JWHSC Presentation - May 2015
•Download as PPTX, PDF•
0 likes•136 views
This document discusses improving hospital ambulance bays using lean principles and employee engagement. It notes that ambulance bays are currently inefficient and unsafe due to contaminated equipment, unauthorized storage, and congestion that delays patient care. The presentation calls for applying lean principles daily to organize equipment safely and efficiently. Engaged employees who notice problems and work to continuously improve systems and relationships can help enhance safety, quality of care, and staff morale. The Joint Workplace Health and Safety Committee is asked to help address current issues around accountability and developing professionals.
Report
Share
Report
Share
Recommended
Calgary Ambulance Bay Project -Original- 2012
This report raises serious patient care and privacy concerns. For the patient's well-being and rights, medical treatment should not be combined with law enforcement activities like interrogation. The focus must remain on providing compassionate emergency care.
EMS Park (Hospital Hallway Care) CAEP Conference
A brilliant presentation by both AHS EMS Medical Director Dr J. Barkhurst and Senior Paramedic AHS EMS Director R. Bryksa.
Hallway waits position paper final
Use of Paramedics in Hospital Emergency Departments to provide hallway care when no ED beds are available.
EMS to ED Transition SPRINT (final)
This document discusses improving the transition of patients from ambulances to the emergency department. It describes current problems with long wait times for paramedics, including waiting at triage and in hospital hallways. This causes increased stress for paramedics and patients, delayed care, and higher rates of burnout. The document proposes valuing patient care over lengthy administrative processes and focusing on getting patients into beds quickly. It provides examples from Israel where patient transitions are much smoother and paramedics are not expected to wait. The goal is to end the practice of paramedic hallway waiting and improve patient outcomes and experiences.
Hospital Hallway Care
Paramedics waiting with patients in hospital ER hallways has become normalized over the past 15 years, but this practice must end immediately. Paramedics are unable to perform good quality patient care in hallway environments and it compromises their core mission of providing prehospital care and ambulance transportation. Having paramedics wait with patients in hallways also distracts from addressing the real issue of ER overcrowding. The practice is inappropriate and prevents ambulances from being quickly available during periods of high demand. Ending hallway waits could help eliminate frequent situations where no ambulance is available.
Hospital Hallway Waits violate the ACP Code of Ethics and the Standards of Pr...
Hospital hallway waits violate the ethics codes and standards of practice for paramedics. Waiting in hallways robs patients of their dignity, safety, and privacy and is dangerous. It also limits paramedics' ability to properly care for patients and evaluate their care. As evidence shows hallway waiting harms patients, paramedics should refuse to participate in the unsafe practice and work with hospitals to develop better alternatives for patient transport and treatment.
Speech to Alberta College of Paramedics Council
The speaker asks the ACP Council to publicly endorse a position stating that paramedics do not belong waiting in hospital ER hallways with patients. For years, paramedics have been asked to "help out" and wait with patients until beds are available, but this has become routine and patients receive substandard care in hallways. Waiting in hallways violates ACP codes of ethics and patient protections. The speaker asks the council to commit to better patient care by ending the practice of paramedic hallway waits and allowing EMS crews to return to serving communities.
Ambulance offload delay
This document summarizes the results of a survey of EMS providers in Alberta about ambulance offload delays. It finds that overtime has increased significantly for EMS workers in the last 5 years, negatively impacting their health and families. Offload delays have led to delayed response times for emergencies, in some cases with negative patient outcomes like death. The primary causes of delays are lack of hospital beds and lengthy triage times. Recommended solutions include improving hospital patient flow, building long-term care facilities, and allowing EMS to leave once patients are handed over to the hospital.
Recommended
Calgary Ambulance Bay Project -Original- 2012
This report raises serious patient care and privacy concerns. For the patient's well-being and rights, medical treatment should not be combined with law enforcement activities like interrogation. The focus must remain on providing compassionate emergency care.
EMS Park (Hospital Hallway Care) CAEP Conference
A brilliant presentation by both AHS EMS Medical Director Dr J. Barkhurst and Senior Paramedic AHS EMS Director R. Bryksa.
Hallway waits position paper final
Use of Paramedics in Hospital Emergency Departments to provide hallway care when no ED beds are available.
EMS to ED Transition SPRINT (final)
This document discusses improving the transition of patients from ambulances to the emergency department. It describes current problems with long wait times for paramedics, including waiting at triage and in hospital hallways. This causes increased stress for paramedics and patients, delayed care, and higher rates of burnout. The document proposes valuing patient care over lengthy administrative processes and focusing on getting patients into beds quickly. It provides examples from Israel where patient transitions are much smoother and paramedics are not expected to wait. The goal is to end the practice of paramedic hallway waiting and improve patient outcomes and experiences.
Hospital Hallway Care
Paramedics waiting with patients in hospital ER hallways has become normalized over the past 15 years, but this practice must end immediately. Paramedics are unable to perform good quality patient care in hallway environments and it compromises their core mission of providing prehospital care and ambulance transportation. Having paramedics wait with patients in hallways also distracts from addressing the real issue of ER overcrowding. The practice is inappropriate and prevents ambulances from being quickly available during periods of high demand. Ending hallway waits could help eliminate frequent situations where no ambulance is available.
Hospital Hallway Waits violate the ACP Code of Ethics and the Standards of Pr...
Hospital hallway waits violate the ethics codes and standards of practice for paramedics. Waiting in hallways robs patients of their dignity, safety, and privacy and is dangerous. It also limits paramedics' ability to properly care for patients and evaluate their care. As evidence shows hallway waiting harms patients, paramedics should refuse to participate in the unsafe practice and work with hospitals to develop better alternatives for patient transport and treatment.
