In addition to physical indicators, the authors note that elder abuse can be recognized by behavioral or other indicators as well. Behaviorally, the elder person might be emotionally upset or agitated, withdrawn, fearful, depressed, and so on. Other indicators include an unexplained inability to pay bills, and a disparity between the income, assets and lifestyle.
To report cases of such abuse, adult protective services are available to receive and investigate reports. It is perhaps good to mention here that a paramedic should carefully examine the patient in question before making any reports. He or she should also interview the individual concerned to determine and substantiate suspected abuse. If such a report is made without grounds, it could needlessly damage the reputation of the individuals involved; which in turn could lead to legal expenses for the hospital.
However, if abuse that occurs is not reported, the consequences could be even worse, resulting…...
Groth, S.J. And Sumner, J.A. (1999, Jan). Recognition and Management of Elder Abuse. American College of Emergency Physicians. Retrieved from http://www.acep.org/practres.aspx?id=30148
Hazmedics are also called 'toxmedic, hazmat paramedic, or hazardous materials medic..." (Schnepp, 2003) Schnepp states that the hazmedic "functions as a prehospital resource for acute toxicological illness, chemical exposures, and overall health and safety and has the ability to...":
1) Recognize the setting of, or potential for, a chemical exposure, toxicological illness, or biological warfare agent exposure;
2) Render appropriate treatment for nerve agent and general industrial chemical exposures. Recommend decontamination procedures for contaminated patients. Serve as a special toxicological reference at any incident. Assist with pre- and post-incident medical monitoring and determine hazmat team member status (for example, "Cleared for entry," "Restricted from entry," "Send to rehab," and "Treatment and/or transportation required"); and 3) Assist with WMD-specific training to fire department personnel and outside jurisdictions." (Schnepp, 2003)
The requirements for certification as a 'hazmedic' is a 24-hour curriculum training program as well as the following requirements:
Paramedics
The Problematic Autonomy of Australia's Paramedics
The paramedic is a critical contributor to the effectiveness of Australia's collective healthcare system as well as of the numerous states that comprise the nation. As critical first-responders endowed with the skills, knowledge and training to provide onsite emergency and acute treatment either prior to or while transporting a patient to a hospital facility, paramedics are essential to the protection of the public health. And yet, few healthcare professions remain as hazily defined, poorly represented or shabbily treated as Australia's paramedics. As the discussion here below will demonstrate, this condition is largely a product of the fact that the occupation is allowed to operate relatively independently from the licensure, certification and centralized oversight that mark the career development of other healthcare service professions. This definitional limbo is a major cause for the long-standing absence of consistency for a qualified and state-sanctioned paramedic as well as…...
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Works Cited:
ABC News. (2013). Unhappy Paramedics Ready to Quit or Move. ABC.net.au.
Cotton, A. (2013). Paramedics Australasia supports call for regulation of first aid and paramedic service providers. Paramedics Australasia.
Hannan, E. (2013). Paramedics Take Legal Action to Leave HSU, Form Own Union. National Affairs.
O'Meara, P & Grbich, C editors. 2009, Paramedics in Australia: Contemporary challenges of practice. Pearson Education, Australia.
I believe today I did everything right, because I had no gauze or bandages for the seriously injured person and had no medical training.
hen I was in high school, my parents were involved in an accident, and someone tried to pull my mom out of the driver's seat when the steering wheel was actually pressed against her chest. That was a mistake, because it caused more bleeding and deeper injuries to her ribs. It is clear that when a good Samaritan stops to help an injured person, it's best to let the profession paramedics (which I plan on becoming) handle those delicate chores. Comforting the injured with positive, empathetic body language and directing traffic is about all a layperson should try to do.
In conclusion, a reader doesn't realize how little he or she knows about the power of nonverbal communication until delving seriously into the literature. The fact that…...
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Works Cited
Beebe, Richard, and Myers, Jeffrey. (2009). Foundations of Paramedic Care. Independence,
KY: Cengage Learning.
