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The Officers & Members of the Lynbrook
Emergency Medical Company #1 regret to
announce the passing of FF/EMT Kelly Ann
Cartmell on December 31.
In lieu of flowers, please make donations in
Kelly Ann's name to the Coma & Traumatic
Brain Injury Association, 8300 Republic
Airport, Suite 106, Farmingdale, NY 11735
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Welcome to the First St Joseph Hospital Community Newsletter.
We wish all a very Happy and Healthy New Year!
January represents a very exciting time for St. Joseph Hospital. We are launching our first Health Tip on our website, as well as our presence on Facebook.
This month’s Health Tip will discuss Hyperbaric and Wound Healing. Next month we will focus on Diabetes Education..
We are very excited about being on Facebook. Our page is “St Joseph Hospital NY”. Please “LIKE” us and invite all of your friends and family. This is just another way we can keep our community informed, as well as educated, about healthcare issues as well as the services St Joseph Hospital has to offer.
Look for notice on a “Ribbon Cutting Ceremony” for our new state-of-the-art Critical Care Unit.
Don’t forget that our Radiology Department - - virtually no waiting and easy access and parking.
Calendar of upcoming events is:
January 25th 7:00pm to 9pm Non-Core CME Credits for EMS
SAVE THE DATE: March 10, 2012 Casino Night Gala (Crest Hollow Country Club) |
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Message From Dr.
Bruni, Co-Director St Joseph's Hospital ED
We want to take this
opportunity to express our sincere gratitude
for your departments’ many years of
professional support of our Emergency
Department. We are embarking on a new era of
emergency care at St. Joseph Hospital and
with the hard work and dedication of
individuals like your selves we anticipate a
successful future.
We have already begun
by restructuring our Emergency Department
from within. Not only have we enhanced our
nursing and physician management teams, but
we have added new members to our nursing and
physician staff all in an effort towards
building a “dream team”. In addition, we
have already initiated plans for expansion
of our physical structure. With new state of
the art technology and patient monitoring
systems on the horizon, we will be able to
care for our patient’s in more effective
ways than ever before. For the New Year, we
will begin a monthly EMS e-newsletter
informing you of our new services and other
pertinent events concerning the hospital. We
invite you to give us more frequent feedback
and suggestions through this new form of
communication.
Furthermore, in 2012,
we will begin a monthly Non-Core Credit CME
lecture series provided by one of our Board
Certified Emergency Department physicians.
We will include the topic of the lecture in
our monthly e-newsletter. Your members will
receive two certified CME credits at the
completion of each lecture.
As you can see, we are
striving for excellence in Emergency Care.
With the overall enhancement of our
department and commitment to EMS, we
together can provide the highest level of
care for our patients.
Please provide us with
what you feel would be the best night of the
week to provide your team these CME
lectures.
Below is a list of
anticipated lectures for your review. Please
call me directly with your response and if
possible a head count for the lecture.
Some lectures may even
have a workshop component if applicable and
desired.
(1) Altered Mental
Status (CVA, TIA, ICB, Drugs and Overdoses,
Intoxications, etc…)
(2) Hemorrhage and
Shock (classes and types of shock and their
management)
(3) Toys and Protocols
(Hypothermia, CPAP, hemostatic agents, EZIO)
(4) Environmental
Emergencies (high and low, hot to cold,
bites and stings)
(5) Cardiac Arrhythmias
(6) The Trauma Patient
(broken bones, injured organs, critical
actions and management)
(7) OB/GYN Emergencies
(mommy and baby)
(8) Heat Injuries
(thermal, inhalation, radiation, blast,
chemical)
(9) Biochemical Weapons
(10) Disaster
Management
(11) Pediatric
Emergencies
(12)
Orthopedic Emergencies
Sincerely,
O. Joseph Bruni, MD
Co-Director, Emergency
Department
St. Joseph Hospital
Office
(516) 520-2801
NIST
and
Partners
Seek
Input
on
Safer
Ambulance
Designs
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The National
Institute of
Standards and
Technology (NIST)
is seeking input
from paramedics,
emergency
medical
technicians (EMTs)
and other
interested
parties on the
development of
new design
guidelines for
ambulances to
reduce the crash
risk to
emergency
workers.
Emergency
medical service
(EMS) workers
riding in the
back of
ambulances are
at high risk of
suffering
injuries during
a crash or a
maneuver to
avoid a crash if
they're not
using
restraints.
However,
restraints make
it difficult to
access and treat
patients while
in route to a
hospital. To
meet the
challenge of
finding a
balance between
these two
demands, NIST,
the Department
of Homeland
Security's Human
Factors and
Behavioral
Sciences
Division (DHS
HFD) and the
National
Institute of
Occupational
Safety and
Health (NIOSH)
are developing
design
guidelines for
ambulance
patient
compartments
that maximize
safety without
compromising
effectiveness.
