Caught on Tape

"If you tell the truth, you don't have to remember anything." -Mark Twain


 
 

Paul Werfel, NREMT-P | From the September 2008 Issue | Thursday, September 11, 2008


I was sitting in a hotel this morning watching a special report about an American who was participating in the running of the bulls inPamplona,Spain. He was gored and stepped on by a bull, but thanks to surgery, lived to tell his tale on TV. I was quickly reminded that folks like this provideEMS job security.

A video of the incident played, while reporters discussed how this guy was going to recover from his injuries. In the end, the intrepid bovine adventurer insisted he was ˙really stokedÓ until the ˙gnarlyÓ injury happened and that he_ll return again next year to participate.

FromPamplona to your ambulance, video is being shot everywhere. How might it affectEMS? Consider this scenario.

You_re working as anEMS provider for a large teaching hospital network. The network provides a multitude of prehospital services, including medevac, paramedic fly car, BLS ambulance transport and transportation of patients between hospitals and nursing homes or patients_ homes.

On this day, you_re working on the transport vehicle and have a scheduled pickup at a skilled nursing facility for transport to another hospital that isn_t in the health network you work for. Your patient is an 80-year-old female with chronic dementia. You package her up, placing her on the high-tech stretcher, and begin the transport.

Your partner drives the truck slowly and carefully, and you arrive at the network hospital without incident 40 minutes later. As your partner parks the ambulance, you jump out of the back and take out the stretcher, extending the wheels to the cement at the ambulance entrance.

You begin pushing the patient toward the door of the hospital solo, even though you know the stretcher manufacturer advisesƒand your agency insistsƒthat two people hold the extended stretcher. Your partner calls for you to wait for him. As you turn to answer him, it happens.

The left front wheel of the stretcher gets hung up in a crack in the cement and the stretcher tips over. The patient_s head and left side absorb all of the impact. You and your partner pick up the patient and observe that she now has a large laceration on the side of her head. You both take the patient in to the emergency department for treatment and then leave to report to your supervisor_s office to fill out the required incident reports.

During the ride to your headquarters, you and your partner are concerned not only about the dropped patient, but also the disciplinary actions that may be coming your way. You and your previously innocent partner decide to get creative with your incident report, essentially stating the stretcher was being operated as your organization stipulated, with both crewmembers holding on to it, with the crack in the concrete emerging as the primary villain.

After filling out the incident report, you and your partner each explain your version of the event to the supervisor, who tells you he called the hospital and found out the patient has fractures to her skull, left shoulder and ribs. He gives you the details for your remedial training on patient moving and stretcher techniques.

Fast forward four days. Your supervisor calls you in for a meeting about the incident. When you arrive, you find your corporation_s directors of human resources and risk management as well as a company attorney. Your boss gives you the horrible news: The patient who was on the fallen stretcher has died from a subdural bleed. This news is stunning. You knew she had some injuries but presumed she would be OK.

In addition, you_re informed the hospital you brought the patient to has a surveillance camera focused on the parking lot. Your boss, risk management director, the deceased patient_s family and their attorney, plus the state agency that credentials you, will become very interested in that video.

You and your partner now have to explain not only why the patient was injured, but also why you misrepresented the facts. Perhaps now would be a good time to look for a new job (and an attorney).

As our parents told us, honesty is the best policy. Video doesn_t lie and neither should you. Very few people get dismissed over an actual incident; they get dismissed for lying and misrepresenting the facts.

What happened to this patient is a tragedy. It could_ve been prevented, but you can never discount human error; just ask the aviation industry. We must train our students to be honest and ethical providers, and we must also recognize that in this post-9/11 world, more likely than not, we_re being filmed on the job. JEMS

Paul Werfel, NREMT-P, is the paramedic program director for theUniversityMedicalCenter at State University of New York, Stony Brook. Contact him atpaul.werfel@stonybrook.edu.




Connect: Have a thought or feedback about this? Add your comment now
Related Topics: Administration and Leadership, Legal and Ethical, Operations and Protcols, Jems Case of the Month

Paul Werfel, NREMT-PPaul Werfel, NREMT-P, is the paramedic program director for the University Medical Center at State University of New York, Stony Brook. Contact him at paul.werfel@stonybrook.edu.

BROWSE FULL BIO & ARTICLES >

What's Your Take? Comment Now ...

Featured Careers & Jobs in EMS





 

Get JEMS in Your Inbox

 

Fire EMS Blogs


Blogger Browser

Today's Featured Posts

 

EMS Airway Clinic

Simulation-Based Assessment Facilitates Learning & Enhances Clinical Judgment

Simulation is an educational tool that can be used to develop and refine clinical skills of the student in a controlled environment before they progress to becoming practicing clinicians.
More >

Multimedia Thumb

REMSA Programs Helps Reduce Hospital Visits

Community paramedic effort goes into service.
Watch It >


Multimedia Thumb

City Official Challenges San Francisco Fire Chief

Ambulance response times among problems noted by city supervisor.
Watch It >


Multimedia Thumb

Texas Ambulance Crash

Victoria ambulance collides with civilian vehicle.
Watch It >


Multimedia Thumb

Colorado Medics Ditch Pants for Kilts

“Real men do wear kilts.”
Watch It >


Multimedia Thumb

CO Leak at Illinois School

Girard incident sends over 130 to hospitals.
More >


Multimedia Thumb

Hands On September 2014

Who gets thumbs up this month?
More >


Multimedia Thumb

NYC Sept. 11 Anniversary

View images from the ceremony at Ground Zero.
More >


Multimedia Thumb

Field Bridge Xpress ePCR on iPad, Android, Kindle Fire

Sneak peek of customizable run forms & more.
Watch It >


Multimedia Thumb

LMA MAD Nasal™

Needle-free intranasal drug delivery.
Watch It >


Multimedia Thumb

VividTrac offered by Vivid Medical - EMS Today 2013

VividTrac, affordable high performance video intubation device.
Watch It >


More Product Videos >