Darwin, Charles, Ekman, Paul, and Prodger, Phillip. (2002). The Expression of the Emotions in Man and Animals. New York: Oxford University Press.
Darwin, Charles. (2008). The Expression of Emotions in Man and Animals. Saint Louis
Community Paramedicine
When it comes to healthcare in the United States, there are a number of challenges and issues that challenge everyday Americans all of the time. The common refrains are access to providers, costs and so forth. However, the devised and proposed solutions are also gaining prominence as well. One such solution has come to be known as community paramedicine. The key to community paramedicine is that emergency management services (EMS) personnel act outside of and beyond their traditional scope of duties and responsibilities. This is done as a means to enhance and improve the healthcare options that exist within the communities. This report is meant as a review and summary of the use of community paramedicine and how it can be created and expanded in the state of Maryland. While the community paramedicine methodology is still very much in its nascent stages, the potential benefits and better outcomes for…...
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References
Bergstrom, K. (2015). Ontario Invests in Community Paramedicine Programs. Plans &
Trusts, 53(1), 30.
Butterworth, T. (2008). The practice and regulation of non-medical healthcare professionals in community-based and primary care: maintaining old landscapes or encouraging
creativity? Quality In Primary Care, 16(4), 231-233.
Transformational leaders have the innate ability to motivate their team members by the vision of what they are trying to accomplish together (Hur, van den Berg, Wilderom, 591). Leaders at this level also show through personal effort why sacrificing for a goal is worth it (Pryor, Oyler, Humphreys, Toombs, 18). Contrasting my own leadership style, I have learned that being able to provide subordinates with an opportunity to take on a task their own way, master it, and find purpose in it is a major step in the right direction. The concepts of autonomy, mastery and purpose as the core of motivation is what I am working to achieve today as a leader. I am also on the journey to being a better leader on this dimension as well, working to show that sacrificing for a long-term goal is worth it.
Conclusion
Leadership is a skill set that must be continually…...
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References
Joaquin Camps, and Hannia Rodriguez. "Transformational leadership, learning, and employability. " Personnel Review 40.4 (2011): 423.
Hur, Y., P. van den Berg, and C. Wilderom. "Transformational leadership as a mediator between emotional intelligence and team outcomes. " Leadership Quarterly 22.4 (2011): 591.
Pryor, M., J. Oyler, J. Humphreys, and L. Toombs. "The people cried - a case of compassionate, transformational leadership. " Journal of Business Cases and Applications 4.(2011): 1-20.
Smith, M.. "Are you a transformational leader? " Nursing Management 42.9 (2011): 44.
Medication Errors
One of the major challenges impact healthcare providers is medical errors. These issues are challenging, as they will have an adverse impact on quality and safety. In the case of the ICU, these challenges are becoming more pronounced. This is because of the different conditions and large number of patients they are working with. A good example of this can be seen with insights from Orgeas (2010) who said, "Although intensive care units (ICUs) were created for patients with life-threatening illnesses, the ICU environment generates a high risk of iatrogenic events. Identifying medical errors (MEs) that serve as indicators for iatrogenic risk is crucial for purposes of reporting and prevention. We describe the selection of indicator MEs, the incidence of such MEs, and their relationship with mortality. We selected indicator MEs using Delphi techniques. An observational prospective multicenter cohort study of these MEs was conducted from March 27 to…...
Essay Topic Examples
1. The Evolution of aramedicine: From Battlefield to Urban Streets:
This essay explores the history of paramedics, tracing their roots from military medics in war zones to modern EMS providers in civilian settings. It discusses the transformative innovations and societal changes that have shaped the role of paramedics in contemporary healthcare systems.
2. The sychological Impact of Being a aramedic:
This topic examines the mental health challenges paramedics face, such as TSD, burnout, and compassion fatigue, due to the high-stress nature of their job. The essay could also delve into the support systems and coping mechanisms that can help paramedics maintain their emotional and mental well-being.
