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Volume 1, Issue 8 January 2008 C e t ro n i a A m b u l a n c e C o r p s News Update Ring in the New Year INSIDE THIS ISSUE by: Larry Wiersch, Executive Director As we ring in the New Year one may think that it is a time for celebration and renewed energy. Some may believe that this year is the year for new thoughts, ideas, resolutions, and friends. Yet others may not think anything has or will really change for them or in their lives. No matter what your thoughts, why not think about the things that make you smile, offer something to community or simply make you feel good? What is it that really gets you going or energizes you to really push forward even when it’s tough? Whether it is a friend, family, “things” or even money, you and only you have the ability to get that motor charged. Why not spend a few moments this year and really start the year right with a minute or two of reflection? Since all of us have different motivators, it is almost impossible for me to tell you what I think will work for you. Therefore, I can only offer you things that I see in my life, both personal and business, that might just make it all worthwhile for you…..My personal top ten in no particular order. 1. 2. 3. 4. 5. 6. 7. Spend some time doing nothing but surrounding yourself with trusted and loyal friends or family, simply listening to what they have to share. Yes, listening, a skill often overlooked. Volunteer for something. Church, scouts, sports, or even public safety. Many of you do already, and many do it each and every day. Unfortunately, many more are needed and it really can make a difference. Consider how you can impact someone’s life in a positive way and then follow through. Hold a hand, visit a needy senior, child, family member or friend. Spend some time with someone truly special. Private time without distractions such as phone, computer, pager, or TV. You might discover something you never knew existed. Take a trip. Visit a place you’ve never been before. You don’t have to travel far, simply seek and you might find a place that you never knew existed. Make a new friend. Introduce yourself to someone you barely know (or don’t know at all) and practice your social skills. Why not sit at a table with people you’ve never met before and move a little off your comfort zone? Read. Need I say more? Pick up a good book and find a quiet place to become one with the content. continued on page 13 Starting the New Year Right 2 HR Quote for the Year 2 Countdown to Your Success 3 Voice of Paratransit 4 Operations 5 QA/CQI 6 Billing 6 Safety Corner 7 Board of Trustees in Review 8 2008 Board of Trustees 9 2007 Board Overview 9 Trustee of the Month 10 Associate Suggestions 10 Support Services 11 January’s Puzzler 12 Finance 13 Communications Center 14 Welcome New Associates 14 The Lighter Side of Life 15 Cryptogram 15 Staff Meetings 16 Dates to Remember 16 1 START THE NEW YEAR RIGHT by: Anita Hirsch INDIVIDUAL NUTRITION COUNSELING will be available at no cost for members of the Cetronia Ambulance Corps beginning in January 2008. If you want to know if you are eating in a healthy way, if you feel your diet could be healthier, if you want to lose weight, if your cholesterol is high, if your blood pressure is high, if you want to live a longer and healthier life or may have other nutrition concerns, you can now speak with a dietitian. Corps members can call Anita Hirsch MS, RD, LDN, a registered dietitian and nutrition coach to set up a time to meet for 30 minutes. For the initial nutrition counseling visit, two forms need to be completed: a 3-day written record of food intake and a diet history form. These forms will be provided by the dietitian. During the first session, Anita Hirsch will go over the forms, check your Basal Metabolic Rate (BMR), weight, height, age, and health record. The dietitian will advise as far as diet changes such as food intake, food selection, calories and nutrients necessary to maintain health. A follow-up session can be scheduled as needed. To set up a 30 minute appointment for a free nutrition counseling session, call or email Anita Hirsch MS, RD, LDN, at 610-395-0010 or [email protected]. HR’s words to live by for 2008 RESOLUTIONS FOR LIVING A HAPPIER LIFE “Choose to love rather than hate. ~ Choose to smile rather than frown. Choose to build rather than destroy. ~ Choose to persevere rather than quit. Choose to praise rather than gossip. ~ Choose to heal rather than wound. Choose to give rather than take. ~ Choose to act rather than delay. Choose to forgive rather than curse. ~ Choose to pray rather than despair.” Author: Anonymous Submitted by: Shawn McGovern 2 COUNTDOWN TO YOUR SUCCESS IN by: Shawn McGovern It's a new year and many of us are looking back on the previous one, reflecting on what we've accomplished and what we want for the future. For many of you, that means learning how to incorporate an exercise program to lose weight and get in better shape. If you made a resolution last year to lose weight and get into shape but didn't reach it, now's the time to do it right. Set your goals. Your first step in getting in shape is to set some