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Yeah, it says "Provider Manual".
Can't stand that word. Provider. Worse than "reimbursement."
Last I checked, providerology wasn't a recognized medical speciality. I'll eat my sneakers if I ever see a non-MD code a kid by themselves without going ballistic and waiting for the doctor first.
Paramedics are the exception. Otherwise have you ever been to a pediatric code? By the way they act, it seems like the physicians are the only ones who have ever seen a code.Like a paramedic? And should midlevels in the hospital not be aware of pals protocol to anticipate what's needed?
Paramedics are the exception. Otherwise have you ever been to a pediatric code? By the way they act, it seems like the physicians are the only ones who have ever seen a code.
That really depends on where you are in a given hospital. On the floors (adult and peds), everyone seems to get all slackjawed and ******ed when a code goes off until the code team shows up. In a the intensive care units, this is almost never the case.Paramedics are the exception. Otherwise have you ever been to a pediatric code? By the way they act, it seems like the physicians are the only ones who have ever seen a code.
Can't blame them for flipping out. Unless you're in the ICU or ER, you don't experience many codes, hence fear of the unknown. And a dying kid freaks most people out. Providers is the best word here. I've been to and/or run at least a hundred peds codes. My job is to calm the room and focus on the algorithm/dx/next steps (i.e. ECMO? OR? etc) and direct when hopefully compressions have already begun and are of high quality. The whole point of PALS is that any "provider"-- paramedic, nurse, RT, nurse practitioner, med stud, resident, fellow, attending-- knows that you need to get on the chest stat and compress effectively, get the pads on and keep your no-flow fraction minimal--it's not rocket science, but it's amazing how good even a floor nurse can get at codes with repeated drilling of these basic conventions in simulation. When I show up to floor codes these days, the PALS algorithm is in full swing, with a line of people waiting to compress at switch times, pads on. Same goes for anesthesia trainees and attendings who fortunately don't see many OR codes but man can an OR code be ugly if folks don't have comfort with the PALS or ACLS algorithm. Get on the chest immediately, Compress fast (but not too fast!) deep and hard-- shocks and epi are important too, of course, but we need all these "providers'' who may be the first to the patient to get the compressions piece in their heads so that the kid has a chance. That's the main take home of what they learn in these courses. So providers/health care professionals-- right terms. It would be very wrong to limit this to the MD/DO.Yes, no kidding they should all be trained in PALS. Point being, they all flip out (except paramedics) when a code does occur, and wait for the doctors to show up. Note the scene if you're the first one to show up at a code. Usually.
Did you see it?Throckmorton sign