Speech to Alberta College of Paramedics Council
The speaker asks the ACP Council to publicly endorse a position stating that paramedics do not belong waiting in hospital ER hallways with patients. For years, paramedics have been asked to "help out" and wait with patients until beds are available, but this has become routine and patients receive substandard care in hallways. Waiting in hallways violates ACP codes of ethics and patient protections. The speaker asks the council to commit to better patient care by ending the practice of paramedic hallway waits and allowing EMS crews to return to serving communities.
Ambulance offload delay
This document summarizes the results of a survey of EMS providers in Alberta about ambulance offload delays. It finds that overtime has increased significantly for EMS workers in the last 5 years, negatively impacting their health and families. Offload delays have led to delayed response times for emergencies, in some cases with negative patient outcomes like death. The primary causes of delays are lack of hospital beds and lengthy triage times. Recommended solutions include improving hospital patient flow, building long-term care facilities, and allowing EMS to leave once patients are handed over to the hospital.
5S Gazette 12-10-12
The document discusses implementing a 5S system to organize and improve the efficiency of an ambulance bay area at a hospital. Currently, the space is used for various storage needs and can be disorganized. With a 5S system, the roles and appropriate uses of the space can be clearly defined to prioritize ambulance needs. Hazard assessments and protocols can also be established to ensure the area is properly cleaned and hazards are addressed to allow paramedics to quickly move patients into the hospital for care.
IVEA Brochure
The document summarizes an ambulation device called the IVEA that allows one caregiver to safely move patients who are receiving IV medications or oxygen. It received an Edison Award and surveys found that 100% of nurses said it made ambulating patients easier. The IVEA consolidates medical equipment, is height adjustable, and folds up for easy storage. It is designed to improve staff efficiency, patient outcomes and satisfaction while reducing costs from injuries and shorter hospital stays.
Jake's Resume 2016
Jacob Behrens has over 10 years of experience working in emergency medical services. He is currently an Emergency Department Technician II at Kaiser Richmond, where his duties include EKGs, CPR, splinting, phlebotomy, and transporting patients. Previously, he worked as an Emergency Department Clerk and EMT for critical care transport. He also has experience as a reserve firefighter and completed a paramedic internship and program. Behrens has served on committees at Kaiser Richmond to improve emergency department processes and create a new technician training academy.
Client Testimonials
The document contains testimonials from several medical professionals and facilities praising the Expeditor patient flow system for increasing efficiency. The system automates patient sequencing to avoid delays and confusion over patient order. It uses light signals instead of flags to notify doctors which patient is next, saving staff time compared to traditional methods. While electronic health records have increased documentation efficiency, they can hinder patient throughput; the Expeditor system helps offset those inefficiencies. Medical practices report the system enhances staff productivity while improving patient satisfaction.
Moral injury
1) Paramedics feel they may experience moral injury from waiting in hospital hallways with patients after transporting them from emergency calls.
2) When paramedics arrive at hospitals with patients, they are often made to wait in hallways instead of properly transferring patient care to emergency room staff.
3) This hallway waiting forces paramedics to provide substandard care outside of their training and takes ambulances and paramedics out of service for responding to community calls.
ASNSW Retrieval Registrar Induction
The document provides an overview of the Ambulance Service of NSW, including its responsibilities, facilities, fleet, and personnel. It then describes the structure and roles of the aeromedical division, including the CHC Helicopter Corporation which provides helicopter services. Key details include over 1,000 ambulances responding to over 1 million calls annually, with control centers located across the state coordinating resources.
Advin Laparoscopy
This document summarizes the products offered by Advin Health Care, a leading manufacturer and exporter of laparoscopic instruments based in India. Advin produces a comprehensive range of laparoscopic instruments that meet international quality standards, including veress needles, trocars, hand instruments, bipolar instruments, and virtual trainers. They also provide reducers, clip applicators, needle holders, suction irrigation sets, and other specialized instruments for laparoscopic procedures. All products are designed to serve as extensions of the surgeon's hands during minimally invasive surgery.
ROCCI Presentation
P Caunter & Associates is a private theatre radiography practice established in 2006 that provides x-ray services during surgical procedures. They work with 17 private hospitals in Gauteng, South Africa with a staff of 30 radiographers and administrators. The radiographers operate C-arm x-ray machines in the operating room to provide live images to aid surgeons during procedures such as orthopedic, urological, neurological, vascular and cardiac surgeries.
Large Animal Health and Production Program Handout
Seneca College offers a specialized Large Animal Health and Production graduate certificate program for veterinary technicians, focused on large animal and equine care. The one-year program provides training in areas like large animal imaging, reproduction, nutrition, surgery and therapeutics through courses, practicums, and a field placement. The program prepares graduates for in-demand roles like large animal veterinary technician, herd health consultant, or equine veterinary technician.
Environmental Intern Presentation2016
The document summarizes an environmental intern's work in the EH&S (Environment, Health, and Safety) Department over the summer. The intern's areas of work included stormwater management like inspections and sampling, spill prevention and response such as updating plans and training, managing hazardous and universal waste through inspections and manifest filing, and assisting with Fats, Oils, and Grease inspections of 1,400 food service establishments and optimizing databases. The intern learned that preparation is important, prevention is better than cure, perspective matters, and that all pieces of environmental compliance are important.
HSSE website reference
This document lists websites related to health, safety, security, and the environment (HSSE) for several government agencies and organizations. It includes links to the Centers for Disease Control and Prevention, Environmental Protection Agency, Occupational Safety and Health Administration, National Oceanic and Atmospheric Administration, Department of Transportation, Federal Emergency Management Agency, International Organization for Standardization, and United States Geological Survey, among others. These websites provide information on emergency response, hazardous materials, environmental regulations, incident management, and natural hazard monitoring.