goals for yourself. Start with a long-term goal and ask yourself specifically what you want. Do you want to lose weight? If so, how much? Take some time to figure out exactly what you want and exactly what you need to reach that goal. The following tips will help you set your goals for the New Year: Make sure your goal is reachable. If you're trying to get back to the weight you were 20 years ago, that may not be possible. You may need to adjust that weight to fit in with your current age and your lifestyle. Make sure you have a plan. If you want to lose 30 pounds in 3 months, that means you'll be losing about a pound a week. To lose a pound a week, you need to create a calorie deficit of about 500 calories per day with your diet and exercise program. Take some time to look at your diet and figure out how you can reduce your calories Set short-term goals. While your long-term goal might be to lose 30 pounds in 3 months, that's a long way away. What are you going to do to keep yourself motivated from day to day? Setting weekly goals (i.e., I'll workout at the gym at least 3 times this week) can help you stay on track and have something to be proud of even if you're not losing weight just yet. Be realistic. Weight gain doesn’t happen overnight and neither will weight loss...for some of you, it may not happen for a while. Think of the first 3 months of your exercise program as a learning period. You're teaching your body how to eat healthy and exercise regularly and your goal should be making exercise a habit. If you can do that, the weight loss will follow. Be flexible. You may find that the goal you set in January isn't working for you come March or April. If you're not able to reach your original goal, whether it's because you don't have the time or the commitment, don't be afraid to lower your standards a bit and set a goal you can reach. The Nitty-Gritty Now that you have some idea of what you want to accomplish, you need to figure out how to get there. How much exercise do you need? How much will you realistically do? Setting up a program can be as simple or as complicated as you want it to be. At it's most basic, it's as simple as sitting down with your calendar and deciding when you're going to exercise. Figure out where you're going to exercise. You can workout at the gym, at home or on a break. Our current membership plan at the Lehigh Valley Racquet and Fitness Clubs provides you the opportunity to work out at locations that are available 24 hours a day, 7 days a week. Look at your schedule and your calendar and map out your plan before you get started. Educate yourself. Before you jump into something, take some time to learn the basic guidelines for exercise and weight loss. The 24-7 Clubs we have memberships with offer FREE use of a personal trainer who will meet with you and help devise a program to start you off right. Change your workouts regularly. To build muscle and lose fat, you need to be challenging your body. That means going faster or longer, adding weight, reps and/or sets to each workout and finding new activities to keep from hitting plateaus or getting bored. Start where you are. The biggest mistake beginners make is taking on too much too soon. That can lead to injury or burnout and you may find yourself struggling to keep up that pace. Start slowly--if you can only exercise for 10 minutes, start there and work your way up. You'll enjoy exercise a whole lot more if you ease into it and gradually work your way up. REMEMBER... The first step is the hardest!! Stay consistent and stay motivated and soon you’ll find that leading a healthier lifestyle becomes second nature. 3 The Voice of Paratransit by: Stephanie Albitz First I would like to say Happy New Year to all! I would like to thank everyone who worked so hard last year. Everyone did a wonderful job in making it a successful year in the Paratransit Division. This is the perfect time of the year to make a fresh start. Remember what we learned in the Customer Service Training Program? The impression we leave with our customers happens in the first 5 seconds. With that being said, all of us need to work hard in maintaining our equipment. If you find something wrong with any of the equipment on the trucks, please “orange card” the item so that it can be fixed as soon as possible. Also, now that winter is upon us, more "grime" gets on the vehicle and in the vehicle. All of us need to make an effort to keep our "billboards" as clean as we can. The next item that I would like to address is the paperwork. On the top of your paperwork, you want to make sure that whoever is doing the documentation fills in their name on the top line. The drivers name needs to be documented on the second line. We also need to make sure that we are getting signatures from the patients and the nurses. With the new insurance guidelines in effect, if we do not get the signatures, we will not get paid for the transports. Please make every effort to get signatures! Remember, if there is family present, they can sign for the patient as well. Also, when filling out the golden rod sheet, make sure it is complete and write the documenters last name on the top of the sheet