIV/AIDS and regular steroid use can negatively affect the immune system.
You can also try to determine whether the patient suffers from any comorbidities that might leave them susceptible to infections and cardiovascular collapse. Cancer, sickle cell disease, cystic fibrosis, poor cardiac/respiratory reserves, and liver/splenic dysfunction are some conditions to look out for.
In addition to this, see if the patient has had any recent surgery, traumatic injury, indwelling devices, or organ transplants. Medical flight paramedics should also note that children who depend on mechanical ventilation may also be more susceptible to sepsis.
When you’re working as a medical flight paramedic, chances are that you have a hectic and sometimes unpredictable schedule. There may be times you have to work overtime, fill in for a co-worker, or even work a holiday shift. This makes it extremely difficult for those with children to find good child care options. In this post, you’re going to learn some useful tips to help you manage child care with your schedule.
Child care Options for Medical Flight Paramedics
When you’re a paramedic parent working busy and odd schedules, daycare may not be the most viable child care option for you. Here are some of the other options you could try:
- 24-hour daycare – While most daycare centers have fixed timings, a few 24-hour daycare centers have started opening up, providing parents working unconventional shifts with an excellent option. However, these centers may only be available at select cities and areas.
- Au pairs – Au pairs are fulltime nannies who live with you and are available to care for your kids during odd hours. Usually, their rates are considered per family and not per kids, so you could be saving plenty of money. But not many families are keen on the idea of having a nanny life with them.
- Nannies – If you’re not so keen on having your childcare provider live with you, you could opt to hire a nanny instead. They provide fulltime child care and then they go home after their shift. The main disadvantage of this is that they can be a bit more expensive than other child care options.
In addition to these, you also have the option of working out an agreement with a co-worker. There may be another medical flight paramedic working a different schedule than you and you could take turns watching each others’ kids. Or the two of you could combine your resources to save child care costs.
You’re a supervisor for an air ambulance and you have to improve how you communicate to your employees. Maybe you’re making a small policy shift or you’re implementing a major change to your operations; better communication is crucial. It will ensure that everyone in your medical flight team is on the same page and there’s no one left behind.
Steps to Communicate Better to Your Medical Flight Team
Whether you’re making some changes to the deployment strategies or simply shifting schedules, effective communication is crucial for effective implementation of your plan. Here’s what you need to do:
- Write it out – To better understand how you can communicate to your team, you should clearly lay out your plan in writing. This plan will detail the various teams and audiences you will be addressing as well as the specific messages you should relay to those groups.
- Embrace transparency – If you’re implementing a change – no matter how big or small – it’s crucial that you’re honest and transparent with team members. For them to better understand your vision, you need to address their concerns and let them in on why the change was needed.
- Encourage questions – Your communication with your medical flight team shouldn’t be a one-way communication. Encourage team members to ask their questions so there’s an opportunity to address their doubts and concerns. Make them feel like they can ask you any questions or give you difficult feedback without a negative reprimand.
- Consider adjustments – If team members give you any feedback about what you’re doing, carefully consider them and see if there’s an opportunity for you to make adjustments. Or if you feel like your message isn’t effectively communicated, adjust the way in which you’re approaching the topic and relaying your message.
If you’re a medical flight paramedic, chances are you have to make do with an average paycheck. And most of the time, you need to effectively manage your spending to make it through the month. It’s not always easy but the good news is that there are several opportunities for you to save money during tax season.
Filing Taxes to Save Money for Medical Flight Paramedics
Here are some useful tips that could help you save some extra cash:
- Get deductions on job hunting costs – If you spent some time searching for a job during the year, you could get deductions on the costs incurred during your job hunt. Maybe it’s the cost of preparing and printing your resume or the expenses of traveling to and from interview locations. You could be eligible for deductions if it’s not your first job and if your job search is relevant to the same occupation. However, the deduction is applicable only if the expenses exceed 2% of your adjusted gross income.
- Get child care tax credit – If you’re a parent and your work schedule makes it compulsory to get child care for your kids, you could be eligible to save money with child care tax credit. You can save up to $6000 for each child.
