Dispatch 091318

SEPTEMBER 13, 2018

facebook.com/MeckEMS @MecklenburgEMS mecklenburg-ems-agency mecklenburgems

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PERIOD 1 (7/1/18 - 10/31/18) WEEKLY RESULTS THRU’ 9/7/18

EST. PAYOUT : $850 FINANCIAL STANDING VS. BUDGET (GOAL: > 0.25%)

QUALIFYING CRITERIA Budget, Patient Satisfaction and Total Task Time goals must be met to turn on Performance Pay. If one of these three goals is not met, Performance Pay will not be paid.

ON TARGET

PATIENT SATISFACTION RATED AS “EXCELLENT” 62%

(GOAL: > 50%; LOW: 50%-59%; MID:60%-64%; HI: > 65%)

TOTAL TASK TIME

65:01

(GOAL: < 70:00; LOW: 69:00-70:00; MID: 68:01-68:59; HI: < 68:00)

$0

$150 $300

$0

$150 $300

AGENCY DRIVER SAFETY SCORING AVERAGE (GOAL: > 8%) 9

PERFORMANCE CRITERIA ($100 EA.)

CMED MPDS HIGH COMPLIANCE (GOAL: > 70%) 81%

RESPONSE TIMES P1: 94.34%/P2: 96.02% (GOAL: P1, P2: > 90%; P3: > 85%) P3: 90.44%

P1 TRAUMA SCENE TIMES (GOAL: < 10:00) 8:21

The latest Performance Pay Tracking Period began on July 1. We are striving to meet the Patient Satisfaction goal of a ≥ 50% rating (experience as “Excellent”). In order to create a comfortable margin of performance, while continuing to improve the patient experience, we would like to share some feedback from recent patient focus groups.

The two areas that patients value the most are: 1. Communication from the treating crew:

“Explain treatment options and procedures”

“Provide reassurance and compassionate communication with the patient” 2. Setting clear expectations:

“Set transport length expectation”

“Set a triage level expectation before arriving at the hospital”

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OCTOBER BIRTHDAYS Beaver, Cameron M. Canup, Renee G. Klass, Siobhan W. Maw, Sarah A. Roinick, James M. Beauchamp, Christain T. Smathers, Maureen R. Colvin, Cory L. Heptinstall, Shaun R. Rizzo, Vaughn J. Hightshoe, Angela C. Goodman, Randolph L. Phillips, Kenneth L. Robinson, Toby M. White, Jennifer J.

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Rinehults, Scott M. Kaufman, Angela M. Kern, Mark B. McCarley, Anna F. Nunnery, Savannah P. Thackston, Benjamin W. Dudkowski Jr., Michael A. Sneed, Jordan L. Deese, Kennedy B. Absher, Jared L. Stinson, Stephanie A. Lee, Lance L. Slagle, Jennifer E. Astrike, Benjamin A. Garrison, Lindsay A. Gaston, Dena C.

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Ham, Naomi V. 19 Hinson, Sarah E. 19 Rivera, Jose E. 19 Brown, David W. 20 Cooper, Curtis N. 22 Scott, Patrick E. 22 Craddock, Christopher M. 23 Ramsey, Hillary E. 25 Sherard, Karen B. 25 Maki, Elizabeth E. 26 Hildreth, Marie C. 28 Johnson, Tiffany B. 29 Little, Douglas B. 30 Manning, Jimmy L. 30 Ryan, John E. 30

Medicare announced on August 21, 2018 that they have started mailing new cards to patients in the following states: • Alabama • Florida • Georgia • North Carolina • South Carolina As a mentioned in previous In-Service meetings, Medicare is issuing new cards to beneficiaries with new ID#s that are no longer SS# based.

Please be mindful to collect these new Medicare member number when transporting a Medicare patient and record them in the EPCR.

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For more information, email shelly Miller at shellym@medic911.com

The Logistics Department is responsible for making sure every ambulance is properly stocked with the necessary equipment and medications to handle a shift with multiple patient care encounters. They are the first and last faces youâ&#x20AC;&#x2122;ll see at the beginning and ending of each shift and play a significant role in patient care and employee support.

Other than restocking the units upon their return from deployment, Logistics also performs multiple behind-the-scenes duties including inspecting equipment on a monthly basis, disposing of trash in the lanes, keeping the restocking area clean, building kits to restock the units with, and more. One of the main tasks of Logistics is to constantly create ways to improve their services. Suggestions from employees are always welcome.