Inside and out car safety checks
This document provides an agenda and schedule for an upcoming driving safety course. It includes:
1) An update on points earned so far in the course and a reminder about effort, care, attitude and assignment usage.
2) An upcoming schedule of reports on basic vehicle control, vehicle dynamics, tires, ABS systems, and adverse weather conditions with due dates ranging from October 22nd to November 19th.
3) A reminder that learning to drive safely requires knowledge of important car parts and systems that can affect safety, as well as skills for maintaining a safe, well-maintained vehicle.
Rishma Final Resume 2014 trinidad
Rishma Maraj is an Emergency Medical Technician from Trinidad and Tobago with over 15 years of experience in healthcare roles including as an EMT, Patient Care Assistant, Peer Counselor, and Medical Receptionist. She has extensive training and certifications in areas such as emergency medical technician skills, nursing, safety management, and counseling. Currently, she works as an EMT for the South West Regional Health Authority in Trinidad providing emergency treatment and transporting patients.
REVIEWED QUALITY IN ARAYA COMMUNITY BASED HEALTH INSURANCE SCHEME - OGUN STAT...
REVIEWED QUALITY IN ARAYA COMMUNITY BASED HEALTH INSURANCE SCHEME - OGUN STAT...Araya Community Based Health Insurance Scheme - Ogun State Primary Healthcare Board
Status Update on ARAYA - Ogun State, Nigeria the most sustainable Community Based Health Insurance Initiative in AfricaIdeal Ambulance Bay.pdf
The Hospital Ambulance Bay is Primarily an EMS Workspace. What’s hindering Paramedic Care in yours?
How Ideal is your Ambulance Bay?
Our job as Paramedics lies on the street, not at the Hospital. Every extra minute we spend cleaning, restocking or waiting means less time in the community serving our patients.
Poudre Valley Hospital’s Best Practices for Emergency Notification
Poudre Valley Hospital uses the Everbridge emergency notification system to communicate important information to staff quickly and efficiently. They load all employee contact data nightly using an API that interfaces with their HR systems. This allows them to send notifications to large groups segmented by department or specialty. They use the system for emergencies, drills, testing, regulatory surveys, and daily staffing needs. The API and ability to segment groups has improved their notification process and allowed them to contact hundreds of staff in a fraction of the previous time.
Transport operations
The document discusses various topics related to ambulance transport operations and safe driving practices. It covers emergency vehicle design standards, checking ambulances, en route procedures, patient transfer, defensive driving techniques, and maintaining safety while operating emergency vehicles under both normal and emergency response conditions. The overall focus is on ensuring safe and effective patient care and transport through proper vehicle operation and emergency protocols.
Transport operations
The document discusses various topics related to transport operations and ambulance services including emergency vehicle design, checking ambulances, ambulance equipment, driving techniques, incident response, transporting patients, and air medical transports. It provides information on setting up landing zones and transferring patients safely. National EMS education standard competencies are also listed that cover operations, transport safety, medicine, infectious diseases and more.
Transport operations
The document discusses various topics related to emergency medical services (EMS) operations including transport operations, EMS roles and responsibilities, operating ground ambulances safely, assessing and treating patients, infectious disease protocols, ambulance design, checking and equipping ambulances, ambulance staffing, emergency response and transport, air medical transports, and helicopter medical evacuation operations. The overall document provides guidance and standard competencies for EMS professionals.
Transport operations
The document discusses transport operations and ambulance driving. It covers standard competencies for EMS operations, transporting patients safely, defensive driving techniques, and safe driving practices like using turn signals and maintaining a cushion of safety around the ambulance. Key steps for ambulance staff include checking equipment, securing patients and supplies, and cleaning after transporting a patient. The goal is to safely transport patients while avoiding crashes.
Emergency services
Team leaders in ambulance services are responsible for overseeing crews, equipment, and meeting performance targets. They must understand each person's capabilities and provide effective leadership. As capabilities include paramedic response, triage, treatment, transport, decontamination, search and rescue, firearms response, and air ambulance, team leaders must make quick decisions to deploy the right response. For minor incidents, team leaders manage frontline operations, but also provide tactical support for major incidents. Poor leadership can endanger patients and staff, lower morale, result in inadequate training, and cause legal and reputational issues for the service.
More Related Content
What's hot
5S Gazette 12-10-12
The document discusses implementing a 5S system to organize and improve the efficiency of an ambulance bay area at a hospital. Currently, the space is used for various storage needs and can be disorganized. With a 5S system, the roles and appropriate uses of the space can be clearly defined to prioritize ambulance needs. Hazard assessments and protocols can also be established to ensure the area is properly cleaned and hazards are addressed to allow paramedics to quickly move patients into the hospital for care.
IVEA Brochure
The document summarizes an ambulation device called the IVEA that allows one caregiver to safely move patients who are receiving IV medications or oxygen. It received an Edison Award and surveys found that 100% of nurses said it made ambulating patients easier. The IVEA consolidates medical equipment, is height adjustable, and folds up for easy storage. It is designed to improve staff efficiency, patient outcomes and satisfaction while reducing costs from injuries and shorter hospital stays.
Jake's Resume 2016
Jacob Behrens has over 10 years of experience working in emergency medical services. He is currently an Emergency Department Technician II at Kaiser Richmond, where his duties include EKGs, CPR, splinting, phlebotomy, and transporting patients. Previously, he worked as an Emergency Department Clerk and EMT for critical care transport. He also has experience as a reserve firefighter and completed a paramedic internship and program. Behrens has served on committees at Kaiser Richmond to improve emergency department processes and create a new technician training academy.
