January 2013 On Scene newsletter

The EMSA family is filled with members who go above and beyond the call of duty daily to ensure the health, safety and welfare of their patients.

Help us recognize those individuals you work with who epitomize the characteristics and qualities that make them truly exceptional EMS professionals by nominating them for the Oklahoma Ambulance Association’s (OKAMA) Stars of Life award.

Individuals who receive the Stars of Life award are people who put others’ needs ahead of their own in their commitment to serving Oklahomans. By nominating them for this award, you can recognize them publicly at the OKAMA Stars of Life banquet in April. If selected, your nominee could also receive an all-expense paid trip to represent OKAMA at the American Ambulance Association’s Stars of Life event in Washington, D.C., in March.

To nominate an EMSA employee for the Stars of Life, complete the nomination form in the back of the newsletter and return it by January 20, 2013, to your director of operations, Mr. Wallace, Western Division, or Mr. Smith, Eastern Division. You may return the completed form or include the information in an email: [email protected] or [email protected].

Or drop it in the suggestion box located by the time clock at Post 41, Western Divi-sion, or kitchen, Eastern Division.

Stars of Life Nominations Needed

In This Issue:

•Stars of Life Nominations Needed

•Why the Different Flu Reports• From the Desk of the COO• From the Desk of the GM•Western Division Operations•Support Services•Clinical Services•Western Division Team Meet-

ing•Communications•EMSA Medics Team with Op-

eration Aware•Employee Column •Medics Reunite with Patient

for Christmas•Meet Your Coworkers•Stars of Life Nomination form

January 2013

By: Michael Murphy, OKC and Tulsa MMRS Director

You may have experienced one agency saying influenza is here, while another agency reports no flu activity. There is a reason why this occurs, and it all has to do with two simple factors: geography and surveillance type.

The geography factor comes in when considering the area covered by the reporting agency. The FluZone and CDC reports cover the entire nation, OSDH reporting covers the entire state, while the Oklahoma City and Tulsa County Departments are concerned only with the activity in a particular county. Influenza can be rampant in NW and NE Oklahoma yet not really widespread in OKC. Hence OSDH will say influenza is here, while Oklaho-ma City/County Health Department will report no flu activity. (continued page 11)

Why the Different Flu Reports?

Happy New Year! It is hard to believe it is already 2013. We accomplished a great deal in 2012 implementing new processes and ideas that have never been done before at EMSA while continuing and improving our clinical ex-cellence. Our success would not be possible without you. On that note, 2013 will be an exciting yet challenging year for us as we continue our strategic plan for the future. We are all dedicated to making EMSA the best in EMS.

The following list gives a quick view of some items we will introduce or con-tinue over the next year making EMSA a great place to work. Here’s what to look for in 2013: • Hubs in Oklahoma City - we intend to open at least one deployment center “Hub” in either the Edmond or

Yukon area in 2013.• 42-hour workweeks in Oklahoma City – the process for moving to the new 42-hour workweek schedule will

begin in January with the new shifts starting in May. This process was developed through positive and pro-ductive negotiations between management and the union.

• Aggressive participation in the RFP process for the new ambulance service contract with EMSA.• Continued initiative for recruitment and retention.• Focus on workplace and driving safety.

On December 6, we had our first promotion ceremony in Tulsa. I would like to congratulate the following on their hard-earned and well-deserved promotions:

1. Robert Hicks2. Cody Cluck3. Chris Dent4. Eddie Beaver5. James Hart6. Russell Martin7. Jason Dillard8. Jeremy McLemore

I would also like to congratulate John Graham on his successful completion of the Ambulance Service Manager program through the American Ambulance Association.

As always, be safe out there!

From the Desk of the COO

John PetersonCOO

Active shooter incidents are not uncommon in the United States. This event can happen in our regulated service area and as EMS clinicians we will need to respond and maintain operational security, continuity and safety.