To gather
input for the
guidelines from
a broad
cross-section of
the key
stakeholders,
EMTs and
paramedics, the
three agencies
are conducting
an anonymous web
survey from Nov.
28, 2011, to
Dec. 28, 2011.
Insight and
opinions from
this survey will
supplement data
previously
gathered from
focus groups,
interviews with
individual EMS
workers, visits
to equipment
manufacturers
and EMS
stations, and
"ride-along"
experiences
aboard on-duty
ambulances.
Web survey:
https://svy.cfigroup.com/cgi-bin/qwebcorporate.dll?idx=77XW2B
Article:
http://www.nist.gov/oles/20111122_ambulance_study.cfm
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NSLIJ Dedicates
FF/EMS Cancer Support Program
NSLIJ recently dedicated a FF/EMS support program at their
Monter Cancer Center across from LIJ. This program
for those FF/EMS providers being treated, provides
support programs and mechanisms. An apparatus bell
was placed in a custom case in the lobby and will ring
when that member completes his treatment!
NSUH Manhasset
Construction Update (11/10/2011)
Over the next several weeks, and
again in February, construction
crews will occupy portions of the
area where you unload/ park your
ambulance. Every effort has been
made to limit the disruption to
emergency ambulance operations, but
you will notice some inconvenience
during the construction period.
We are asking for the cooperation
and patience you always show us as
we work to improve our facilities.
Thanks you for your help with this.
Regards,
Tom Rahilly
Thomas J. Rahilly, Ph.D.
Administrative Manager
Department of Emergency Medicine
North Shore University Hospital
Narrow Banding and Medical Control
Communications
Effective
December 31, 2012 the FCC is mandating that
all narrow banding of radio frequencies be
completed. This narrow banding mandate has a
direct effect on most public safety
frequencies in use in Nassau County. The
current Medical Control frequencies that are
being used in Nassau are outdated and the
narrow banding initiative would cost the
County over a million dollars to complete
for radio communications that are sub par.
It is planned that the current
Medical Control frequencies are targeted to
be replaced on December 01, 2012 with the
new 500 MHz public safety radios currently
in use by NCPD. The 500 MHz radios were
designed from the ground up to provide
Nassau County first responders with a
comprehensive radio solution for all police,
fire and EMS communications. This migration
will not be done without a cost, but it is
necessary to provide quality Medical Control
communications well into our future.
This
migration to the new public safety radio
system will necessitate some changes at the
agency and provider level. Please refer to
our
advisory 11-09.1 for additional
details. For further information, please
email us at
radioinfo@nassauems.org
Nassau Regional EMS Council Annual Awards
Banquet
Was held on
Tuesday, October 18, 2011
at
The Crest Hollow Country Club. We
had over 250 in attendance and the awards listed
below were presented. Congratulations
again to all of the honorees!
PLEASE Take a
moment to complete the Awards Dinner Survey!!
http://www.surveymonkey.com/s/JL2DFWC
2011 Award Winners List
2010 Award
Winners List
******Attention BLS First
Response Agencies******
In an attempt
to update records, the New York State Department
of Health Bureau of Emergency Medical Services (BEMS)
is requiring Basic Life Support First Response (BLSFR)
agencies to complete the following packet:
BLSFR
Update Packet
Until this
packet is completed your agency will be
ineligible for training reimbursement.
If the
completed and signed packet is not received by
December 31, 2011, then BEMS will assume that
your agency is not participating in 911 EMS
response in your community and your four digit
Department issued agency code will be
deactivated.
Below are some
templates for the EMS Participation Agreement
and collaborative agreements for PAD &
Epinephrine auto injectors in Word format so you
can edit as needed.
BLSFR Agreement
Municipality
Authorization
Collaborative Agreement EPI PEN
PAD
Collaborative Agreement
The Nassau Regional
EMS Council would like to commend and thank all
of our EMS providers and their agencies for
their commitment and dedication to the residents
and visitors of Nassau during the recent visit
by Hurricane Irene. Between the numerous calls
during, pre and post storm, and the hundreds
evacuated from hospitals and health care
facilities, our pre-hospital providers once again
performed an excellent job!
AMBULANCE EQUIPMENT
All agencies
are reminded to check with their receiving
hospitals for any equipment that has not been
retrieved. NUMC recently that they have several
backboards and equipment awaiting pick up. The
REMSCO has been working with the Hospitals ED’s
to ensure that the equipment is secured pending
retrieval.
AMPUTATIONS
The Nassau Regional BLS Supplement to Protocol
T-1 has been approved by NY State and is now in
effect. Winthrop University Hospital has been
designated as the receiving hospital for
amputations by the REMAC. If your patient is
stable, contact Medcon to activate the team at
Winthrop and transport to WUH. If the patient is
unstable, transport to the closest trauma
receiving facility. The protocol is posted on
the protocol page.
BLS PROTOCOL UPDATES
Check out the
protocol page and the upcoming BLS protocol
changes. These protocols were recently announced
by the State and were effective August 18th.