Client Testimonials
The document contains testimonials from several medical professionals and facilities praising the Expeditor patient flow system for increasing efficiency. The system automates patient sequencing to avoid delays and confusion over patient order. It uses light signals instead of flags to notify doctors which patient is next, saving staff time compared to traditional methods. While electronic health records have increased documentation efficiency, they can hinder patient throughput; the Expeditor system helps offset those inefficiencies. Medical practices report the system enhances staff productivity while improving patient satisfaction.
Moral injury
1) Paramedics feel they may experience moral injury from waiting in hospital hallways with patients after transporting them from emergency calls.
2) When paramedics arrive at hospitals with patients, they are often made to wait in hallways instead of properly transferring patient care to emergency room staff.
3) This hallway waiting forces paramedics to provide substandard care outside of their training and takes ambulances and paramedics out of service for responding to community calls.
ASNSW Retrieval Registrar Induction
The document provides an overview of the Ambulance Service of NSW, including its responsibilities, facilities, fleet, and personnel. It then describes the structure and roles of the aeromedical division, including the CHC Helicopter Corporation which provides helicopter services. Key details include over 1,000 ambulances responding to over 1 million calls annually, with control centers located across the state coordinating resources.
Advin Laparoscopy
This document summarizes the products offered by Advin Health Care, a leading manufacturer and exporter of laparoscopic instruments based in India. Advin produces a comprehensive range of laparoscopic instruments that meet international quality standards, including veress needles, trocars, hand instruments, bipolar instruments, and virtual trainers. They also provide reducers, clip applicators, needle holders, suction irrigation sets, and other specialized instruments for laparoscopic procedures. All products are designed to serve as extensions of the surgeon's hands during minimally invasive surgery.
ROCCI Presentation
P Caunter & Associates is a private theatre radiography practice established in 2006 that provides x-ray services during surgical procedures. They work with 17 private hospitals in Gauteng, South Africa with a staff of 30 radiographers and administrators. The radiographers operate C-arm x-ray machines in the operating room to provide live images to aid surgeons during procedures such as orthopedic, urological, neurological, vascular and cardiac surgeries.
Large Animal Health and Production Program Handout
Seneca College offers a specialized Large Animal Health and Production graduate certificate program for veterinary technicians, focused on large animal and equine care. The one-year program provides training in areas like large animal imaging, reproduction, nutrition, surgery and therapeutics through courses, practicums, and a field placement. The program prepares graduates for in-demand roles like large animal veterinary technician, herd health consultant, or equine veterinary technician.
Environmental Intern Presentation2016
The document summarizes an environmental intern's work in the EH&S (Environment, Health, and Safety) Department over the summer. The intern's areas of work included stormwater management like inspections and sampling, spill prevention and response such as updating plans and training, managing hazardous and universal waste through inspections and manifest filing, and assisting with Fats, Oils, and Grease inspections of 1,400 food service establishments and optimizing databases. The intern learned that preparation is important, prevention is better than cure, perspective matters, and that all pieces of environmental compliance are important.
HSSE website reference
This document lists websites related to health, safety, security, and the environment (HSSE) for several government agencies and organizations. It includes links to the Centers for Disease Control and Prevention, Environmental Protection Agency, Occupational Safety and Health Administration, National Oceanic and Atmospheric Administration, Department of Transportation, Federal Emergency Management Agency, International Organization for Standardization, and United States Geological Survey, among others. These websites provide information on emergency response, hazardous materials, environmental regulations, incident management, and natural hazard monitoring.
Inside and out car safety checks
This document provides an agenda and schedule for an upcoming driving safety course. It includes:
1) An update on points earned so far in the course and a reminder about effort, care, attitude and assignment usage.
2) An upcoming schedule of reports on basic vehicle control, vehicle dynamics, tires, ABS systems, and adverse weather conditions with due dates ranging from October 22nd to November 19th.
3) A reminder that learning to drive safely requires knowledge of important car parts and systems that can affect safety, as well as skills for maintaining a safe, well-maintained vehicle.
Rishma Final Resume 2014 trinidad
Rishma Maraj is an Emergency Medical Technician from Trinidad and Tobago with over 15 years of experience in healthcare roles including as an EMT, Patient Care Assistant, Peer Counselor, and Medical Receptionist. She has extensive training and certifications in areas such as emergency medical technician skills, nursing, safety management, and counseling. Currently, she works as an EMT for the South West Regional Health Authority in Trinidad providing emergency treatment and transporting patients.
REVIEWED QUALITY IN ARAYA COMMUNITY BASED HEALTH INSURANCE SCHEME - OGUN STAT...
REVIEWED QUALITY IN ARAYA COMMUNITY BASED HEALTH INSURANCE SCHEME - OGUN STAT...Araya Community Based Health Insurance Scheme - Ogun State Primary Healthcare Board
Status Update on ARAYA - Ogun State, Nigeria the most sustainable Community Based Health Insurance Initiative in AfricaWhat's hot (14)
Large Animal Health and Production Program Handout
Large Animal Health and Production Program Handout
REVIEWED QUALITY IN ARAYA COMMUNITY BASED HEALTH INSURANCE SCHEME - OGUN STAT...
REVIEWED QUALITY IN ARAYA COMMUNITY BASED HEALTH INSURANCE SCHEME - OGUN STAT...
Similar to JWHSC Presentation - May 2015
Ideal Ambulance Bay.pdf
The Hospital Ambulance Bay is Primarily an EMS Workspace. What’s hindering Paramedic Care in yours?
How Ideal is your Ambulance Bay?
Our job as Paramedics lies on the street, not at the Hospital. Every extra minute we spend cleaning, restocking or waiting means less time in the community serving our patients.
