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The MEDIC Dispatch News From The Front Line August 30, 2010

ePCR Upgrade Follow-Up The latest upgrades to the Siren ePCR software have been completed with only a few minor issues, none of which affected the

Mecklenburg

functionality of the software. We are aware that some of the changes caused confusion or misunderstanding. Below are the most common issues that we have been made aware of, the reasons that the changes were made and the accepted ways to work around them if

EMS Agency

you encounter problems.

Dates to Remember:

1. Duration of Chief Complaint and Duration of Second

September 3rd Deadline to Schedule Simulation Appointments September 3rd Donation Deadline for Military Support Campaign

Chief Complaint This is a state-mandated data field. We had no choice in regards to making it a mandatory. a.

IF the patient has no second chief complaint, select none for second chief complaint and document “0” minutes for duration of second chief complaint.

b.

Currently the only entry that satisfies the mandatory is an entry under minutes. We are working on this and hope to have it fixed in the near future. If the duration is hours or days, simply document that, followed by a “0” in the minutes field.

2. Initial Assessment > Circulation > Bleeding a. This is for patients who are hemorrhaging only. If there is no bleeding, then the buttons do not apply and you do not have to fill anything out.

This Week:

3.

Protocols

Simulations Start Next Week

2

Medic Post 53 Reopen

3

AHA Classes Moving to CPCC

4

New Stroke Protocol for CMC

5

Please remember to carry your personal, printed copy of the protocols with you on duty at all times.

Military Support Campaign

6

2nd Batch of Gifts to be Sold!

Thank you to everyone involved for their patience during this upgrade process. With the resolution of the minor issues encountered this time, it is our hope that future upgrades will be integrated

7

seamlessly as we move toward a more user-friendly tool.

Training Schedule

8

If you have any questions, please do not hesitate to call Melissa Garifo at ext. 6138 or Brian Shimberg at ext. 6142. Thank you.

a. The protocols were removed from the ePCR software because they were not up to date. We are currently working on a way to more easily incorporate the protocols into the tablet and still be able to easily update them when necessary.

b. You will effectively document which protocol you followed by documenting your primary impression.

1


Simulations Start Next Week! The next simulation center rotation will begin next Tuesday, September 7th, 2010. All Medic EMTs and Paramedics are required to complete this simulation rotation. Full-time employees of both Medic and Mint Hill will be required to schedule an appointment to go through the simulation center with their partner (if one is currently assigned). If you are a new employee riding in a third-person status, you should plan to go through the rotation with your current crew. Part-time employees of Medic and/or Mint Hill can schedule to go through the simulator with another part-time employee or fill an existing simulation center appointment vacancy. All certified personnel with Medic and Mint Hill Fire Department must contact Robin Pariso (ext. 6143), Melissa Garifo (ext. 6138) or Brian Shimberg (ext. 6142) to schedule an appointment. The deadline to schedule an appointment is this Friday, September 3rd, 2010. Attendance is mandatory and provides (10) hours of continuing education toward recertification. In addition, please keep the following in mind:    



Do not sign up within two (2) hours of your 10-42 time. Operations will follow the disciplinary process for a no call/no show to your scheduled simulation appointment. If you cannot attend the time slot that you signed up for, it is your responsibility to do a switch and a find a replacement for your time slot. A simulation center rotation schedule will be posted in Operations. You must schedule by phone. Please be sure to remember the date and time that you sign up as we will not be sending out appointment reminders. Be dressed in your Medic/Mint Hill Fire Department uniform for your simulation.

Please contact a member of Medical Services if you have any questions. Thank you.

Golf Outing For the first time ever, Tom Porcelli has organized a B-shift golf outing! The golf outing is scheduled for Monday, September 20th at the Larkhaven Golf Course. Registration begins at noon with a 1:00 pm start time. The cost to register is $50.00 per person and includes beverages. Come on down to Larkhaven Golf Course for some fun on the green. Mulligans will be up for grabs! When: Monday, September 20th, 2010. Registration begins at 12:00 pm. Shot gun start at 1:00 pm Where: Larkhaven Golf Course, 4801 Camp Stewart Road, Charlotte, NC 28215 For more information, please contact Tom Porcelli at thomasp@medic911.com or 704.577.9087. Thank you. See you on the green!

2


Post 53 Reopens

Rebuilding Post 50

On Thursday, August 19th, mold was discovered in the air

Medic is excited to announce the rebuilding of Post 50!

conditioning unit at Post 53.

