I will blame it on the EMS gods.
I should go sacrifice a pilot or two. Maybe that would change my luck.
*ducks flying helmets*
I will blame it on the EMS gods.
I should go sacrifice a pilot or two. Maybe that would change my luck.
*ducks flying helmets*
I can tell how much time I have spent at the hangar by how unorganized my life becomes.
It is all I can do to ensure the laundry is done, there is food in the fridge and my truck is not trashed. In the past, one by one, these things gradually get out of control. I would finally have a day off and the awful state of my world would come into focus.
We recently have found ourselves sorely short staffed. As with any healthcare department, it is cyclical and not surprising. This, however, has been more challenging than normal.
When discussing flight medicine with someone seriously considering it as a career, I try to mention some of the more unique features of the field. This is not like working for an ambulance company or a med/surg floor with a huge pool of part time employees. There is no being pulled to the helicopter like they used to pull me to the floor when they were short staffed.
There are a set number of full-time flight nurses who cover 36 hours a day 7 days a week 365 days a year. There is no calling out sick because of a hang-over or wanting to screw off when the weather is nice. We work when we don’t necessarily feel well. We give up family functions, vacations and planned days off frequently to ensure there is coverage.
We have no resource pool. We are it.
It may be our family that needs us. It may be our friend or neighbor who is ill or injured. We possess a dedication to our profession, our patients and ourselves that far surpasses the usual work place. Even when we don’t know how things will work out, we cover the shifts. Some way, somehow.
Flexible to the point of liquidation but not vaporization.
I am never more impressed with my peers than when the proverbial shit seems to be hitting the fan. I am proud to be one of them.
Working night shift wears me out. We do a lot of “swing shifts” from days (7a-7p) to mids (10a-10p) to nights (7p-7a). Fortunately, in-house rules exist as to how we structure our schedule but I still struggle with those damn nights.
Anyone else out there have issues with swinging from days to nights and back in a few short days? More importantly, do you have tricks that work?
As all in the HEMS industry know, we have fought safety issues and criticism related to our horrible accident record in 2009. In one online article related to the NTSB hearing quoted Eileen Frazer, RN, executive director of CAMTS who stated:
“The No. 1 issue we have concerns about is fatigue and sleep deprivation,” Frazer testified. She said 49% of helicopter EMS accidents happen at night, while only 34% of flights take place at night. “One of our biggest concerns is sleep inertia — that period after you wake up. What is your cognitive function? What are your psychomotor skills and what activities must you do immediately after being awakened?”
[emphasis mine]
I recently completed online and in house sleep safety training. I KNOW what happens when I am too tired. I know that proper diet, exercise, sleep, etc will help prevent fatigue.
But the question still hangs out there—–how the hell do I flip back and forth between these varied shifts?
*head desk*

Tuesday Sunrise through the Hangar Door
It has been quite some time since I posted a view from my “Office Window.” During our on-coming shift aircraft checks, I finally found a reason to enjoy the time change. I snapped this with my iPhone through a coffee treated morning haze. Looks like it will be a good weather day to fly, at least for a bit!
“The Impact of Alcohol on Trauma”
On 24 March I am speaking at the Michigan Trauma Symposium in Grand Rapids, Michigan. Every year, the symposium rotates between the three major cities/trauma centers in West Michigan: Grand Rapids, Kalamazoo, and Lansing. A few months ago, our trauma coordinator called the hangar wondering if we had any good case studies to present related to alcohol and trauma. Knowing I am a sucker for such a request, my manager asked if I had any ideas . . .
. . . I said no . . .
As the fickle hand of fate would have it, I was GIVEN a case study about 3 weeks later. Quite honestly, this one is going down as #1 in my medical career of all patient’s I have had the honor of caring for. And then to be able to speak to a crowd of a few hundred people about it? Sorry, BRAG to a few hundred people about how awesome the 50+ people who cared for him in the first 2 hours post injury were?
Priceless.
Take for example a normal shift. Today, I was expecting to arrive at our main base and travel by ground (get in a car and drive for you land lubbers) to our second base after meeting the rest of the crew. Normally, the aircraft is left overnight at our second base and we meet it there.
Today, however, the aircraft was at our primary base. And the weather is crap. (Or IFR for you air lubbers). So, instead of being in a quiet office with space to work and expected interruptions like shift briefings and flight requests, I found myself discombobulated, without quiet work space, and constantly pulled in so many directions I was feeling like rubber girl. (get your mind outta the gutter) Yup, I am working out of our primary base. Read–work plans foiled.
Did I get a lot done? Arguably. Am I straight exhausted from the chaos? Absolutely.
And my presentation is still not getting done. Now I am so overwhelmed I am having difficulty concentrating. Oh, yeah. I was planning on arriving at our second base, doing my daily flight nurse duties and sitting down to about 8 hours of book/computer work.
Heh, even my post is disjointed and chaotic.
How does a girl who has a bunch to do, but works in disorder and chaos get anything done? Heh, and to think I am here to FLY!!!
I need a nap.
Instead I am going to work on my PowerPoint presentation while hiding on our mezzanine with the intubation heads and stretchers.

So many times when flying a very ill or injured patient, finding the alcohol swabs is monumentally difficult. As with everything else we do, how incredible when we are able to remove steps from a simple, but essential process.
Hmmm, but what I really wonder about is the cost. And if they can figure out a way to use these things on the absolutely worthless IV tubing that still requires some sort of needle-less whatcha-ma-jig to pierce a membrane.
My solution to part of the healthcare money crisis?
MAKE ALL TUBING/CONNECTORS COMPATIBLE!
But I digress, as I so often do.
See more on Medgadget.
Excelsior Medical has received FDA clearance for its SwabFlush IV catheter flush syringe.![]()
It is basically a standard syringe pre-filled with saline for flushing IV lines after delivering medications. However, in the plunger it features a disinfection cap (the SwabCap) for needleless IV connectors. When applied, the cap covers the connector, protecting it from contamination. Furthermore, as the cap is twisted onto the threads, a foam pad inside the cap is compressed, releasing 70% isopropyl alcohol bathing the connector’s top and threads. The integrated cap should make it easier and more convenient to follow protocols and reduce IV catheter related infections. It comes as a 10mL flush syringe pre-filled with 3 ml, 5 ml or 10mL of saline. Video explaining the SwabCap mechanism:
While doing a clinical rotation in OB last week, which is required for my position annually, I was bordering on a minor anxiety attack. For the first time in a very long time, I was without my cell phone.
Today, while working on all of my social media accounts, surfing the web and watching Twitter simultaneously, I came across a Tweet—
@LaurenCandito: New on the SMS Blog: Many show withdrawal symptoms after 24 hours without technology
During brief period standing in line at the market, I have found myself reaching for a phone I left in the car, realizing that I no longer am able to just stand still and occupy myself without a digital distraction. After having it happen on more than one occasion, I thought that I may have an issue until that day last week in clinical.
I reached for an absent mobile.
I reached for missing paper & pen that is my backup distractor and battery-less blogging tool.
There was no way to distract myself.
I almost panicked.
Then the link to the above post.
I may have Information Deprivation Disorder.
I need to get over it.