3. The Role of Technology in Enhancing aramedic Services:
In this essay, the focus is on how advancements in technology, including telemedicine, mobile health apps, and advanced medical devices, have improved the quality of emergency care that paramedics provide. It could also consider the…...
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Primary Sources
International Liaison Committee on Resuscitation (ILCOR). \"2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations.\" Resuscitation, vol. 156, 2020, pp. A1-A410.
Emergency Medical Services. \"National EMS Scope of Practice Model.\" Department of Transportation, National Highway Traffic Safety Administration, DOT HS 812 666, March 2019.Joint Royal Colleges Ambulance Liaison Committee, and Association of Ambulance Chief Executives. \"UK Ambulance Services Clinical Practice Guidelines.\" 2019 Edition.O\'Meara, Peter. \"Paramedic Practice Today: Above and Beyond.\" Jones & Bartlett Learning, 2009.Maguire, Brian J., and J. H. Dean. \"Occupational Injuries and Fatalities in Emergency Medical Services: A Hidden Crisis.\" Annals of Emergency Medicine, vol. 52, no. 6, 2008, pp. 625-632.
Essay Topic Examples
1. The sychological Impact of Being a aramedic:
This essay would explore the various psychological challenges faced by paramedics such as TSD, compassion fatigue, and burnout. It would discuss the causes and implications of these issues as well as possible support systems and coping mechanisms that can be implemented within emergency medical services.
2. The Role of Technology in Modern aramedicine:
This topic examines how advancements in technology have transformed the field of paramedicine. The essay could focus on innovations such as telemedicine, electronic health records, and advanced life-saving equipment, analyzing their impact on patient care, response times, and outcomes.
3. The Ethics of Triage in Emergency aramedic Services:
This essay would delve into the ethical considerations and dilemmas paramedics face when performing triage during mass casualty incidents or in situations with limited resources. It would discuss the principles guiding triage decisions and the moral implications of prioritizing one life…...
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Primary Sources
O\'Meara, Peter. \"Would a prehospital practitioner model improve patient care in rural Australia?\" Medical Journal of Australia 176.6 (2002): 277-280.
Sasser, Scott M., et al. \"Prehospital trauma care systems.\" Prehospital Emergency Care 7.2 (2003): 202-206.Hubble, Michael W., Renee C. Bachman, and Michael L. Price. \"Advanced airway management in out-of-hospital cardiac arrest.\" Prehospital Emergency Care 14.1 (2010): 85-93.Studnek, Jonathan R., Deborah J. Thestrup, and Steven L. Vandeventer. \"The association between prehospital endotracheal intubation attempts and survival to hospital discharge among out-of-hospital cardiac arrest patients.\" Academic Emergency Medicine 17.9 (2010): 918-925.Bernard, Stephen A., et al. \"Treatment of comatose survivors of out-of-hospital cardiac arrest with induced hypothermia.\" The New England Journal of Medicine 346.8 (2002): 557-563.
King County, WAshignton
Emergency Medical Service (EMS)
"Measure and improve" is the motto that drives King County EMS
Demographics of the System
King County, Washington - Overview
Service Area
Population Density
Economic Indicators from Census Data
Structural Attributes of the EMS System
Geographic Scope
Standard Setting and Enforcement
Division of Functions
Market Allocation
Failure to Perform -- Consequences
Business Structure
Management Level
King County EMS System Outputs
Prevention and Early Dectection
Bystander Action and System Access
911 Call Taking
First esponse Dispatch and Services
Ambulance Services
eceiving Facility Interface
Medical Oversight
HallMarks of HPEMS
Accountability
Independent Oversight
Accounting of Service Costs
System Features that Ensure Economic Efficiency
System Features that Ensure Long-Term High Performance
King County EMS Performance Measures
Clinical Level 22
Esponse Time STandard 22
Cost Per Transport 25
Cost Per Unit Hour 25
Unit Hour Utilization 26
System Cost Per-Capita 26
Subsidy Per-Captia 26
Conclusion 27
eferences 29
Appendix 32
Demographics of the System
King County, Washington - Overview
King County, Washington is the most populace county in the state of Washington as well as in the top 15 most populated counties in the United States (13th). The county has a…...
