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Integrating Smartphones
and Tablet Devices into
EMS Education
Group Text Messaging
https://www.remind101.com/join/inems
Poll ?: Show of phones…
?
Do you have a
smartphone or
tablet with you?
The safety issues identified…
Distraction due to non-operational use
of personal electronic devices during
flight and ground operations
Distraction is a Real Issue
Smartphone Usage
Ubiquity of Mobile Devices
Smartphone Ownership
Us
Them81%55%
39%
18%
Kids These Days
18-29 year olds
Why Use Polls?
Fun
Compete
Assess
Variety
Policy
Creation, Adoption, and
Enforcement
CoAEMSP Sample Program
Policies and Procedures
CoAEMSP Sample Program
Policies and Procedures
CELL PHONES, PAGERS, AND
ELECTRONICS
To eliminate distractions in the
classroom, the following policy
will be followed by all students
enrolled in the Emergency
Medical Services Program.
CoAEMSP Sample Program
Policies and Procedures
Cell phones are NOT to be used in
the classroom, laboratory or clinical
areas, or in hallways and common
areas of the college.
This includes use as a phone, text
messaging device, music player,
voice recorder, camera, video
camera, or any other function
which distracts the student from
learning in class or disrupts others at
any time.
Classroom Distractions
?
Define
Label
Reinforce
Distractions are Everywhere
My teacher keeps
me engaged with
worthwhile
activities…
Age, skill, and
knowledge
appropriate
instructions…
Timely feedback
and regular
assessment…
And breaks to
re-energize.
(otherwise I go nuts)
Policy Components
Don’t allow if device:
• Disrupts critical processes
• Undermines integrity
• Violates privacy
• Threatens any individual
Ban vs. No Limits
• Organization policy
• Ability to enforce
• Instructor comfort
• Student needs
• Start strict, ease off later
• Provide breaks for use
• Appropriate consequences
The
WORST-CASE SCENARIO
Academic Dishonesty
Phone a Friend
What are the
signs of shock?
Electric shock or
bad news shock?
Intentional Usage:
Encourage or
Discourage
Primary Education
• Mobile technology use has
become commonplace
• 73% use mobile phones in
classroom or to complete
assignments
• 45% use e-readers
• 43% use tablet computers
EMS Professionalism Skills
• Access knowledge
• Curate information
• Click safely
• Focus on people/tasks
• Honor patient PHI
• Professional discussion
Code of Ethics
Patient Gateway into EMS
Patient Gateway into EMS
Assessment and Treatment
-
x
+
÷
Access Information
H
EMS ACLS Guide
Paramedic Meds
LA County Paramedic
Pediatric EMS
Reference Guides
Epocrates
WebMD
iPharmacy Drug
Guide and Pill ID
ERG 2012 App
• Safe clicking
• Download
• Feature tour
• Find guides
• Scene reports
EMS1.com:
Train to use app
Improve
Habit Streak
My Fitness Pal
Coach’s Eye
Get Better
Video-assisted
Feedback During
CPR: Analysis of
Smartphone
Video Footage
Accurately
Classifies Chest
Compression
RateRead Scientific
Assembly Abstracts
Communicate
Teacher
Google Doc
Class Notes
Message
Remind101.com
Return to classroom to review patient
assessment stations
Learn Anything…Video
Learn Anything…Slides
Listen
Read
Go Places
H
Virtual Speaker
Google+ Hangouts
Skype
PAIC2014
• Topics
• Speakers
• Products
• Social stream
Virtual Travel
Submit 12-Lead
Call Report
H
END
Get Patient Off Phone
Test Prep and Practice
EMT Review Plus
Paramedic
Review Plus
Critical Care
Paramedic Review
Skill Prep and Practice
Obtaining IV Access
Airway Management
Triage
Locate the
Cricothyroid
Membrane
Clinical Attendance
File Sharing / Remote Access
Dropbox
Google Drive
Evernote
I just ate your
USB drive.
