Integrating Smartphones Into EMS EducationGreg Friese
Integrating Smartphones Into EMS Education presented by Greg Friese, MS, NREMT-P at August 2013 National Association of EMS Educators Symposium in Washington DC.
This is very useful in teaching learning process. This is to enhance the skills of the learners and to develop them holistically to be better prepare for their future.
Integrating Smartphones Into EMS EducationGreg Friese
Integrating Smartphones Into EMS Education presented by Greg Friese, MS, NREMT-P at August 2013 National Association of EMS Educators Symposium in Washington DC.
This is very useful in teaching learning process. This is to enhance the skills of the learners and to develop them holistically to be better prepare for their future.
Presentation by Dr Ann Ooms to the 'Mobilising Remote Student Engagement (MoRSE)' Project board (17th July 2009) providing preliminary data from the baseline study and from pilot field trips.
A presentation by Dr. David Cheney for the Investing in Abilities 2017 lecture series, on emerging technologies and tech strategies for empowerment, especially focused on using education to crowdsource solutions to interesting problems and develop compassion and a sense of humanity.
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Integrating Smartphones and Tablet Devices into Fire and EMS EducationGreg Friese
Integrating Smartphones and Tablet Devices into Fire and EMS Education presented at International Society of Fire Science Instructors Fall Conference at the Ohio Fire Academy
Presentation by Dr Ann Ooms to the 'Mobilising Remote Student Engagement (MoRSE)' Project board (17th July 2009) providing preliminary data from the baseline study and from pilot field trips.
A presentation by Dr. David Cheney for the Investing in Abilities 2017 lecture series, on emerging technologies and tech strategies for empowerment, especially focused on using education to crowdsource solutions to interesting problems and develop compassion and a sense of humanity.
13 Trends and Challenges with School Wireless NetworksCorey Anderson
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Integrating Smartphones and Tablet Devices into Fire and EMS EducationGreg Friese
Integrating Smartphones and Tablet Devices into Fire and EMS Education presented at International Society of Fire Science Instructors Fall Conference at the Ohio Fire Academy
In late 2017, Learning and Teaching Services launched the first ever Navitas Global Student Technology Survey, building on several years of teacher and student research and input from stakeholders around the world. Our findings highlight some familiar aspects of technology and its potential to connect people, places, systems and experiences in learning and teaching, helping us to make connections across seemingly disparate colleges and learning contexts.
In this presentation, Lucy and Kooshan provide a quick tour of the big picture using data gathered from 7,240 participants studying at 96 Navitas colleges in 26 countries around the world, exploring themes such as trends in mobile, supporting student community and providing the foundations for a seamless digital experience.
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Best Practices for TelehealthALLURA L. RALSTON, M.A.DEP.docxjasoninnes20
Best Practices
for Telehealth*
ALLURA L. RALSTON, M.A.
DEPARTMENT OF PSYCHOLOGY, UNIVERSITY OF NEBRASKA-
LINCOLN
*Note: This webinar will not address recent OMH guidance on Telehealth.
For OMH guidance on Telehealth during this time, please visit https://ctacny.org/covid-19-resources
March 23, 2020
https://ctacny.org/covid-19-resources
Overview
• Types of telehealth
• Dos and Don’ts of each type
• Common barriers and overcoming them
Poll Question
What are some concerns you have in using
technology for telehealth?
1. I have no concerns
2. Logistical use (I'm not tech savvy)
3. Participant engagement
4. Confidentiality
5. Other
Telemental Health
• Phone conferencing (e.g.
by telephone or cell phone)
• Videoconferencing
• Text messaging
Phone Conferencing
• Phone conferencing is the most simplistic form of telehealth – it just
requires both parties to have a landline or mobile phone
• Generally, phone conferencing is not the most ideal option as it makes
it difficult for both the client and therapist to read social cues
• It can also be difficult to complete certain elements of treatment – such
as exposure therapy
• However, while trying to establish a new norm phone conferencing can
be a better alternative than not providing services at all
• Additionally, many insurance carriers now cover providing services by
telephone which has not been true in the past
Phone Conferencing – Dos and Don’ts
Do’s
✓ Decide what phone number you’d like to provide clients
✓ When working from home – find a quiet place you won’t be disturbed
✓ Limit distractions (e.g. set phone to silent or do not disturb, turn off
computer, etc.)
