Peter I. Dworsky, MPH, NREMT-P
Legal requirements Mandates Contracts Ethics Misguided beliefs Policies Training
Work load fluctuations Interruptions Multi-tasking Fatigue Poor hand off Ineffective communications Protocol violations Educational deficits
Cutting corners to save time Perception that rules are too restrictive Belief that rules no longer apply Lack of rule enforcement Think this is the “norm” Right equipment is not available Extreme conditions Perception that practice is safe
Rotating shifts 24+ hour shifts Platoon schedule Fatigue
MONOC Mobile Health Services
Why do we use them ◦ Justifications ◦ Myths
What happens if we don’t ◦ Negligence? ◦ Public (mis)perception ◦ Effect on operations
Much of the statistics we see are flawed Incidents are not reported. ◦ “Part of the job” ◦ Repercussions Management Coworkers
◦ Reporting is made difficult; possibly intentionally ◦ Potential financial burden on the victim
Define prohibited acts of violence ZERO Tolerance? Differentiate between patient and attacker Drug / alcohol intoxication does not constitute “accidental” Dictate mandatory reporting Post-incident procedures
MONOC Mobile Health Services
MONOC Mobile Health Services
Infection Control
There’s no PPE that protects you from everything
ď ˝
Minimize distractions and help maintain focus during critical tasks.
Š Tyler Olson/Shutterstock.
It’s the "big picture" ◦ Knowing what is going on ◦ Why it is happening ◦ What is likely to happen next
Ask yourself: ◦ ◦ ◦ ◦
What can go wrong? What are the risks and hazards? What can change? What are the distractors
Peter.Dworky@OutcomeSolutions.org