Poudre Valley Hospital’s Best Practices for Emergency Notification
Poudre Valley Hospital uses the Everbridge emergency notification system to communicate important information to staff quickly and efficiently. They load all employee contact data nightly using an API that interfaces with their HR systems. This allows them to send notifications to large groups segmented by department or specialty. They use the system for emergencies, drills, testing, regulatory surveys, and daily staffing needs. The API and ability to segment groups has improved their notification process and allowed them to contact hundreds of staff in a fraction of the previous time.
Transport operations
The document discusses various topics related to ambulance transport operations and safe driving practices. It covers emergency vehicle design standards, checking ambulances, en route procedures, patient transfer, defensive driving techniques, and maintaining safety while operating emergency vehicles under both normal and emergency response conditions. The overall focus is on ensuring safe and effective patient care and transport through proper vehicle operation and emergency protocols.
Transport operations
The document discusses various topics related to transport operations and ambulance services including emergency vehicle design, checking ambulances, ambulance equipment, driving techniques, incident response, transporting patients, and air medical transports. It provides information on setting up landing zones and transferring patients safely. National EMS education standard competencies are also listed that cover operations, transport safety, medicine, infectious diseases and more.
Transport operations
The document discusses various topics related to emergency medical services (EMS) operations including transport operations, EMS roles and responsibilities, operating ground ambulances safely, assessing and treating patients, infectious disease protocols, ambulance design, checking and equipping ambulances, ambulance staffing, emergency response and transport, air medical transports, and helicopter medical evacuation operations. The overall document provides guidance and standard competencies for EMS professionals.
Transport operations
The document discusses transport operations and ambulance driving. It covers standard competencies for EMS operations, transporting patients safely, defensive driving techniques, and safe driving practices like using turn signals and maintaining a cushion of safety around the ambulance. Key steps for ambulance staff include checking equipment, securing patients and supplies, and cleaning after transporting a patient. The goal is to safely transport patients while avoiding crashes.
Emergency services
Team leaders in ambulance services are responsible for overseeing crews, equipment, and meeting performance targets. They must understand each person's capabilities and provide effective leadership. As capabilities include paramedic response, triage, treatment, transport, decontamination, search and rescue, firearms response, and air ambulance, team leaders must make quick decisions to deploy the right response. For minor incidents, team leaders manage frontline operations, but also provide tactical support for major incidents. Poor leadership can endanger patients and staff, lower morale, result in inadequate training, and cause legal and reputational issues for the service.
Patient congestion in ED
The document discusses strategies to reduce congestion in emergency departments (EDs) through increased patient involvement and addressing gaps in service. It identifies four key gaps: listening, planning, service delivery, and communications. Recommendations include actively listening to patients, involving them in care planning and policy changes, designing the ED for efficiency, ensuring appropriate staffing and resource allocation, educating patients on proper ED use, and strengthening communication between EDs, primary care providers, and patients. The overall aim is to close gaps and improve the patient experience through a coordinated, patient-centered approach.
Hospital management protocols
This document provides guidelines and protocols for front office and emergency management at a hospital. It discusses the important roles of front desk executives in managing the hospital's image and providing excellent customer service. It emphasizes professionalism, promptness, and courtesy. It also outlines nurses' responsibilities in patient care units and proper procedures for operating rooms and emergency management. The document provides detailed information on codes, equipment, and policies to ensure quality patient care and safety.
Ot internship ppt
This document summarizes an occupational therapy internship completed by Margaret Stacy at Greenville Memorial Hospital. The internship involved shadowing occupational therapists in acute care, completing data entry and analysis projects, and attending meetings. Stacy also had opportunities to shadow at the hospital's rehabilitation facility and children's hospital wing. The internship provided valuable experience that confirmed Stacy's interest in becoming an occupational therapist working in an inpatient setting.
Human factors nhsiq 2014
Human factors encompass all those factors that can influence people and their behaviour. In a work context, human factors are the environmental, organisational and job factors, and individual characteristics which influence behaviour at work in a way which can affect health and safety. A simple way to view human factors is to think about three aspects: the job, the individual and the organisation and how they impact people’s health and safety-related behaviour
Disaster management dr.venu for m g u ktm latest
Disaster management involves preparing for, responding to, and recovering from disasters. The disaster management cycle includes pre-disaster mitigation and preparation, response during a disaster, and rehabilitation and reconstruction after a disaster. Hospitals must be prepared to handle mass casualty incidents by having disaster management plans, training staff, and conducting drills. Key aspects of response include incident command, triage, treatment, and evacuation to maximize lives saved during emergencies.
Fall 2014 eu rain drill-wrkshp
The document outlines Effat University's risk plan for rain emergencies in Fall 2014. It details the emergency team roles and responsibilities, categories of emergency from low to high alert, evacuation procedures depending on hazard level, designated shelter buildings for no evacuation, and important rules for staying on campus during high alert situations. The plan provides guidance on where different groups should go during an emergency, what to do after evacuation, and how information will be shared regarding class resumption. The overall goal is to ensure student and staff safety during rain emergencies through clear communication and coordinated response procedures.
Postcard from the Lean Edge
The Flinders Medical Centre was facing institutional breakdown in its emergency department due to inefficiencies. It adopted Lean process improvement methods to redesign patient care. Key steps included identifying value streams, mapping processes to eliminate waste, and implementing changes like streaming patients and implementing pull-based workflows. These changes increased the hospital's capacity while maintaining staffing levels. Metrics like mortality and adverse events improved. While progress has been made, continued efforts are needed to fully adopt Lean thinking and create sustainable culture change.