Device Free Time
• Case review
• Exam
• Before drill
or simulation
• Class issue
Search
Questions

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Integrating Smartphones and Tablet Devices into EMS Education

Editor's Notes

  1. Welcome.
  2. Update class on Remind101.com, also update this slidewww.remind101.com – 1 way communication only – sign-up with one of these steps to receive key points by email or text message during the presentation.
  3. [Show of phones… vote]Poll: Do you have a smartphone or tablet with you ... No or YesIf you answered no … you are going to miss out of some participation opportunitiesIf you answered yes … you are welcome to …
  4. Permission is granted to do any of these things…in fact I expect you to do one or more of these things.
  5. http://www.ntsb.gov/news/2013/130409.htmlhttp://www.ntsb.gov/news/events/2013/mosby_mo/Abstract_Mosby_MO.pdfHe was sending TEXT messages …. Dozens and dozens during pre-flight.
  6. You are not alone. Pew Research Center’s Internet & American Life Projecthttp://pewinternet.org/Reports/2013/Smartphone-Ownership-2013/Findings.aspxMay 2013 findings91% of adult population has a cellphone 61% are smartphone ownersTablet sales … exponential growth118.9 million units in 2012, a 98 percent increase from 2011 sales of 60 million units, according to Gartner, Inc. http://www.gartner.com/it/page.jsp?id=1980115
  7. Distinction between ages.
  8. Picture of paramedic class … by every measure 18-29 is going to use smartphones with greater frequency. The same applies for teachers in Pew research on Advanced Placement and National Writing Project teachers. Younger teachers are much more likely to use technology, incorporate it into classroom activities, and encourage students to use ithttp://pewinternet.org/Reports/2013/Teachers-and-technology/Summary-of-Findings.aspx from February 2013Younger teachers are more confidentYounger teachers are more likely to assign web based tasksYounger teachers are more likely to ask colleagues for ideas on how to use technology There are notable generational differences in how teachers experience the impact of digital technologies in their professional livesAs is the case among the full adult population, differences in technology use emerge between older and younger teachers.  Specifically:Teachers under age 35 are more likely than teachers age 55 and older to describe themselves as “very confident” when it comes to using new digital technologies (64% vs. 44%)Conversely, the oldest teachers (age 55 and older) are more than twice as likely as their colleagues under age 35 to say their students know more than they do about using the newest digital tools (59% vs. 23%)45% of teachers under age 35 have their students develop or share work on a website, wiki or blog, compared with 34% of teachers ages 55 and olderYounger teachers are also more likely than the oldest teachers to have students participate in online discussions (45% v. 32%) and use collaborative web-based tools such as GoogleDocs to edit their work (41% v. 34%)Younger teachers are more likely to “very often” draw on colleagues for ideas about how to use new technologies in the classroom (22% of teachers under age 35 do this), when compared with teachers age 35-54 (16%) and teachers age 55 and older (13%)
  9. Polling and GamesRetentionComprehension
  10. Text messaging is of course a popular activity for all phone types. http://www.businessinsider.com/chart-of-the-day-number-of-texts-sent-2013-3http://www.marketingcharts.com/wp/online/18-24-year-old-smartphone-owners-send-and-receive-almost-4k-texts-per-month-27993/Usage is Habitual/Addictive …July 2012From http://www.thedailybeast.com/newsweek/2012/07/08/is-the-internet-making-us-crazy-what-the-new-research-says.htmlMarch 2012http://pewinternet.org/Reports/2012/Teens-and-smartphones/Summary-of-findings.aspxHalf of teens send 60 or more text messages per dayOlder, female teens likely to send more.
