Redmond EMS Staff Meeting

Redmond EMS Staff Redmond EMS Staff Meeting Meeting

August/September MeetingAugust/September Meeting

WelcomeWelcome

Any change, even a change for the Any change, even a change for the better, is always accompanied by better, is always accompanied by drawbacks and discomforts. drawbacks and discomforts. (Arnold (Arnold Bennett) Bennett) Be steadfast. (I Be steadfast. (I Corinthians 15:58)Corinthians 15:58)

Meeting ScheduleMeeting Schedulefor remainder of yearfor remainder of year

Meetings will be mandatoryMeetings will be mandatory Each meeting series will have 2 to 4 Each meeting series will have 2 to 4

meetings with the same content per meetings with the same content per District.District.– Only difference is Employee content Only difference is Employee content

which will be added to notes sectionwhich will be added to notes section– Employees must sign rosterEmployees must sign roster

Meeting power point on service e-Meeting power point on service e-mail before meeting seriesmail before meeting series

Meeting Schedule Cont.Meeting Schedule Cont.

Goal to meet is improvement in Goal to meet is improvement in communicationcommunication

Expectations: Expectations: – Participation from EveryoneParticipation from Everyone– Improvement Team DynamicsImprovement Team Dynamics– Improvement in Critical Improvement in Critical

Thinking/Decision MakingThinking/Decision Making Requirement: 1 meeting per monthRequirement: 1 meeting per month

Issue #1Issue #1

Job DescriptionsJob Descriptions

Job DescriptionsJob Descriptions

Addition of participation in monthly Addition of participation in monthly meetingsmeetings

Addition of reporting any/all Addition of reporting any/all traffic/legal infractions immediatelytraffic/legal infractions immediately

Addition of 12 hours of community Addition of 12 hours of community service monthlyservice monthly– Community Education/Community EventCommunity Education/Community Event– Special Event Special Event

Issue #2Issue #2

Employee Employee EvaluationsEvaluations

Employee EvaluationsEmployee Evaluations

Issued at first Monday of OctoberIssued at first Monday of October Required completion time third Required completion time third

Monday of monthMonday of month Appointments to discuss with Appointments to discuss with

individual employees starting third individual employees starting third TuesdayTuesday

Very important that crew members Very important that crew members grade themselves honestleygrade themselves honestley

Issue #3Issue #3

UniformsUniforms

Purchase and Purchase and Seasonal AttireSeasonal Attire

UniformsUniforms

Uniform purchase should be Uniform purchase should be completed by end of Octobercompleted by end of October– Vouchers available with limit $350.00 Vouchers available with limit $350.00

for uniform purchase only with Lynn’s or for uniform purchase only with Lynn’s or Direct orderDirect order

– Typical purchase includes 3 of each Typical purchase includes 3 of each pants and shirts, 1 pair of boots, 1 beltpants and shirts, 1 pair of boots, 1 belt

– Issued uniform includes Rain coat, Issued uniform includes Rain coat, fleece, 3-season coat, boggin, hatfleece, 3-season coat, boggin, hat

Seasonal Uniform ChangesSeasonal Uniform Changes

October 1 T-shirts only after 10pm October 1 T-shirts only after 10pm unless indicated for special eventunless indicated for special event

Shirts/pants should be clean/unwrinkledShirts/pants should be clean/unwrinkled Boots should be clean and have shineBoots should be clean and have shine Undershirts should be royal blue, black Undershirts should be royal blue, black

or whiteor white No underclothing beyond sleeve lengthNo underclothing beyond sleeve length No unauthorized jackets/rain jackets No unauthorized jackets/rain jackets

Seasonal Uniform cont.Seasonal Uniform cont.

