The Medic Dispatch. Agency Restructure. Mecklenburg EMS Agency: News From The Front Line INSIDE THIS ISSUE: April 7, 2014

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INSIDE THIS ISSUE: April InService Dates 2 April Birthdays 6 Dr. Swanson s Monthly 3 April Corporate Compliance 7 Personal Device Access 4 Training Schedule 8 How is Your Road Safety Score Calculated? 5 Medic Calendar 8 April 7, 2014 The Medic Dispatch Mecklenburg EMS Agency: News From The Front Line Agency Restructure structure. The highlighted sections represent the major changes. Each of the above changes were made to better align processes that are closely linked, creating a more efficient and effective structure to enhance work flow across the Agency. Whether in logistics, HR, training, or operations over time we should see improved interoperability and performance throughout the Agency. The changes associated with the recently announced Agency realignment went into effect last Tuesday, April 1 st. There is still a great deal of transition work required to make the changes complete, however the initial reporting structure has become official. As a reminder, above is the updated Medic organizational chart highlighting the affected departments with regard to the new leadership Please take the time to review these changes and direct any questions you may have to your immediate supervisor or manager. Thank you. 1

Paramedic Cohort 2014 2015 Application Process The following information is being provided to employees who are interested in completing the application process (April 1st through April 30 th ) for CPCC s Paramedic Cohort 2014 2015: Step 1: Print the application from our website www.cpcc.edu/emstraining. Fill it out completely and include copies of your EMT, Anatomy& Physiology (A&P) and CPR. If you are currently enrolled in an A&P course that will end after the application deadline, please document that on your application with completion dates. Step 2: Mail your application to: Central Piedmont Community College Attention: Mike Price P.O. Box 35009 Charlotte, NC 28235-5009 OR Call 704.330.2722 ext. 3289 and set up a time to drop off your application. Please be sure to bring the application to the Elizabeth Building on Central Campus. Office number 0115. Step 3: Once the application period has closed, all applications will be reviewed and we will contact you and set up your FISDAP exam. Please contact Program Coordinator Mike Price at mike.price@cpcc.edu if you have any questions about CPCC s Paramedic Cohort or the application process. April InService & Scope of Practice Dates Medical Services has released the dates for April InService sessions and Scope of Practice. Please review the information below and log on to the LMS at https:// medic911.plateau.com to register. Please contact a member of Medical Services if you have any questions. April InService Sessions Tuesday, April 22 nd 1800 to 2200 Wednesday, April 23 rd 1000 to 1400 Thursday, April 24 th 1200 to 1600 Friday, April 25 th 0800 to 1200 Monday, April 28 th 1200 to 1600 & 1800 to 2200 Wednesday, April 30 th 1200 to 1600 & 1800 to 2200 Thursday, May 1 st 1800 to 2200 Topics being covered this month include and subject to change are: 12 Lead - Conduction Anatomy and Physiology of the heart Electrophysiology Electrolytes Signal 9 and 19 Review Nitrous Rollout EMT InService Altered Mental Status Psychiatric Emergencies Over Doses Scope of Practice Dates Monday, April 7 th 2

Dr. Swanson s Monthly Update EMT-B medications and skills Medic Medical Director, Dr. Doug Swanson All medications approved by the NC Medical Board for EMT-B utilization that are included in the Medic medication formulary are approved for EMT-B use This includes: o Aspirin o Albuterol (for patients with a current prescription) o Diphenhydramine (oral only) o Epinephrine (via auto-injector for anaphylaxis) o Glucose (oral only) o Nitroglycerin (for patients with a current prescription) o Naloxone (IN only) All skills approved by the NC Medical Board for EMT-B utilization that are included in the Medic skills & procedures formulary are approved for EMT-B use This includes: o BVM ventilation, King LT placement o Suctioning o AED use o Nebulizer utilization o Splinting, immobilization o Wound care, including tourniquet utilization It is clinical decision making that should determine whether an EMT- B or EMT-P should accompanying the patient in the patient compartment during the transport The Crew Chief is still ultimately responsible for all patient care and the contents of the report Both crew members are always responsible for patient care activities and content of the epcr Naloxone administration during cardiac arrest resuscitation: Naloxone (Narcan ) is NOT intended for standard care during cardiac arrest resuscitation Naloxone is only indicated for presumed opioid overdose as the potential cause of the cardiac arrest 2014 AHA Offerings In order to make AHA courses more accessible Medical Services will now offer recertification as part of scheduled monthly InService. All three Medic required courses (CPR, ACLS, and PALS) will be offered in-house during the May and November scheduled Inservices. All certified employees who hold AHA certification(s) that expire in the year 2014 will be recertified during May 2014 Inservice. All employees that hold AHA certification(s) that expire in 2015 will be recertified during November 2014 Inservice. Following November 2014, all current employees will be on a two year rotation together and Medical Services will hold recertification courses every other year (2014, 3 2016 etc.). If you have expired in any AHA certification(s) between February 1, 2014 and May Inservice 2014 Dr. Swanson has approved a grace period to carry those that expired in that time frame over until the classes during May InService. Please contact Medical Services if you have any questions about the revised AHA course offerings and recertification schedule.