A firm timeline has not been established for the start and finish dates for the rebuild. Medic’s Lead Team will continue to keep all employees informed as the process moves forward. We appreciate everyone’s patience during

Gary Moore and Ted Wise quickly investigated the situation and contacted a specialist in order to take care of the mold and prevent it from returning.

the project.

After an air quality inspection, Post 53 is NOW REOPENED to employees. The inspection showed that the building is safe for crews to use.

In addition, the Lead Team is currently negotiating a lease agreement with Cornelius VFD. Medic is looking to lease space for posting at Cornelius Station 1(located just off of Highway 115). This means that Medic may eventually have two locations for posting in the North End:

Thank you to Gary Moore and Ted Wise for their hard work and assistance throughout the inspection process.

Cornelius VFD Station 1  The current Post 50 location (once rebuilt). Please watch for further communications about the rebuild 

Please watch for posting updates from CMED and your supervisors. If you have any further questions about the reopening of

and posting at Station I. Please contact Barry

Post 53, please contact Barry Bagwell at barryb@medic911.com or via ext. 6170. Thank you.

Bagwell at barryb@medic911.com or ext. 6170, if you have any questions.

Employee Highlight

Employee Highlight

Laurie Feola has joined Medic as our

Many of you may have seen Medic’s

new, full-time receptionist. In her role as the Receptionist, Laurie brings over 20 years of front office experience and an upbeat nature to assist visitors and

newest EMS Fellow, Kelly Gahan out in the field or around Post 100. The Colorado native comes to Medic via her recent completion of the

callers at the front desk. When she is not assisting callers, Medic personnel and visitors, the New Jersey native enjoys making jewelry, chocolate molding and reading.

Emergency Medicine Residency Program at CMC. Kelly’s role within the Agency will be to lend her expertise and assistance in the areas of quality assurance,

1. What do you like best about your hometown?

education and disaster planning. 1. What was your best subject in school?

The best thing about my hometown of Dumont, NJ are the people.

Pathology 2. Favorite Song?

2. Listener or talker?

Jimmy Buffet’s “He Went to Paris.”

Listener

3. Paper or plastic?

3. Best Comfort Food

Plastic

Chocolate

4. Who do you admire the most?

4. Favorite season?

John Marx; he is an excellent clinician and humanitarian

Fall

5. What is your biggest pet peeve?

5. What is the greatness personality trait to have?

People who are rude to strangers

Friendliness 3


AHA Classes Moving to CPCC Please be advised that as of this Wednesday, September 1st, Medic will no longer offer any AHA classes inhouse. CPCC will be taking over as our AHA training site and will issue the appropriate AHA card. CPCC will send Medic confirmation of your attendance to payroll for processing and to Robin Pariso for your training file. The following CPR, ACLS and PALS classes have been scheduled through CPCC: CPR: September 10th / September 13th = 0900-1300 September 23rd / September 27th = 1800-2200 October 4th / October 7th = 1800-2200 October 18th / October 21st = 0800-1200 ACLS: August 21st / November 21st = 0900-1300 PALS August 22nd/ November 20th = 0900-1300 To register for CPR classes only, please e-mail Mary Ferracci at mary.ferracci@cpcc.edu. To register for ACLS or PALS classes, please e-mail Mary Smith at mary.smith@cpcc.edu All ACLS and PALS classes will be held from 0900-1300 on the CPCC Levine Campus **For any questions, please contact Education Coordinator, Robin Pariso at robinp@medic911.com. Thank you.**

Assistance for One of Our Own

Online DOT Paramedic Refresher

It is with sad news to report that EMT Rebecca Hamilton’s husband will pass away in the very near future. This difficult situation has placed a financial hardship on the family. To care for her husband, Rebecca has already used most of

Central Piedmont Community College will offer an online DOT Paramedic Refresher course beginning Tuesday,

her leave time and will soon need to take even more time off. Donations of leave time or financial contributions would be extremely helpful to the Hamilton family during this difficult period. Forms are available in the Operations

September 7th until Thursday, November 7th. Participation in the course will satisfy requirements for the National Registry and North

office for leave donations. Financial contributions to the family can be made at Fifth / Third bank to: The Hamilton Family Fund, c/o Ginger Thornton or through Medic’s Benevolent Fund.