Special operations uniforms based on area Special operations uniforms based on area of operationsof operations

Specialized uniforms for events i.e. Rodeo Specialized uniforms for events i.e. Rodeo Medic CrewMedic Crew

Dress casual uniforms for specific Dress casual uniforms for specific community events, Health Fairs, meetingscommunity events, Health Fairs, meetings

If you do not have a piece of uniform or do If you do not have a piece of uniform or do not receive one, notify me immediatelynot receive one, notify me immediately

Issue #4Issue #4

Daily OperationsDaily Operations

Daily IssuesDaily Issues

Assure that all station duties are done Assure that all station duties are done by by All CrewmembersAll Crewmembers!!!!!!– Time of final clean per Captain/Lt/SgtTime of final clean per Captain/Lt/Sgt

VisitorsVisitors– No visitors (family, friends, etc.) after 10pmNo visitors (family, friends, etc.) after 10pm– No visitors shadowing staff during work dayNo visitors shadowing staff during work day– No family members/friends “camping out” No family members/friends “camping out”

during shiftduring shift


Personal Phone UsagePersonal Phone Usage– Service phones are for business onlyService phones are for business only– Phone numbers matching repetitive personal Phone numbers matching repetitive personal

calls = re-payment by staff membercalls = re-payment by staff member– Service cell phone should remain on 1 of the Service cell phone should remain on 1 of the

crew members and be where they can answer crew members and be where they can answer phonephone

Service InternetService Internet– Consider content for appropriate viewingConsider content for appropriate viewing– Downloading information is prohibitedDownloading information is prohibited


Fuel CardsFuel Cards– Remain with trucks/no switching from unit Remain with trucks/no switching from unit

to unitto unit– Missing cards reported immediatelyMissing cards reported immediately– Not for personal usage/logs tracked for Not for personal usage/logs tracked for

inconsistencyinconsistency KeysKeys

– There should be no reason that any keys There should be no reason that any keys are taken off of key chains, traded from are taken off of key chains, traded from truck to truck or copied for personal usage.truck to truck or copied for personal usage.


Checking out with DispatchChecking out with Dispatch– Units should contact wheneverUnits should contact whenever

Leaving out or station to go for meal break Leaving out or station to go for meal break or refuelingor refueling

Arriving at location and getting out of unit Arriving at location and getting out of unit for pickup (NET calls/transfers)for pickup (NET calls/transfers)

Checking out for pickup of suppliesChecking out for pickup of supplies Arriving at event where crew will be out of Arriving at event where crew will be out of

truck for extended period of timetruck for extended period of time


Calling in for shift due to illness, Calling in for shift due to illness, accident, death, etc.accident, death, etc.– Must call current on duty Command staff Must call current on duty Command staff

member to report and have reasoning member to report and have reasoning before 2 hrs from shift startbefore 2 hrs from shift start

– This includes normal shifts, Education This includes normal shifts, Education and special eventsand special events

– Illness with frequency or length over 2 Illness with frequency or length over 2 shifts will require MD excuse shifts will require MD excuse


Service Web siteService Web site– Should be checked during shift for new Should be checked during shift for new

information posted every shiftinformation posted every shift– Crew members should interact with rest of staff Crew members should interact with rest of staff – Content to be kept clean (“Momma Rule”) and Content to be kept clean (“Momma Rule”) and

not degrading to other staffnot degrading to other staff– E-mail should be checked twice dailyE-mail should be checked twice daily– Schedule changes will be posted on online Schedule changes will be posted on online

scheduleschedule– PTO requests should not be made on website PTO requests should not be made on website

without confirming with D/C of receiving requestwithout confirming with D/C of receiving request


SchedulingScheduling– PTO requests should be turned in before PTO requests should be turned in before

completion of schedulecompletion of schedule– Crew members should be prepared to find their Crew members should be prepared to find their

own coverage for some special events, own coverage for some special events, appointments, issues after posting of scheduleappointments, issues after posting of schedule

– No PTO requests will be accepted for No PTO requests will be accepted for Command staff to cover on holidays. This will Command staff to cover on holidays. This will remain responsibility of Crew Memberremain responsibility of Crew Member

– You should check schedule after release to You should check schedule after release to confirm your scheduleconfirm your schedule


Scheduling cont.Scheduling cont.– FT/PRN/Part-time associates must confirm FT/PRN/Part-time associates must confirm

days with DC upon accepting shifts and days with DC upon accepting shifts and also confirm correct days on postingalso confirm correct days on posting

– Failure to show up to shifts = No Call/No Failure to show up to shifts = No Call/No Show which means written disciplinary Show which means written disciplinary action for 1action for 1stst offense; 1 day suspension offense; 1 day suspension for 2nd and Termination for 3for 2nd and Termination for 3rdrd. This . This includes all service functions, community includes all service functions, community service events, special events, education service events, special events, education classes and meetingsclasses and meetings


Scheduling Cont.Scheduling Cont.– Shift/Station displacement may occur as Shift/Station displacement may occur as

service staffing needs dictate. This is not service staffing needs dictate. This is not personal but necessary for service need.personal but necessary for service need.

