7.22.23 ME G.B. Debrief
pdf
keyboard_arrow_up
School
Arizona Western College *
*We aren’t endorsed by this school
Course
EMS-150
Subject
Law
Date
Jan 9, 2024
Type
Pages
4
Uploaded by RustyShackleford007
Attachment (B) V " Department of Veterans Affairs MEMORANDUM Date: 22 July 23 From: Drew Guinn NOD Sub]: Medical Emergency Behavioral Emergency Rapid Response X To: Emergency Services Committee (MS) / Disruptive Behavior Committee (MH) This memorandum serves as a debriefing summary of a Medical / Behavioral Emergency Response at the Tomah VAMC. The following is to be completed by the Nurse of the Day (NOD) / Designee present at the scene immediately following the emergency / response. Criteria for completing this form: Medical Emergency — Behavioral Emergency — Rapid Response — 1.
Patient's Name: George Buschmann 2.
Location of Emergency: 403An restroom of room 2326 3.
Date/Time of Emergency: 22 July 23 0735 4.
Inpatient! Outpatient: Inpatient 5.
Time Debriefing Started: 0810 6.
What went well during the Emergency situation? A lot of staff showed up, very clear and open communication, defined roles. Staff remained calm even when veteran had seizure activity. 7.
What did not go well? Administering VI fluids through the new IV tubing via gravity. 8.
How do you all feel it went? All things considered it went well given that this was a very stressful situation given the scene and the injury. 9.
Were there any concerns that precipitated the event? None. Per staff there were zero outward signs appreciated by staff that veteran was in crisis. 10.
Was anyone confused by the events that took place during the emergency? No 11.
What improvements would you suggest? IV tubing that is specifically for gravity bolus in the crash carts. 12. Any additional concerns that you would like addressed? None 13.
Did anyone do an outstanding job? Everyone did. Jaime Bailey RN did an amazing job of running the "code" while this author was focusing on IV and IV fluids, VS, and the AED.
Deb LateIla RN did a fantastic job with supporting Jaime and I; Deb also made it a point to have a conversation with the veteran when he was able to speak. Christy Georgeson RN and Karen Baker NA had a very specific job and that was holding pressure on the wound to prevent further blood loss. Rachael Wilson RN from 400 was in charge of the IV pump and trouble shooting issues with that as well as being support for whatever else was needed. 14.
Did you have the necessary tools/training/resources to complete the event at a full performance level? Yes and no. This veteran had a significant amount of blood loss and not being able to get IV fluids in him faster was very frustrating. 15.
Did you know who was in charge of the Emergency Situation? MOD, Dr. Kuku, and Jaime Bailey did a great job at directing staff. I know that typically the NOD would be "running the show", however Jaime was already there and seemed to be the only licensed person in the room at that time who had the capacity and wherewithal to direct staff. Please understand, that walking into this scene was nothing short of a shock to the self, as this type of scene is so far removed from what we see even in other medical emergencies. This was a suicide attempt; this was a trauma... this was radically different. 17.
Provider in Charge of Emergency: Dr. Kuku 18.
Staff involved during the emergency: See other sheet 19.
Recommendations from you or the response team: Gravity only IV fluid tubing in the crash cart would be great. Having education put some sort of scavenger hunt together that is specific for crash cart supplies. There was talk of asking for a trauma code. I feel like that is a longshot. However, there are staff outside of medical / CLC units that want to take ACLS, and some of the staff involved in this expressed interest in some sort of trauma training. Doesn't need to be TNCC or anything like that, but something and maybe having some mock traumas like Adam and the education have with ACLS medical emergencies. I feel like that would be beneficial. My evidence for this is the fact that staff are significantly more comfortable during emergencies due to Mock codes, and frequent RQI. Maybe having a course with some basic trauma knowledge based around campus dangers and available supplies would be appropriate. 20.
Is there anyone that would benefit from further support such as EAP? Yes. I recommended to everyone in the debrief to reach out to EAP more than once. When you are not accustomed to seeing a bloody trauma and walk into a bloody trauma it is absolutely a shock to the inner self. My greatest concern is that staff do not reach out to EAP and turn to unhealthy coping mechanisms or find themselves in a few months in a bad place fueled by anxiety and hypervigilance and not know what to do or who to turn to. I am also sending an email out to the managers of the staff involved and asking them to please reach out to there staff to check on them and offer EAP or counseling. I also mentioned in this email that during my Michigan ER days, when we had a disturbing emergency, we could request a grief counseling session whereas many staff involved as possible would attend a 1 hour-ish long gathering with a grief counselor present so we could all speak about our experience. I think this would be therapeutic! I feel like there have been a few incidents here in the last few years where this sort of thing would be appropriate. 21.
Does anyone have any questions on documenting the event? No Andrew Guinn NOD Printed Name of staff completing memo Signature/Title of staff completing memo FORWARD COMPLETED MEMO AS INDICATED BELOW:
TO MEDICINE SERVICE ADMINISTRATIVE ASSISTANT (MAIL CODE: MS) MS Administrative Assistant will include time on the agenda of the Emergency Services Committee to review these reports. (reference MCM MS-03) TO MENTAL HEALTH SERVICE ADMINISTRATIVE ASSISTANT (MAIL CODE: MH) MH Program Specialist will distribute to the chairperson of the Disruptive Behavior Committee (DBC) and will place on the agenda for review by the DBC. (reference MCM MH-26) CONFIDENTIAL AND PRIVILEGED INFORMATION This review is confidential and privileged under provisions of Title 38, U.S.C. Section 5705, which provides fines up to $20,000 for violation. This material will not be transmitted without proper consent or under authorization as provided by law or regulation.
Your preview ends here
Eager to read complete document? Join bartleby learn and gain access to the full version
- Access to all documents
- Unlimited textbook solutions
- 24/7 expert homework help