Agency Response PrioritiesLaw enforcement responses to active shooter incidents are designed to eliminate the threat as quickly as possible so that lives can be saved. EMS providers will be arriving in the early stages and have a dynamic situation list to include care of injured victims while ensuring safety of their team and patients that they are tasked with caring for as well as establishing incident command and/or medical branch of the incident command system. SCENE SAFETY is and must always be number one.

Utilize the Incident Command SystemYour unit may be the first arriving public safety agency at this incident, which places you in the incident com-mander position until other resources arrive and orderly transfer of command is completed. Most often we are staged, awaiting LE clearance, however collection and quick dissemination of information is essential and concise communication to dispatch team members to alert other responders is important. Unified command and agency teamwork is essential to save lives in this dynamic environment and flexibility must be built in to the incident action plan.

On-Scene Patient ManagementOperational security and SCENE SAFETY is paramount. Utilization of the S.A.L.T Triage (Sort, Assess, Life-saving Interventions, Treatment/Transport) within the incident command system is vital to the operation to save the most lives possible. Effective communication between all medical components and the medical branch director ensures clarity of expectations, and accountability of and acute care facilities is also essential to positive patient outcomes. Working within medical branch command directives is imperative.

Post-Incident Team CareThe aftermath of these incidents are communities in shock and grief. Responders can experience post-traumatic stress for years to come. This is where true leadership steps in. Take care of your colleagues and their families. Reach out to others who have gone through this type of incident and trauma for advice and direction. There are no roadmaps, but people care. We are here for you!Unfortunately random acts of violence threatening and taking innocent lives such as the recent active shooter events in Aurora and Newtown will continue to occur. As EMS clinicians, it is incumbent upon us to be pre-pared to safely and effectively respond to these types of incidents and preserve life to the best of our ability. To do so requires preplanning, exercising, continual learning and collaboration across the ranks of all agencies that we operate with.

What to Remember When Responding to Active Shooter Events

By: Jim WinhamGeneral Manager

By: Joe Wallace

EMSA Western Division Director of Operations

Welcome to 2013. Glad to see we all made it past the Mayan calendar’s end of times prediction. The new year welcomes a few changes we can concretely see, as well as some proposed changes that are just beyond the horizon. First, as you have all seen, we’ve done away with 24-hour shifts in this system. I think this has been a long time coming as our system is truly not designed to support such adventures. Secondly, just over that horizon, is the implementation of our 42-hour workweeks for all field and materials employees. Debates could go on over this topic, but I genuinely think this is going to be a great thing for all team members. I remember when I switched from 48 per week on the truck to 42 per week as a supervisor. Other than the obvious change in duties, the schedule was a breath of fresh air in the added day off per pay period and in the flexi-bility for planning family vacations. Third, I’d like to cover the concept of hubs. Many of you have asked about our plans to have a hub in Edmond. The search has been long and finding that perfect location/building has proven to be extremely difficult. But, plans are still on the table and we continue to press onward in reaching that goal soon. For those of you who are unaware of what a hub is, it is simply a miniature version of post 41, where certain shifts will report to duty there and deploy as usual. It provides an exciting opportunity for some to bid on specific shifts that could decrease drive times to and from work. And to clear this up, I’ll say finally, be looking out for opportunities to serve in expanded roles as we fine tune our capabilities with the introduction of a Safety Committee, a Special Events Team, and expansion of our current programs such as the Bike Team.

Change is sometimes painful… but not always a bad thing. If you keep doing what you’re doing, you’ll keep getting what you got.

Happy New Year!

Joe

Resolutions?

