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	<title>Comments on: patrol</title>
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		<title>By: Nancy Dahmer</title>
		<link>http://www.artisticfootprint.com/index.php/2010/03/patrol/comment-page-1/#comment-160</link>
		<dc:creator>Nancy Dahmer</dc:creator>
		<pubDate>Tue, 02 Mar 2010 15:46:03 +0000</pubDate>
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		<description>Am I supposed to be surpised by your love of trauma?  You have Jamieson blood - we love blood guts and gore - and the worse it is the greater the rush.  I think you now understand my passion for critical care and especially emergency nursing. Nothing better than a trauma or a code blue!
A few comments on your reflections.  
*I am thrilled by your passion to help people.  You are altruistic (look that word up).  Yes the paycheck is important, in fact essential, but it is the work, helping people, that is what it is all about. I miss that in my work now.
*Training is so important and in the work you are involved in, I can&#039;t stress this enough.  Sometimes a little bit of knowledge can be a bad thing especially if it leads to over confidence.  Learn Learn Learn, trust me, your brain will soak it in and you will get an adrenalin rush because you love what you are learning.  Practice, practice practice, seek out opportunities to learn from your colleagues so that you can be the best you can be.  The first responders play a critical role and can make the difference in a patient&#039;s outcome ie appropriate assessment and intervention to prevent further injury for example, think about a spinal cord injury - if you suspect, and manage appropriately from the beginning, it can make the difference between someone walking again or being a quad!
*Patient&#039;s need to know that you have confidence and know what you are doing even if you don&#039;t.  Caution with the little white lies!  Always look them in the eyes, tell them your name, get their name, speak with confidence and compassion and above all let them know that you can help them.  
*A word of caution, don&#039;t underestimate the severity of fractures!! In addition to pain, they can cause significant hemorrhage. (especially femur and pelvis!!! Very dangerous)  It takes alot of force to break a humerous, so a significant break with potential for complications - especially circulatory and nerve.  So she whined and screamed alot - lots of pain, fear and can also be a cultural thing.
*I understand the protective instincts because you put your heart and soul into the rescue.  It is such a let down when the medics arrive and take over YOUR PATIENT!  Do you ever wish you were the one taking over?
You have the instincts and passion for the work - I am so pleased and proud.  Don&#039;t be afraid to put yourself out there and learn more.  It can only make you better at what you do and love!  I know you will love it!
MOM</description>
		<content:encoded><![CDATA[<p>Am I supposed to be surpised by your love of trauma?  You have Jamieson blood &#8211; we love blood guts and gore &#8211; and the worse it is the greater the rush.  I think you now understand my passion for critical care and especially emergency nursing. Nothing better than a trauma or a code blue!<br />
A few comments on your reflections.<br />
*I am thrilled by your passion to help people.  You are altruistic (look that word up).  Yes the paycheck is important, in fact essential, but it is the work, helping people, that is what it is all about. I miss that in my work now.<br />
*Training is so important and in the work you are involved in, I can&#8217;t stress this enough.  Sometimes a little bit of knowledge can be a bad thing especially if it leads to over confidence.  Learn Learn Learn, trust me, your brain will soak it in and you will get an adrenalin rush because you love what you are learning.  Practice, practice practice, seek out opportunities to learn from your colleagues so that you can be the best you can be.  The first responders play a critical role and can make the difference in a patient&#8217;s outcome ie appropriate assessment and intervention to prevent further injury for example, think about a spinal cord injury &#8211; if you suspect, and manage appropriately from the beginning, it can make the difference between someone walking again or being a quad!<br />
*Patient&#8217;s need to know that you have confidence and know what you are doing even if you don&#8217;t.  Caution with the little white lies!  Always look them in the eyes, tell them your name, get their name, speak with confidence and compassion and above all let them know that you can help them.<br />
*A word of caution, don&#8217;t underestimate the severity of fractures!! In addition to pain, they can cause significant hemorrhage. (especially femur and pelvis!!! Very dangerous)  It takes alot of force to break a humerous, so a significant break with potential for complications &#8211; especially circulatory and nerve.  So she whined and screamed alot &#8211; lots of pain, fear and can also be a cultural thing.<br />
*I understand the protective instincts because you put your heart and soul into the rescue.  It is such a let down when the medics arrive and take over YOUR PATIENT!  Do you ever wish you were the one taking over?<br />
You have the instincts and passion for the work &#8211; I am so pleased and proud.  Don&#8217;t be afraid to put yourself out there and learn more.  It can only make you better at what you do and love!  I know you will love it!<br />
MOM</p>
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