Don’ts
✓ Forget to set boundaries with clients if you provide them with your
personal cell phone number
✓ Forget to be kind to yourself if it feels like conducting therapy by phone
does not feel the same as in-person
Video Conferencing
• This is the best studied and most widely used technology for
disseminating mental health treatments
• Studies examining the use of video conferencing to provide treatment
have shown similar reductions in anxiety, depression, and PTSD
compared to in-person treatment
• There are few therapy techniques that cannot be completed via video
conferencing
• In fact, our clinic ran a study examining whether treatment for social
anxiety could be conducted according to a standardized protocol with
limited modifications and found that treatment was executed the same
way and with the same beneficial results
Programs for Telehealth via Video
• There are numerous programs that can be used for telehealth – our
training clinic at UNL uses VSee
• Zoom is another popular option
• Both provide encrypted video services and messaging features which can
be incorporated into therapy
• This link provides a nice overview about selecting a vendor and common
vendors used to provide telehealth services:
https://nosorh.org/wp-content/uploads/2016/11/NOSORH-Telehealt ...
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3. Poll ?: Show of phones…
?
Do you have a
smartphone or
tablet with you?
4.
5. The safety issues identified…
Distraction due to non-operational use
of personal electronic devices during
flight and ground operations
Distraction is a Real Issue
15. 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.
16. 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.
18. 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)
20. Ban vs. No Limits
• Organization policy
• Ability to enforce
• Instructor comfort
• Student needs
• Start strict, ease off later
• Provide breaks for use
• Appropriate consequences
24. 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
25. EMS Professionalism Skills
• Access knowledge
• Curate information
• Click safely
• Focus on people/tasks
• Honor patient PHI
• Professional discussion
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.
[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 …
Permission is granted to do any of these things…in fact I expect you to do one or more of these things.
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.
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
Distinction between ages.
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%)
Polling and GamesRetentionComprehension
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.
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
Policy creation, adoption, and enforcement is based on a set of beliefs or assumptions
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
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.
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.
Not a disruption or distraction until you define it a disruption, label it as a disruption, and reinforce that as a disruption.
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.
Adapted from http://www.goddardusd.com/page/51986_3
Somewhere between a “Ban” and “Unlimited Use” is a balance.
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?
Retrieve answersShare questions and answersCheating fire, EMS, police education in the news … using old fashion methodsGiving students/employees hard copy or emailing questions
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
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”
Becoming a “Netizen”…education starts here
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.”
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.”
Web BrowserMedical and EMS Specific AppsOther textbooks (example of Google books for needle decompression of an infant)PA Protocols in app…UPMC EMS Navigator
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.”
Training activity
Habit streak app screen shot or icon.Application to EMSReadingWorkbook exercisesAssessment and treatment skillsHealth and wellness improvements
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
SMS messaging, Twitter, Facebook…Back ChannelOutside ClassroomInside ClassroomTo the cloudGoogle DocShared doc for course notes, Rom DuckworthMind Mapping- Laura Cathcart
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?
YouTube … learn anything
Ebooks and BlogsReadingAnnotationsDefinitionsIntra and inter linksEbooks – fiction, non-fiction, academic EMS Blogs
Facebook group for the classTwitter hashtagGoogle+ hangout for class, study groupSkype for office hours
Go places, Paramedics Australasia International Conference 2014Could do same for EMS Today and EMS Expo
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.
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
2 tips from Steve Whitehead, Remember 2 things videohttp://paramedictv.ems1.com/Clip.aspx?key=56B16E7715D8A704Be politeMaintain eye contact
Mention EMS1.com 101 things to know app …
Med Drills … app names and icons
Dave Page/Doug GadomskiStudents call a Google Voice number from clinical site when arriving/leavingCaller IDVoice mail – recorded, transcript, email and SMS notificationRinger settings
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.
Clinical case reviewExamsBefore starting a patient assessment drill or simulation