Rescue Worker s Pension Fund Job Well Done! submit their payments for the prior year by March 31 st of the current year (i.e. payments must be paid by March 31, 2014 for the 2013 calendar year). Congratulations to Ashley and Brian Smith! Below is an excerpt from a recent patient web submission celebrating their outstanding work: The NCREMS (North Carolina Association of Rescue & EMS) recently sent out a notice to members on our roster in regards to the Rescue Worker s Pension Fund. The notice was sent out to relay to current contributing members of the Pension Fund that the law changed to allow employees to This Pension Fund is not the same as your NC State Retirement. This is a voluntary fund for Rescue Worker s to take part in on their own behalf there is no payroll deduction for this benefit. If you have any questions regarding the NCREMS Rescue Worker s Pension Fund, please feel free to contact the NCAREMS directly at 919.508.5360/1.888.508.9110 or the Human Resources Department at humanresources@medic911.com. Thank you. Brian and Ashley provided extraordinary care for me on March 28. I had a severe medical issue while at the Davidson Our Town Cinema. Brian and Ashley responded, provided care for me, and provided assurance and confidence for my wife who was with me. Thanks guys!! - Bruce T. Again, congratulation Ashley and Brian for a job well done! Be on the lookout for more employee kudos in the Medic Dispatch as we celebrate the fantastic work you do each and every day! Personal Device Access Holiday Pay Although Medic is aggressively researching secure options to increase internet access, the Agency does not currently have a BYOD (Bring-Your-Own-Device-Policy) in place. Despite this, audits have revealed some employees personal devices are accessing the Medic network. Please be aware, unless a device is Medic issued,this is in violation of company policy. This particular issue has been addressed and will no longer be viable as of Tuesday, April 8 th. If you have questions, or need clarity, please contact IT Manager Teresa Womble at teresaw@medic911.com. Medic s HR Department would like to remind all supervisors and managers that holiday pay for Good Friday (April 18 th ) has already been entered in for all hourly employees and, therefore, will not be visible on employee time cards prior to the ending pay period. Supervisors are advised not to add holiday pay for their hourly employees as this will result in double pay. Please contact Human Resources Manager Sharon Belle at sharonb1@medic911.com if you have any questions. 4

How is Your Road Safety Score Calculated? Medic is very focused on the safety of all its employees and the community in which we serve, especially when it comes to vehicle operation. As part of our focus, the Risk & Safety Department makes sure that every Medic vehicle is equipped with a Road Safety device. This device monitors and tracks employee driving habits and releases a list of individual driving scores every month. Medic drivers are graded on a scale of 1 to 10; with 1 being the worst driving score and 10 being the best. Below is an in depth look on how your Road Safety scores are calculated each month: Step 1: All of your Total Counts Are Added Together Example 2 (Total Overforce Counts) + 3 (Total Overspeed Counts) = 5 (Total Counts) Step 2: Your Adjusted High Overforce Counts Are Calculated Example 1 (High Overforce Count) x 25 (High Force Multiple) = 25 (Adjusted High Overforce Counts) Step 3: Your Adjusted High Overspeed Counts Are Calculated Example 1 (High Overspeed Count) x 25 (High Speed Multiple) = 25 (Adjusted High Overspeed Counts) Step 4: Your Adjusted Seatbelt Violations Are Calculated Example 2 (Seatbelt Violation Counts) x 1 (Seatbelt Multiple) = 2 (Adjusted Seatbelt Violation Counts) Step 5: Your Adjusted Unsafe Reverse Counts Are Calculated Example 4 (Unsafe Reverse Counts) x 1 (Reverse Multiple) = 2 (Adjusted Unsafe Reverse Counts) Step 6: Add Up All Of The Counts Example 25 (Adjusted High Overforce Counts) + 25 (Adjusted High Overspeed Counts) + 2 (Adjusted Seatbelt Violation Counts) + 4 (Adjusted Unsafe Reverse Counts) + 5 (Total Counts) = 61 (Total Adjusted Counts) Step 7: Compute The ABC Miles 1,339.58 (Distance in Miles) / 61 (Total Adjusted Counts) = 21.960 ABC Miles Safeforce Driving System Level Requirements ABC Miles Level 250 -----------------à 10 125 -----------------à 9 64 -----------------à 8 32 -----------------à 7 16 -----------------à 6 8 -----------------à 5 4 -----------------à 4 2 -----------------à 3 1 -----------------à 2 <1 -----------------à 1 Your ABC Miles are then correlated to a level number using the chart below: ABC Miles Chart Since the driver s ABC Miles are 21.960, their level is a 6 because the ABC miles are greater than 16 but less than 32. For questions on how your Road Safety scores are calculated, please be sure to contact Medic s Risk and Safety Specialist, Amy Johnson at 704.943.6095, 980.395.3054 or at amyj@medic911.com. Thank you. 5