Most importantly, the key to making Logistics a smooth operating machine is the people: MEET THE STAFF Support Services Manager Patrick Crane is responsible for oversight of the entire department including warehouse management, maintenance of the carry in equipment, and improvement project oversight: Supervisors Matt Stegall, Jonathan Wise, Treven Cherry and Dusty Edwards are responsible for the day to day operations in Logistics and oversee goals assigned to each Operations Support Technicians Operations Support Technicians(OST) Responsible for taking care of the units when they return from deployment among many other important assignments. The OSTs are Kacey Cline, Megan Lawless, Jose Aguilar, Zach Marshburn, Lakisha Lee, Jeff Lineberger, Eric Christianbury, Jasmin Headen, Toby Robinson, Carlos Massey, Cheryl Eudy, Shane Walcott, Paul Glendening, Nicholas Gaines, Cameron Dombo, Chelsea Miller, Dakota Anaya and Derek Scott For more information, email Patrick Crane at patrickc@medic911.com

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COMPLIANCE CLASS TRAINING In order to successfully complete this LMS training, please be aware of the following: Passwords and Login It is your responsibility to ensure that you have access to the Success Factors Learning Management System (LMS). You will need to log into the LMS to complete your compliance training and to set up your fit testing/TB test, if applicable.

If you have never logged into the LMS then you will do the following: • Go to: https://medic911.plateau.com • User ID: Employee ID number with preceding zeros if applicable • Default Temporary Password is: ‘medic911’ If you have forgotten your password please use the “forgot password” function. If that fails then contact Medical Services at eqs@medic911.com. Password resets will only occur during business hours.

You must be sure that you have your correct login information before attempting to complete work in the lab For complete instructions, visit https://www.med-

• Calendar week starts on Monday.

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ic911.com/extranet/my-medic/corporate-compliance. If you have Corporate Compliance content questions, contact Pam Jackson at pamelaj@medic911.com. For technical questions, contact Medical Services at eqs@medic911.com ATTENDEES Jared Absher, Lester Bailey, Jose Beard, Jay Black, Maryam Boyd, Tanaya Bryels, Todd Childers, Meghan Clark, Erin Clemens, Chelsea Cline, Kathleen Connell, Donti Cook, Ashley Cummings, Kennedy Deese, Charles Edwards, Cheryl Eudy, Shelly Forward, Mali Green, Timothy Greene, Carl Greene II, Brittany Harris, Ben Harris, Darlene Hicks, Samantha Hiott, Nicolette Hodnett, David Hodnett, Nicholas Howard, Ethan Ivey, Cynthia Jefferson, Christopher Jerrell II, Casey Jordan, Jeff Keith, Jacob Konigseder, Megan Lawless, Lance Lee, Sarah Maw, Michael Miller, Melody Morrison, Chance Osborne, Chassity Phillips, Chris Pinto, Matthew Raborn, Hillary Ramsey, Lucius Rice, Brandis Ridenhour, Scott Rinehults, Hakiym Roach, Stephen Robinette, Donald Robinson, Laura Rohrer, Michael Schmidt, Kyle Sheehan, Maureen Smathers, Ian Starkey, Matthew Stegall, Stephanie Stinson, Mark Strother, Wilson Tart II, Robbie Thomas, William Thomas, Adam Tolman, Douglas Valot, Jonathan Varalli, Shane Walker, Nichole Washington and Joseph Woolf

HOW TO IDENTIFY SEPSIS Urinary Tract Infections (UTIs) * Respiratory Infections * GI Tract Infections * Trauma.

Adults: IVF wide open; goal = 40 ml/kg

Although a standard scene size-up will occur during an evaluation of a septic patient, the provider must remember to utilize all senses.

3. Medium risk

A. Shock index 0.99 – 0.8

B. If medium risk for serious bacterial infection, provide IVF resuscitation:

SIGNS AND SYMPTOMS • Generalized weakness • Fatigue / tired • Productive cough • Abdominal pain • Localized redness/swelling • Hyperthermia (temp > 100 or “hot to touch”) • Hypothermia (temp < 96 or “cold to touch”) POTENTIAL INFECTION • Bacteremia • Cellulitis/Abscess • Indwelling device (central line, PICC, Foley catheter) • Intra-abdominal infection • Meningitis • Pneumonia • Urinary tract infection (UTI) • Wound infection ADVANCED MEDICAL CARE 1. Assess vital signs including temperature

A. Assess shock index (HR/SBP) 2. High risk

A. Shock index > 1

B. Episodic hypotension (SBP < 90; MAP < 65 mmHg)

C. SBP < 100

D. HR > 120

E. GCS < 14

F. If high risk for serious bacterial infection, provide IVF resuscitation

Pediatrics: 10 – 20 ml/kg bolus and reassess

20 ml/kg and reassess 4. Low risk

A. No identified objective criteria 5. If hypotensive following adequate IVF resuscitation

A. Administer dopamine 5 – 20 mcg/kg/ min Also, remember to consider if the patient’s heart rate is compensatory vs. non-compensatory in any cases where tachycardia is present.

Cardioversion should only be performed on patients who are suspected to be suffering from true arrhythmias such as re-entrant tachycardias (AVRT; AVNRT for example) and not compensatory tachycardias (severe volume depletion leading to tachycardia for example).

Heart rates alone do not indicate whether cardioversion is indicated.

• Atrium Main is now deploying green fitted sheets in the ED and have asked that Medic crews only utilize the standard white sheets, which Atrium will continue to make available to crews.

For more information, email eqs@medic911.com

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Questions? Please contact PR at PR@medic911.com.