EMS Perception or Standardization - Free Essay Example

Sample details Pages: 5 Words: 1419 Downloads: 1 Date added: 2019/10/10 Did you like this example? Perception or Standardization One of the most crucial mission of the emergency medical services (EMS) staff is to transfer patients in medical emergency situations. For this mission to be accomplished Ambulance services must be put in the forefront of healthcare services. Over the past decade the need for ambulances and emergency transportation of patients has increased significantly, though some of the transportations have not been so urgent (Gurchiek, 2014).   Safety is a very crucial theme underlying the EMS service delivery. Don’t waste time! Our writers will create an original "EMS Perception or Standardization" essay for you Create order This is because delivery of medical emergency services involves hazardous activities which needs care and safety. The purpose of this paper is to explain the theme safety by showing clearly how it has been used in the context of EMS. This paper will explore some of the safety issues addressed in EMS and the factors to be considered by the EMS staff on the safety of the patients. In order to progress from a classroom medic to a â€Å"street† medic, a very necessary process is required to transform controlled classroom learning into applicable knowledge in the hectic, pre-hospital patient care reality. On-the-job training or field internship (preceptorship) is used for Nursing Programs and other allied health professions to include Emergency Medical Services (EMS). Though there are national standards in place for Emergency Medical Services (EMS) certifications, without standardization of EMS preceptor programs, EMS agencies will have inconsistencies with patient care, provider competency, knowledge, skills and abilities. Every work environment is different; EMS agencies provide an undeniably unique environment. Newly certified medics, without prior EMS experience and even those with experience, are faced with accomplishing a variety of tasks, knowledge, skills, and abilities. The environment for the medic, the internee, should be conducive for learning, providing a place where the internee can gain confidence in their skills and find their way as a provider (Gurchiek, 2014). The transition from classroom medic to â€Å"street† medic is facilitated by a preceptor who are responsible for ensure proper patient care while balancing educating and evaluating the internee (Gurchiek, 2014). In essence, the internee is placing their future in the hands of their preceptor. The preceptor immensely impacts the internee’s experience, as would any teacher to a student. Preceptor evaluation errors, preceptor lack of experience, knowledge of educating (Gurchiek, 2014) a major asset to student learning is the preceptor’s knowledge and experience along with the preceptor’s attitude and approach (Gurchiek, 2014). There are standards in other avenues of EMS. There are national certification requirements for EMS providers through the National Registry of Emergency Medical Technicians. A platform named Platinum Planner was created By Platinum Education Group to aid in scheduling, reporting, and skill tracking. This platform provides a tracking system of hands-on experience that is utilized by students, instructors, preceptors, administrative staff, and clinical sites. (Platinum Educational Group Launches Skills Tracking App., 2016). Tidewater Community College uses Platinum Planner which replaced the main use of paper tracking which is no longer the sole primary form of skills tracking. The theme of Safety is clearly shown in the emergence medical services. First, due to safety measures in every EMS there must be an Ambulance. Ambulance is a life-saving vehicle hence an issues of safety comes out clearly. In addition, inside the Ambulance, there is another issue of safety. For example, in the cab. Mostly, EMS vehicles have cab which has two seats for two peoples. Some of the safety principles followed in the cab are; to always wear the lap and the shoulder belts in order to improve the chance of survival in a crash. This is because it will provide safety restraints which will help a person to stay in position when there is a displacement in the force of momentum. Another safety rule in the cab is that, no leaving a loose items on the dash.   