Thursday, May 14, 2020

EMS Perception or Standardization - Free Essay Example

Sample details Pages: 5 Words: 1419 Downloads: 1 Date added: 2019/10/10 Did you like this example? Perception or Standardization One of the most crucial mission of the emergency medical services (EMS) staff is to transfer patients in medical emergency situations. For this mission to be accomplished Ambulance services must be put in the forefront of healthcare services. Over the past decade the need for ambulances and emergency transportation of patients has increased significantly, though some of the transportations have not been so urgent (Gurchiek, 2014).   Safety is a very crucial theme underlying the EMS service delivery. Don’t waste time! Our writers will create an original "EMS Perception or Standardization" essay for you Create order This is because delivery of medical emergency services involves hazardous activities which needs care and safety. The purpose of this paper is to explain the theme safety by showing clearly how it has been used in the context of EMS. This paper will explore some of the safety issues addressed in EMS and the factors to be considered by the EMS staff on the safety of the patients. In order to progress from a classroom medic to a â€Å"street† medic, a very necessary process is required to transform controlled classroom learning into applicable knowledge in the hectic, pre-hospital patient care reality. On-the-job training or field internship (preceptorship) is used for Nursing Programs and other allied health professions to include Emergency Medical Services (EMS). Though there are national standards in place for Emergency Medical Services (EMS) certifications, without standardization of EMS preceptor programs, EMS agencies will have inconsistencies with patient care, provider competency, knowledge, skills and abilities. Every work environment is different; EMS agencies provide an undeniably unique environment. Newly certified medics, without prior EMS experience and even those with experience, are faced with accomplishing a variety of tasks, knowledge, skills, and abilities. The environment for the medic, the internee, should be conducive for learning, providing a place where the internee can gain confidence in their skills and find their way as a provider (Gurchiek, 2014). The transition from classroom medic to â€Å"street† medic is facilitated by a preceptor who are responsible for ensure proper patient care while balancing educating and evaluating the internee (Gurchiek, 2014). In essence, the internee is placing their future in the hands of their preceptor. The preceptor immensely impacts the internee’s experience, as would any teacher to a student. Preceptor evaluation errors, preceptor lack of experience, knowledge of educating (Gurchiek, 2014) a major asset to student learning is the preceptor’s knowledge and experience along with the preceptor’s attitude and approach (Gurchiek, 2014). There are standards in other avenues of EMS. There are national certification requirements for EMS providers through the National Registry of Emergency Medical Technicians. A platform named Platinum Planner was created By Platinum Education Group to aid in scheduling, reporting, and skill tracking. This platform provides a tracking system of hands-on experience that is utilized by students, instructors, preceptors, administrative staff, and clinical sites. (Platinum Educational Group Launches Skills Tracking App., 2016). Tidewater Community College uses Platinum Planner which replaced the main use of paper tracking which is no longer the sole primary form of skills tracking. The theme of Safety is clearly shown in the emergence medical services. First, due to safety measures in every EMS there must be an Ambulance. Ambulance is a life-saving vehicle hence an issues of safety comes out clearly. In addition, inside the Ambulance, there is another issue of safety. For example, in the cab. Mostly, EMS vehicles have cab which has two seats for two peoples. Some of the safety principles followed in the cab are; to always wear the lap and the shoulder belts in order to improve the chance of survival in a crash. This is because it will provide safety restraints which will help a person to stay in position when there is a displacement in the force of momentum. Another safety rule in the cab is that, no leaving a loose items on the dash.   Most of EMS personnel’s without home base may spend their time in the EMS units. During lulls they may decide to listen to, music, read books or even watch some movies on a small portable television, therefore it’s advisable that they keep loose items such as books, electronics or electronic appliances on the dash (The Preceptor-Student Relationship, 2004). This is because in the dash, the objects remains harmless unless displaced by unexpected change in momentum. Both occupants should make sure that they watch the road so as to increase precaution even when one of them is in a call. The driver should avoid sleepiness in addition to safety. During the night shift the driver may feel sleepy while driving. It’s therefore advisable not to rely on caffeine or sugar for energy on such cases, shake off the drowsiness by opening the EMS unit’s window or by getting out a few minutes to stretch. In the patient compartment there needs safety also. Though in the patient compartment it’s not risky but the EMS staff also need to follow some strategies to promote its safety. First, never let tunnel vision remove the need for your personal safety. Secure the seat belts, also secure the patient by doing whatever it regard despite the ride. The Ems stuff in the patient compartment should also develop the hanging habit. One of the inherent risk of EMS is moving around the patient compartment for example, during CPR in a moving ambulance, the person doing chest compression must bend over the patient, with arms straight with appropriate position to push down (The Preceptor-Student Relationship, 2004). Another key aspect of safety in EMS is safe driving (Gurchiek, 2014). Sometimes EMS personnel are asked to drive big vehicles which are big than their personal cars, though some of them have never gone for training in any of the emergency medical vehicle driving school. Some of the basic safe driving principles related to driving an EMS unit are: no driving while lights and sirens are on. This is because people react different when they hear about sirens. Some obey the rules by pulling off their vehicles or stop. If the vehicle was being driven in non- emergence mode then this may cause harm to the members of the public by sending wrong information.   Another principle is that, obey the local standards operating procedures. There are some jurisdictions rules provided to guide on the use of emergence mode ((Gurchiek, 2014)). Most require sirens and lights to be used only during the emergence mode only, while others allow some direction to minimize the use of sirens to avoid destruction of the interest of the community. For example it’s advisable that you turn off all emergency flashes and sirens early in situations of potential interpersonal violence, turn off one or two blocks away and drive to the scene obeying all the traffic rules as a none emergency vehicle. Also for safe driving if using warning equipment, use of all of it. Another aspect is seen in the decisions of the EMS staffs on whether to transport patients. For patient transportation a lot of safety considerations are done. Patients’ physical status is one of the major contributing factor influencing the EMS staffs decision about transportation. In general the patients’ vital status are the main criteria for assessing the patients’ safety. According to (Gurchiek, 2014), heart rate, blood pressure, body temperature, level of consciousness and oxygen saturation are some of the physiological parameters which are used in determining the patients physical health status. Rees and Mann, in his study included two physiological parameters, which are central nervous system response and respiratory rate. It is also argued that, beside the abnormal physiological conditions, the presence of pathologic conditions also plays an important role in making a decision on transportation. For example, if an EMS staff notices a life- threatening condition like an acute myocardial infarction, they can decide to transport the patient immediately despite of the other parameters and conditions. The main idea here is that the signs and the symptoms of pathologic condition can not only used for making decisions, but also the EMS staffs require a great amount of knowledge and expertise for diagnosing the patient. [bookmark: _GoBack]  Ã‚   In conclusion, Safety has been given the main concern in the SMS. This is because, by following the safety rules in real live situation a lot of lives can be saved. There are also other themes expressed in emergency medical services like healthy. The strength of socioeconomically and organizational support perception also affects the transportation decision made by the EMS staff. Perception of stronger support implies that, they could make decision that they are more sensible. According to Platinum Educational Group Launches Skills Tracking App.