By: John Graham, NREMT-PDirector of Support Services

I hope you and your family had a great holiday season and will have a happy new year. Here are just a couple things you will see coming this year from Support Services. We will be rolling out AMBUTRAK this month in Tulsa and later in OKC. AMBUTRAK is a web-based asset and inventory management system. You will start seeing most items showing up with a barcode very soon. As a field crewmember most of your processes will be the same, but the VST’s will be scan-ning units, bins and items at the window. It will help manage our inventory, hard equipment and give us the ability to do a live inventory. We will also be changing the process to resupply our first respond-ers on scene. They will have their own bins to pull from, which will allow us to track what supplies are being used by our first responders. In an effort to make sure both sides of the turnpike are running more efficiently, we will also be doing a unit bin reconfiguration. Don’t worry, it’s not as bad as it seems. The ambulances in Tulsa and OKC have a few differences in the location of certain items. It’s just something that has progressed over the years, but can cause issues for medics that are working both sides of the turnpike. After the units have been reconfigured, the bin items and location will be the same on both sides of the turnpike. In the process we will place “like” items together. As an example, all trauma items will be in a red bin, medical in blue, airway in green and pediatric in yellow. We will also be placing the same color bins in the same area as space allows. There will be some changes for both Tulsa and OKC, but should be minor. There will be plenty of time to get acclimated to the new configuration before it’s rolled out. We will make check sheets available and have a unit that has been reconfigured available for evaluation before and after your shift. Please feel free to call me at (405) 297-7030 if you have any questions or concerns.

New in 2013 from Support Services

It seems as though the new vent has found a comfortable place here at EMSA. The impact ventilator has recently been used on numerous patients with great success. Our crew members are getting more adept at setting up the initial settings for CPAP and ET ventilation without problems and making the adjustments necessary to make each individual patient as comfortable and safe as possible in the prehospital setting. Combining the opportu-nity to offer our patients the very best in ventilator care adds more quality to the overall excellent care that our patients receive on a regular basis from our medics.

As a reminder of some of the key principles of using our impact ventilator, I would like to mention an overview of the two strategies that we are using to approach our patients with respiratory distress or failure.

Initial Assessment: When we approach the respiratory distress patient, we are tasked with performing a quick and accurate assess-ment which includes:

• A brief and pertinent medical history, medications and time of onset. • Physical exam, which includes observations of the apparent respiratory effort.• Auscultation of lung sounds and vital signs.• Determination of the problem (COPD, CHF, Pneumonia, PE, Bronchitis, etc.)

Most of the time, the diagnosis is easily made and a treatment plan can be put into place based on the specific protocol. In certain cases however, the CHF patient will present with pulmonary edema and some wheezes, which may confuse us about which direction to choose with our treatment modality. Try to keep in mind the etiology of the problem. When patients are very hypertensive with pulmonary edema, the problem is usually CHF. When we hear wheezes, it could cause us to want to give an albuterol/atrovent combo to treat the bron-choconstriction. This should be avoided if the patient is hypertensive and has pulmonary edema until the CPAP has been put into place. The addition of CPAP will offer the higher peak pressure needed to push the fluid back into the vascular space as well as increase intrathoracic pressure to lower blood pressure and prevent “flashing.” Both of these mechanisms play a part in making our patient breathe easier and recover more quickly.

To quickly set up for CPAP: • Change the mode to CPAP.

• Set the PEEP to 10 cmH2O

• Hold down the button next to the Peak pressure until the pressure support window is shown and turn this down from 2 to 0 cmH2O.

EMSA Ventilatory Care Keeps Improving with Advances in Training and Equipment

CLINICAL SERVICES

By: Scott A Williams, BS BA NREMTPEMSA Eastern Division Paramedic Instructor

Western Division Team Meeting to Include New State Protocols

The team meeting for the Western Division will be held January 7-12, 2013 and will include critical announce-ments regarding state protocols.

It is very important that everyone attend. Questions about the team meeting should be directed to EMSA West Clini-cal Services Manager Stephanie Pryor, CCEMT-P at [email protected] or (405) 297-7054.

• Apply the mask with a lot of patient coaching and then make the attempt to secure the mask so that it does not leak. Monitor this closely.