Central Manchester University Hospital NHS Foundation Trust- Better communica...
This document describes a quality improvement initiative at the Manchester Royal Eye Hospital (MREH) to address long wait times in outpatient departments. Over 250,000 patients attend MREH annually. Surveys found patients worried about missing their appointment if they left the waiting area. The hospital introduced pagers to allow patients to leave and be paged when their appointment was ready. Following the rollout, 100% of staff felt pagers would considerably improve the waiting and overall patient experience. Patients and staff also provided very positive feedback about the pagers. The initiative has since expanded with additional pagers purchased for more departments.
Library study
The document provides information about designing a library for a hospital. It discusses the various departments in a hospital like emergency, outpatient, inpatient, intensive care units. It describes the space requirements, areas, and factors to consider for the different departments. Specific guidelines are provided for emergency department, trauma center, outpatient department, inpatient wards, ICU. Fire safety, lifts, and other special building features for hospitals are also covered.
Patient care delivery system
The document outlines different methods for organizing patient care delivery, including traditional methods like total patient care, functional nursing, team nursing, modular nursing, and primary nursing. It also discusses more advanced integrated models like case management, practice partnerships, critical pathways, and differentiated practice. The goal is to define these methods, compare their advantages and disadvantages, and provide guidance on selecting the most appropriate model based on organizational goals and patient population.
The ward sisters role
The patient was admitted to the hospital for bowel surgery and later minor surgery. His condition deteriorated in the hospital. He was operated on without identification and his family was asked to identify him. On the ward, he was not cleaned or dressed and staff discussed his low chances of survival in front of him. Five days later, he died. The document discusses the need for ward sisters to have a supervisory role and be present in the clinical area to oversee standards of care and provide leadership. It provides the RCN's definition of a supervisory role and discusses benefits seen at one hospital where ward sisters were given full release from providing direct care.
Z_Guerra_Portfolio
Z has worked as a nurse for over a decade, specializing in gastrointestinal endoscopy labs. She recently moved to New York City to pursue an MFA in Industrial Design at Parsons School of Design. The portfolio outlines several of her design projects aimed at improving patient experience and care, including a bamboo IV splint, guidebooks for medical staff, and informational materials to help patients access transportation assistance programs.
Similar to JWHSC Presentation - May 2015 (20)
Poudre Valley Hospital’s Best Practices for Emergency Notification
Poudre Valley Hospital’s Best Practices for Emergency Notification
Central Manchester University Hospital NHS Foundation Trust- Better communica...
Central Manchester University Hospital NHS Foundation Trust- Better communica...
More from Don Sharpe
CAG PPT for Council Feb6 2023 Final.pptx
Cochrane EMS Crisis - Citizen Action Group. NO MORE DELAYS
Also available here, the live presentation to Cochrane Town Council.
Letter to Canmore Town Council
Post the AHS EMS Calgary Zone Leadership Presentation to Canmore Town Council, I wrote them this letter.
EMS Vehicle Readiness Project Development Report
EMS Vehicles need more attention than the crews operating them can provide. Ambulances are just another EMS 'workspace' that requires specific, tailored attention. This report documents the inception, progress and demise of a program that remains absolutely essential to providing top quality pre-hospital patient care.
Calgary Herald - Your Letters July 22, 2020
The letter argues that compensation for physicians through public funds should be transparent. It questions why the healthcare system has not improved more under physician leadership. The letter supports the government's efforts to improve inefficient processes, noting that paramedics wait lengthy hours in hospitals each month while response times and hallway wait times are not published. The letter writer, a paramedic, believes Albertans deserve leadership, transparency and accountability from their health care system.
Alberta College of Paramedics condemns Hospital hallway waits.
The Alberta College of Paramedics responds to recent media reports questioning EMS resources and response times. The College president says compromised working conditions prevent paramedics from providing excellent patient care. While recognizing budget constraints, the College agrees more must be done to address issues affecting EMS and reduce hallway waits. The mandate of the College is to ensure public safety and that paramedics are able to practice at their full potential to benefit patients.
Beyond COVID
This document discusses improvements to cleaning routines and responsibilities in hospital ambulance bays during the COVID-19 pandemic. It notes that EMS staff have taken on additional cleaning duties to support current inadequate routines. While some improvements have been made working with hospital leadership and Sodexo, there is still work to be done. Specifically, the document calls out issues with waste storage and garbage emptying at some hospitals that need to be addressed, and reiterates that hospital ambulance bays remain the responsibility of hospitals to keep clean and safe for EMS crews.
RGH IFT Ambulance Bay Project
Rockyview Hospital IFT (old) Ambulance Bay was used as the Contractor's office during the construction of the new RGH ER. After the new ER was finished, the bay was immediately put back into use - without being cleaned - for 4 months.
Clean behind it jan 30 2013
Ambulance stations, hospitals, and ambulance bays have been getting cleaner due to the efforts of cleaning staff and paramedics called the "Cleanatics". The document's author has received positive feedback about cleaning efforts from others in the field. In January, the focus will be on cleaning behind cabinets and couches, as furniture moved in previous cleanings revealed coins and dust bunnies. Photographs shared show the results of cleaning behind equipment at different locations.
Fhh supply - again - and again
The FHH EMS Supply Room is routinely a mess with a broken entry door. While it was cleaned last week, someone has since thrown overstock from an ambulance onto the floor. The room needs to have vital air tanks removed and the door hinges repaired.
Fhh supply room - again on March 24.
Don Sharpe, a paramedic, cleaned behind cabinets in the Foothills Hospital supply room on March 24, 2020 as nobody had done so in months, posing a contamination hazard with expensive medical equipment stored there. While he has ideas for fixing the problem of cleaning behind cabinets, which has existed for 10 years, typically nobody wants to hear them.
