Re: Playing well with others

[Guest guest]

Want to know why? Because we take it, period. They don't take crap from us,

why do we take it from them?

Gig 'Em!

magnetass sends

Playing well with others

> I've been thinking about my limited experiences with emergency medicine

> lately, and I've noticed a recurring theme.

>

> That theme is that other health care providers and facilities don't always

> seem to " play nicely " with EMS. I am of the opinion that much more of this

comes

> from a lack of training and familiarity as it does from attitude.

>

> What would be the feasibility of setting up an EMS liaison with other

health

> care organizations? The liaison could put on training (perhaps for CE

credit)

> teaching other health care providers (doctor's offices, nursing homes,

school

> nurses, etc.) how to interface with a 911 EMS system.

>

> I think the goodwill (and possible revenue from CE coursework) could go a

> long ways towards improving the interactions between providers, and

ultimately

> improve patient care.

>

> I'd appreciate any input from any of you on the list.

>

> Thanks,

> Wes Ogilvie

>

>

>

[Guest guest]

I will agree that better communication is the key. I believe there is also a

little bit of professional jealousy that comes into play. I mean this in

regard to ER nurses. Most " regular " ER nurses understand the training and

protocols we in EMS adhere to. This tends not to be the case in other sections

of

nursing. Education would be a good start. The nurses that do not see EMS on a

regular basis only have contact through gossip or through watching shows that

do not depict EMS in the right light (Mother, Jugs, and Speed) I liked the

show and that's where we started, but not a very good example of EMS care today.

I really want Mother's rig though.

Explaining why we do things is not and should not be considered as a

disrespect (all the time). Most nurses unless they have been part of an EMS

crew will

never understand what we see and why we do what we do. They work and live in

a controlled world (I use the controlled term in relation to outside the

hospital environment) and have many other options we do not have in EMS, on the

spot CAT scan, blood work, x-ray, doctor right there. The nurses do not

understand that many times we can only give an educated guess as to what is

going on.

Education on the part of EMS personnel is also a must. Knowing and

understanding the workings of the human anatomy and physiology, understanding

the

different disease processes and how they affect what and how we see the body

react

(I'm thinkin' this is called an " ASSESSMENT SKILL "

Having worked in an emergency room has given me the opportunity to change the

way I perceive the reaction EMS gets. It has also given me the ability to

explain to others what we do in EMS and why.

BTW I speak to the physician if possible when I don't get the right

impression from the nurse accepting my report.

Danny L.

Owner/NREMT-P

Panhandle Emergency Training Services And Response

(PETSAR)

Office

FAX

[Guest guest]

Perhaps a " Professional Sensitivity class " is needed?

Danny L.

Owner/NREMT-P

Panhandle Emergency Training Services And Response

(PETSAR)

Office

FAX

[Guest guest]

I have noticed the same thing here in the RGV. But I think the problem is due to

(1) too many services causing the ER doctors and nurses to be unfamiliar with

the particular medics of any service, (2) Medics that do not know what they are

doing, (cook book medics), (3) ER nurses and doctors needing to retire, (4)

overcrowding of ERs causing burnout. I have already approached an ER director in

my area about the issue and he is going to look into it with his entire staff.

Alot of times we transport patients code 3 and when we arrive at the hospital

the first sarcastic question they ask is why we transported code 3. They do not

seem to think that MOI is a good answer for example when the pt is walking at

the scene and yet you have a vehicle with severe damage or a high rate of speed

impact.

Salvador Capuchino, Jr.

EMT-Paramedic

A-Stat EMS

salvadorcapuchino@...

Playing well with others

> I've been thinking about my limited experiences with emergency medicine

> lately, and I've noticed a recurring theme.

>

> That theme is that other health care providers and facilities don't always

> seem to " play nicely " with EMS. I am of the opinion that much more of this

comes

> from a lack of training and familiarity as it does from attitude.

>

> What would be the feasibility of setting up an EMS liaison with other

health

> care organizations? The liaison could put on training (perhaps for CE

credit)

> teaching other health care providers (doctor's offices, nursing homes,

school

> nurses, etc.) how to interface with a 911 EMS system.

>

> I think the goodwill (and possible revenue from CE coursework) could go a

> long ways towards improving the interactions between providers, and

ultimately

> improve patient care.