– PRN staff are required to maintain 36hrs PRN staff are required to maintain 36hrs per month to stay employed. Failure to per month to stay employed. Failure to maintain time 1maintain time 1stst month will result in 1 month will result in 1 month probation with repeat offense month probation with repeat offense meaning termination. meaning termination.

Chain of Command (COC)Chain of Command (COC) Please remember the chain of command when Please remember the chain of command when

dealing with issuesdealing with issues Sgt level should be the first approach on daily Sgt level should be the first approach on daily

issues, however operational and safety issues should issues, however operational and safety issues should be an immediate call to Captain or Lt on Duty.be an immediate call to Captain or Lt on Duty.

Please do not go around staff or ask another to get Please do not go around staff or ask another to get answer you need.answer you need.

Remember my door is always open, but I want you Remember my door is always open, but I want you to utilize the COC as effective means to getting to utilize the COC as effective means to getting issues or needs solved locally. These folks have the issues or needs solved locally. These folks have the ability to meet these issues head on and can take ability to meet these issues head on and can take care of issues within their scope.care of issues within their scope.

Issue #5Issue #5

RumorsRumors

RumorsRumors

Spreading of rumors in Public Safety is Spreading of rumors in Public Safety is inevitable; however, malicious rumors with inevitable; however, malicious rumors with physical intent to damage another are not physical intent to damage another are not allowable. 1allowable. 1stst offense verbal, 2 offense verbal, 2ndnd written written and 1 day suspension, 3and 1 day suspension, 3rdrd termination. termination.

If you are unsure if something is true or If you are unsure if something is true or know it is not, you are empowered to stop know it is not, you are empowered to stop it cold in its tracks.it cold in its tracks.

Leads to poor moral and retaliation by Leads to poor moral and retaliation by parties affectedparties affected

Issue #6Issue #6

BehavioralBehavioral

Behavioral IssuesBehavioral Issues

Issues on a upsurgeIssues on a upsurge Many issues are just impulses where Many issues are just impulses where

someone just carries through with an someone just carries through with an immediate inappropriate action; immediate inappropriate action; examples:examples:– TheftTheft– Damage to PropertyDamage to Property– Failure to answer radio or failure to check outFailure to answer radio or failure to check out– Poor customer servicePoor customer service

Behavioral Issues

Use of Camera or recordings– Hospital has a strict policy regarding taking

of pictures of patients. Terminating offense– Usage of pictures to document damage to

vehicle/surroundings acceptable. Note no patients will be in photos

Usage of Facebook– Not a tool to satisfy arguments– Not a tool to document work actions or

complain about work

Behavioral cont.Behavioral cont.

What can you do to mitigate?What can you do to mitigate?– Think about what you are going to do Think about what you are going to do

before doing itbefore doing it– Consider impact to those around you, Consider impact to those around you,

the community, the service, the facility the community, the service, the facility and yourselfand yourself

– Ask yourself if your reputation is worth Ask yourself if your reputation is worth throwing awaythrowing away

– Decide if your job is worth itDecide if your job is worth it

AccountabilityAccountability

Be accountable for your actionsBe accountable for your actions Be first to stand up and own what has Be first to stand up and own what has

happenedhappened Don’t try to cover up, conceal or lie Don’t try to cover up, conceal or lie

about incidentabout incident Report to Command Report as soon as Report to Command Report as soon as

possiblepossible Not all issues result in Disciplinary Not all issues result in Disciplinary

ActionAction

Outside ActionsOutside Actions

Please strongly consider the actions Please strongly consider the actions outside of the service wallsoutside of the service walls