so billing will know who wrote it. A big thank you to everyone that works hard and dedicates themselves to their job! 4 Operations by: Chris Peischl Happy New Year! I hope your holidays were enjoyable and that you had the opportunity to spend it with the ones you love. Back in December, my family and I went to Florida and visited Mickey and all his friends. [I won’t bore you with stories from our excursion, but imagine dragging 4 kids for 8 days through the parks.] As I was there being a very patient tourist, I was able to take in some of the “different” aspects of the parks as we wondered around central Florida. This will be the first in a 3 part series sharing what I took in and how it applies to us in EMS in general and here at Cetronia specifically. This month, I would like to talk about customer service. Most of us are probably aware of the legendary customer service Disney provides. Everyone we came in contact with at any of the parks always said hello and waved or had something to say to the kids to keep them interested. Granted, not everyone was always smiling, but it never seemed that if they were in a bad mood they were sharing that bad mood with their guests. When you sit and wonder why, just look at the cost of coming to their parks. The cost for a family of 4 for 1 day at one of their parks comes to about $250 or so, include food, travel and hotel rooms and you are at $1,000 a day. If people are going to spend that kind of money, and Disney wants them to come back, the last thing they want their guests to say is how horrible they were treated. Disney’s aim is to make everyone feel special and every employee strives to make that happen from the check in personnel at the hotel to the bus drivers taking you to the parks to the ride operators. How does amusement park customer service equate to EMS customer service, when we are totally different industries? Do we not deal with customers on a daily basis? Don’t we want our customers, including the patient and family, to have a “pleasant” experience while they are in our care? As a parent, as many of you are, if your child needs to go in the ambulance, wouldn’t you want the crew to take care of your needs as well as your child’s? I think the answers to all of the above questions is yes. If you are not happy with Disney, you can go to Dorney and vice versa. If you call 911 and live in our coverage area, you have to use us, that is correct as well. But, we don’t have exclusive rights to our coverage area. Municipalities can chose other organizations to provide emergency medical services. As for the non-emergent side of our organization, there are people out there starting their own businesses and will do what they need to do to stay in business. We need to make sure we set ourselves apart from the competition, doing that little something extra can make all the difference. Like Disney, Cetronia has a history of providers who go that extra mile to help meet the customer’s needs. Many of us have been in this business for a long time. Rarely are their times when you cannot take time to explain to the families what is going on, what will be happening or taking the time to make sure they understand what is happening. Going that extra mile for our customers is what sets Cetronia apart from other organizations. Many of our associates provide excellent customer service on top of excellent patient care and do go that extra mile. I salute you and thank you for treating each and every patient or family member, like you or your family member would like to be treated. Going through the training session on customer service is one of the little things that sets us apart from other services. I think it helped justify that we are on the right path as well as giving us some more tools to improve and continue the tradition of going the extra mile. Next month, I will talk about progress and how it helps make our lives a little easier. Thank you for all your hard work. Have a safe and healthy New Year! 5 QA/CQI by: Jon Hoerner As we move forward with the new QA/CQI program, there will be a heightened attention to documentation skills. The importance of good documentation skills absolutely cannot be overstated. Good documentation is very important because for two reasons: tripsheets are legal documents, and tripsheets need to be accurate for efficient and accurate billing processing. Please keep the following points in mind as you write your tripsheets: There must be at least two sets of vitals documented for each patient transport. This is a requirement per our Medical Director. If you cannot document two sets of vitals, you MUST explain the reason in your narrative. Likewise, document your GCS assessment at two different times. Don't forget to fill in the most appropriate protocol code for each tripsheet. This is especially important with the new QA process. Please write legibly on your tripsheets. If your handwriting isn't able to be read easily, it may be misinterpreted at a later time. Make sure your times are accurate, including the vitals and treatment in your flow chart. Make sure that your narrative contains a complete History of Present Condition and Physical Exam; including