Posted on May 1st, 2010 at 4:38 PM by Bratcher

Jasper County EMS

Emergency Medical Services

EMS Action Plan

Jeffery Bratcher, NREMT-P

Table of Contents

GENERAL POLICIES

  • Establish Chain of Command
  • Implement Standing Operating Procedures
  • Treatment Protocol Compliance & Training
  • EMS Budget Evaluation
  • Jasper Memorial Hospital Relations
  • Georgia EMS Compliance
  • Process for Hiring New Employees
  • Quality Improvement & Quality Assurance
  • Education & Training
  • Secure Website for EMS Schedule & Memos
  • Community Relations
  • Cross Train EMS Personnel
  • Mutual Aid * Status System Management
  • Volunteer Chaplain for EMS
  • Establish Chain of Command

An effective chain of command is essential for Jasper County EMS to carry out its Emergency Operations. Good leadership is also essential for the chain of command to work properly. Good leadership supports an effective chain of command and vice versa; neither works well without the other. The chain of command serves several purposes in the accomplishment of our mission. It defines responsibilities and identifies accountability. Properly used, it provides direction and smooth communications and ensures efficiency. The chain of command is as follows; County Manager Dennis Recker, EMS Director Jeff Bratcher, Captain Jamie Hamlin, Lieutenant Brent Arnold, Lieutenant Jeremy Hays. When on scene of an emergency; Medical Director, Online Medical Direction, EMS Director, Captain, Senior Paramedic, Senior EMT-Intermediate. If on a working fire scene, Ed Westbrook or Jarrett Slocomb. Crime scenes are secured by either JCSO, DNR, GBI, FBI, or the Coroner. Be mindful of the preservation of the crime scene and follow verbal or written instructions from Law Enforcement. If an issue should arise, please follow the chain of command to resolve the situation.

  • Implement Standing Operating Procedures

Standing Operating Procedures, SOPs or SOGs have been developed in order to streamline our EMS system for our daily operations. SOPs will improve the overall functionality of our EMS service as well as increase our efficiency. The SOPs are outlined for easy interpretation, so each employee will be accountable for their actions. This will enhance our interactions with one another as co-workers and how we represent Jasper County EMS. Each employee will be provided a copy of the SOP manual. Upon receiving the SOP manual, each employee will provide a signature that they have received a copy. Clarification of the SOPs may be obtained from the EMS Director, Capt, or Lts.

  • Treatment Protocol Compliance & Training

It is imperative that we deliver the highest level of pre-hospital care as possible. The EMS Protocols and Standing orders have been approved by our Medical Director. We must strictly adhere to our EMS Protocols since we are providing medical care under his license.Deviation from set protocols or standing orders must be obtained from online medical direction from the receiving facility. You must speak with the Attending M.D. directly, and be sure to document his or her name on the patient care report. An exam will be designed to evaluate the cognitive and didactic skills for interpretation, and implementation of the EMS Protocols. Test results will be used as A learning tool for improving our ability to deliver high quality pre-hospital care.

  • EMS Budget Evaluation

The Rural Ambulance Service Budget Model provides a management tool that Enables a service to enter known financial information into a simple, yet elegant programmed spreadsheet. Once information is entered into the model, a budget is automatically calculated that can be exported into off the shelf accounting software and Monthly budget versus actual results can be used to better manage limited funds And plan for improved financial management of the service. This publication was developed by the Federal Office of Rural Health Policy, Health Resources and Services Administration in cooperation with the Rural Emergency Medical Services and Trauma Technical Assistance Center. It is hoped that this Rural Ambulance Service Budget Model will serve as a valuable tool for rural ambulance services and provide for better informed fiscal management in the challenging realm of out of hospital health care.

  • Jasper Memorial Hospital Relations

EMS cannot operate in isolation; it must be integrated into the community’s health care, public health, and public safety systems. Jasper County EMS is no Exception to the rule. As a rural 911 EMS provider, it is imperative that we provide interfacility transport for Jasper Memorial Hospital. NHTSA’s EMS Agenda for the Future states that: Integration of health care services helps to ensure that the care provided by EMS does not occur in isolation and that positive effects are enhanced by linkages with other community health resources and integration within the health care system. EMS provides out-of-facility medical care to those with perceived urgent needs. It is a component of the overall health care system. EMS delivers treatment as part of, or in combination with, systematic approaches Intended to attenuate morbidity and mortality for specific patient subpopulations. (NHTSA, 1996, p. 9) While it is important that the EMS agency focuses on its primary mission of prompt, efficient, and effective prehospital care, the EMS agency manager must pay close attention to the environment surrounding the EMS agency. It is vital for the EMS agency to be closely engaged with other health care and public safety Assets within the community.