- Get tax credit for retirement plans – Like other medical flight paramedics, it’s likely you’ll be planning for retirement by opening an individual retirement account. For the first $2000 you put into this account, you could get a tax saving amounting to 50% of the amount.
- Get deductions on moving costs – If you have to relocate for work, a portion of your moving expenses is deductible. However, you need to show proof that the move was for a job and also that the new location will result in less time/money for commuting to work.
In a previous post, we had discussed some of the biggest challenges you might face while training to become a medical flight paramedic. But once you become one, what other challenges lie ahead for you? The obvious challenges would be dealing with a multitude of patients with a variety of issues day in and day out. This doesn’t need further elaboration because it’s what you knew when you signed up for the job. Find out some other huge challenges you could face while working as an air ambulance paramedic.
Personal Life Maintenance and Other Challenges for Medical Flight Paramedics
Some of the biggest challenges you will face during your time as an air ambulance paramedic are:
- Maintaining/managing healthy relationships – Working as a paramedic – whether it’s for air or ground ambulances – can take an emotional toll on you. This means you might often lack the ability to satisfy some of the basic emotional needs of your partner. Of course there may be a handful of paramedics who can effortlessly maintain a healthy work-life balance and remain in a healthy relationship. However, you might be in for a nasty surprise if you walk into the job thinking that you will be able to put in the same effort into your relationship as you had done before. You might struggle with missed family events and the occasional broken promise as a result of your hectic and unpredictable schedule. This is where you need to learn to be accepting of your faults and avoid being defensive even if your partner tries to talk it out with you.
- Maintaining a normal routine – Another big challenge for medical flight paramedics is being able to maintain a normal routine. Shift changes and work habits can get in the way of maintaining your routine and you might even find yourself waking up in the middle of the night during week-offs or holidays.
Maybe you’re just starting to implement a compliance program or you’re planning to make improvements to the one you have in place. Either way, you’re taking a step towards providing better service and medical care with the program. In order to make sure your medical flight company has a proper compliance program in place, you can make use of the tips provided in this article.
Improving on a Compliance Program for Medical Flight Providers
Here are some of the crucial steps required for having a proper compliance program in place:
- Assign a designated compliance officer – Medical compliance should be one of the top priorities for your company. So in order to take care of the operating and monitoring of your compliance program, it would be best to have a designated compliance officer. Their responsibilities would include conducting internal audits, staying updated with any changes in the rules and regulations of Medicare, etc.
- Conduct internal audits – You can assess any compliance risks in your company by having an internal claim review. This will involve evaluating the entire process of submitting a claim. You can have a better understanding of whether everything is going well during every step of the claim submission process – right from call intake to payment.
- Conduct an annual external audit – In addition to having an internal audit, your medical flight company should also have periodic external audits. This involves having a qualified and certified auditor to examine your claim sample. This will help in detecting any error that you missed during your internal audit.
These are the three main factors that will help in ensuring a better compliance program for your company. In addition to this, it would be wise to refund any overpayments without delay and have a monthly assessment of the OIG exclusions database.
Among the hundreds of patients you care for every year, some of those patients may be elderly individuals with a medical emergency or injury. It would be a mistake to assume that these patients are just like any other patient, as there may be many age-related issues to consider when providing them with pre-hospital care. As a medical flight paramedic, you need to be equipped with the necessary information to care for and safely transport geriatric patients facing a medical emergency or injury.
Caring for and Transporting Elderly Patients in a Medical Flight
Take a look at some of these tips to help you care for and safely transport a geriatric patient:
- Consider age-related changes in bodily functions – As we grow older, the function of the different organs in our body declines. This means there’s a change in the way our body responses to illnesses and injuries. For instance, there is a much lower capacity to compensate for shock, the bones can break much more easily, and the skin can face a more extensive damage from lacerations and burns. Additionally, head injuries can be much more lethal for elderly patients. All of these and more means that even a simple injury or complaint could have a huge impact on geriatric patients.
- Consider medication-related complaints – Many elderly patients may miss their meds or even take them at a wrong dose. Before transporting them on a medical flight, make sure you double-check their medications. In addition to asking them about it, get the prescription bottles and take them with you to provide to the ER. You could even perform a pill count if the dosage is indicated. Make sure you also have sufficient information about the common side effects of certain medications and their interactions with other medications. For instance, a patient taking blood thinners and suffering from a physical injury could be in danger of internal bleeding.