  11. Consider adding slide about Facebook…active users. And users that access through MobileFrom http://files.shareholder.com/downloads/AMDA-NJ5DZ/3124914548x0x746532/5c43ca27-de18-437a-b304-841a2052b98a/FB_Q114EarningsSlides20140421.pdf and http://newsroom.fb.com/company-info/802 million daily active users609 million daily mobile active users341 million mobile ONLY monthly active users
  12. Policy creation, adoption, and enforcement is based on a set of beliefs or assumptions
  13. SAMPLE Policy. Not sure if this has actually been adopted anywhere. Broken over several pages to be able to read. Page 4http://www.coaemsp.org/Documents/Sample_Appendix_I_%20J_ACC.pdf
  14. SAMPLE Policy. Not sure if this has actually been adopted anywhere. Broken over several pages to be able to read. Page 4http://www.coaemsp.org/Documents/Sample_Appendix_I_%20J_ACC.pdfCELL PHONES, PAGERS, AND ELECTRONICSTo eliminate distractions in the classroom the following policy will be followed by all students enrolled in the Emergency Medical Services Program.
  15. SAMPLE Policy. Not sure if this has actually been adopted anywhere. Broken over several pages to be able to read. Page 4http://www.coaemsp.org/Documents/Sample_Appendix_I_%20J_ACC.pdfCell phones are NOT to be used in the classroom, laboratory or clinical areas, or in hallways and common areas of the college. This includes use as a phone, text messaging device, music player, voice recorder, camera, video camera, or any other function which distracts the student from learning in class or disrupts others at any time. This policy is not limited to devices sold as a cell phone. Any electronic device which meets the spirit of this policy is included.
  16. Not a disruption or distraction until you define it a disruption, label it as a disruption, and reinforce that as a disruption.
  17. World is full of distractions. Disastrous to try to control them all. Distraction is a timeless problem. Role of teacher is to keep students engaged with worthwhile activities, age/skill/knowledge appropriate instructions, timely feedback, regular assessment, and breaks to re-energize.
  18. Adapted from http://www.goddardusd.com/page/51986_3
  19. Somewhere between a “Ban” and “Unlimited Use” is a balance.
  20. What is the worst case scenario for allowing students to have a smartphone, tablet, or other device during class? Broaden definition of what constitutes a class … where, when, what … get specific … what does it look and feel like?
  21. Retrieve answersShare questions and answersCheating fire, EMS, police education in the news … using old fashion methodsGiving students/employees hard copy or emailing questions
  22. Since we can’t likely overcome ingrained habits, brain wiring, and addictive behavior how can we be intentional about using in and out of the classroom. Use as a force for good, rather than a nefarious tool of interrupting and distracting evil. Responsibility of education programs to teach and model behavior that employers like to see and find desirable – Bill Toon.What uses do you specifically encourage or discourage?LectureDiscussionSimulation labsQuizzesClinical/ride time? Communicate – send, receive, notifyDocument and archiveSchedulingNavigationAlready used to:Exchange textWatch/create videosListen/record audioSchedule and trackInteract with referencesPractice assessmentsNavigate
  23. Middle school students “make presentations on iPads, how to keep track of their homework on a smartphone, and what they should and shouldn't post on social media sites. The devices can be their planners, agenda books, and pocket reference libraries all day long.”Middle school students being issued a netbook all cloud based apps for completing and submitting homeworkNPR Some Schools Actually Want Students to Play with SmartphonePew Research … http://pewinternet.org/Reports/2013/Teachers-and-technology/Summary-of-Findings.aspx“Laptops and desktops are central, but they note mobile technology use has also become commonplace in the learning process:73% of AP and NWP teachers say that they and/or their students use their mobile phones in the classroom or to complete assignments45% report they or their students use e-readers and 43% use tablet computers in the classroom or to complete assignments”
  24. Becoming a “Netizen”…education starts here
  25. Code of Ethics for EMS Practitionershttp://www.naemt.org/about_us/emtoath.aspx“to use social media in a responsible and professional manner that does not discredit, dishonor, or embarrass an EMS organization, co-workers, other health care practitioners, patients, individuals or the community at large.”