Carolina Recertification, but will not count as scope practice for Medic employees. All students must attend the first class meeting scheduled for Tuesday, September 7th at 1800 at the North

Over the next few weeks the family will also need people to sit, not to provide medical care, with Rebecca’s husband. They also need help with some routine household upkeep such as cutting the lawn. They have lawn equipment. If you

Campus of CPCC in Room CJ 119. For more information, please contact Robin Pariso at robinp@medic911.com or via ext. 6143. Thank you.

would be interested in providing any type of assistance to the Hamilton family, please contact David Bailey at davidb@medic911.com. Thank you. 4


New Stroke Protocol for CMC On Monday, August 16th, CMC-Mercy and CMC-University initiated a new stroke protocol. Both hospitals began administering thrombolytics to their acute stroke patients. CMC-Pineville will follow suit on Tuesday, September 7th. This will only affect Medic when these patients are transferred to Carolinas Medical Center for further treatment. Thrombolytic therapy falls within our scope of practice for transfer of patients. There are four commonly used medications that may be encountered:



urokinase alteplase reteplase



Tenecteplase

 

CMC-Mercy

They have distinct administration dosing which may include bolus, unit measurement or mg/kg measurement. Please consult with the nurse or physician for accuracy. These medications share common adverse reactions. They may include:  intracranial hemorrhage  severe bleeding



reperfusion arrhythmia anaphylaxis orolingual edema pulmonary embolism and,



cholesterol embolism

  

CMC-University

These patients may also have a beta-blocker, such as labetalol on board for blood pressure reduction. Please review the blood pressure parameters with the physician prior to leaving the ED. Also, remember that you may contact a physician for further orders at any time during transport. This new hospital protocol has no effect on Medic stroke protocol or destination requirements. The hospital asks that you start an 18 gauge IV if possible on initial transport of these patients to facilitate early administration of the thrombolytics at the outlying facilities. Please contact Medical Services if you have any questions. Thank you.

Pro-QA Reminder As a reminder, all patients going to the Emergency Department for any reason must be scheduled through Medic’s proQA (call taking) process; not the four digit non-emergency number. The Agency’s non-emergency transport number (704.943.6190) is to be used only when scheduling patients that are being discharged from a facility or for a doctor’s appointment. Please contact Bryan Edwards at bryane@medic911.com or via ext. 6130 if you have any questions. Thank you.

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Military Support Campaign Many thanks to everyone that has participated in the Military Support Campaign! As you can see, we’ve collected huge amounts of both personal care and snack items have been collected in support of our Medic employees overseas. Your contributions exceeded expectations as we have surpassed our initial goal of filling 12 USPS boxes to ship overseas. While we have collected huge amounts, there are a few items that are in need of collection: Lotion

AT & T Long Distance Phone Cards

Socks

Batteries

Please be sure to join Jay Black and members of the Military Support Campaign Committee as they will soon announce the dates and times of the packing parties! There will be a packing party for each shift day (A-shift & B-shift). Anyone interested in helping to pack and ship the boxes full of goodies and personal items to our Medic employees is welcomed to come. For more information, please contact Jay Black at jayb@medic911.com. Your contributions have been greatly appreciated!

Workplace Accidents:The Aftermath Given the nature of our work, Medic employees can be susceptible to a Motor Vehicle Accident while operating company assets. The following information can be used to help explain what to do and what to expect immediately following a motor vehicle accident. 1. Notify Dispatch and the Supervisor on duty a. The Dispatcher will – call the appropriate authorities (police, fire, etc.) if needed b. The Supervisor will – respond to the scene to gather all information necessary to process and investigate

2. Do not admit fault, accept liability, or make any accusatory statements 3. Make statements only to the police and the responding supervisor NOTE: During the investigations process you may be directed by the Risk and Safety Specialist to discuss information pertaining to the accident with Medic’s insurance company, attorney, or other agency. You may not discuss accidents with anyone other than those authorized

4. Complete and submit the necessary paperwork within 24 hours of the accident. Each person involved is to complete a supplemental explaining what occurred

5. If an employee is injured in the accident an “On the Job Injury” report must also be completed The Operations Supervisor and the Risk and Safety Specialist will investigate and take action (if necessary). For questions and/or comments about workplace accidents, please contact Amy Johnson, Risk and Safety Specialist at amyj@medic911.com, ext. 6095 or at 980.395.3054 (cell). Thank you. 6