• We are getting some constant alarms when using nebulizer treatments but this cannot be avoided. Just monitor the tidal volumes to make sure that the patient is getting enough volume.

In cases where the COPD patient requires ETT placement and ventilatory support:Choosing the obstructive strategy is useful in treating patients with COPD (asthma, chronic bronchitis and emphysema). This mode uses A/C and a standard 8mL/kg Tidal volume to start. The most important change on the ventilator for these types of patients is to INCREASE the I:E ratio to 1:4-5 and lower the respiratory rate in order to give the patient plenty of time to exhale after each breath. The medic has to watch peak pressures as well as monitor lung sounds in all fields during mode of therapy. If the peak pressures get too high, lowering the tidal volume will lower the peak and prevent overinflating the lungs. Just make sure that the peak pressures stay in the 30-35 range and increase the FiO2 as needed to reach a spO2 of 94%.

In cases where the patient does not have any lung obstructions, we apply the lung injury strategy:Begin by choosing this strategy; there are not many settings that need to be changed due to the defaults coming up fairly close for this type of patient. Choose A/C pressure mode, set a Tidal volume of 6-8 mL/kg, rate of 16 and physiologic PEEP of 0-5 cmH2O. The FiO2 can be titrated to meet patient metabolic demands while target-ing a spO2 of 94-99%.

As with all patients on the ventilator, keep a stethoscope close-by and watch vital signs, lung sounds, chest rise/fall and above all ETCO2. If the ventilator alarms with a yellow alarm, you need to make an adjustment as noted on the alarm window. With yellow alarms, the patient is still being ventilated but needs an adjustment. If you see a red alarm, you need to react immediately. Check patency of the tubing and make sure you check on the listed possible problems outlined on the alarm window. As a last resort, remove the ventilator tubing and use your BVM until you can determine the problem. Re-assessing lung sounds is very important to make sure that the patient still has two fully inflated lungs. Careful monitoring of these things will keep your patient safe and well ventilated while they are in your care.

With practice and application, we can always learn something new and get more comfortable with skills we know. Take time to familiarize yourself with the vent if you haven’t gotten it out in a while. `Push and hold the different buttons so that you can learn where the settings are located and how to adjust them easily while caring for a critical patient. As a prehospital provider, it is the attitude of preparation and professionalism that make us the best at what we do.

Have you ever wondered who ALI is, and how it knows directional so much better than you do?

Often you will hear a dispatcher refer to the call coming in by this ALI, and you wonder where its map is. ALI or ANI stands for Automatic Location Identification or Automatic Number Identification. These were established to help locate a caller, provided they were calling from a landline phone. This came about with the Enhanced 911 system back in 2008. As the use of cell phones increased, there became a growing demand to locate wireless users as well. Currently, when a 911 call comes from a cell phone and they are unable to give us an address, the dis-patcher is able to convert the coordinates given by ALI/ANI into an approximate location of the user. However, there are some areas or cell phone towers that are still unable to locate wireless users. We mentioned in a previ-ous article in On Scene, SSC Christopher Elsten was able to contact the wireless user’s cell phone company, and per FCC’s location accuracy rules, some companies are able to give coordinates, county, if available on their end just by providing the caller’s number. We are constantly looking for the quickest and most accurate way possible to locate our patients with the demands of modern technology, although not fail proof, as with any computer system, the best way is always contact with the caller.

10-9

Bixby middle-schoolers got a hands-on experience of the dangers of alcohol and drug abuse for the first time last week when EMSA paramedics teamed up with prevention education experts from Operation Aware, a Tul-sa-based nonprofit organization.

Paramedics created a party scenario enlisting student audience members to play out the experience of what can go wrong when young people become involved in risky behaviors, such as drug and alcohol use and driving under the influence. The medical team took the middle-schoolers through a hands-on case study of actual events from the affects of substances on the body to invasive medical treatments performed to life-long medical out-comes of such risky behavior.