People do not care if you were on or People do not care if you were on or off duty, their only concern was what off duty, their only concern was what they think they knowthey think they know– Recent DUIRecent DUI– Personal Home IssuesPersonal Home Issues– Traffic ViolationsTraffic Violations

Outside actionsOutside actions

Behavior exhibited off duty in the Behavior exhibited off duty in the facility is no different than being on facility is no different than being on dutyduty

Poor behavior exhibited while on or Poor behavior exhibited while on or off campus at educational event may off campus at educational event may affect you and the serviceaffect you and the service

Poor displays of behavior can lead to Poor displays of behavior can lead to disciplinary action in the line of disciplinary action in the line of Conduct UnbecomingConduct Unbecoming

Outside ActionsOutside Actions

Can not stress the fact that we do not Can not stress the fact that we do not need this right nowneed this right now

We have put in too much hard work We have put in too much hard work for one or two individuals to tear the for one or two individuals to tear the house of cards downhouse of cards down

Need to remember to manage up our Need to remember to manage up our crew members, support them and crew members, support them and guide them in the right direction, guide them in the right direction, don’t just look away!don’t just look away!

Critical ThinkingCritical Thinking

Consider the outcome of actionsConsider the outcome of actions Consider what is best for patient, Consider what is best for patient,

partner and service before considering partner and service before considering yourselfyourself

Consider impact of following through Consider impact of following through with current decision processwith current decision process

Don’t take the easy road outDon’t take the easy road out Keep decisions simple by following KISS Keep decisions simple by following KISS

methodmethod

Moral BustersMoral Busters

Malicious RumorsMalicious Rumors Failure to follow policies and Failure to follow policies and

ProceduresProcedures Failure to be part of Team and assist Failure to be part of Team and assist

othersothers Failure to be part of TeamFailure to be part of Team Back seat drivingBack seat driving Failure to communicateFailure to communicate Follow through in actionsFollow through in actions

Moral BustersMoral Busters

Folks intentionally going out to destroy Folks intentionally going out to destroy MoralMoral

Forgetting where we have been and Forgetting where we have been and where we are nowwhere we are now

Forgetting that with growth comes Forgetting that with growth comes issues that we can overcome as a issues that we can overcome as a TeamTeam

Being part of the problem, not the Being part of the problem, not the solutionsolution

Issue #7Issue #7

PromotionsPromotions

PromotionsPromotions Special Event/PR Coordinator D2Special Event/PR Coordinator D2

– Marty Robinson, CaptainMarty Robinson, Captain Special Operations Coordinator D2Special Operations Coordinator D2

– Frankie Matthews, LtFrankie Matthews, Lt Sgt D2Sgt D2

– A Shift Heather RogersA Shift Heather Rogers– B Shift Jeff DavisB Shift Jeff Davis– C Shift Jason Deems C Shift Jason Deems

Quality Assurance (QA/QI) CoordinatorQuality Assurance (QA/QI) Coordinator

- Ken McKenzie, Lt.- Ken McKenzie, Lt.

OpeningsOpenings

Special Event/PR Coordinator D1Special Event/PR Coordinator D1– Job DescriptionJob Description

Special Operations Coordinator D1 Special Operations Coordinator D1 – Job DescriptionJob Description

Sgt B ShiftSgt B Shift– Job DescriptionJob Description

Issue #8Issue #8

EducationEducation

Education Upcoming classes

– PEPP October 26th

– ACLS 1 day November 5th– Advanced Assessment Treatment of

Trauma course Sunday Nov 7th – PALS Nov 3rd and 4th – Behavioral Emergencies TBA– Managing Bomb Threats GBI course 10/13– TCCC- Tactical Combat Casualty Care Dec

TBA

EducationEducation

ABLS Nov 10ABLS Nov 10thth Franklin Ga. Franklin Ga. BDLS/ADLS Dec 7-9BDLS/ADLS Dec 7-9thth Albany Albany PHTLS Dec 21-22 Sylvania, Ga.PHTLS Dec 21-22 Sylvania, Ga. ITLS Oct 26ITLS Oct 26thth and Nov 1 and Nov 1stst Bartow EMS Bartow EMS

Education

Education Cont. – ASLS TBA

Attendance for classes is very poor. Need to make sure and attend at all cost.