Cleaning fhh supply room march 9 2020
A paramedic documented finding clutter and improperly stored supplies in the EMS supply room at Foothill Hospital after moving equipment away from the wall. He questioned why the supply room was not cleaned regularly and why extra supplies were left on top of cabinets, wanting to know whose responsibility it was to properly maintain the room.
Ambulance cleaning at K Bldg for Covid-19 Pandemic
Don Sharpe arrived at an MSD facility with an ambulance for repairs. Fleet staff asked if the ambulance had been cleaned to a Level 3 standard for COVID-19 safety, which Sharpe could not confirm. Sharpe then took the ambulance to another location to clean it to the required standard. However, the building used for cleaning ambulances, K building, did not have water available for washing hands or filling cleaning buckets. K building was also routinely dirty. Sharpe asked for water to be turned on at K building so ambulances could be cleaned there to a Level 3 standard.
Ems Cleanatics 2012 Presentation
Efforts to better clean our EMS work-spaces began many in 2010.
This project failed.
It was constantly unsupported and undermined by EMS Leadership.
5S FMC Amb Bay checklist
In 2012 I submitted a cleaning checklist for the Foothills Hospital Ambulance Bay. There still isn't one being used.
Hospital ambulance bay cleaning march 2020
Hospital Ambulance Bays are too often treated with less respect than necessary. They are Intermediate Care Areas where critical patient care tasks are performed. They are complex, demanding spaces that are often grossly misunderstood and misused. They are where Public Safety and Healthcare intersect, too often like oil and water. These spaces require specialized planning, operation and maintenance. Here are some of the problems encountered when the Hospital Ambulance Bay is not cared for properly.
Ambulance Cleaning Recommendations
The document provides recommendations for improving ambulance cleaning in Calgary Metro EMS. It finds that ambulances are regularly unclean, frustrating crews and potentially exposing patients and staff to infectious diseases. It recommends developing a clear cleanliness standard, implementing a "Make Ready" program to deep clean vehicles every shift, and assigning staff specifically to clean and stock vehicles to ensure they are always ready for patient care. Adopting the Make Ready model used elsewhere could comprehensively solve cleanliness issues while enhancing operations and reducing costs.
Ambulances Not Available
Number of times Ambulances are asked to travel outside the area where they are based.
EMS CRISIS
In 2016 Alberta EMS Staff worked 135,000 overtime hours.
There were also 653,000 hours spent waiting in hospital hallways.
There were 35 RED ALERTS every month.
Misericordia Ambulance Bay
The document summarizes safety hazards identified in the ambulance bay of Miseracordia Hospital. Pictures showed supplies left on top of full cabinets creating trip hazards, power cords posing trip risks, and improper storage of tools. Broken equipment, garbage, and supplies left in corners made cleaning difficult. Gravel and debris in gutters and between entrances were also trip risks, as were items left in the bay like shopping carts and paint cans. The ER manager responded that they would address the issues, such as organizing cabinets, removing cords and blockades, cleaning dirt, and contacting Target about the shopping cart.
More from Don Sharpe (20)
Alberta College of Paramedics condemns Hospital hallway waits.
Alberta College of Paramedics condemns Hospital hallway waits.
Ambulance cleaning at K Bldg for Covid-19 Pandemic
Ambulance cleaning at K Bldg for Covid-19 Pandemic
AMBULANCE OFFLOAD DELAY: The Impact on Paramedics and Patient Care
AMBULANCE OFFLOAD DELAY: The Impact on Paramedics and Patient Care
Recently uploaded
PrudentRx's Function in the Management of Chronic Illnesses
PrudentRx ensures effective, cost-efficient medication management for chronic diseases, enhancing patient health and productivity.
Unlocking the Secrets to Safe Patient Handling.pdf
Furthermore, the time constraints and workload in healthcare settings can make it challenging for caregivers to prioritise safe patient handling Australia practices, leading to shortcuts and increased risks.
Luxurious Spa In Ajman Chandrima Massage Center
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
This edition features a handful of Innovative Minds: France's Most Impactful Healthcare Leaders that are leading us into a better future.
The Power of Superfoods and Exercise.pdf
Healthy Eating Habits:
Understanding Nutrition Labels: Teaches how to read and interpret food labels, focusing on serving sizes, calorie intake, and nutrients to limit or include.
Tips for Healthy Eating: Offers practical advice such as incorporating a variety of foods, practicing moderation, staying hydrated, and eating mindfully.
Benefits of Regular Exercise:
Physical Benefits: Discusses how exercise aids in weight management, muscle and bone health, cardiovascular health, and flexibility.
Mental Benefits: Explains the psychological advantages, including stress reduction, improved mood, and better sleep.
Tips for Staying Active:
Encourages consistency, variety in exercises, setting realistic goals, and finding enjoyable activities to maintain motivation.
Maintaining a Balanced Lifestyle:
Integrating Nutrition and Exercise: Suggests meal planning and incorporating physical activity into daily routines.
Monitoring Progress: Recommends tracking food intake and exercise, regular health check-ups, and provides tips for achieving balance, such as getting sufficient sleep, managing stress, and staying socially active.
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
Joker Wigs has been a one-stop-shop for hair products for over 26 years. We provide high-quality hair wigs, hair extensions, hair toppers, hair patch, and more for both men and women.
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Gemma Wean- Nutritional solution for Artemia
GEMMA Wean is a high end larval co-feeding and weaning diet aimed at Artemia optimisation and is fortified with a high level of proteins and phospholipids. GEMMA Wean provides the early weaned juveniles with dedicated fish nutrition and is an ideal follow on from GEMMA Micro or Artemia.