They are also now included on state tests. These updates include the AHA 2010
guidelines, changes to bleeding control, and
changes reflecting the CDC trauma field triage.
VBIED DOCUMENTARY
Car Bomb -
Robert Baer uncovers the history of an
extraordinary weapon - the car bomb, which has
shaped human conflict all over the world. Watch
the free documentary.
www.snagfilms.com Great video documentary
of vehicle borne devices. Lengthy but worth the
time!
Online training for response to incidents
involving the Chevrolet VOLT...
Training - Electric Vehicle Safety Training
www.evsafetytraining.org
NFPA's Electric
Vehicle Safety Training will provide
firefighters and first responders with the
information and materials necessary to respond
to emergency situations.
Chemical Hazard Medical Management Website
http://chemm.nlm.nih.gov/index.html
A
website to enable first responders, first
receivers, other healthcare providers, and
planners to plan for, respond to, recover from,
and mitigate the effects of mass-casualty
incidents involving chemicals.
It provides a
comprehensive, user-friendly, web-based resource
that is also downloadable in advance, so that it
would be available during an event if the
Internet is not accessible.
Nassau County Medical
Control Upgrade Information
Nassau County Medical
Control is currently undergoing a major upgrade in
facilities and equipment which will make it one of
the premier facilities of its kind in the region.
Our new MEDCON radio/telemetry system utilizes the
General Devices CAREpoint’ Workstations. Upgraded
functionality will include all current features;
voice communications, medical control, notifications
and channel coordination, as well as receiving of
single lead EKG’s via the UHF medical frequencies as
in the past. Among many new added/improved
capabilities, is the vendor-neutral receiving of
12-lead EKG’s for the various monitor brands. The
specific method of transmission / reception is
dependent on the monitor, communications computing
and data equipment your department is using. We
suggest that you contact the manufacturer of your
monitor/defibrillator or Mr. Curt Bashford of
General Devices at (201) 313-7075 for compatibility
information concerning the options available and
equipment requirements to suit your specific needs.
If you need any further information please call
Coordinator Howie Bartone at (516) 573-3170.
Medication Backorder update list.
Click here for Medication Backorder update list
NYS Bureau of EMS "TEMPORARY" EMT Cards
Click here to see letter from NYS BEMS
Long Island Regional Poison and Drug Information
Center Closed
After 54 years of
service, the Long Island Regional Poison and Drug
Information Center at Winthrop-University Hospital
was closed as of January 1, 2011. However, the residents of
Nassau, Suffolk and Westchester counties will
continue to receive poison control services through
the New York City Poison Control Center. I
Please continue to use the 1-800-222-1222 phone
number for poison emergencies and other
poison-related requests.
NEW State
Equipment Requirement
Effective May 1, 2010
all in-service ambulances must have an AED (or manual
defibrillator for ALS) and a supply of EpiPens.
NYS DOH BEMS Policy 10-01
IMPORTANT - all
agencies (BLS & ALS) must have a collaborative
agreement, with a physician, on file with the Nassau
REMSCo & NYS BEMS.
NYS DOH BEMS Policy 00-01
Medical Orders for Life-Sustaining Treatment (MOLST)
Program
The Governor recently signed legislation allowing
the use of the MOLST form for out of hospital care.
The Medical Orders for Life-Sustaining Treatment (MOLST)
Program is designed to improve the quality of care
people receive at the end of life by translating
patient/resident goals and preferences into medical
orders.
The MOLST form is a bright pink medical order form
signed by a New York State Licensed physician that
communicates patient wishes regarding
life-sustaining treatment to health care providers.
The form includes medical orders and patient
preferences regarding:
·
CPR (cardiopulmonary resuscitation)
·
Intubation and mechanical ventilation
·
Artificial hydration and nutrition
·
Future hospitalization and transfer
We are currently awaiting a policy and procedure
from the NYS DOH Bureau of EMS. The links listed
below will provide additional information and EMS
training materials. THIS PROGRAM IS NOW IN EFFECT.
MOLST Information and FAQ
MOLST EMS Training Program
MOLST Form
Occupational Exposure –
Ryan White Law Update
The federal Ryan White act contained a provision for
notification of possible exposure to infectious
diseases including HIV. Unfortunately, a change in
the federal law eliminated these provisions. Recent
and existing NYS law addresses exposure concerns and
notifications. Below, please find information
detailing the procedure for obtaining patient
information in an exposure, and a training
PowerPoint.
Guidance letter for occupational exposure to HIV
NYS Law (10 NYCRR section 63.8)
EMS Training Program
EMS Respiratory
Protection FAQ
A list of frequently asked questions on the topic of EMS
Respiratory Protection for Infection Control has been
developed by Ernest Heeren, Nassau REMSCo’s WMD
Instructor, and is being provided to answer some of the
common questions. There is also a checklist to assist in
the development of a respiratory protection program.
Click here
to download this PDF file.
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