In a previous post, we had discussed some tips to help in writing a detailed patient care report. To add to that, this post will provide you some tips and ideas on how you can avoid vagueness in writing your report. Being descriptive and detailed is crucial in a few major aspects of patient care reporting for medical flight paramedics. This post will guide you in nailing your report for these aspects.
Important Aspects of Patient Care Reporting for Medical Flight Paramedics
When you respond to a call and transport a patient, you need to avoid being vague when writing your report about the following aspects:
- Dispatch info – Cover all details of the dispatch including patients condition at the time of dispatch, whether it’s an internal or external dispatch, whether you’re the first responders or if there are other rescue units on the way, etc.
- Patient’s condition – It’s obvious that you’ll be reporting details like where you picked up the patient and where you transported them to. But in addition to this, you’ll need to have a detailed report about the patient’s condition such as their mobility and consciousness status, whether or not they were able to understand/respond to your queries, when and how their problem stated, how the symptoms have evolved, etc.
- Interventions and procedures – As a medical flight paramedic, you may need to perform some emergency procedures to help the patients you transport. Make sure you provide in detail which treatments, interventions, or procedures you performed on the patient during transportation. And don’t forget to include details about why those procedures were necessary, which assessments you made and what you found from the assessments.
These three main aspects are crucial for better patient care reporting and to avoid vagueness in your report. They will help the receiving medical facility to provide proper medical care to the patient.
When you’re beginning a career as a medical flight paramedic, one of your biggest responsibilities would be writing patient care reports. And your ability to write a good report will play a huge role in the quality of care provided to the patient. In this post, you’ll learn a few basic tips to help you improve the way you handle patient care reporting.
Writing a Detailed Description in Medical Flight Reporting
The most important element in good patient care reports is a detailed description of the incident and patient details. You’ll need to write a detailed report of your assessment of the situation. And you’ll need to note down all the details of how you treated the patient – whether you administered any kind of medication or any special treatment, etc.
As a medical flight paramedic, you would have received training on writing patient care reports. Here are a few tips to help you further improve your descriptions:
- If the patient is experiencing pain, make sure your description includes where exactly the pain is. For instance, if it’s on the leg, which leg and which part of the leg?
- Make sure you include the incident timeline.
- Make a note of your assessment of the pain.
- Include a step-by-step detail of what treatment you administered.
- Try avoiding the use of abbreviations if possible.
The Importance of Grammar and Spelling
It may be difficult to comprehend but spelling and grammar are crucial in patient care reporting. Misspellings and incorrect grammar usage could result in miscommunication. Try to ensure your report clearly states the details of the injury or illness. The idea is to write a report that will ensure the surgeon or doctor caring for the patient understands exactly what is going on.
After much consideration, you’ve decided to undergo education and training in order to become a medical flight paramedic. And you’d also know by now that you’ll be facing plenty of challenges along the way. Many of those challenges may be minor and you can easily overcome them. But some challenges may get in the way of your training and may even compel you to give up your dreams. So the best thing to do is to prepare yourself to face those challenges and get set to overcome them.
Challenges with Time Management
One of the biggest challenges you will face while training to become a medical flight paramedic is the challenge with time management. You’ll have to attend your classes regularly, which is going to take several hours of your time every day. You’ll also need to set aside some time to study on a daily basis if you’re going to pass your tests. On top of that, you’ll even have to go to clinical rotations, which will take place at various sites.
Now all this is difficult to manage already. It’s going to be even more difficult if you’re doing it all in the midst of a regular job. So it’s already clear that you’ll have to sacrifice your social life while you’re in paramedic school. And make sure you try to postpone big, life-changing decisions such as moving to a new city.
Other Big Challenges in Medical Flight Paramedic Training
In addition to the big time management issue, you might also struggle with drugs and pharmacology. By the time of your internship, you’ll be expected to have a thorough understanding of your medications. Come up with a technique to memorize and understand indications and doses as well as contraindications related to medicine.