Bissel, R., Eslinger, D., & Zimmerman, L. (1998). The Efficacy of Advanced Life Support: A Review of the Literature. Prehospital and Disaster Medicine, 69-79.
Blackwell, T., & Kaufman, J. (2002). Response Time Effectiveness: Comparison of Response Time and Survival in an Urban Emergency Medical Services System. Clinical Practice, 288-295.
Chapter 5. (n.d.). Becoming Responsive by Building Long-Term Customer Relationships. In Relevance Regained.
EMS Systems
There are many different EMS systems that utilize advanced life support (ALS) professionals in different ways. Some EMS systems will have an ALS professional on all first response units such as found in the Portland and ashington County. The ALS group is a team of highly trained individuals that provide more advanced medical care to patients while they are in transit and their training exceeds that of an EMT for example. Generally these teams are composed of three individuals that include a standard paramedic, a critical care paramedic, and an emergency care practitioner (FCEMS, N.d.):
Paramedic (EMT-P) - Paramedics are licensed individuals who can perform tasks beyond that of an EMT. These tasks include: cardiac monitoring, intubation, and administering IV medications.
Critical Care Paramedic (CCEMTP) - Critical care paramedics are similar to paramedics except that they are certified to provide more care to patients in critical conditions. Through their training, they…...
organizational culture and diversity helps me to understand my current workplace and the issues we face. All organizational theories provide some insight into the organization, with diversity theories and organizational culture and management theories being especially relevant because we are a small company with a diverse workforce. In spite of the tremendous benefit and opportunities presented by diversity in the workplace, I do not see that our current owner/chief executive understands well enough how to capitalize on diversity. The chapter on diversity in the text points out how diversity management is fast becoming a critical management strategy not just because of ethics and social justice, but also because diversity is good for business.
A business-focused diversity management strategy would help our small private ambulance/paramedic company improve our branding, attract a broader clientele, and expand the business. Equally as important, a cohesive diversity management strategy would help our company retain top…...
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References
Arvinen-Muondo, Raisa, and Stephen Perkins. Organizational Behaviour. Kogan Page. 2013.Skillsoft. (Accessed May 16, 2017)
ule Exempt Employee
The Final ule that was announced and published on May 18, 2016, seeks to update the overtime regulations applicable in the U.S. This rule is expected to provide overtime pay protections for over 4 million workers in the first year of its implementation. It is expected that many workers in the U.S. would get a boost to their wallets and seek to ensure that the adequate compensation is given to people for their hard work.
The new rule seeks to cover a number of primary issues that include the updating of the salary and the compensation levels for Executives, Administrative and Professional workers to be exempted. The rule that was announced "sets the standard salary level for workers at the 40th percentile of earnings of full-time salaried workers in the lowest-wage Census egion" (Colunga & Atterberry, 2015). This region is currently the South where the pay is $913 per…...
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References
Blue-collar workers and the part 541 exemptions under the Fair Labor Standards Act (FLSA). (2008). Washington, DC.
