Redmond EMS Staff Meeting August/September Meeting Welcome Any change, even a change for the better, is always accompanied by drawbacks and discomforts. (Arnold Bennett) Be steadfast. (I Corinthians 15:58) Meeting Schedule for remainder of year Meetings will be mandatory Each meeting series will have 2 to 4 meetings with the same content per District. – Only difference is Employee content which will be added to notes section – Employees must sign roster Meeting power point on service e-mail before meeting series Meeting Schedule Cont. Goal to meet is improvement in communication Expectations: – Participation from Everyone – Improvement Team Dynamics – Improvement in Critical Thinking/Decision Making Requirement: 1 meeting per month Issue #1 Job Descriptions Job Descriptions Addition of participation in monthly meetings Addition of reporting any/all traffic/legal infractions immediately Addition of 12 hours of community service monthly – Community Education/Community Event – Special Event Issue #2 Employee Evaluations Employee Evaluations Issued at first Monday of October Required completion time third Monday of month Appointments to discuss with individual employees starting third Tuesday Very important that crew members grade themselves honestley Issue #3 Uniforms Purchase and Seasonal Attire Uniforms Uniform purchase should be completed by end of October – Vouchers available with limit $350.00 for uniform purchase only with Lynn’s or Direct order – Typical purchase includes 3 of each pants and shirts, 1 pair of boots, 1 belt – Issued uniform includes Rain coat, fleece, 3season coat, boggin, hat Seasonal Uniform Changes October 1 T-shirts only after 10pm unless indicated for special event Shirts/pants should be clean/unwrinkled Boots should be clean and have shine Undershirts should be royal blue, black or white No underclothing beyond sleeve length No unauthorized jackets/rain jackets Seasonal Uniform cont. Special operations uniforms based on area of operations Specialized uniforms for events i.e. Rodeo Medic Crew Dress casual uniforms for specific community events, Health Fairs, meetings If you do not have a piece of uniform or do not receive one, notify me immediately Issue #4 Daily Operations Daily Issues Assure that all station duties are done by All Crewmembers!!! – Time of final clean per Captain/Lt/Sgt Visitors – No visitors (family, friends, etc.) after 10pm – No visitors shadowing staff during work day – No family members/friends “camping out” during shift Daily Issues Personal Phone Usage – Service phones are for business only – Phone numbers matching repetitive personal calls = re-payment by staff member – Service cell phone should remain on 1 of the crew members and be where they can answer phone Service Internet – Consider content for appropriate viewing – Downloading information is prohibited Daily Issues Fuel Cards – Remain with trucks/no switching from unit to unit – Missing cards reported immediately – Not for personal usage/logs tracked for inconsistency Keys – There should be no reason that any keys are taken off of key chains, traded from truck to truck or copied for personal usage. Daily Issues Checking out with Dispatch – Units should contact whenever Leaving out or station to go for meal break or refueling Arriving at location and getting out of unit for pickup (NET calls/transfers) Checking out for pickup of supplies Arriving at event where crew will be out of truck for extended period of time Daily Issues Calling in for shift due to illness, accident, death, etc. – Must call current on duty Command staff member to report and have reasoning before 2 hrs from shift start – This includes normal shifts, Education and special events – Illness with frequency or length over 2 shifts will require MD excuse Daily Issues Service Web site – Should be checked during shift for new information posted every shift – Crew members should interact with rest of staff – Content to be kept clean (“Momma Rule”) and not degrading to other staff – E-mail should be checked twice daily – Schedule changes will be posted on online schedule – PTO requests should not be made on website without confirming with D/C of receiving request Daily Issues Scheduling – PTO requests should be turned in before completion of schedule – Crew members should be prepared to find their own coverage for some special events, appointments, issues after posting of schedule – No PTO requests will be accepted for Command staff to cover on holidays. This will remain responsibility of Crew Member – You should check schedule after release to confirm your schedule Daily Issues Scheduling cont. – FT/PRN/Part-time associates must confirm days with DC upon accepting shifts and also confirm correct days on posting – Failure to show up to shifts = No Call/No Show which means written disciplinary action for 1st offense; 1 day suspension for 2nd and Termination for 3rd. This includes all service functions, community service events, special events, education classes and meetings Daily Issues Scheduling Cont. – Shift/Station displacement may occur as service staffing needs dictate. This is not personal but necessary for service need. – PRN staff are required to maintain 36hrs per month to stay employed. Failure to maintain time 1st month will result in 1 month probation with repeat offense meaning termination. Chain of Command (COC) Please remember the chain of command when dealing with issues Sgt level should be the first approach on daily issues, however operational and safety issues should be an immediate call to Captain or Lt on Duty. Please do not go around staff or ask another to get answer you need. Remember my door is always open, but I want you to utilize the COC as effective means to getting issues or needs solved locally. These folks have the ability to meet these issues head on and can take care of issues within their scope. Issue #5 Rumors Rumors Spreading of rumors in Public Safety is inevitable; however, malicious rumors with physical intent to damage another are not allowable. 