non-emergency transports. Don't forget to document your pertinent negatives! Billing by: Tina Fatzinger This month the billing department would like to discuss analyzing of your EPCR. Once the tripsheet has been scanned and uploaded, the next step is analyzing the trip sheet to verify the correct information has been uploaded. In the analyzing process, the system will automatically stop at the mandatory/required fields. At this point, it is the crew’s responsibility to verify the information showing it is the same as what is on the paper tripsheet. The most common fields of error are: incorrect pickup location, receiving facility, EMD codes, times/staff member under vitals and treatment, incorrect trip number and/or date of service. Should you have any questions or would like additional training please contact your supervisor for arrangements. 6 Safety Corner by: Brian Rabenold MVA—Scene Safety Do you remember our discussion covering SCENE SAFETY in our Driver Safety and Awareness Refresher Course this fall? If you forgot some of the points let me remind you to look at the new SOG provided in your course materials, SOG 101.13. As we also discussed in the refresher course, increased national attention has been given to scene safety and many agencies have committed to improving scene safety prior to regulations which may be soon imposed. Over the past few weeks, several “near misses” at the scenes of MVA’s have been reported in our area. The practice of constant vigilance when at the scene as well as reducing on scene time should be thought of before we even arrive at the incident. Here is additional news with an internet site for even more information; The following is a recent incident documented to remind us what can happen in the blink of an eye; Early Sunday morning this last weekend, an interesting event occurred. A crew of EMS, PD, and FD were on the scene of a bad MVA on I-95 in Greenwich, CT. In a routine maneuver, the local FD station had positioned an engine with lights engaged diagonally across and behind the scene, to protect from oncoming traffic. Suddenly, a car carrying 3 30-something y/o people slammed into the engine (apparently at a very high speed), killing all 3 occupants (quite morbidly, apparently). NO ONE else on the scene was hurt! I was off that morning (thank God), but hearing the report from someone who responded gave me great appreciation for the high level of scene safety on the scene that day. Needless to say, I was very glad none of my colleagues in any of the services had been injured in any way. Our FD's standard response for any MVA, especially on the highways, is to position an engine in this manner, blocking the entire scene from oncoming traffic. While I never fully appreciated this in the past, the benefit spoke for itself this weekend, and I have a renewed faith in this technique! I'm posting this as an anecdote for those of us out there who don't always appreciate scene safety, and to hear what some other agencies are doing to protect their guys/girls on the highways and dangerous roads. I know from past experiences at different agencies that scene safety is NOT always provided to this extent... is that still the case? Be safe out there! Nation's First Responders Unite For Safer, Quicker Clearance of Traffic Incidents From NVFC E-Update In an unprecedented show of unity among highway agencies, emergency medical professionals, firefighters, tow truck operators, and 9-1-1 call centers, nineteen national organizations announced the launch of the National Unified Goal (NUG) for Traffic Incident Management on November 20. The major objectives of the NUG are to address responder safety; safe, quick clearance; and prompt, reliable, interoperable communications. The NUG was developed by the National Traffic Incident Management Coalition (NTIMC), of which the National Volunteer Fire Council (NVFC) is a member. The NVFC Board of Directors adopted the NUG for Traffic Incident Management at its Spring Meeting on March 31. “The safety of our nation’s first responders is paramount to our mission,” said NVFC Chairman Philip C. Stittleburg. “Every year firefighters, emergency medical personnel, and other traffic incident responders are killed or injured during continued on page 11 7 2007 Board of Trustees in Review by: Gregory Kile Chairman For more than half a century, the Cetronia Ambulance Corps has been on a mission. The goal of this quest is a lofty one: To be the Leader in Emergency Medical Services, Transportation and Community Health Resources. The keyword is Leader. And it is no simple task living up to the responsibilities that come with being at the vanguard of a profession as dynamic and demanding as Emergency Medical Service. Because leaders very often navigate through uncharted territory, it is essential that we exercise extreme caution before forging ahead. So how can we as leaders in our profession be sure we are right before taking the next critical steps in our quest? The short answer is: Planning. And powering the planning that is shaping the future of the Cetronia Ambulance Corps is that most profound of assets— our own people. Ever since I began my association