Using a noodle instead of a stick

Discipline in the workplace;

Using a noodle instead of a stick

More often than not workplace discipline in EMS and other professions involves using intimidation and negative consequences, a practice that seems to fly in the face of the old adage that a carrot works better than a stick. Perhaps as we make the sweeping changes to our EMS systems that we need to keep up and get ahead of the changes in our industry, we can reflect on that and take this opportunity to recognize that there may be a more efficient and positive way of doing things.

Superior patient care, compliance with local protocols and professionalism are what the public demands, and our profession requires, if we are to mature into recognition as part of a respected group of healthcare professionals. The root of inconsistency and variations in application of protocol and patient care standards in my view is largely a function of education and understanding of the subject material. The most effective way to combat it is by cultivating the noodle (brain).

Those evaluating non-compliance and standard deviation problems in EMS delivery may assume that these events occur due to laziness, incompetence or indifference. I suggest that in most cases it is more likely that there is both a lack of understanding and education among providers in these cases. This is not surprising given the cost of providing adequate training programs that address critical skills and constant changes in “best practices” in our field.

We need to recognize as an industry that the minimum recertification requirements for continuing education are just that- “minimum”. EMS professionals should take it upon themselves to review trade publications, medical journals and studies affecting our practice if we truly want to stay on top of our game; likewise each agency must provide both initial and ongoing training in critical skills, local protocol and operations. Why wait until a problem is exposed to address it.

Our communities depend upon us to act appropriately and provide the best care possible. I suggest that achieving excellent and consistent patient care is more about keeping those noodles sharp than a strong disciplinary policy. Communication of the desires of your OMD, the examination of evidence based best practices, and frequent discussion of the best application of them by all of your staff and administration will go a long way toward achieving that goal. It will be much more effective and less painful than the stick.

Be safe, do good work,

Alan