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paramedicfoundation.org twitter.com/paramedicfound
facebook.com/ParamedicFoundation
Putting the WE in Team!Nick Nudell, MS, NRP, FACPE
Wyoming’s 47th Annual Trauma & EMS Conference
August 2017
Cheyenne, WY
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W h o a m I ?
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Not a Magic School Bus!
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Life is about the journey49 States4 Provinces11 months54,250 mi truck33,000 mi trailer9.3mpg5,840 gallons diesel1,540 hours10 fish
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The Journey
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W h o a r e y o u ?
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Objective
How to successfully provide the pre-hospital medical
oversight that EMS professionals want
so they can improve patient outcomes
while enhancing EMS agency operations
with limited resources.
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What do you want?
W h a t d o y o u w a n t ?
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How do you?
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What do you want?
W h a t d o p a r a m e d i c s w a n t ?
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EMS systems are complex
Managing without information is crazy!
Supply Management
Vehicle Purchase & Repair
Medications
Dispatch
CPR Classes
Human Resources
Professional Development
Narcotic Tracking
Defibrillator Upkeep
Community Involvement
Scheduling
State Licensing
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Good Data Is Important!
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Every EMS agency needs a PIMP!
Paramedic Information - Management Practitioner
• Paramedic Data Analyst (PDA)• Paramedic Data Forensics (PDF)• Paramedic Data Governance (PDG)• Paramedic Data Integration (PDI)• Paramedic Data Manager (PDM)• Paramedic Data Protection (PDP)• Paramedic Decision Support (PDS)
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Expert Level Support
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Differing Perspectives – Context Matters
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Tok Area, Alaska: 41st Largest State
• Pop est: 7,023 or 0.25 per sq/mi (0.01/km²)
• 25,059 sq/mi (64,900 km²)
• AlCan Border Crossing into USA:• 114,996 private passengers
• 1,307 pedestrians
• 3,762 bus passengers
• 6,219 trucks
• 62,277 crossed in to Canada
• 2 physicians, 3 clinic rooms, 60 EMS
Source: https://transborder.bts.govhttp://www.tc.gov.yk.ca/
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Tok Area, Alaska: 41st Largest State
Source: https://transborder.bts.govhttp://www.tc.gov.yk.ca/
• Pop est: 7,023 or 0.25 per sq/mi (0.01/km²)
• 25,059 sq/mi (64,900 km²)
• AlCan Border Crossing into USA:• 114,996 private passengers
• 1,307 pedestrians
• 3,762 bus passengers
• 6,219 trucks
• 62,277 crossed in to Canada
• 2 physicians, 3 clinic rooms, 60 EMS
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Adapt, Overcome, & Advance!
Nearest hospital is 203mi =4hrs ground or 90 minutes by air
Furthest road point is border @322mi = 6 hours to hospital
Trauma center is 3.5 hr flight after getting to Fairbanks
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Environment Dictates Conditions!
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W h a t i s p a t i e n t c e n t r i c p a r a m e d i c i n e ?
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Paramedicine Vision - Of The Future
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W h a t i s t h e k e y t o p a r a m e d i c i n e ?
H I N T : I t i s t e a m - b a s e d H e a l t h C a r e D e l i v e r y
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Teamwork does not meana str ict div is ion of labor,
i t means using the combinedski l ls and judgment of the team
to potentiate one another ’s ski l ls .
- H o w a rd B a c ke r, M D, M P H , FA C E P
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TeamSTEPPS Competencies
Primary trainable teamwork skills1. Leadership
2. Communication
3. Situation monitoring
4. Mutual support
https://www.reliaslearning.com/courses/teamstepps-emergency-medical-serviceshttps://www.ahrq.gov/teamstepps/index.html
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All teams are groups but not all
groups are teams!
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Te a m w o r k b e g i n s b yb u i l d i n g T RU S T .
A n d t h e o n l y w a y t od o t h a t i s t o o v e r c o m e
o u r n e e d f o ri n v u l n e r a b i l i t y .
- P a t r i c k L e n c i o n i
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T R U S T i s t h e G L U E o f l i f e .I t ’ s t h e MOST
e s s e n t i a l i n g r e d i e n ti n e f f e c t i v e
COMMUN I C AT I ON .I t ’ s t h e f o u n d a t i o n a l p r i n c i p l e
t h a t HO LD S a l lR E L AT I ON SH I P S .
- S t e p h e n R . C o v e y
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Trust defined
NounFirm belief in the reliability, truth, ability, or strength of someone or something.
“Relations have to be built on trust” synonyms: confidence, belief, faith, certainty, assurance, conviction, credence; reliance
VerbBelieve in the reliability, truth, ability, or strength of.
“I should never have trusted her”synonyms: rely on, depend on, bank on, count on, be sure of "he can be trusted to carry out an impartial investigation"
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Model the Way
Quickest way to lose your leadership credentials is to not demonstrate balance in a crisis.
Instead of calmly addressing a crisis at hand, the inept crisis leader will lose control of his/her actions, temper, emotions, or awareness.
Demonstrate balanced leadership.
http://www.leadershipchallenge.com/Leaders-Section-Articles-Stories-Detail/leadership-in-crisis.aspx
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Inspire a Shared Vision
Critical in a crisis that we all share the same goal.
We may have different reasons for the goal but we have the goal in common.
For example, the obvious goal is to return to normalcy.
To employees this means ensuring that their job survives, while an executive worries about stopping the revenue loss.
Return to normalcy.
http://www.leadershipchallenge.com/Leaders-Section-Articles-Stories-Detail/leadership-in-crisis.aspx
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Challenge the Process
Organizational processes are stressed in any crisis and may become dysfunctional.
A leader in crisis must have the flexibility to adapt to the situation, regardless of the inherent processes of the organization.
Flexibility to adapt.
http://www.leadershipchallenge.com/Leaders-Section-Articles-Stories-Detail/leadership-in-crisis.aspx
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Enable Others to Act
Effective partnerships are critical to the success.
Simply put, partnerships save lives.
http://www.leadershipchallenge.com/Leaders-Section-Articles-Stories-Detail/leadership-in-crisis.aspx
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Encourage the Heart
Taking care of the response staff is not much different in a crisis as in normal operating situations.
What is different is the stress the team is under and how fast this can change.
A leader in crisis needs to be more aware of the physical, psychological, and mental condition of the team.
The leader must be aware and respond.
http://www.leadershipchallenge.com/Leaders-Section-Articles-Stories-Detail/leadership-in-crisis.aspx
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T h e m a i n t h i n gi s t o k e e p t h e
m a i n t h i n gt h e m a i n t h i n g .
- S t e p h e n R . C o v e y
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The Patient
Smar
ter
Spen
din
g
Triple Aim
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ContactNick Nudell, MS, NRP, FACPE
UCHealth EMS
Chief Data Officer & Board Member of The Paramedic Foundation
Board Member of the National EMS Management Association
(760) 405-6869
emsnerd.com
twitter.com/runmedic
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