April Birthdays Medic would like to extend special birthdays wishes to the following employees celebrating a birthday in the month of April: Alam Elam April 1 Robert Dowbiggin April 1 Matt Johnson April 6 Eric Bitler April 6 Jeff Lineberger April 7 Kyle Kirschner April 7 Colby Willison April 10 Mike Stratton April 12 Treven Cherry April 13 Ethan Parker April 13 Todd Sims April 13 Harley Conrad April 14 Bill Thomas April 15 Jeff Franz April 16 Hunter Mitchell April 17 Katie Currin April 18 Katie Spitzmiller April 21 Stephanie Benson April 22 Janine Curlee April 22 Stephen Church April 25 Tom Wright April 26 Nichole April 26 Washington Nick Bringolf April 26 Don Shue April 27 Randy McKown April 29 Bob Owens April 8 Miguel Flechas April 8 Dan Hueschen April 18 Marcus Lee April 18 Rebekah Hart O Sullivan April 30 John Stroup April 8 Jai-An Davidson April 18 Andy Williams April 9 Sam Barnes April 20 Jay Black April 9 Alex Raymer April 20 MAD Golf Outing Scholarship Recipient Who: Any and all friends of EMS When: Friday, May 23 rd Shot Gun Start at 12:00 pm Where: Emerald Lake Golf Course 9750 Tournament Drive It s that time of year again! The 12 th annual MAD (Medic Ambulance Drivers) golf outing will take place on Friday, May 23 rd. Join us as we tee off in support of a good cause. The cost is $60/per person. Players can pre-register by sending and email with their name and number in your team to Tom Porcelli at thomasp@medic911.com. Matthews, NC 28104 For more information, please contact Tom Porcelli at thomasp@medic911.com or call 704.943.6024. Why: All proceeds from this event will go to support EMS families with special and financial needs. The tournament is 100% run by EMS employees. Our goal this year is to raise $5,000. 6 Congratulations to Revenue Cycle Customer Service Representative Shaina Britt! Shaina is the proud recipient of a $1,500 scholarship from the NCAREMS for the Spring 2014 semester! We are all proud of your academic endeavors and scholarship award. Great job!

April Corporate Compliance Sessions Required Attendance Johnathon Bobbitt, Sam Pendlay, Susan Pollich, Ashley Smith, Shannon Helms, Mike Moore, John Wagner, Sarah Walsh, Terran Berry, Andrew Wooten, Alli Brinzey, Jim Manning, Laura Dellinger, Dusty Edwards, Derek Scott, Heather Clay, Rebecca Hamilton, Teresa Womble, Kristi Beaver, Amanda Burdette, Kim Greene, Andy Tucker, Harley Conrad, Matt Johnson, Vashti Lynch, Robert Ramsey, Ryan Schott, Adrian Wright, Jacob Ellison, Maureen Townes, Andy Williams, Lester Oliva, Mark Hayes, Misty Swaringen, Heather Teague, Matthew Godec, Tonya Whitesides, David Hewitt, LaVar Lee, David Toney and Ute Dorflinger. Please note: If your Annual Performance Review was in February and you did not attend a February class, you must contact Amy Johnson and attend a March class. Information Updates: Please register for your Corporate Compliance Training session through the LMS The duration of the Medic Safety & Compliance Training sessions is 4 hours. Attendees will be paid for the total time spent in class and each employee with an Annual Performance Review in that month must attend one of the available Compliance Training Sessions. Compliance sessions are held next to the Medic Fitness Center, please contact Amy Johnson at amyj@medic911.com for directions. 7

April 2014 Sun Mon Tue Wed Thu Fri Sat 1 A 2 B 3 B 4 A 5 A April Scope of Practice Corporate Compliance 0800 1200 April Scope of Practice April Scope of Practice 6 A 7 B April Scope of Practice 8 B 9 A Corporate Compliance 0800 1200 10 A 11 B 12 B 13 B 14 A 15 A 16 B 17 B Corporate Compliance 1300 1700 18 A 19 A 20 A 21 B 22 B 23 A 24 A 25 B 26 B 1800 2200 1000 1400 1200 1600 0800 1200 Corporate Compliance 1600 2000 27 B 28 A 29 A 30 B 1 B 1200 1600 1800 2200 Corporate Compliance 1300 1700 1200 1600 1800 2200 1800 2200 In-Service Training Medic Events Holidays Recertification Testing MEDIC Mecklenburg EMS Agency 4525 Statesville Road Charlotte, NC 28269 Tel: 704-943-6000 Fax: 704-943-6001 kristiny@medic911.com Visit Us on the Web! www.medic911.com April InService Dates & Times: Tuesday, April 22 nd 1800 to 2200 Wednesday, April 23 rd 1000 to 1400 Thursday, April 24 th 1200 to 1600 Friday, April 25 th 0800 to 1200 Monday, April 28 th 1200 to 1600 & 1800 to 2200 Wednesday, April 30 th 1200 to 1600 & 1800 to 2200 Thursday, May 1 st 1800 to 2200 2014 Training Schedule April Corporate Compliance Dates & Times: Wednesday, April 9 th 0800 1200 Thursday, April 17 th 1300 1700 Saturday, April 26 th 1600 2000 Tuesday, April 29 th 1300 1700