“EMSA has teamed up with Operation Aware for years to show children how severe the long-term effects of alco-hol and drug abuse can be, but this is the first time the program was featured in Bixby Middle School,” said Kelli Bruer, EMSA spokeswoman. “Through the program, students actually played the role of the patient and, in a safe setting, experienced the traumatic events that occur when we respond to alcohol and drug overdose cases.”

Paramedics discussed the effects and dangers of alcohol, prescription pills, marijuana and other illegal narcotics, as well as abuse of widely available items such as energy drinks, aerosol products, paint and other manufactured substances.

EMSA Medics Team with Operation Aware for Bixby Presentation

Lisa Causby, NREMT-B

“We also shared personal stories of actual patients that we’ve treated that have involved substance abuse, driving under the influence and other serious medical issues from risky behavior. We told them first-hand the devastat-ing results this can have for them and their families,” continued Bruer.

The interactive demonstration is part of one of the prevention programs offered by Operation Aware. The orga-nization offers several programs designed to provide drug and violence prevention education to children and teens in the classroom from pre-kindergarten through high school.

“I am thrilled that we finally have Operation AWARE in the Bixby Public Schools,” said Harrell Kendrick, Bixby Police and school resource officer. “The PASS Coalition and Bixby Police Department have been trying to make this happen for the past few years and we couldn’t be more excited. I’m certain this will have a positive impact with our school and the Bixby community.”

Operation Aware has conducted prevention programs in Tulsa’s schools for the past 30 years.

EMSA has partnered with the nonprofit organization for the last four years. EMSA has also participated for many years with other community prevention and safety efforts, such as car seat safety, CPR training and first aid response.

Paramedic Chuck C. and EMT Lindsay H. visit Bixby Middle School to for an Operation Aware presentation.

We've all said it at one time or another. As we enter a new year with resolutions, promotions, additions to fami-lies, and reflection of past accomplishments, please don't forget about yourself. So plan that vacation or stay- cation, catch up on some sleep or some put-off projects, do something for you this year! Caring for yourself should be your primary concern, especially in our line of work. We spend so much of ourselves doing for others, you shouldn't disregard the biggest player in your life - you.

Please remember to drink plenty of water as the lovely artic, dry air can dehydrate you. Men don't be bashful about using lotion. You don't have to use the perfumed, expensive stuff us girls tend to squeal over. Anything that can give you added protection for your face and hands from the elements is encouraged. Also during this winter season, we are exposed to all sorts of flavors of colds and flus. Please, please take added precautions for yourself and your family. Washing your hands and arms frequently. Not wearing your worn uniform into your home. Spouse and kids can wait for you to change so not to bring home more than your love. Try a neti pot with distilled water to clean out your sinuses of all the grossness we inhale through our shifts. Increase your one-a-day vitamins with vitamin C for added immune system benefits. Eating well, not including our 7-Eleven food of companions, meaning fresh foods: fruits and veggies. Don't make the gross face yet. Manufacturers have made these new fruit/veggie fusion juices that you can get eight recommended servings in.

I understand we are a breed of people who pride ourselves in pushing on, however, if you are running a fever, please be kind and keep it to yourself. Stay home. We love seeing you but we prefer to not have any of your door prizes for giving you handshakes and/or hugs.

In closing, we're entering a New Year, a year the Mayans said we wouldn't have. So let's show those ol' Mayans how we like to usher in 2013 by partying responsibly: having a designated driver, party bus or cab. Don't risk getting a DUI, being hurt or hurting someone else.

So with that, it's five o'clock somewhere. Let's get ready to rock out 2013!!!

It’s Five o’clock SomewhereGUEST COLUMN

By: Joanna Hickerson, NREMT-P

EMSA paramedics were reunited with 6-year-old Brendine King on Christmas Eve showering her with Christmas presents. Only two days before Christmas, Brendine was taken home from the Children's Center in Bethany to be with her three sisters and her mother, after being cared for at the Children’s Center for more than two years.

