...Refusal of transport Any individual has the right to refuse transport. To refuse transport is to indicate or show that one is not willing to accept the transportation from one place to another by means of vehicle, aircraft or ship. (White and Harber, 1992). Every adult has the right to make decisions regarding their health care; this also includes the decision to refuse transportation even when highly recommended by Paramedics. Even if the decision is regarded to be insensible or even irrational to other family members or health care providers so long as the patient has provided a valid refusal the decision must be respected. When attending a patient who expressly refuses ambulance Treatment and/or transportation to hospital, the paramedic is required to conduct an assessment of the validity of that decision. This assessment is referred to as a VIRCA assessment. (Queensland Government, 2013) A crew has been called by a relative to an elderly emaciated woman with a history of Type 1 diabetes. She presents as lethargic, too weak to sit up in bed, cool skin and is somewhat irritable. She is resistant to a full vital signs examination and repeatedly says she does not want to go to hospital, has a GCS of 13, though at no time does she open her eyes to respond to questions. The crew decides to leave her at home as she has refused assessment. A short time later a second ambulance crew is called. They are more assertive and find the patient to be significantly hypotensive and with...
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...oikos Case Writing Competition 2013 Social Entrepreneurship Track 3rd Place Ziqitza Health Care Limited: Responding to Corruption N. Craig Smith and Robert J. Crawford, INSEAD This is an Online Inspection Copy. Protected under Copyright Law. Reproduction Forbidden unless Authorized. Questions relating to permission should be directed to: craig.smith@insead.edu Copyright © 2013 by the Authors. All rights reserved. This case was prepared by N. Craig Smith and Robert J. Crawford as a basis for class discussion rather than to illustrate the effective or ineffective handling of an administrative situation. No part of this publication may be reproduced, stored in a retrieval system, used in a spreadsheet, or transmitted in any form by any means without permission. oikos case collection http://www.oikos-international.org/academic/case-collection/ oikos Case Writing Competition 2013 3rd Prize Introduction After a monthly staff meeting, a young employee approached Sweta Mangal, CEO of Ziqitza Health Care Limited (ZHL). Sanjay Rafati 1 had been hired as a financial officer the previous month, in November 2011. In view of the company’s strict ethical code, he was nervous about expressing his point of view, which was why he wanted to see Ms. Mangal in private: “The situation in one of the states where ZHL operates is getting critical. Unless the government pays what it owes us immediately, we will not be able to make payroll. We won’t be able to service...
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...During this assignment I will discuss the roles and responsibilities of Public Services attending an incident, including non-statutory, statutory and voluntary agencies and how they work together during these times. When attending an incident scene although the first thought in your mind is to help any visual casualties it is extremely important for the first service at the scene to evaluate the dangers and try to preserve any form of evidence as best as possible. This method is used to, 1. Avoid anymore casualties and 2. Help the teams working on the case and the aftermath. It’s hard to tell who will be first at the scene as it all goes down to location but majority of the time the police are called out to deal with the public. Accidents on the motorway or in highly populated parts of the town like city centres require some form of authority to avoid any members of the public getting involved. Car crashes are a perfect example for why we need the police at the scene. The ambulance crew and fire fighters will be working hard to save lives and rescue those involved, but busy commuters want to get to work, without the road being cordoned off or visible amounts of police or signs telling them to wait a lot of people will try and argue their way through. Too most commuters they might think its unessacary closing the incident/road off if theres visible ways to drive past but this is done to preserve the scene. There will be a lot of evidence in the area which is vital for the...
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...your requirements: ▪ I am 5'6", neat and well groomed, and accustomed to meeting strict uniform standards. ▪ I have excellent written and oral communication skills. ▪ I am committed to ongoing improvement and professional development. ▪ I am able to travel away from home, work long hours, any time of day, 7 days a week, 365 days a year. ▪ I am fit, athletic and able to meet the challenges of a physically demanding job. ▪ I am tolerant, polite and enjoy working with people from diverse backgrounds. ▪ I have 11 years experience handling emergency situations with calm, assertive leadership. ▪ I appreciate the need to adhere to safety standards and follow workplace procedures. ▪ I have 3 years experience working as a flight paramedic on a Beechcraft King Air 350 for the BC Air Ambulance Service. ▪ I hold a valid Canadian Passport. As well, to facilitate my transition into this new, dynamic career, I am currently improving my formal education. At present I am taking courses to complete a bachelor's degree in science and specific to my role as a flight attendant, I am learning French. I have learned during my 11 year career in the public sector, that I am passionate about caring for and supporting not only the people who require my services, but also my colleagues. Last year I received a major award of excellence from my employer and peers for my...