Most of EMS personnel’s without home base may spend their time in the EMS units. During lulls they may decide to listen to, music, read books or even watch some movies on a small portable television, therefore it’s advisable that they keep loose items such as books, electronics or electronic appliances on the dash (The Preceptor-Student Relationship, 2004). This is because in the dash, the objects remains harmless unless displaced by unexpected change in momentum. Both occupants should make sure that they watch the road so as to increase precaution even when one of them is in a call. The driver should avoid sleepiness in addition to safety. During the night shift the driver may feel sleepy while driving. It’s therefore advisable not to rely on caffeine or sugar for energy on such cases, shake off the drowsiness by opening the EMS unit’s window or by getting out a few minutes to stretch. In the patient compartment there needs safety also. Though in the patient compartment it’s not risky but the EMS staff also need to follow some strategies to promote its safety. First, never let tunnel vision remove the need for your personal safety. Secure the seat belts, also secure the patient by doing whatever it regard despite the ride. The Ems stuff in the patient compartment should also develop the hanging habit. One of the inherent risk of EMS is moving around the patient compartment for example, during CPR in a moving ambulance, the person doing chest compression must bend over the patient, with arms straight with appropriate position to push down (The Preceptor-Student Relationship, 2004). Another key aspect of safety in EMS is safe driving (Gurchiek, 2014). Sometimes EMS personnel are asked to drive big vehicles which are big than their personal cars, though some of them have never gone for training in any of the emergency medical vehicle driving school. Some of the basic safe driving principles related to driving an EMS unit are: no driving while lights and sirens are on. This is because people react different when they hear about sirens. Some obey the rules by pulling off their vehicles or stop. If the vehicle was being driven in non- emergence mode then this may cause harm to the members of the public by sending wrong information.   Another principle is that, obey the local standards operating procedures. There are some jurisdictions rules provided to guide on the use of emergence mode ((Gurchiek, 2014)). Most require sirens and lights to be used only during the emergence mode only, while others allow some direction to minimize the use of sirens to avoid destruction of the interest of the community. For example it’s advisable that you turn off all emergency flashes and sirens early in situations of potential interpersonal violence, turn off one or two blocks away and drive to the scene obeying all the traffic rules as a none emergency vehicle. Also for safe driving if using warning equipment, use of all of it. Another aspect is seen in the decisions of the EMS staffs on whether to transport patients. For patient transportation a lot of safety considerations are done. Patients’ physical status is one of the major contributing factor influencing the EMS staffs decision about transportation. In general the patients’ vital status are the main criteria for assessing the patients’ safety. According to (Gurchiek, 2014), heart rate, blood pressure, body temperature, level of consciousness and oxygen saturation are some of the physiological parameters which are used in determining the patients physical health status. Rees and Mann, in his study included two physiological parameters, which are central nervous system response and respiratory rate. It is also argued that, beside the abnormal physiological conditions, the presence of pathologic conditions also plays an important role in making a decision on transportation. For example, if an EMS staff notices a life- threatening condition like an acute myocardial infarction, they can decide to transport the patient immediately despite of the other parameters and conditions. The main idea here is that the signs and the symptoms of pathologic condition can not only used for making decisions, but also the EMS staffs require a great amount of knowledge and expertise for diagnosing the patient. [bookmark: _GoBack]  Ã‚   In conclusion, Safety has been given the main concern in the SMS. This is because, by following the safety rules in real live situation a lot of lives can be saved. There are also other themes expressed in emergency medical services like healthy. The strength of socioeconomically and organizational support perception also affects the transportation decision made by the EMS staff. Perception of stronger support implies that, they could make decision that they are more sensible. According to Platinum Educational Group Launches Skills Tracking App.

Barriers and Disparities for Patients Seeking Mental...