2nd Batch of Medic Gifts Will Be Sold! The countdown for the 2nd Batch of Medic gifts is on! Please be sure to stop by the PR office no later than Monday, September 13th to pick up your gift. If you work nights or will be unavailable between the hours of 8:00 am – 5:00pm, please be sure to send Kristin Young kristiny@medic911.com or Nikkie Perry nikkiep@medic911.com an e-mail requesting your gift and we will be sure to place it in the OA’s office for pickup. **IMPORTANT** Any remaining gifts that have not been picked up or requested by e-mail by Monday, September 13th will be placed in the Medic store for sale. No exceptions. Thank you in advance for your cooperation. Mitchell Neugebauer

Kimberly Cauble Missy Caldwell

Lawrence Johnson Emil Ruiz

Allison Brinzey

Darrell Love

Jeff Glenn

Megan Ruane

Krista Howard

Jake Lowe

Tonya Whitesides

Tanesha Johnson John Burgess

John Fisher

Maureen Townes

Dion Burleson

Tim Ireland

Heather Teague

Shawn Kersey

Chateau Grace

Don Creason

Charles Gunter

Donna Layton

Ronisha Black

Treven Cherry

Katti Beck

Jennifer Strout

Matt Campbell

Chris Baucom

Chad Wilson

Greg Sherrell

William Gibson

Keisha Boyer

Operations and Planning for WMD Incidents The Gaston College Department for EMS Education will conduct a two-day training (Saturday, September 18th, 8:00 am—5:00 pm and Sunday, September 19th, 8:00 am—5:00 pm) program for Emergency Medical Personnel on how to operate in and plan for WMD (weapons of mass destruction) incidents. Upon completion, participants will be able to properly perform patient triage, decontamination, treatment, and transportation in the event of exposure to chemical, biological, radiological, nuclear and explosive (CBRNE) weapons. Prerequisites: Participants must complete the following two online courses at or before this course in order to receive a full program certificate. Please visit www.teexwmdcampus.com and complete: • Basic EMS Concepts for WMD Incidents • WMD / Terrorism Awareness for Emergency Responders Continuing Education Credits: • Continuing Education Coordinating Board for Emergency Medical Services (CECBEMS) 16 hours • Emergency Nurses Association (ENA) 12.5 hours • American Academy of Family Physicians (AAFP) 14.75 hours For more information on the course, please contact Kent Spitler at 704.922.6249 or via e-mail at gcems@gaston.edu. 7


August/September 2010 Sun

Mon

Tue

Wed

Thu

Fri

Sat

29 A

30 B

31 B

1A

2A

3B

4 B

5B

6A

7A

8 B

9 B

10 A

11 A

CPR Training 0900—1300

12 A

13 B

14 B

15 A

16 A

17 B

18 B

21 A

22 B

23 B

24 A

25 A

CPR Training 0900—1300

19 B

20 A

New Hire Orientation & Academy to Begin 26 A

27 B

CPR Training 1800—2200

28 B

29 A

30 A

CPR Training 1800—2200

2010 Training Schedule

Medic Calendar In-Service Training Medic Events Holidays Recertification Testing

MEDIC Mecklenburg EMS Agency 4525 Statesville Road Charlotte, NC 28269

PRE-REGISTRATION IS REQUIRED FOR ALL CLASSES. ALL CLASSES HELD IN MEDIC AUDITORIUM

AHA Refresher Classes at CPCC CPR

NC Scope of Practice Recertification Testing

SEPT - 10, 13 = 0900-1300 / 23, 27 ** 1800-2200 OCT - 4, 7 = 1800-2200 / 18, 21 ** 0800-1200

**YOU MUST RECERTIFY DURING YOUR TEST MONTH**

PALS NOV - 21 = 0900-1300

ALL CON ED must be up to date at time of testing.

ACLS To schedule a test appt date and time, email Robin Pariso at

NOV - 20 = 0900-1300

robinp@medic911.com

Tel: 704-943-6000 Fax: 704-943-6001

Visit Us on the Web! www.medic911.com

Stay Tuned to the Medic Dispatch for any future date announcements! 8

OCT 8, 9, 11, 15, 16, 18 (Expiration Dates NOV, DEC 2010, JAN 2011) DEC 10, 11, 13, 17, 18, 20 (Expiration Dates FEB – APR 2011)


Medic Dispatch - August 30, 2010