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...EMERGENCY MEDICAL SERVICES (EMS) AMBULANCE LOCATION AND ALLOCATION WHAT TO SOLVE • To identifying the strategic locations for the EMS HOW MUCH CONTRIBUTE • An unexpected situation is always related to time, it had been serious for EMS ambulance location to guarantee an appropriate coverage and a quick response time. • It will help to solve problem in ambulance location • The percentage of number victim will be save will increases WHY TO SOLVE • Many cases of death or permanent disability in Malaysia due to the traffic jams and the location of an ambulance away from the emergency site and cause an ambulance arrived late at that site. • Furthermore, the death may occur if the response time is longest PROJECT CHARTER Business Case • There are some problem would be happening the city such as traffic congestions and the routes for the ambulances became poor. • The patients will experienced a long waiting time due to lateness of ambulance. • The death may occur if the response time is longest. Opportunity Statement • It will help the ambulance’s crew to cover as much area as possible within a distance standard by maximizing the number of ambulance at specific location. • It may reduce the number of deaths and also decrease the number of suffering people that involved at the emergency sites Goal Statement • Identifying the strategic locations for the EMS ambulances. • To improve the quality of the EMS ambulances Project Scope • Area...
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...Joel S. Lynn KSU 1101 13 November 2012 EMT Research Paper EMTs are such an essential part of society nowadays. In my opinion, this is one of the most important jobs out there. For just a moment, imagine that you are driving down the road on a rainy night and lose control of your car. You go flying off the road and into a tree on the side of the road. Everything goes fuzzy and all you can see are flashes of reality. You fade in and out, hearing sirens and seeing lights, but you have no control of your body. The next thing you know, you wake up inside of a small room, freaking out because you have no idea what has just happened. Eventually you realize that the small room you are in is the back of an ambulance, and you are being taken care of by an EMT. Without the immediate care of the EMTs who rushed to the scene, you would most likely be dead. Events like this take place every single day, and when these events happen, it is up to EMTs to save our lives. An EMT, or Emergency Medical Technician, is “a person who is trained to give emergency medical care at the scene of an accident or in an ambulance (EMT).” These are the people who respond to 911 emergency calls. Once on the scene of an emergency, the EMTs evaluate the condition that the patient is in. EMTs are trained to handle all sorts of emergency situations, whether it is fixing up a cut, or taking care of a patient who has lost a limb. In the situation that someone needs to be rushed to a hospital, an EMT will restrain...
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...Candice Forbes AC1209736 EN120 English Composition I Assignment 2 – Topic #13 A Public Place January 27, 2013 The Emergency Room It’s 6:15 P.M; I check my watch as I rushed into George Town Hospital’s busy emergency room. On the outside there was an ambulance roaring in with flashing lights and sirens, while a group of people gathered apparently awaiting that same ambulance. To the left the security guard was yelling at an illegally parked motorist in a yellow, convertible sports car; consequently blocking the path of the ambulance. On the inside on the left, the triage nurse peeped out the glass window at her desk to scan the crowd awaiting the doctor across from her. Behind her you could hear a large commotion of people making an awful racket about a patient in code blue. Nevertheless, the triage nurse calmly calls the name of my daughter and I go into her small box office. She checks my blood pressure and weight, yet she continues to ask a series of questions. Because my temperature is so high, the nurse rushes me into the back room. While in back the calamity continues. Gurneys with patients are being hurried around the room with shocking momentum and alertness; however, the doctors’ dash past one another with nurses quickly following behind their every step. Finally the doctor comes to see me and diagnoses me with a weird sounding virus. He recommends bed rest, fluids and antiviral meds. I glance at my watch before heading out; it’s only 6:45 P...
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...Ambulance Lights from Extreme Tactical Dynamics Paramedics have difficult, multi-tasking careers that require the use of ambulance lights and sirens for quick response times. In any given shift, a paramedic may have to rush to help someone in a life or death situation, decide which medical facility to transfer the patient too, and provide triage in the back of a moving vehicle. Without the use of ambulance lighting and sirens, paramedics would have slower response times, which could put lives in danger. Paramedics Activate Emergency Lights to Request the Right of Way Without bright LED warning lights and a blaring siren, paramedics and EMTs would have greatly reduced response times in providing patient care. Whether an ambulance is racing to the scene of a natural disaster, or responding to a multi-car pileup on the freeway, members of the community are counting on them to get there quickly. With...