In 2010, Memorial weekend, Brendine nearly drowned at Lake Sardis. Brendine suffers a brain injury from a lack of oxygen after the drowning. Paramedic Danielle Cain first met the little girl when Bren-dine was four and was transferred from the hospital to the Children's Center in Bethany. In 2010, Danielle and EMSA medics took Brendine home for Christmas Eve, but the next day, Brendine was transported back to the Center by medics for the continuation of Brendine's acute care. Brendine is now home to stay and EMSA medics were honored that they were asked to spend this special time with the family.

...Why the Different Flu Reports? continued from page 1

The other factor is what agencies use as an indicator for influenza. Some use the results of rapid-screen-ing detection swabs, some use the increase of Infectious-Like-Illness (ILI) symptoms in patients, while others rely on the Gold Standard identification of the virus through sophisticated PCR lab machines. Rapid screen tests and ILI (fever, cough, malaise) symptoms have their margin of error. They are fast, but not always accurate. Again, Fluzone may be reporting “widespread” flu based on screening while OSDH is not reporting flu because the PCR tests just aren’t showing the actual virus.

Of course, medics are one of the best “surveillance” tools out there. You may run five patients with dif-ferent dispatch complaints all presenting the same way with ILI. You may transport to an ED where ev-eryone in the over-crowded waiting room is wearing a mask. You may hear hospital after hospital going on divert. You don’t really need someone officially telling you flu has arrived—you already know.

EMSA Medics Reunite with Young Patient for Christmas

How did you get into EMS? I was a combat life saver (CLS) in the Army and worked very closely with our unit’s medic and got interested in it that way.

How many years have you been in EMS? One year, but served as a police officer in Kansas for six years.

How many of those here in OKC? All of it

What is your favorite part of OKC? The weather allows for motorcycle riding at least once every month.

Least favorite? The weather sometimes DOESN’T allow for motorcycle riding.

What is your favorite part of the job? I actually enjoy working, so the long hours don’t bother me.

Least favorite? A little mishap I had with a railroad crossing arm.

What do you do for stress relief? See above about the motorcycle riding!

What’s next for Josh Conrad? I just enrolled in paramedic school and am looking forward to that challenge.

Meet Your CoworkersWest: Josh Conrad, EMT

How many years in EMS?I got my EMT-B in 2001, my intermediate in 2009 and just upgraded to paramedic, which is very exciting for me!

How long have you lived in Tulsa?I've lived in Tulsa for five years. I have to say of all the places I've lived, this is a close second to Florida!

What inspired you to get into this field?I was working in office administration feeling lost because I knew I didn't want to do it long term. I found myself watching shows like “Paramedic” and anything about the medical field, and wishing I could do something like that. From there I did some research on what it would take to get into EMS and went for it. It was the best decision I ever made in my life! I can't imagine doing anything else!!

What is your favorite part of the job?My favorite part is knowing that I can make a difference in someone’s life whether it is holding a hand or working with a team to keep someone from dying. My office changes daily and no one day is ever the same as another. I love the challenges I encounter and meeting so many wonderful people.

What is your least favorite part of the job?I would have to say my least favorite part is paperwork (shocker, I know!) because of how much time I feel it takes away from patient/family interaction. I'm also not a fan of stinky people. Just sayin'. :)

What do you do to de-stress?I love spending time with my family, which is a huge de-stressor. I also have some very good friends that I enjoy hanging out with when I'm able to. I'm not a huge fan of working out, but I love Zumba and do that as often as possible!

What type of experience/training do you have in EMS?I don't have any extra special training other than what everyone else has to have, but I give EMS my all and strive to be the best EMT/paramedic I can possibly be. I also continue to learn from some of the best in EMS. This is a never-ending learning experience, which I absolutely love!