  • Georgia EMS Compliance

The EMS Director will evaluate the EMS system currently in place. The need for Jasper County Emergency Medical Services to be in compliance with the Office of Emergency Medical Services is a critical element for our success. Listed below is information from the (OEMS) that outlines resources for us to accomplish our goal. The Department of Human Resources (DHR) establishes the authority in policy that grants the Office of Emergency Medical Services (OEMS) to create procedures that follows and interprets state statutes and Rules and Regulations. OEMS procedures are issued by an appropriate official in the department, usually the Director of the State Office of EMS. Consequently, due to the ever changing system of emergency services, procedures must be easily changed, unlike statutes or Rules and Regulations, which require action by the General Assembly or the Board of Human  Resources. For the reason procedures can be adjusted quickly to reflect changes or advances in emergency medical services.

  • Process for Hiring New Employee

Applicants must be at least 18 years of age, poses a Georgia drivers license, and present a 3 year Official MVR from the DMV. EMTs & Paramedics must possess a current Georgia certification. EMTs must be AHA CPR certified, PHTLS or BTLS within 6 months of hire. Paramedics must be certified in AHA CPR, ACLS, PALS, & PHTLS. Pass a background check and a drug urinalysis. In addition, the EMT or Paramedic applicant will be given a written exam to evaluate there knowledge as a EMS prehospital care provider. Upon successful completion of the written exam, a testing station will be provided to evaluate their skills in utilizing emergency equipment.

  • Quality Improvement & Quality Assurance

The EMS Director shall establish and facilitate a system wide quality assurance and quality improvement program to monitor, review, evaluate and improve the delivery of prehospital care services. The QI & QA system will be implemented gradually while educating and clarifying the objectives of the program. The program to be utilized was developed by the Nebraska Health and Human Services System specifically for EMS.

  • Education & Training

There are many changes to how we deliver emergency care in the prehospital setting. As a result, a strong education & training department is a key component of a successful EMS system. Training for MCIs, Cardiac Arrest, and unique situations will be completed monthly. Pre Hospital Trauma Life Support (PHTLS) will be available for all EMS personnel. The course will be taught each calendar year or depending on the need of the EMS department. American Heart Association courses to be available for EMTs & Paramedics. These include Cardio Pulmonary Resuscitation, Advanced Cardiac Life Support, Pediatric Advanced Life Support, & the Neonatal Resuscitation Program certification.

  • Secure Website for EMS

A secured website will facilitate communication among all EMS employees. In addition, the  work schedule would be online 3 months in advance. Employees would be able to see shift openings and be allowed to choose a shift that works for their schedule.  SOPs, EMS Medical Protocols, And important memos would be readily available for employees to view 24/7.  The website has an intergrated Blog where employees can communicate and relay important information to one another. Posted comments will be in view for approx. 14 days. The website is scalable  and more options for use are available.

  • Community Relations

Our Ems system serves the citizens of Jasper County. Unfortunately, our EMTs have little to no involvement with the community. Unless we are dispatched on an emergency call, our EMTs are in the Fire Stations. To build our community relations we must get involved and become an active in community events. The Senior Citizen Center is great place for our EMS perssonel to interact with the citizens of Jasper County. We will provide Blood Pressure evaluations & assist Diabetics with sugar monitoring upon request. These services will be available on Tuesday & Thursday at 10:00 a.m at the Senior Citizen Center. The EMS Director will provide an American Heart Association CPR & AED course to raise awareness in the community. In addition, The Vial Of Life program is an excellent system that saves lives. Our EMS personnel will be heavily involved in educating the community and implementing the Vial Of Life Program. Our hope is to become well known and respected in the community while providing the highest quality of pre hospital care available to our citizens. We will seek further opportunities to become involved in the community.

  • Mutual Aid * Status System Management

Jasper County EMS can benefit from neighboring counties by communicating our goals & objectives. The need for EMS services is crucial to each community and providing service is very challenging due to the cost involved. By implementing a plan for mutual aid that would integrate a form of “Status System Management”, we can provide better coverage for the citizens of Jasper County. We must come to know our neighboring EMS providers and solidify a strong working relationship.

  • Volunteer Chaplain for EMS

There are many times when EMS personnel are dispatched to help someone in need of emergency care. However, there are times when the person were called to help is deceased for whatever reason. The attention of the EMTs is turned toward the family and friends and at best we attempt to provide emotional support, guidance and care. We understand the grief process that has begun and there is very little that we do as EMS providers to help facilitate the healing process. Many family members request the presence of their Pastor, Minister or Chaplain. There are times when we are unable to reach these individuals. It is heartbreaking to inform the family and friends that we are able to reach them by phone. The Volunteer Chaplain would be a great benefit and resource for those individuals who are in need of emotional support and guidance.

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