GEMMA Wean has an optimised nutritional balance and physical quality so that it flows more freely and spreads readily on the water surface. The balance of phospholipid classes to- gether with the production technology based on a low temperature extrusion process improve the physical aspect of the pellets while still retaining the high phospholipid content.
GEMMA Wean is available in 0.1mm, 0.2mm and 0.3mm. There is also a 0.5mm micro-pellet, GEMMA Wean Diamond, which covers the early nursery stage from post-weaning to pre-growing.
CANSA support - Caring for Cancer Patients' Caregivers
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
Rate Controlled Drug Delivery Systems.pdf
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Top massage center in ajman chandrima Spa
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
Visit : https://massagespaajman.com/
Call : 052 987 1315
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Explore the groundbreaking work of Dr. David Greene, a pioneer in regenerative medicine, who is revolutionizing the field of cardiology through stem cell therapy in Arizona. This ppt delves into how Dr. Greene's innovative approach is providing non-surgical, effective treatments for heart disease, using the body's own cells to repair heart damage and improve patient outcomes. Learn about the science behind stem cell therapy, its benefits over traditional cardiac surgeries, and the promising future it holds for modern medicine. Join us as we uncover how Dr. Greene's commitment to stem cell research and therapy is setting new standards in healthcare and offering new hope to cardiac patients.
DRAFT Ventilator Rapid Reference version 2.4.pdf
Ventilator rapid reference for the Zoll Z cvent. Presented for educational purposes only.
Under Pressure : Kenneth Kruk's Strategy
Kenneth Kruk's story of transforming challenges into opportunities by leading successful medical record transitions and bridging scientific knowledge gaps during COVID-19.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.Feeding plate for a newborn with Cleft Palate.pptx
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
Recently uploaded (20)
PrudentRx's Function in the Management of Chronic Illnesses
PrudentRx's Function in the Management of Chronic Illnesses
Unlocking the Secrets to Safe Patient Handling.pdf
Unlocking the Secrets to Safe Patient Handling.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
U Part Wigs_ A Natural Look with Minimal Effort Jokerwigs.in.pdf
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
CANSA support - Caring for Cancer Patients' Caregivers
CANSA support - Caring for Cancer Patients' Caregivers
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Stem Cell Solutions: Dr. David Greene's Path to Non-Surgical Cardiac Care
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Feeding plate for a newborn with Cleft Palate.pptx
Feeding plate for a newborn with Cleft Palate.pptx
JWHSC Presentation - May 2015
- 1. Hospital Ambulance Bays Lean Principals & Employee Engagement AHS EMS WORKPLACE HEALTH & SAFETY Don Sharpe – Paramedic Presentation to: JWHSC 2015
- 2. HOSPITAL AMBULANCE BAYS: WHAT’S WRONG WITH THIS PICTURE?
- 3. THE PROBLEM:
- 4. DESIGN REQUIREMENTS AND OPERATIONS GUIDELINES FOR HOSPITALAMBULANCE BAYS JASON LABERGE, HUMAN FACTORS SPECIALIST, PATIENT SAFETY DON SHARPE, SENIOR PARAMEDIC, EMERGENCY MEDICAL SERVICES • An ambulance bay connects Emergency Medical Services (EMS) personnel and their patients to the tertiary care staff and equipment of a local hospital. An ambulance bay is a place to get into and out of as quickly as possible, a transitory location for everyone. However, not all ambulance bays are efficient and safe. Contaminated equipment, presence of non-EMS supplies, congestion due to the location of cabinets/waste containers/other storage, and foot traffic from unauthorized staff can all delay access to the bay and the emergency department for patient transport. Every ambulance bay needs to be designed with one primary goal in mind: to get patients to triage and EMS personnel back on the streets as quickly and safely as possible. http://www.slideshare.net/DonSharpe/hospital-ambulance-bay-design
- 5. SOME CONCERNS WERE OBVIOUS:
- 6. AHS VALUES: • Respect • Accountability • Transparency • Engagement • Safety • Learning • Performance (Alberta Health Services, 2015b)
- 7. THERE ARE PLENTY OF TOOLS OUT THERE, WHY AREN’T WE USING THEM?
- 8. LEAN PRINCIPALS & EMPLOYEE ENGAGEMENT • What does a typical “day in the office” look like for a Front Line Paramedic or EMT-A? • Sure, we’re busy with calls… • Do we ‘Refuse to walk past a mess? • Do we even notice the mess that’s there?
- 11. MARK GRABAN - WWW.MARKGRABAN.COM/ALBERTA
- 12. WE USE LEAN PRINCIPALS EVERY DAY. • How we organize stock in our Ambulance • How we interact with each other at work • Writing PCR’s and other reports • Refusing unsafe work • How we run a call on scene
- 13. THE GOALS OF LEAN TO SIMULTANEOUSLY IMPROVE: • Safety – of both workers and patients • Quality – of care & work environment • Delivery – reduce delays & waiting • Costs – many of these are hidden • Morale – more ‘Engaged Employees’
- 14. WHY BOTHER TRYING TO ENGAGE EMPLOYEES? BECAUSE ENGAGED EMPLOYEES: • Enjoy Coming To Work. • Are happy & have increased self-awareness. • Actively look for ways to improve themselves. • Look for ways to improve their patient care. • Improve individuals and teams they work with.
- 18. WHAT IS A MESS? • A mess can be defined as: • A patient’s health • A patient’s home • A situation in your life or a colleague’s • The ambulance bay • …or anything else that isn’t right.
- 19. SUMMARY • Commit to your development as a professional. • The current lack of accountability creates problems with safety, equipment, and working relationships. • How can the JWHSC help?