East: Eileen Lubinski, paramedic

Williams, Tyler R. 1Martin, Barbara E 15Sanchez, Camilo 7Yales, David 8Mclemore, Jeremy 5Coffey, John 10Hester, Wesley 8Shelby, Kristen E. 10Cox, Matthew 8Wood, Donald 5Vice, Melissa M. 1Hall, Audrey 3Deveau, Ronald 23Okon, Shannon L. 1Thayer, Nicholas E. 1Mulford, Mary 2Zoch, Thomas 3Stevenson, Jessica 4Gauldin, Michael 7Hamlin, Amanda 5Laws, Mark 5Wilson, Taber 2Sprague, Jonathan 9

Schultz, Bryon 20Reeves, Casey 1Pontius, Annamarie 1Venable, Christopher E. 1Stafford, Perry 4Barnes, Andrew 7Page, Terry 8Casey, Katie L. 1Mejia, Jonathan 1Pennington, Preston 5Duncan, Jason 7May, Travis 2Cochrane, James 20Hellman, Lindsey 3Wilson, Gareth 8Rice, Jeffrey J. 1Whitehead, Niki R. 1Mcneer, Michael 10Jenkins, Christopher 3Mcelroy, Candace 9Kendell, Tiffany L. 1PARRISH, MICHAEL W. 1Mcelroy, Christopher 9

Preston White 9Mark Allen 10Lucas Turner 11John Johnston 12Rebecca Williams 12Levi Williams 13Zachary Williams 14Tyler Adamek 18Andrew Carpenter 18David Yales 18Crystal R. Brown 19Brad Satterfield 19Nicholas Coffman 20Brent Lamb 20Debbie Maack 20Drew Reed 20Susan C. Patterson 21Amanda E. Wall 21Anna Johnson 23Nicholas Naifeh 23

Craig J. Ryan 23Christopher Dent 24Miriam R. Fisher 24Thomas Riter 24Richard Logan 25Lisa Schemenauer 25Michael Kisler 26Tyler R. Williams 26Erik Kilmer 27Derrick Baird 28Tabitha Teehee 28Jason Whitlow 28Barbara E. Martin 29Caleb W. Shrock 29Emily Cluck 30Robert D. Hill 30James E. Day 31Matthew W. Powers 31Stephanie Pryor 31

Stars of Life Nominations NeededJanuary 2013

Employee Name Years of EmploymentAnniversaries

January Birthdays

Kudos & Commendations:

Thomas ZochKenny WaldropNick ThayerLacie SmithJodi RitchieEthan PerkinsPreston PenningtonChris McElroyJordan MangerAndrew LeakeCamille GoldsmithJoEll CarlisleChris FordAdam Ashford Matt RuskoskiAlek Carson Julia Frye

OKAMA 2013 Stars of Life Nomination Form

YOUR NAME & TITLE _______________________________________________________________ YOUR PHONE # __________________________ E-MAIL ADDRESS _________________________ YOUR STAR’S NAME & TITLE ________________________________________________________ STAR’S YEARS OF SERVICE AT YOUR AGENCY __________ TOTAL YEARS IN EMS _____________ LIST ANY SPECIAL CERTIFICATIONS (PHTLS, INSTRUCTOR, ETC.) YOUR STAR HOLDS _________ _________________________________________________________________________________ _________________________________________________________________________________ WHAT SETS YOUR STAR APART FROM OTHER EMPLOYEES? ________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ DESCRIBE A MEMORABLE EVENT OR SITUATION THAT DEMONSTRATES YOUR STAR’S DEDICATION TO EMS, PATIENTS AND/OR COLLEAGUES. (ATTACH AN EXTRA PAGE IF NEEDED) _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ The all-star selected will represent EMSA at the American Ambulance Association’s Stars of Life ban-quet and congressional delegation on March 17—21, 2013 and at the Oklahoma Ambulance Stars of Life banquet in OKC on April 24, 2013.

Stars of Life Nominations Needed

January 2013 On Scene newsletter

Documents

Transcript of January 2013 On Scene newsletter