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...Many of the concepts he discusses can be applied directly to pre-hospital care, but there are several important differences between patient-paramedic and patient-doctor relationships that may require the paramedic to use alternative strategies to achieve similar goals. Dr. Rosenwieg illuminates several techniques that can resolve the issues of time constraint, patient discomfort and general unease that can be used in the pre-hospital setting as well as in emergency rooms. The ability to both initiate physical interventions while simultaneously acquiring patient history and information is an invaluable tool to the paramedic. However, as Dr. Rosenwieg suggests, the manner in which the interventions are put into place as well as the approach the paramedic takes when discerning patient history can have positive or negative effects on the patient’s physical and emotional health. Over-aggressive physical interactions with the patient can leave the patient feeling both helpless and scared. A patient feeling emotional stress may not be as compliant when answering questions which could compromise the care the patient receives. Using the techniques of pacing, anchoring and reframing could be extremely beneficial in maintaining a calm scene and keeping a steady and accurate flow of information between the paramedic and patient. The good paramedic adapts...
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...The Role Of A Team Leader In The Public Services Roles Of A Leader There are many different roles and responsibilities that a leader must have or have as many as they can. They don’t have to have them all because while being a leader they will be able to improve their skills and knowledge and will be able to gain more of the roles. These main roles are; * Enabler – They need to be an enabler to make sure the job has been/getting done. * Planner – Without planning what the team are going to do then it will be ciaos and no one will have an idea of what to do so under planner you will have to be organised because If you don’t have good organisation skills then the team will be everywhere and the job is less likely to get done. * Counsellor – When being a team leader there may be times when the members are having a bad time and this is when the leader steps in and speaks to them and tries making them have a positive attitude towards work again. * Coach – You need to be able to coach the team in the job they are given, giving them clear instructions and supporting them with their strengths and weaknesses. * Disciplinarian – You need to be able to give out discipline but not just appoint it at certain individuals you need to make it fair. * Team Builder – Being a leader you need to ensure that the team are bonding together and build each of the members’ skills. * Communicator – If you are a leader you need to make you communicate with everyone...
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...Paramedic Case Studies Name Institution Table of Contents Introduction 3 1.1 Clinical plans are prior to arrival on the scene. 4 1.2 Patient selection Criteria for RSI 5 1.3 Steps in an RSI Procedure 6 Step 1 - Preparation 6 Step 2- Preoxygenation 6 Step 3- Pretreatment 7 Step 4- Rapid sequence Induction and Paralysis 7 Step 5- Protection and Positioning 7 Step 6- Placement of the Endotracheal Tube in the Trachea 8 Step 7- Post-intubation Management 8 1.4 Risks and benefits associated with RSI 9 Case 2 10 2.1 Discussion 10 2.2 Clinic plan and initial management 10 2.3 Notification of Arrival 11 Conclusion 11 Case 3 12 Introduction 12 Incident 1 12 Incident 2 13 Incident 3 13 Incident 4 14 Case 4 15 Conclusion 16 References 17 Introduction The basic concept of retrieval medicine is a combination of transfer and care of a patient from one medical institution, site of trauma, and pre-hospital management to a medical institution to provide higher and better level of care. The transfer and retrieval of severely ill and wounded patients entail high-risk activities (Ellis & Hooper, 2010). This paper looks into various case studies to determine the various control measures that might and should be put in place in various retrieval situations so as to increase patient safety and efficiency in pre-hospital care. This comprises of communication procedures, team resource management...
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...This post code analysis will describe, discuss and analyse health resources and structures within a location and its population as well as it’s specific demands on paramedic skills and disposition. The postcode selected was based upon a recent paramedic clinical placement, this location is the Port Macquarie – Hastings area (2444) and will also reflect how unique problems associated with geography, demographics, spatial, equities and the links between these factors and the quality of pre-hospital and emergency care and includes SES profile for patient groups with their common reasons for calling triple zero. Geography can impact healthcare in numerous ways that can have positive and or negative effects, depending on where one lives will...
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...A Paramedic is a healthcare professional, predominantly in the pre hospital and out of hospital environment and working mainly as part of EMS such as an ambulance. They take a role as of functions to transporting patients to hospitals, prescribe certain medications, or undertaking see and refer visits, where the Paramedic directly refers a patient to specialist services without taking them to a hospital. One the first indication of paramedicine was or dates back the Imperial Legions of Rome, where aging centurions no longer able to fight, where given the task of organizing the removal of the wounded from the battlefield and providing some term of care. Throughout the 1970s and 80s, the paramedic field tremdously evolved with a shift in emphasis from patient transport to treatment both on scene and en route to hospitals. This lead to some services changing their description from ambulances services to EMS....
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