Wednesday, May 6, 2020

The American Civil War - 1082 Words

The North and the South had differences even before the beginning of the Civil War. The North had been more of an industrial economy and the South were all farmers that required cheap labor. In 1818, Missouri Territory had gained the required population to be entered into the Union as a state. It was expected to be entered as a slave state. Then in January, 1820 a bill was passed to enter Maine into the Union. This would balance out the equal power between the amount of slave states and non-slave states. This was known as the Missouri Compromise. It showed how North and South wanted an equal amount of states to be free of slaves and states with slaves. The North had already disputed having slaves and the South originally had the idea of keeping the slaves to increase their profit. The South and the North were both economically separated decades before the war, and during that time this difference was of less concern to the people of the U.S. In 1787, the 3/5ths compromise was created . The North denied the request of the South for counting black slaves which already revealed the division. Northern states did not want to let the Southern states gain power. The North was the most populated region in the U.S. The South had slaves but were not able to count them as people. The North denied the request of the South for counting black slaves which already revealed the division. The Civil War was a conflict because of the division in opinions.The American Civil War was caused by theShow MoreRelatedAmerican War And The American Civil War1551 Words   |  7 Pageswhich then caused the Southern states of America to decide to leave the American Union and create their own Southern Confederacy. This tore our nation apart. The American Civil War had begun and the very people that were once neighbors had each other’s blood on their hands. Many American lives had been lost. The American lives lost in the Civil War even exceeded the number of American lives lost during W orld War I and World War II. We were divided. The North wanted to reunite with the southern statesRead MoreThe War Of The American Civil War1376 Words   |  6 PagesThe American Civil War was arguably the most important war in the history of the country. The War of Independence may have allowed American to become its’ own country, but the Civil War resulted in something even more important than that, the end of slavery in the southern states. All of the issues that caused the Civil war were based around slavery, such as states’ rights that involved how slavery would be handled in each state, and trying to preserve the Union since the south seceded from the northRead MoreThe American Civil War1296 Words   |  6 Pages The American Civil War, also known as the State’s War, was a conflict that arose mostly from the issue of slavery, but deep down was due to economic differences between the North and the South. The South seceded from the North and created their own self-government due to their belief in the lack of state’s rights versus the federal government and what they saw as a weakness in the Articles of Confederation. While the Confederacy of the United States depended on slave labor for their economy in regardsRead MoreThe American Civil War1418 Words   |  6 PagesGuns fired, smoke lingering in the air, people dying. The American Civil War had a huge impact on the United States. Two compromises took place before the start of the Civil War. These compromises include the Missouri Compromise and the Compromise of 1850. The Missouri Compromise dealt with the crisis in 1819 over Missouri entering the Union as a slave state. The compromise was â€Å"the first major crisis over slavery, and it shattered a tacit agreement between the two regions that had been in placeRead MoreThe War Of The American Civil War1618 Words   |  7 Pages A Civil War is a battle between the same citizens in a country. The American Civil War was fou ght from 1861 to 1865 to determine the independence for the Confederacy or the survival of the Union. By the time Abraham Lincoln was elected president in 1861, in the mist of 34 states, the constant disagreement caused seven Southern slave states to their independence from the United States and formed the Confederate States of America. The Confederacy, generally known as the South, grew to include elevenRead MoreThe War Of The American Civil War1324 Words   |  6 PagesThere were many events that led to the cause of one of America’s most devastating war, the American Civil War. The American Civil War was an unfortunate war that cost more than the lives of six hundred thousand people. Events such as the Missouri Compromise, Kansas Nebraska Act, Dred Scott Decision, and the Election of Abraham Lincoln resulted in the four yearlong battles between the Northern and Southern states due to social and economic differences on the idea of slavery. In the 19th century,Read MoreThe War Of The American Civil War Essay1472 Words   |  6 PagesThe American Civil War lasted from April 12, 1861 to May 9, 1865. It was the bloodiest war in American history, killing approximately 620,000 soldiers in total. The War was fought and won by the North, ensuring that all the United States would stay united and slavery would be illegal in The United States. However, history is one of the most complicated things in the world. It’s also one of the most important things in the world because history is what made the present possible. Historians have debatedRead MoreThe War Of The American Civil War856 Words   |  4 PagesSlavery may have been established as the catalyst of the American Civil War, but the beginning of the dispute began in the time of the Revolution with a weak decentralized government under the Articles of Confederation. Later gained momentum as territorial expansion set Americans against each other on debating whether th e new states should be slave states or free states, it questioned the power of the Federal government regarding state rights, and brought about instability in the unity of the UnitedRead MoreThe War Of The American Civil War960 Words   |  4 Pagesslavery even if it meant war caused peace in this nation. Slavery was the vital cause of the American Civil War. The north and the south both had their differences on how to run the country. People in the North believed in unity and that slavery should not exist because â€Å"all men are created equally.† On the other hand, the South believed in continuing slavery. People tried to talk it out and come to a middle ground after both sides compromising, however that didn’t work and caused war. Ideological differencesRead MoreThe American Civil War878 Words   |  4 PagesIntroduction A civil war is a prolonged high-intensity conflict between people, countries, or parties, which is usually barefaced and armed. Every war has its causes either acceptable or not and some are inevitable. Commonly, civil wars are between countries within a state. It results from one country aiming to make implementations on their governing policies or take control of certain areas within the state. 1Civil War refers to the American Civil War, which took place in the year 1861 to 1865