>

> I'd appreciate any input from any of you on the list.

>

> Thanks,

> Wes Ogilvie

>

>

>

[Guest guest]

I have also seen the same problem here in West Texas. I agree that a liaison is

needed to work with the EMS community and the other facilities in getting us to

" play nicely " . We had a PR person at one service I worked for. His job was to

troubleshoot and try to fix these types of problems. He also did things like

birthday parties at the nursing homes, CPR classes at schools, nursing homes and

other entities that asked for it. We participated in area health fairs and

" career days " at the schools. All this did well to get the public, nursing

homes, and schools educated in the EMS process. He also worked with the area

hospitals when there were problems between the medics an hospital staff to get

things straightened out easing the strain between the EMS personnel and the

hospital staff. Also, what has worked for me is taking the protocol book in when

you are questioned and showing the staff the basis of your decision making. I am

not a " cook-book " medic but by following established protocols questions are

answered.

Playing well with others

> I've been thinking about my limited experiences with emergency medicine

> lately, and I've noticed a recurring theme.

>

> That theme is that other health care providers and facilities don't always

> seem to " play nicely " with EMS. I am of the opinion that much more of this

comes

> from a lack of training and familiarity as it does from attitude.

>

> What would be the feasibility of setting up an EMS liaison with other

health

> care organizations? The liaison could put on training (perhaps for CE

credit)

> teaching other health care providers (doctor's offices, nursing homes,

school

> nurses, etc.) how to interface with a 911 EMS system.

>

> I think the goodwill (and possible revenue from CE coursework) could go a

> long ways towards improving the interactions between providers, and

ultimately

> improve patient care.

>

> I'd appreciate any input from any of you on the list.

>

> Thanks,

> Wes Ogilvie

>

>

>

[Guest guest]

When I became a base station nurse (about 20 years ago-old dog) it was part

of our requirements (for those of us not already EMT's) to spend 48 hours on

the streets working side by side with the medics. Granted 48 hours is not a

lot of time but it did help some of our nurses understand that patients were

not all laying on a nice, clean table with good lighting when you started a

line and why the SSN was not readily available.

God bless for what you do on the streets, and in the air, and stay safe.

Hollett RN, BSN, MA, MICN, CEN

Trauma Coordinator

Trauma Service

Methodist Dallas Medical Center

1441 N. Beckley

Dallas, TX 75265

lisahollett@...

fax

Re: Playing well with others

I will agree that better communication is the key. I believe there is also

a

little bit of professional jealousy that comes into play. I mean this in

regard to ER nurses. Most " regular " ER nurses understand the training and

protocols we in EMS adhere to. This tends not to be the case in other

sections of

nursing. Education would be a good start. The nurses that do not see EMS

on a

regular basis only have contact through gossip or through watching shows

that

do not depict EMS in the right light (Mother, Jugs, and Speed) I liked the

show and that's where we started, but not a very good example of EMS care

today.

I really want Mother's rig though.

Explaining why we do things is not and should not be considered as a

disrespect (all the time). Most nurses unless they have been part of an EMS

crew will

never understand what we see and why we do what we do. They work and live

in

a controlled world (I use the controlled term in relation to outside the

hospital environment) and have many other options we do not have in EMS, on

the

spot CAT scan, blood work, x-ray, doctor right there. The nurses do not

understand that many times we can only give an educated guess as to what is

going on.

Education on the part of EMS personnel is also a must. Knowing and

understanding the workings of the human anatomy and physiology,

understanding the

different disease processes and how they affect what and how we see the body

react

(I'm thinkin' this is called an " ASSESSMENT SKILL "

Having worked in an emergency room has given me the opportunity to change

the

way I perceive the reaction EMS gets. It has also given me the ability to

explain to others what we do in EMS and why.

BTW I speak to the physician if possible when I don't get the right

impression from the nurse accepting my report.

Danny L.

Owner/NREMT-P

Panhandle Emergency Training Services And Response

(PETSAR)

Office

FAX

[Guest guest]

Re: Playing well with others

Perhaps a " Professional Sensitivity class " is needed?

This is a joke onley a joke i dont even drink. You can have the rig all i want

is the gun and the beer mother has. That view of us is part of what we are

battling.

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