Required courses ACLS/BCLS/PALS or equivalent, Trauma equivalent, ASLS

Failure to complete required courses = suspension

Education

Conference Mid-Winter Comps will be set in October

(Mandatory attendance for 1 day)– District 1- Weds 20th, 21st, 22nd

– District 2- Tues 26th, 27th, 28th

Issue #9Issue #9

HR UpdatesHR Updates

HR updatesHR updates

$500.00 Flex spending credit$500.00 Flex spending credit– HCAREWARDS.comHCAREWARDS.com– 11stst take the Assessment take the Assessment– 22ndnd schedule screening schedule screening

Flu Shots availableFlu Shots available– Last years Flu shot policyLast years Flu shot policy

New sign up period comingNew sign up period coming EAP availabilityEAP availability

Issue #10Issue #10

Policies and Policies and Procedures ChangesProcedures Changes

Policies and ProceduresPolicies and Procedures

Issues with current Policies and Issues with current Policies and ProceduresProcedures– Some out of date requiring review and Some out of date requiring review and

revisionrevision– Need to expand scopeNeed to expand scope– Need to review with staff for accuracyNeed to review with staff for accuracy

What Ideas do you have?What Ideas do you have?

Issue #11Issue #11

DocumentationDocumentation


DocumentationDocumentation– Review for inconsistenciesReview for inconsistencies– Review for complete storyReview for complete story– Utilize pain scale when describing painUtilize pain scale when describing pain– Scan in documents and saveScan in documents and save– Review times/dates for accuracyReview times/dates for accuracy

VS section should have time of VS section should have time of assessment/verifyassessment/verify

– Make sure to Post!Make sure to Post!– Make sure to get signaturesMake sure to get signatures

Documentation

Imagetrend changes– Case number will be auto-generated on

start of PCR starting Oct 1 to prevent overlay of calls/loss of calls. Incident number will be generated by Dispatch/911 and still coincide with specific zone.

– If CPU offers to override call do not do this. Request assistance first and verify case number with Dispatch.


SET-SET-– Make sure to hold on to sheets until Make sure to hold on to sheets until

checked off by Sherrychecked off by Sherry– Make sure to get appropriate signaturesMake sure to get appropriate signatures– Dates, times and mileageDates, times and mileage

Have to be correct on FieldbridgeHave to be correct on Fieldbridge

Issue #12Issue #12

Practice ParametersPractice Parameters

Practice ParametersPractice Parameters

Everyone should have been advised Everyone should have been advised of new practice parameter setsof new practice parameter sets– If not classes will be set up weekly to If not classes will be set up weekly to

verify changes- Ken McKenzie to leadverify changes- Ken McKenzie to lead Everyone will be receiving copy of Everyone will be receiving copy of

their own (confidential)their own (confidential) Please study, some will be on compsPlease study, some will be on comps

Issue #13Issue #13

CommunicationsCommunications


#1 issue with Employee Opinion Survey#1 issue with Employee Opinion Survey– Integration of website with Forum and EmailIntegration of website with Forum and Email

Replaced Meditech for communicationsReplaced Meditech for communications Crews need to be engaged with site and toolsCrews need to be engaged with site and tools

– Day to day communication still not effective Day to day communication still not effective but starts with crews communicating with but starts with crews communicating with each other and command staff.each other and command staff.

– Need to make sure and bridge the gap Need to make sure and bridge the gap between effective communication and between effective communication and relationsrelations


Plan for meeting minutesPlan for meeting minutes How do you think we can improve How do you think we can improve

communications?communications?– Examples of poor communication or Examples of poor communication or

failure to try.failure to try.

Issue #14Issue #14

Future PlanningFuture Planning

Future PlanningFuture Planning

New CEO- New CEO- Systemness with new Health Care Systemness with new Health Care

SystemSystem Cartersville Medical Center EMSCartersville Medical Center EMS ChattoogaChattooga Critical Care TruckCritical Care Truck

Questions?Questions?

Thanks for attending Thanks for attending

Documents

Redmond EMS Staff Meeting