Tuesday, May 5, 2020

Traditional Culture and the Wellbeing of Indigenous Australians

Question: Describe about the Traditional Culture and the Wellbeing of Indigenous Australians? Answer: In 2012, nearly two-third of indigenous people aged 18 and above reported depression cases, which was doubled in proportion of non-indigenous people. Almost all 97% of indigenous Victorian experienced racism in the last 12 months. In a non- random sampling survey, it was found that two third among sampled population experienced racism and going through psychological distress such as depression and anxiety (Australian government, 2013). Goals are set which plays important role in nursing practice while taking care of indigenous people. These goals are , nurses should develop a relationship which is based on trust and empathy, should encourage indigenous participants with positive thoughts, should promote positive healthy behaviour including medication and healthy lifestyle compliance which includes diet, exercise, no smoking and limit alcohol consumption, should engage indigenous participants in social and support network, should ensure effective collaboration with other service provider to develop effective working environment and relationship, and should promote activities for families and people with depression (Queensland government). Important consideration for nurses while conducting evaluations of indigenous programs whose purpose is to promote mental health and well-being. Emotional stability programs, cultural and healing programs can have effective in development of the mental and social well-being of indigenous participants, mental health care program can increase high level of satisfaction among indigenous participants, and small scale evaluating program among indigenous and non-indigenous participants, can improved communications between them (Australian government, 2013). Studies have been conducted to evaluate the effect of indigenous program, and it is found out that effectively participating in mental and social well-being program, indigenous people are positively benefitted. The social and emotional well-being program provides counselling to indigenous people suffering from depression. An evaluating program found out that, it provides counselling service to large no. of indigenous population affected by depression (Australian Institute of health and welfare, 2011). References: Dockery AM. (2011). Traditional culture and the wellbeing of Indigenous Australians: an analysis of the 2008 NATSISS. https://www.aihw.gov.au/closingthegap/ItemDetails.aspx?id=9457type=ac. Brave H. (2011). Historical Trauma among Indigenous Peoples of the Americas: Concepts, Research, and Clinical Considerations. Journal of Psychoactive Drugs. 43 (4), pp. 282290. Strategies and practices for promoting the social and emotional wellbeing of Aboriginal and Torres Strait Islander people. (2013). Australian government. https://www.aihw.gov.au/uploadedFiles/ClosingTheGap/Content/Publications/2013/ctgc-rs19.pdf. Caring for a person experiencing Depression. https://www.health.qld.gov.au/mentalhealth/docs/depression.pdf. Australian Institute of health and welfare. (2011). The health and welfare of Australias Aboriginal and Torres Strait Islander people an overview. https://www.aihw.gov.au/WorkArea/DownloadAsset.aspx?id=10737418955.