1. Discuss barriers and disparities for patients seeking mental health care. In a study done in 2007, titled Perceived Barriers to Mental Health Service Utilization in the United States, Ontario and the Netherlands (Sareen, Jagdeo, Cox, Clara, de Graaf Stein) it was reported that attitudinal barriers frequently cause Americans to not seek care for mental health issues. These barriers include thinking that the mental illness will fix itself and not believing that psychiatric care is helpful (Boyd, 2011). A lot of people do not get mental health care for monetary reasons. A lack of health insurance coverage, or coverage that leaves a great sum owed by the patient, leads a lot of people to not get care. Many Americans are unaware of the free or discounted mental health services available to them in city, county, state, private or Veterans Administration clinics and facilities (Boyd, 2011). Unlike physical illnesses, it is the temperament of a lot of mental illnesses that the patient does not comprehend they are ill. Believing that their behavior, emotions and mental status are normal, they may go through their whole lives with disordered thinking that could be significantly improved with suitable treatment. Family involvement is vital to successful illness stabilization in these instances. The Community Action Network reports that a lot of patients feel a shame in regards to mentally illness and that negative stereotypes frequently harm their careers orShow MoreRelatedBarriers And Disparities Of Health Care826 Words   |  4 PagesBarriers and Disparities in Healthcare Barriers to healthcare include factors that restrict or hinder people from receiving adequate and quality health care service. Health care disparities are those differences that negatively affects less advantaged group (Mehta, 2014). 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Jane Eyre Critical Evaluation Essay Example For Students

Jane Eyre Critical Evaluation Essay The novel Jane Eyre by Charlotte Bront consists of the continuous journey through Janes life towards her final happiness and freedom. This is effectively supported by five significant physical journeys she makes, which mirror the four emotional journeys she makes. 10-year-old Jane lives under the custody of her Aunt Reed, who hates her. Jane resents her harsh treatment by her aunt and cousins so much that she has a severe temper outburst, which results in her aunt sending her to Lowood boarding school. At the end of the eight years, she has become a teacher at Lowood. At the age of eighteen she seeks independence and becomes governess at Thornfield Hall. Over time, Jane falls in love with its master, Edward Rochester, who eventually proposes to her. On their wedding day, the sermon is abruptly halted by the announcement that Rochesters insane wife is kept locked up in the attic of Thornfield. Jane runs away. Penniless and almost starving, Jane roams the countryside in search of shelter, until she finds the house of St John, Mary, and Diana Rivers, who take her in and nurse her back to health. Jane then acquires an unexpected inheritance from her uncle. One night, Jane hears Mr Rochesters voice calling for her, and decides to return to Thornfie ld immediately. On her return, she finds Thornfield to be a blackened ruin due to a fire which has left Rochester blind with only one arm and killed his wife. Jane goes to Rochesters new home, and they are married. Janes physical journeys contribute significantly to plot development and to the idea that the novel is a journey through Janes life. Jane Eyres chronological structure also emphasises this idea, the journey progresses as time goes on. Each journey causes her to experience new emotions and an eventual change of some kind. These actual journeys help Jane on her four figurative journeys, as each one allows her to reflect and grow. The journey only ends when she finds true happiness. Jane makes her journey from Gateshead to Lowood at the age of ten, finally freeing her from her restrictive life with her aunt. Before making her journey, Janes feelings are conveyed by Bront through the use of pathetic fallacy:the grounds, where all was still petrified under the influence of hard frost.The word choice here reflects Janes situation she is like the ground, petrified under the influence of her aunt, whose behaviour is mirrored in the term hard frost because of the icy discipline she bestows. Mrs Reeds attitude towards Jane highlights one of the main themes of the novel, social class. Janes aunt sees Jane as inferior as she had humble beginnings: she is less than a servant. Jane is glad to be leaving her cruel aunt and of having the chance of going to school. Eight years later, when Jane travels from Lowood to Thornfield, she is much more contented. She has come to be respected by the teachers and pupils at Lowood, largely due to the influence of her teacher, Miss Temple, to whose instruction she owed the best part of her acquirements and who had stood her in the stead of mother, governess, and latterly, companion. Jane has found in Miss Temple what Mrs Reed always denied her. This particular journey marks a huge change in Janes life; it is a fresh start for her:A new chapter in a novel is something like a new scene in a playThis comment also shows that Jane herself thinks of the move as a new beginning and is looking forward to her