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29 September 2010

We had a ride-a-long today from our own administration.
A non clinical person who will be coordinating our 'Health and Wellness' program.
The day started slow but picked up later.

76M -Regular dialysis pt transport.

107F - yes that was one hundred and seven years, who has not been feeling top notch at home where she still lives alone god bless her.

59F - Due in hospital tomorrow to have some fluid drained from the pericardial sac. They're not sure what has caused this but she woke with chest pain and palpitations so we can go to the hospital early.

20F - IP still in the hotel but got called off.

57F - OD with intent on suicide, good quality and quantity of drugs but got found after being reported missing by concerned family. It's not the first attempt but location was only made after checking credit card activity.

79M - Misplaced his foot going down some stairs and tripped. I still can't imagine how he actually did it but he had a skin tear or lac across the top of his foot that extended down into the tissue.

49F - OD, IV unknown, extreme rigid dystonic posturing, no verbal communications, primeval screaming, NOT VIOLENT but very unmanageable. Requested back up for sedation, they took too long because we had got the pt into our mechanical restraints and in the bus before they had arrived. Trip to hospital was all of two minutes and we got everyone's attention when we arrived.

I need to do some research but I think it was Methamphetamines.

88M - Increased creatine and urea transport required.

So our observer got a good show and we suggested that further observation ride-a-longs should really be for the whole four shift block from Health and Wellness to really understand the physical and psychological stresses we're exposed to.

868 jobs/117 shifts = 7.42 Average

See you at the big One.

Taz

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