QI and CISD Sessions anyone?

MMiz

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Whie I've read about them in the book and saw them mentioned on the national registry test, I'm wondering if your service actually has them.

I'm looking forward to the responses!
 

SafetyPro2

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We had a bad fire in town a couple of months ago that resulted in the death of a resident. She was most likely dead before we ever got dispatched (flames 40 feet through the roof upon the first engine's arrival), but it was still a traumatic event for those involved (I was still a Trainee at the time and not on-scene). The Department Chaplain (who was a Captain at the time and is a Battalion Chief now) organized several sessions for members who were involved.
 
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MMiz

MMiz

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Originally posted by SafetyPro@Mar 15 2004, 06:13 PM
We had a bad fire in town a couple of months ago that resulted in the death of a resident. She was most likely dead before we ever got dispatched (flames 40 feet through the roof upon the first engine's arrival), but it was still a traumatic event for those involved (I was still a Trainee at the time and not on-scene). The Department Chaplain (who was a Captain at the time and is a Battalion Chief now) organized several sessions for members who were involved.
Yeah, I'm finding that it is much more common for fire departments to hold these sessions instead of private ambulance companies.

I know with my private company 10% of my low-priority calls go through a QI screener, and I get comments in my mailbox, and that 100% of high priority calls go through the process, but I have yet to see a CISD session.
 

SafetyPro2

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Not sure how big your company is, Matt, but you might want to check in your benefits package whether you have an Employee Assistance program. Many times, these programs can provide CISD services if needed.
 
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MMiz

MMiz

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Originally posted by SafetyPro@Mar 16 2004, 12:14 AM
Not sure how big your company is, Matt, but you might want to check in your benefits package whether you have an Employee Assistance program. Many times, these programs can provide CISD services if needed.
Good thinking. The company I work for does provide an Employee Assistance Program. There is always a supervisor available at the office/station should one need some help.

I just remember hearing so much about them during my EMT course two years ago, but wasn't sure how widespread implementation was.

Good thinking on that one.
 

SafetyPro2

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We used that concept at my last two (non-EMS) jobs. We had a workplace shooting at the first one...guy walked in, shot a co-worker (he's a parapalegic now) and killed himself. Was done right at break, so most everyone saw it. The EAP was great in sending as many people as they could down to the incident to talk with the co-workers.

At my last job, we had the same concept on paper, but fortunately never had to use it during my time there. I had it written into the AED program though.
 

Margaritaville

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Just thought I would bring up a new question on this.

How many of you here are very familiar with CISD? and or have actively participated in it.

Does it help for later? Just wondering. All the years I have been in EMS, never encountered a CISD.

Maybe volunteers are not counted for this stuff. :ph34r:
 

ffemt8978

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As a volunteer FF/EMT, I've been invited to four of them (but haven't attended one yet). Granted, these programs are great for SOME people, they do not work for everyone. I personally feel that I have mechanisms already in place (includng this great forum :D ) that allow me to deal with this type of stress in a way that is more beneficial to me than sitting around and talking about it with a bunch of people.
 

rescuecpt

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In my county each agency is required to do QA/QI with a county designated field-physician. We bought into a group of about 8 other fire departments from my Township and we have quarterly quality assurance reviews. We are told to bring 20 examples of certain types of PCRs, and the doc has checklists for the basis things that must be on a PCR, as well as information specific to the type of calls we're looking at that quarter. We analyze each of our PCRs and then talk about common issues as a group.

The ambulance corps does it's own QA/QI since they have so many calls and their own doc on staff.

We have a good County CISD team that is very quick to respond when needed. We also can call into a CISD hotline.
 

ksEMTbabe

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My dept defintely has in the past made use of the CISD - anyone from the EMS director down to the newbies like me can call/request one after any call they were affected by. I've only been to one, as I've only been on the dept a few months, and it was because the presence of everyone that was actually on the call was requested to be there. I agree with the thought that they're not for everyone... some people just aren't talkers about that sort of thing. I'd much rather engage in some retail therapy or some other form of "alone time" to help me cope.
 

rescuemedic7306

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Originally posted by ffemt8978@Nov 28 2004, 12:08 AM
As a volunteer FF/EMT, I've been invited to four of them (but haven't attended one yet). Granted, these programs are great for SOME people, they do not work for everyone. I personally feel that I have mechanisms already in place (includng this great forum :D ) that allow me to deal with this type of stress in a way that is more beneficial to me than sitting around and talking about it with a bunch of people.
I've been to 2 or 3 CISD debriefings in the last 3 years, they seem to work for some, but not for others (me). One of the debriefs I went to didn't take place until 3 days after the event which was a BIG mistake. People had already started to deal with it on their own and this just brought it all back. If you're going to use them they need to be no later than 24 hours after the incident.
Strangely, when I started in EMS back in the 70s, CISD was unheard of. We were running 10-11 calls every 8 hour shift so we basically went from one to the next with no time to dwell on each one. It seemed to work ok at the time although I occasionally have a flashback to one particularly nasty Ped call (I was diagnosed with PTSD about 20 years later) so maybe CISD would have helped, who knows?.
I certainly think it has a place in low volume community based services since some calls involving friends, neighbors, and relatives can be really distressing in small towns.
 

Jon

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Originally posted by rescuemedic7306@May 2 2005, 04:31 AM
I certainly think it has a place in low volume community based services since some calls involving friends, neighbors, and relatives can be really distressing in small towns.
Amen.

My squad often takes the "sit on the front of the rescue" and re-hash the call afterwards. We will get to find out what everyone was doing onscene, and talk openly about what issues we had. It isn't CISM, but seems to help everyone deal with it, and if someone is having trouble., the senior guys will pull him/her aside and talk im more detail.


Only actual CISM session I went to was when one of our Explorers killed herself. Our company was the responder on that as well. Very tough for all involved, and the session helped a little.


Jon
 

emtffboop

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on the 9th it will be the 2yrs anniversary when 2 of my county police officer and sheriff officers were hit and killed by a driver when they were putting out spike strips. i was at the opposite end of the county when it happened. a few days later they had a gib cism, had specialist come in all across tn, the guys that went to it that were involved in the incident said that it really helped.
 

vtemti

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We are a small community where you're patients are usually people you know. We have held a few CISD sessions and have found them to be very helpful. In fact, two of our members are also members the Green Mountain CISD team. We even use them on scene at times to help family members deal with the situation.
 

usafmedic45

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Originally posted by Stevo@Jun 10 2005, 12:52 PM
Does it help for later? Just wondering.

yes if you can't shut off that instant replay...

~S~
It doesn't always work. In fact, there have been studies done that says it has little if any effect in managing, controlling or preventing symptoms of PTSD or similar conditions.
 

ECC

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usafmedic45

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I agree ECC
 

Stevo

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It doesn't always work

never made claim it did, an aspirin doesn't work for every headache either...

it is a resource available

~S~
 
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