The first area that I feel would benefit from a risk management strategy is employee health, specifically in the area of post-traumatic stress disorder(PTSD). Many employers offer employee assistance programs, but these programs only cover a few sessions and just barely touch the surface of possible issues employees experience. Many employees attempt to deal quietly post-traumatic disorder symptoms and its secondary symptoms such as substance abuse,divorce and other forms of depression. Many think personal complaining of this type of issues is weak and must deal with completely on their own. However, this suddenly changes when it affects their co-workers and their employer. The reason that I feel we need to have a risk strategy …show more content…
When crashes occur while an ambulance is responding to any type of incident they are extremely costly to the service in many ways. These crash create multiple expenses that range from paying for damage to the responding unit, but if the ambulance is at fault for the incident cost of other parties vehicle repair or replacement and medical expenses for injuries sustained. Claims can come from an ambulance being delayed for something as simple as a flat tire or crews claiming that their brakes failed as they approached a busy intersection and were unable to stop until they collided violently with another vehicle severely injuring all its occupants. Equipment malfunctions and crashes such as this could very easily bring the maintenance records for a unit into question, especially if multiple crews get on the stand and testify the problem was reported repeatedly without being corrected properly. This could present multiple problems for the ambulance service in many different ways, such the crew admitting they operated the vehicle with a known mechanical which shows negligence on their part and negligence on the service its self because they failed to address or correct the mechanical problem which contributed to the crash and the injuries the occupants of the other vehicle …show more content…
Crews can either save their butts or dig their own grave, depending on how thoroughly and accurately they document a call. Documentation, when performed properly, is the best friend of any emergency medical service technician regardless of their level of training because it can serve as reminder years after an incident has occurred by re-creating the incident and describing the reasons specific actions were taken and treatment administered or withheld depending on the circumstances. When done improperly documentation, for example, can open avenues for claims of negligence or a failure to act because standard and accepted medical treatments were not performed per the written documentation of the incident even if they were performed or the patient experienced an adverse reaction that was unforeseen. It is for reasons like this that accurate documentation of an incident is critical to a provider's professional reputation, description of the provider's ability to provide adequate and accurate medical treatment and perform specialized
Wake County EMS responds to almost 90,000 requests for service annually and serves almost 1 million people, which places the WCEMS system in the top fifty EMS systems in the country based on call volume and size of population served. ("Wake county department," 2012) In response to ever-increasing call volume, a decrease in primary care, and the universal changes in healthcare, which have resulted in more people using EMS and the local emergency room for primary care and non-life threatening events, the EMS Department elected to change their service structure. The department would move away from the traditional EMS mantra of “you call we haul” and having a system being designed around reactive responses to healthcare issues in the community to an evidenced based incident prevention structure. No longer, would it be considered prudent or correct to just continue to add transport resources to address the increasing call volume and continue to place the actual burden of care on the local hospitals, it would become the burden of the EMS system to provide alternatives to properly address the actual healthcare needs of those who called 911. Wake County EMS had already utilized evidenced based ...
There is nothing traumatizing in the world has adding pain to where it already exists. This is the hell situation which every medical error victim is exposed. As the statistics are currently showing, the fatalities are increasing day by day. The trend seems to be hiding on the old ideology of “man is to error”. However this is not being tolerated any more and the American medical facilities are being held 100% accountable for the mistakes they make in their service delivery. Professional diligence is not a matter of negotiation in this generation and probably future generations. If a medical facility cannot treat people diligently, then the only better option remaining for that facility is to be made to account for the losses they have caused on affected patients and be closed down immediately.