1st offense verbal, 2nd written and 1 day suspension, 3rd termination. If you are unsure if something is true or know it is not, you are empowered to stop it cold in its tracks. Leads to poor moral and retaliation by parties affected Issue #6 Behavioral Behavioral Issues Issues on a upsurge Many issues are just impulses where someone just carries through with an immediate inappropriate action; examples: – Theft – Damage to Property – Failure to answer radio or failure to check out – Poor 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. What can you do to mitigate? – Think about what you are going to do before doing it – Consider impact to those around you, the community, the service, the facility and yourself – Ask yourself if your reputation is worth throwing away – Decide if your job is worth it Accountability Be accountable for your actions Be first to stand up and own what has happened Don’t try to cover up, conceal or lie about incident Report to Command Report as soon as possible Not all issues result in Disciplinary Action Outside Actions Please strongly consider the actions outside of the service walls People do not care if you were on or off duty, their only concern was what they think they know – Recent DUI – Personal Home Issues – Traffic Violations Outside actions Behavior exhibited off duty in the facility is no different than being on duty Poor behavior exhibited while on or off campus at educational event may affect you and the service Poor displays of behavior can lead to disciplinary action in the line of Conduct Unbecoming Outside Actions Can not stress the fact that we do not need this right now We have put in too much hard work for one or two individuals to tear the house of cards down Need to remember to manage up our crew members, support them and guide them in the right direction, don’t just look away! Critical Thinking Consider the outcome of actions Consider what is best for patient, partner and service before considering yourself Consider impact of following through with current decision process Don’t take the easy road out Keep decisions simple by following KISS method Moral Busters Malicious Rumors Failure to follow policies and Procedures Failure to be part of Team and assist others Failure to be part of Team Back seat driving Failure to communicate Follow through in actions Moral Busters Folks intentionally going out to destroy Moral Forgetting where we have been and where we are now Forgetting that with growth comes issues that we can overcome as a Team Being part of the problem, not the solution Issue #7 Promotions Promotions Special Event/PR Coordinator D2 – Marty Robinson, Captain Special Operations Coordinator D2 – Frankie Matthews, Lt Sgt D2 – A Shift Heather Rogers – B Shift Jeff Davis – C Shift Jason Deems Quality Assurance (QA/QI) Coordinator - Ken McKenzie, Lt. Openings Special Event/PR Coordinator D1 – Job Description Special Operations Coordinator D1 – Job Description Sgt B Shift – Job Description Issue #8 Education 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 Education ABLS Nov 10th Franklin Ga. BDLS/ADLS Dec 7-9th Albany PHTLS Dec 21-22 Sylvania, Ga. ITLS Oct 26th and Nov 1st 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 #9 HR Updates HR updates $500.00 Flex spending credit – HCAREWARDS.com – 1st take the Assessment – 2nd schedule screening Flu Shots available – Last years Flu shot policy New sign up period coming EAP availability Issue #10 Policies and Procedures Changes Policies and Procedures Issues with current Policies and Procedures – Some out of date requiring review and revision – Need to expand scope – Need to review with staff for accuracy What Ideas do you have? Issue #11 Documentation Documentation Documentation – Review for inconsistencies – Review for complete story – Utilize pain scale when describing pain – Scan in documents and save – Review times/dates for accuracy VS section should have time of assessment/verify – Make sure to Post! – Make 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. Documentation SET– Make sure to hold on to sheets until checked off by Sherry – Make sure to get appropriate signatures – Dates, times and mileage Have to be correct on Fieldbridge Issue #12 Practice Parameters Practice Parameters Everyone should have been advised of new practice parameter sets – If not classes will be set up weekly to verify changes- Ken McKenzie to lead Everyone will be receiving copy of their own (confidential) Please study, some will be on comps Issue #13 Communications Communications #1 issue with Employee Opinion Survey – Integration of website with Forum and Email Replaced Meditech for communications Crews need to be engaged with site and tools – Day to day communication still not effective but starts with crews communicating with each other and command staff. – Need to make sure and bridge the gap between effective communication and relations Communications Plan for meeting minutes How do you think we can improve communications? – Examples of poor communication or failure to try. Issue #14 Future Planning Future Planning New CEO Systemness with new Health Care System Cartersville Medical Center EMS Chattooga Critical Care Truck Questions? Thanks for attending