Bureau of Medical Services2017 Continuing Nursing Education

Conferences

NEA and Almaty Region Breakout Session

RMM Ayan H. Ahmed Noor

1

Learning Objectives:

• Introduction

• Identify health unit best practices

• Discuss emergency preparedness

• Review new policies and procedures

• Questions/Open Discussion

2

Introduction

• 7 years with State MED

• Emergency Medicine Boarded

• Prior tours

– Washington DC

– Riyadh, Saudi Arabia

– Islamabad, Pakistan

– New Delhi, India

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4

Health Unit Best Practices

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Health Unit Best Practices

TEAMWORK

Trust: Accomplishing tasks/productivity, helping each other out, cohesion, recognizing how the other person might feel, showing respect for knowledge, acknowledgement, punctuality

Positive attitude/optimism:Being genuine in interactions, friendly greetings, leaving home stress at the door

Communication: Helping each other out, considering what you might say before you say it, offering solutions, considering your own words, addressing a situation when it arises, listening, not nagging

Honesty: Having face to face communication, being open, going to the person involved and not someone else, providing feedback

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Health Unit Best Practices

• Establish a structure and promote efficiency– Setting productivity

expectations

– Daily huddle

– Weekly or monthly meeting

– To do list and timeline • Daily/monthly/yearly

projection and planning

– Goal setting

– Consider Annual off-site

– Tasks shared and performed equally

– “Courtesy check”

• Allocate concerns appropriately– Bring up operational or

communication issues

– Address interpersonal conflict to the person first and try to resolve it one-on one

– Address performance concerns with each other and staff - If there is concern for safety then immediately stop.

– Check in with supervisors

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Health Unit Best Practices

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Health Unit Best Practices

• Establish continuity and knowledge management– Developing standards of practice

– Making teaching and orienting new people everyone's job

– Encouraging learning and information sharing

• Accountability means acknowledge your role or mistake, taking personal responsibility for one's own action and performance, refrain from excuses if its brought to your attention, open to criticism (criticism is provided in a constructive, professional manner, in relation to the specific task and expectation).

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Health Unit Best Practices

• Out of office policy - magnet board, email, texting, knock on door, announce in team meeting, group calendar on the wall (use pencil)

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Health Unit Best Practices

• Respect

– That everyone is different

– Value each other's work -your work impacts everyone else

– Seek to create harmony

– Celebrate with each other and acknowledge one another

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12

Jeopardy

$100

Standardized

kits

Emergency

Preparedness

MED Policies &

Procedures

$200

$300 $300

$200

$100

$300

$200

$100

Final Jeopardy 13

1 - $100

This kit should replace the existing Safe Haven boxes currently deployed to post

What is the BASIC KITS?

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Basic Kits

Are-usable, multi-patient first responder bag

Designed to provide immediate life-saving treatment and wound care for a short period of time

Used by trained medical personnel,

Should replace the existing Safe Haven boxes currently deployed to post

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1 - $200

This is a re-usable, multi-patient Advanced Life Support bag designed to provide minimally invasive advanced trauma management and definitive wound care for a short period of time prior to or during transport to a medical treatment facility.

What is the Advanced First Responder Kit (ADVANCED KIT)?

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Advanced First Responder Kit (ADVANCED KIT)

Bag is designed to provide minimally invasive advanced trauma management and definitive wound care for a short period of time prior to or during transport to a medical treatment facility.

Designed for use by Foreign Service Medical Providers, specifically trained nursing and paramedical staff, and other privileged medical providers with advanced trauma management training.

No controlled substances in the kit.

Kits may be used to replace existing Safe Haven kits in the main Safe Havens at post.

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1 - $300

This bag has all you need to triage and render immediate first aid following a traumatic injury, and mark the casualty based on the level of severity of their injuries for transportation precedence.

What is the Mass Casualty Triage Kit?

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Information on the kitsPLEASE send a note when you receive your kits or supplies!!

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2 - $100

Name the mnemonic that MED uses for the actions needed to be taken to evaluate a trauma victim.

What is MARCH?

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2 - $200

This program conducts multi-casualty event contingency planning assistance and training for the Department.

What is the MED/OM Strategic Medical Preparedness Erudite Program?

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MED/OM Strategic Medical Preparedness Erudite Program

• Mission is to prepare personnel at U.S. diplomatic posts to respond effectively before, during, and after multi-casualty events of all types.

• They can help you update and revise your training at post.

• Their primary goal is to prepare diplomatic posts to respond to casualty producing events and achieve a goal of ZERO Preventable Deaths From Trauma.

• Contact Joe Pappamihiel

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2 - $300

These three groups of people are key to any emergency response at post.

What are the local guards, volunteer first responders, and all health unit staff?

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Practice, Practice, Practice!

• Practice lets us execute a task while using less and less active brain processing. It makes things automatic.

• Practice is very helpful for complex and non-rote tasks.

• Practicing allows us to devote more of our brainpower to other more complex tasks

• See one, do one, teach many!

Lemov, D. (2012 October 26). Practice Makes Perfect—And Not Just for Jocks and Musicians. The Wall Street Journal.

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3 - $100

Each region will host one conference targeting this group of staff in health units. Two had been done in the past and one is coming up this year in Bangkok.

What is the Regional Administrative Assistant’s conference?

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Regional Admin Training

For administrative assistants ONLY!

Training on a cyclic basis with essentially a 5 year regional occurrence

Similar to those held in Frankfurt and Fort Lauderdale

Both travel and per diem must be funded by the employee’s home post

Participation in the training is subject to any post-specific regulations, such as a need to work for at least 90 more days at post, etc

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3 - $200

This new MED policy follows the American Medical Association first established in 1993 regarding provider prescribing behaviors.

What is the MED Policy Regarding Clinicians Prescribing Medications for Self or Family Members?

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0004 Policy Regarding Prescribing for Self or Family

• MED advises practitioners to avoid prescribing pharmaceutical agents for self or family unless circumstances dictate it.

• MED practitioners should strive to avoid becoming a recurrent source of treatment or management of chronic conditions involving self or immediate family members.

• Use of regional MED resources, electronic prescribing and judicious planning of R&R and other travel to obtain needed medical care for chronic conditions is strongly advised.

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3 - $300

Paula Dolan expects you to send her this information through the MCI when a new person is hired.

What is the a current and unrestricted license and diploma/transcript of new medical employees (RNs, NP, PA, and MDs)?

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Remember my email 12/12/2016

Last year, when the Bureau of Medical Services established

the process of issuing appropriate name tags for all clinical

staff working in our overseas health units, we also

streamlined the credentialing of these providers. The full

details of this policy can be found on the MED Webpage in

the ISO document 1401 LES Hiring Policy. As the RMO or MP

in charge of the hiring process in your health unit you are

required to have the new provider submit the documents,

through the MCI portal, that are required for initial

credentialing: a current and unrestricted license and

diploma/transcript, if applicable. When at all possible,

submit the English translations of these documents if they

are in another language. Ask your new hire about the need

and timing of re-credentialing/re-licensure as required by

local law. Please notify QM (Paula Dolan or Dr. Gil Johnston)

that these credentials have been added to the MCI.

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Final Jeopardy

This person was born in Wichita Falls, Texas in 1952. He is an Eagle Scout and serves on the Boy Scouts of America's National Executive Board.

Rex Tillerson

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Reminders

Acknowledgement of Medical Services form

Transcription of vaccine records

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Questions/Open Discussion

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