new duties and her new life. When Jane arrives in the town of Millcote, she is fearful:I am not very tranquil in my mindI looked anxiously around..all sorts of doubts and fears are troubling my thoughts.Her anxiety, though, is counterbalanced by the charm of adventure; Jane is finally independent and in control of her own life. .u84f7311e4324dadc3b0d4df33ced24a6 , .u84f7311e4324dadc3b0d4df33ced24a6 .postImageUrl , .u84f7311e4324dadc3b0d4df33ced24a6 .centered-text-area { min-height: 80px; position: relative; } .u84f7311e4324dadc3b0d4df33ced24a6 , .u84f7311e4324dadc3b0d4df33ced24a6:hover , .u84f7311e4324dadc3b0d4df33ced24a6:visited , .u84f7311e4324dadc3b0d4df33ced24a6:active { border:0!important; } .u84f7311e4324dadc3b0d4df33ced24a6 .clearfix:after { content: ""; display: table; clear: both; } .u84f7311e4324dadc3b0d4df33ced24a6 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u84f7311e4324dadc3b0d4df33ced24a6:active , .u84f7311e4324dadc3b0d4df33ced24a6:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u84f7311e4324dadc3b0d4df33ced24a6 .centered-text-area { width: 100%; position: relative ; } .u84f7311e4324dadc3b0d4df33ced24a6 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u84f7311e4324dadc3b0d4df33ced24a6 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u84f7311e4324dadc3b0d4df33ced24a6 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u84f7311e4324dadc3b0d4df33ced24a6:hover .ctaButton { background-color: #34495E!important; } .u84f7311e4324dadc3b0d4df33ced24a6 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u84f7311e4324dadc3b0d4df33ced24a6 .u84f7311e4324dadc3b0d4df33ced24a6-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u84f7311e4324dadc3b0d4df33ced24a6:after { content: ""; display: block; clear: both; } READ: Mother Courage and Capitulation EssayAlthough journeying into the completely unknown, Jane does not look back, only forward to her new life and her freedom at Thornfield: I saw a galaxy of lightsJanes reference to galaxy highlights the idea that she is not only alone in the world but alone in the whole universe at this point, yet

Antigone The Tragic Hero Essay Example For Students

Antigone The Tragic Hero Essay There has always been a bit of confusion as to the tragic hero of the Greek Drama Antigone. Many assume that simply because the play is named for Antigone, that she is the tragic hero. However, evidence supports that Creon, and not Antigone, is the tragic hero of the play. Examining the factors that create a Greek Tragedy, and a tragic character, it is clear that the tragic hero is in fact Creon. First, take into account the timeframe in which Antigone was written. During the time of Sophocles, women were considered second class citizens. They would not even be permitted to act in the drama Antigone. It seems unlikely that Sophocles would choose a woman as the tragic hero of the play. There are certain qualities that a character must posses in order to qualify as a tragic hero. Ideally, the tragic hero is a person of some status, usually king. Although the fact that Antigone was part of the royal lineage, being a descendent of Oedipus, Creons position of King of Thebes suits a tragic character much more effectively. At the end of Antigone, Creon had lost his kingdom, his son, his wife, and his will to live, but is doomed to live on in his pain. Antigone loses her life, but it was not a loss in vain, for she did accomplish what she set out to do. It is questionable as to whether Antigone was seeking martyrdom, but she certainly did become one, dying for her beliefs. The most important characteristic of the tragic hero is the tragic flaw, the one attribute that causes the inevitable downfall of the character. It is argued that Antigones tragic flaw was stubbornness. She is called stubborn in the play by Creon and also by the chorus. Yet, some would call her steadfast, rather than stubborn. A stubborn person would continue to argue even after he or she realized they were wrong. For Antigone, no such realization was made. In her own eyes, the eyes of the people, and even the eyes of the gods, Antigone was certainly in the right. Creon, on the other hand, possessed a classic flaw, hubris, or excessive pride. Because of his pride, Creon could not hear the sense spoken by his son, or the blind prophet Teresius. He could not let Antigone go unpunished for her crime for fear of looking weak to his kingdom. Thus his own bad decisions mixed with fate caused his downfall. This is an exact description of a tragic hero. Finally, the tragic hero of a Greek Drama realizes too late his bad decision. This moment of realization, called anagnorisus, never occurred for Antigone, who died righteously. However, Creon does realize his tragic flaw at the end of the play, laments, and but for the good grace of the Chorogus, would have committed suicide, something tragic heroes are known to do. All things considered, Creon must be the tragic hero of Antigone. He was the only character who met the criteria. The other characters, like the messenger, or Teriseus, or Creons son Haimon are minor characters and are clearly not the tragic heroes of the play. Creon suffered the most, his losses were the greatest, and he was the only character to posses a tragic flaw. It is safe to assume that the only reason for Antigone ever being considered a tragic hero, is the misleading title of the play.