I recently spoke with Jon Politis, Chief of Colonie EMS and the proprietor of the Emergency Consulting Group about his Supervisor Survival Bootcamp. The seminar is a safety and supervisor briefing for Fire Rescue, EMS, and Ambulance Service managers. Topics that are covered include:

  • Boss Behaviors
  • Legal traps to avoid
  • Time management
  • Coaching and counseling
  • Progressive discipline
  • Risk management
  • Case studies
  • Strengthening your credibility
  • Improving your productivity
  • Communications
  • Ethics

The first part of the bootcamp focuses on the transition from buddy to boss and the ethical boundaries encountered. Managing your team, fleet, and organization while being ethical and balancing your personal life is *the* challenge. There are plenty of positives of being promoted to a supervisor: new title, increased pay, and being off the road. There also some negatives, as well as challenges that clinical education does not prepare a new supervisor for.

So often, departments place more emphasis on the promotional process than preparing newly promoted supervisors to function effectively.

Jon covers the different types of employees (A, B, C), and the corrective action needed for each type of employee. A employees, or “alpha dogs”, need little direction and operate on a conscious competence. They are role models for other employees. B employees comprise approximately seventy percent of the workforce. They are the anchors in the organization and are unconsciously competent. The remaining ten percent, C employees, are unconsciously incompetent. C employees require a lot of supervision and can consume almost ninety percent of management’s time!

You’ll learn from current experts who’ll share the bottom line on over 20 essential topics that new supervisors must know.

Jon discusses how experts, such as Retired Fire Chief Alan Brunacini from Phoenix, Arizona, focuses on simple objectives, such as getting to the scene promptly, giving a good first impression, and being nice (customer service). Your crew needs to know what you expect of them, and they need to strive for the natural and common-sense principles of responding and treating patients. How you convey the Standard Operating Procedures/Guidelines (SOP/SOG) is your challenge. Whether you adopt the Red-Yellow-Green coloring system, use what already is in place, or design your own process will be what you have to fall back on when there is a deviation from procedure. The interactive workshop will dive into case studies to strengthen your time management & productivity, communications, ethics and progressive discipline.

Jon talks about how EMT training doesn’t set the newbie up for success in your organization. As the supervisor, you need to have a mentor or Field Training Officer (FTO) to guide the newcomer. There is more to the standard policy and procedures to be covered; socialization and organizational culture are another component of the agency process.

Digging deeper, there are some organizational problems cannot be fixed by training. Attitude and effort cannot be amended with a training session. Assessing performance problems take considerable analysis and energy.

Jon and I also discussed how current trends are affecting EMS in the past ten years. Many organizations are struggling to do more with less. There are fewer resources available and demands for Emergency Services are increasing. EMS doesn’t always receive the same allocation of resources that other first responder colleagues get. EMS also doesn’t get the same respect, which can stem from the lack of team work and cooperation behind the curve as establishing EMS as an occupation.

Clinically, Emergency Medicine is driven by complex decisions and procedures. A lot of the decisions are pushed back to Advanced Life Support (ALS) providers, which changes the job. This may be good for patient care, but certainly makes it harder for volunteer or mixed agencies to field a crew. It is hard for EMTs to develop a skill base where ALS immediately assumes care. Basic EMS providers or first responders do not get to “practice” their skills if ALS is on the ambulance or arriving in a fly-car the same time as the basic crew arrives. There is less of a mental challenge with an ALS provider on scene than having a Basic EMT have to adapt to a situation.

As a provider you have to bring your A Game to tackle the job. This creates a big issue for the occasional medic, possibly making them extinct. More and more procedures and equipment are added to the “pre-hospital toolbox”. These responsibilities have shifted from a controlled in-hospital setting to the field. As a provider, you previously assisted with medications. Now you administer medications, and more medications are added each year. The number and variety of instruments, methods and technology to be familiar/proficient with all precipitate a battle for volunteers and agencies.

Sometimes policy changes result in additional responsibilities being shifted onto agencies. “Clinical performance and supervision of staff are two areas that the organization has to concern themselves with more. It’s not necessarily a bad thing, just what I see”, Jon said.

These are insights of recent changes and predictions of what will continue to occur. With the insight of future challenges, the Bootcamp topics will help better prepare your squad to adapt to these developments.

With Memorial Day in the books, the season turns to high school graduations and proms. Every year in the news, tragic reports of young adults killed because of poor choices. To me, this is a failure of our ability to teach them about choices and consequences.
In our area, each year the local emergency services in conjunction with one of the local high school SADD chapters presents a “mock dwi accident”.
These are scripted accidents based on a real event. Several months in advance, the student actors begin to prepare for their role. They ride with patrols, fire departments and EMS. We require them to research the effects of alcohol and drugs, traumatic injuries, legal issues and several other items. These items are presented to their student body, prior to the “accident”.
The event starts with a 911 call from one of the actors, followed by actual dispatch of agencies that would be involved. Usually the stadium scoreboard clock is set at 60 minutes, with the concept of the “golden hour” explained.
The arrival of police,fire and ems begin the actual extrication. Depending on the weather, we can usually get a medflight to land, just as a lasting impression.
Finally, the intoxicated driver gets interviewed, tested and placed in custody.
Prior to the beginning of the event, one of the students was picked out of the crowd to hide some cannibus in the DWI car.
Without fail as usual, the K-9 finds the stash.
By the time the event is over, it’s so quiet in the stadium, its eerie.

The other program we host is call “Let’s not meet by accident”. It is a no holds barred look at what happens when poor choices are made and the student is involved in an accident. It explains all of the medical procedures used in EMS, emergency room and OR. It also explains the legal concepts of being a minor or being unconscious and losing the ability to express your choices.
Want to get the attention of an 17 year old girl; show them the “paramedic scissors” and explain they can cut through any underwire bra. And yes if you have serious injuries, I will be cutting off your clothes.
Want the attention of that big burley 17 year old football player? Show him a foley catheter, explain what it is, where it goes and the fact because of his choice, he no longer has a choice about these issues. And yes the nurse will be inserting this!

The time invested to host these programs can be immense. The aren’t cheap. If your area has events such as these, ask what your agency or you can do to support them. If your area doesn’t have these kind of prevention programs start one….imagine what it would be like to make one young adult think twice about drinking and driving…..
Priceless!
I got your back
I know you’ve got mine!
Steve

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