Colunga, G. & Atterberry, R. (2015). DOL: Guidance on Misclassification of Workers; Notice of Proposed Rule on White-Collar FLSA Exemption; Interim and Final Rules Relating to the H2-B Worker Program; Proposed Black Lung Benefits Act Rule; Proposed Rule to Help Retirement Investors • OSHA: F. Employment Relations Today, 42(3), 51-57. http://dx.doi.org/10.1002/ert.21525
Colunga, G. & Atterberry, R. (2016). DOL: Proposed Rule on Workers' Compensation for Energy Employees; Final Rule to Promote Pay Transparency; FLSA Final Rule on Direct-Care Workers Upheld • OSHA: Final Rule on Retaliation Complaints of Railroad and Public Transportation Employees; Proposed. Employment Relations Today, 43(1), 63-68. http://dx.doi.org/10.1002/ert.21552
Kastrinsky, H. (2014). DOL: Final Rule to Require Minimum Wage and Overtime for Home Health-Care Workers; Process Begins for Rules Concerning Projection of Retirement Income • Three Agencies Explain When Employers Must Recognize Same-Sex Marriages for Federal Purposes • OFCCP:. Empl. Rel. Today, 40(4), 53-60. http://dx.doi.org/10.1002/ert.21434
But there will also be situations where clinicians are asked to discuss with a patient whether they want to or should have resuscitation if they have had a cardiac arrest or life-threatening arrhythmia. The potential likelihood for clinical benefit in accordance with the patient's preferences for intervention and its likely outcome, involves careful consideration, as with many other medical decisions, in deciding whether or not to resuscitate a patient who suffers a cardiopulmonary arrest. Therefore, decisions to forego cardiac resuscitation are often difficult.
Cardiopulmonary resuscitation (CP) is a set of specific medical procedures designed to establish circulation and breathing in a patient who's suffered an arrest of both. CP is a supportive therapy, designed to maintain perfusion to vital organs while attempts are made to restore spontaneous breathing and cardiac rhythm (Braddock 2).
The standard of care is to perform CP in the absence of a valid physician's order to withhold…...
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References
Braddock, C.H. (1998) Termination of life-sustaining treatment. University of Washington School of Medicine. Seattle: Department of Medical History and Ethics. Retrieved 3/12/07 at http://depts.washington.edu/bioethx/topics/termlife.html .
Guru, V., Verbeek, P.R. And Morrison, L.J. (1999). Response of paramedics to terminally ill patients with cardiac arrest: an ethical dilemma. CMAJ. 61 Nov; 161(10).
King County, WAshignton
Emergency Medical Service (EMS)
Demographics of the System
King County, Washington
Service Area
Population Density
Economic Indicators from Census Data
Structural Attributes of the EMS System
Geographic Scope
Standard Setting and Enforcement
Division of Functions
Market Allocation
Failure to Perform -- Consequences
Business Structure
Management Level
Demographics of the System
King County, Washington
King County, Washington is the most populace county in the state of Washington as well as in the top 15 most populated counties in the United States (13th). The county has a total land area of 2,307 square miles with slight over eight percent of this area being water (United States Census Bureau, 2015). The area is known for being a center for liberal politics and Seattle is one of the most liberal cities in the country and has elected socialist councilmembers, gay mayors, endorsed the "War on Christmas," has strongly supported environmental movements, and is among the top five cities with the fewest cars; however, although Seattle and King County…...
Impact of Basic Life Support Training on Emergency Response in Critical Situations Basic life support (BLS) training plays a crucial role in improving emergency response effectiveness during critical situations, providing the foundation for swift and potentially life-saving interventions. This training equips individuals with essential knowledge and skills to recognize and respond to life-threatening emergencies, such as cardiac arrest, choking, and airway emergencies. Enhanced Recognition of Cardiac Arrest and Prompt Response: BLS training teaches individuals how to identify the signs of cardiac arrest, a condition where the heart suddenly stops beating. It emphasizes the importance of calling for emergency services (e.g., 911) immediately and....
Effective policing is paramount in ensuring the safety and security of sports events. With thousands of spectators gathering in one place, the potential for incidents to occur is high. By having a strong police presence, potential troublemakers are deterred from causing disruptions, and quick action can be taken in case of emergencies. In this essay, we will explore the ways in which effective policing can enhance safety and security at sports events.
One way in which effective policing enhances safety at sports events is through crowd control. Large gatherings of people can quickly become chaotic, especially in high-intensity situations such....
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