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
In saying 1.5 million Americans have witnessed hospital errors in the care of the medical center or even 40,000-100,000 deaths is a ridiculous amount of faults. Errors should be minimized, especially when dealing with people’s lives. The number of deaths is so high hospitals should take notice and really pinpoint where their facility is miscalculating and create in-service training to all employees and not just the ones that are making the errors but all employees. This will decrease the chances of errors made in the hospital. With continuous training every month there can be a huge change in the number of mistakes. The fact that these inaccuracies are even causing deaths really highlight the importance of the need for a change. Families
Critical care services provided by medical staff in an emergency department setting have to be coded very strictly due to CMS rules and regulations. These two services are coded completely differently so therefore adjustments and documentation have to be completed accurately. “First, a patient has to be critically ill or injured and at risk of death, loss of limb, or will decline rapidly if treatment is not provided.” “Time must be documented for any critical care services” as this is one of the guidelines for coding critical care and not emergency services. Critical care services are paid at a higher rate than emergency services if documented accurately. “The time documented must be for this patient only, and at the patient's bedside or close by.” The physician cannot leave the room or go to another patient or billing and coding will not be correct. Also, “critical interventions such as treatment or prevention of vital organ function/failure, or treatment of any critical condition must be
Josh has recently experienced a traumatic event in the loss of his fiancé. Since then he has quit his job, and moved back in with his parents. Josh presents symptoms that are consistent with the indicators of Posttraumatic Stress Disorder. Posttraumatic Stress Disorder (PTSD) has various criterion including exposure to a traumatic event, experiencing intrusive symptoms, avoidance of stimuli associated with the event, negative changes in cognitions and mood, and changes in reactivity (American Psychiatric Association, 2013). To meet a PTSD diagnosis, an individual must exhibit at least nine of the fourteen symptoms within the criterion (Beidel, Frueh, & Hersen, 2014). Symptoms typically occur within the first three months of the event; however, symptoms can be delayed in expression, and the disturbance lasts at least one month.
Title: Use of Virtual Reality Exposure Therapy as A Means of Treating Posttraumatic Stress Disorder in U.S. Military Veterans
Based on the information about Bryce Wayne’s background, I recommend the following treatment options for Post-Traumatic Stress Disorder. The first treatment option Exposure therapy which helps an individual safely face both situations and memories that they find frightening so that you can learn to cope with them effectively, this will assist Bryce is getting over his parent’s death and processing what happened last year. Exposure therapy can be particularly helpful for flashbacks and nightmares which Bryce has been having lately about the traumatic event. This approach uses virtual reality programs that allow you to re-enter the setting in which you experienced trauma. The second recommended treatment Cognitive therapy deals with therapy that
After experiencing a distressing event the individual does not recover like most people do. The person experiences symptoms like the “fight or flight” response even though they are no longer in danger.
“Summary Report for: 29-2041.00 - Emergency Medical Technicians and Paramedic.” O*Net. 2008. Web. 18 Feb. 2010.
Emergency Medical Technicians work with law enforcement and firemen in many different environments on 911 calls involving the need for emergency medical services. The modern EMT started as just “the good samaritan that would help the careless traveler bandage up his leg in 1500 B.C.” and has evolved throughout the years to what we all know for them to be today ("Emergency Medical Services"). This career has changed quite a bit over the years from “instituting the first ambulance in 1865, to using a helicopter for medical evacuations during the Korean War in 1951, to the New York City EMS being absorbed by the FDNY in 1996” ("Emergency Medical Services"). In this day and age, Emergency Medical Technicians work
By the end of our early dinner Bill, an EMT and firefighter in his thirties with wire rimmed glasses, had me and the other six or so EMTs doubled over in laughter from jokes and stories ranging from a mental institution neighboring his childhood home to police, or as they called them, “blue canaries.” Since police tended to rush into a scene if there were downed policemen around then it was a sign that the scene wasn’t safe for other first responders. If I hadn’t known Bill was an EMT training to be a paramedic he could’ve made a living as a comedian. As we ate, all the EMTs swapped stories about their experiences in the emergency room, burn ward, or ambulance rides. Each taking pride if theirs was the most gruesome and serious. Delivering children and asthma attacks were nothing, but cardiac arrests and head-on collisions were something to talk about. EMTs are a group of highly motivated individuals who work together as a team to save lives in emergency situations.
The risk mitigation activities for this company should involve learning on the trends of the industry so as to make sure that they remain competitive. This will make their finances to perform consistently well and investors will be impressed and invest even more. As well, the company should do research on shows hat that
Identify the potential risks which affect the company and manage these risks within its risk appetite;
Emergency room physicians see many incommensurable types of injuries everyday. The six most common injuries occurring in the ER are from trampolines, lawn mowers, playgrounds, swimming pool, bikes, and burns. These kinds of damage are all things that ER physicians could see on a daily basis. From acquiring all this knowledge, I have decided that I want to enter the field of medicine, as an emergency room physician. Granted that emergency room physician jobs are stressful, due to the fact that they are dealing with injured and upset people 24/7. WIthin the medical field there are always risks of personal harm. Due to the risk this occupation holds has intrigued me from the beginning. Also to further gain my knowledge on what emergency room physicians do, I went to various sites on the internet. These sites informed me about the emergency room physician job description, characteristics, salary and everything I need to know about emergency room physicians.