putting the we in team!

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Putting the WE in Team!Nick Nudell, MS, NRP, FACPE

Wyoming’s 47th Annual Trauma & EMS Conference

August 2017

Cheyenne, WY

W h o a m I ?

Not a Magic School Bus!

Life is about the journey49 States4 Provinces11 months54,250 mi truck33,000 mi trailer9.3mpg5,840 gallons diesel1,540 hours10 fish

The Journey

W h o a r e y o u ?

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.

What do you want?

W h a t d o y o u w a n t ?

How do you?

What do you want?

W h a t d o p a r a m e d i c s w a n t ?

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

Good Data Is Important!

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)

Expert Level Support

Differing Perspectives – Context Matters

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/

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

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

Environment Dictates Conditions!

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 ?

Paramedicine Vision - Of The Future

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

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

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

https://www.reliaslearning.com/courses/teamstepps-emergency-medical-services

https://www.ahrq.gov/teamstepps/index.html

All teams are groups but not all

groups are teams!

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

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

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"

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

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.


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.


Enable Others to Act

Effective partnerships are critical to the success.

Simply put, partnerships save lives.


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.


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

The Patient

Smar

ter

Spen

din

g

Triple Aim

ContactNick Nudell, MS, NRP, FACPE

UCHealth EMS

Chief Data Officer & Board Member of The Paramedic Foundation

Board Member of the National EMS Management Association

[email protected]

(760) 405-6869

emsnerd.com

twitter.com/runmedic

KK6TYY

putting the we in team!

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