  26. http://www.nbcnews.com/tech/mobile/people-can-now-text-911-help-some-areas-n106176
  27. iTriage“This smartphone application isn’t just for emergencies. Users can access the library of symptoms, diseases, procedures, and obtain quality reports on facilities and physicians.”“Created by two ER docs, iTriage helps you answer the questions: “What medical condition could I have?” and “Where should I go for treatment?” Save, easily access, and share the healthcare information that's most important to you. iTriage has 4.5 star rating from our millions of users in over 80 countries.”
  28. Web BrowserMedical and EMS Specific AppsOther textbooks (example of Google books for needle decompression of an infant)PA Protocols in app…UPMC EMS Navigator
  29. Looking up drugs – write down 3 meds from previous patients. Look-up and review with classmates. Use case, PA EMT writes:“And yes since them I did get the drug app for my tablet since then. What had happened was that we were on the scene of a call and an elderly patient had heavy bleeding and a whole laundry list of medications. A new protocol here is if its a fall, head trauma and they are on blood thinners it's a trauma alert at the hospital now. We couldn't figure out which drug was their thinner. But yea since then I did get the app.”
  30. Training activity
  31. Habit streak app screen shot or icon.Application to EMSReadingWorkbook exercisesAssessment and treatment skillsHealth and wellness improvements
  32. Video-assisted Feedback During CPR: Analysis of Smartphone Video Footage Accurately Classifies Chest Compression RateAbstracts for the 2013 NAEMSP Scientific Assembly Volume 17 / Number 1January / March 2013
  33. SMS messaging, Twitter, Facebook…Back ChannelOutside ClassroomInside ClassroomTo the cloudGoogle DocShared doc for course notes, Rom DuckworthMind Mapping- Laura Cathcart
  34. Text and Emailwww.remind101.comSpecial instructions remindersNew episodes of the EMSEduCastSend a test question or review ideaSend key points after a lectureAssign a student to submit key pointsSchedule a study sessionRoom changesReturn to the classroom after being spread out for assessment stationsBasecamp BreezeGoogle GroupsFacebook GroupOthers?
  35. YouTube … learn anything
  36. Ebooks and BlogsReadingAnnotationsDefinitionsIntra and inter linksEbooks – fiction, non-fiction, academic EMS Blogs
  37. Facebook group for the classTwitter hashtagGoogle+ hangout for class, study groupSkype for office hours
  38. Go places, Paramedics Australasia International Conference 2014Could do same for EMS Today and EMS Expo
  39. Sending 12 lead photo, taken with iPadhttp://www.illinoishomepage.net/story/smartphone-apps-could-be-life-saving-link-for-first-responders/d/story/Lcd5zTg0uUawXEVYhX7NlgAlso using as reference guidesNews stories about paramedics using apps will change public perception…create an expectation that we will have instant and easy access to information.
  40. From National EMS Education Standards, AEMT http://www.ems.gov/pdf/811077d.pdfAlso in paramedic standards, http://www.ems.gov/pdf/811077e.pdfPart of EMS Education StandardsEMS Communication SystemsCommunication with Other Healthcare Professionals
  41. 2 tips from Steve Whitehead, Remember 2 things videohttp://paramedictv.ems1.com/Clip.aspx?key=56B16E7715D8A704Be politeMaintain eye contact
  42. Mention EMS1.com 101 things to know app …
  43. Med Drills … app names and icons
  44. Dave Page/Doug GadomskiStudents call a Google Voice number from clinical site when arriving/leavingCaller IDVoice mail – recorded, transcript, email and SMS notificationRinger settings
  45. DropboxGoogle DriveEvernoteOther tools to be able to access files from anywhere – no more “dog ate my homework” or I left my USB drive at home or the file is on my other computer.
  46. Clinical case reviewExamsBefore starting a patient assessment drill or simulation