with this proud organization over three years ago, I have marveled at the expertise and dedication of my colleagues at Cetronia. Working with you has always been a very moving and enriching experience for me. That experience reached new heights when I had the privilege to address the General Membership at our meeting on December 12, 2007. More than 50 members attended that gathering and it was stirring to have so many of our own first responders in one place; the depth of EMS skill and dedication was energizing. Much of that energy was generated by 8 8 our Executive Director, Larry Wiersch and his extraordinary administrative team of Rick Dotter, Tina Fatzinger, Shawn McGovern, Michael Nagel, Chris Peischl and Michelle Seidel. In my regular line of work for Valley Preferred, we talk a lot about core competencies. Here at Cetronia, we are fortunate to have management leaders who have made the very term competency an understatement. I think the words “intense excellence” better describe the manner in which these individuals attend to their roles in Finance, Human Resources, Project Management, Operations and Marketing. The strong leadership position we enjoy and the planning necessary to maintain this position well into the future are largely due to the efforts of these inspired individuals. Our gratitude is also extended to members of our Board of Trustees. This past year after many years of valued service and counsel, Leon Rodenbach and Bob Flemming met the term limits of their trustee responsibilities. Re-elected to continue in trustee capacities were Charles Deprill, Walter Sanders and myself. And the newest member of the Board is Steven Ridgway. Being on the inside of this group, and having served on numerous Boards of other community and corporate organizations, I can assure you that the degree of experience and dedication of your Trustees is second to none. Your Management team and Board of Trustees are united in our work of planning to maintain the mantle of leadership for our organization as we forge into the future. We are ably guided by the specific expertise of our Board Committee members, as well as by the ongoing support of our general membership. My sincere thanks to all for the opportunity to work with you in building an organization that has truly earned the title of “Leader” in our field…and in our quest to protect and preserve the health of families throughout the communities we serve. Introducing Cetronia Ambulance Corps 2008 Board of Trustees John Bruno, D.O. Russell R. Clelland, CTP, CIA Charles Deprill James F. Dunleavy, CMA Bruce Ellsweig, M.D. Associate Medical Director Karen Ellsweig Gregory G. Kile Kevin G. Neiley Ex-officio Chair Dennis Pfleiger, RRT, NHA Steven Ridgeway Faith Ring, RN Richard J. Snyder Walter Sanders Larry A. Wiersch, Executive Director Ex-officio William Zajdel, D.O. Medical Director Robert Zentz 2007 Committee Overview Governance Committee Provides oversight and/or maintenance of: General Membership meeting process, perspective trustee interview process, yearly trustee election process, resolves matters of significant importance when the full Board of Trustees is unable to assemble, reviews and/or recommends Board conduct and assures By-law compliance. Gregory Kile Faith Ring Leon Rodenbach Walter Sanders Larry Wiersch Robert Zentz Internal & External Relations Committee Provides oversight and/or development of internal and external relations monitoring/communications, community outreach program development, inter-agency networking opportunities, community education program development and educational opportunities. Walter Sanders, Chair Charles Deprill Randy Hartrnaft Shawn McGovern Faith Ring Michelle Seidel Richard Snyder Larry Wiersch Planning & Development Provides oversight and/or maintenance of strategic focus/planning, technology/information systems development, business opportunities, capital acquisition development, marketing development and physical plant development. Robert Zentz, Chair James Dunleavy Gregory Kile Walter Sanders Michelle Seidel Larry Wiersch Performance Oversight Committee Provides oversight and/or maintenance of key performance indicators for the Compliance and Finance Committees Leon Rodenbach, Chair John Bruno, D.O. Bruce Ellsweig, M.D. Robert Flemming Kevin Neiley Dennis Pfleiger Larry Wiersch continued on page 10 9 9 2007 committee overview continued from page 9 Compliance Committee Responsible for billing compliance oversight, reviews HIPAA and compliance related charting issues and conducts quarterly internal audits. Introducing January’s Trustee Dr. Bruce Ellsweig Since 1998, Dr. Bruce Ellsweig has served on Cetronia Ambulance Corps Board of Trustees, as its Associate Medical Director. In 2008, Dr. Ellsweig will be recognized for 10 years of service to the organization. John Bruno, D.O., Chair Tina Fatzinger Jon Hoerner Shawn McGovern Brian Rabenold Sheila VanHorn Bob Walbert Larry Wiersch Finance Committee Holds fiduciary responsibility to the Board of Trustees, reviews monthly financial reports, suggests investment policies and develops strategic financial plans. Leon Rodenbach, Chair Rick Dotter James Dunleavy Robert Flemming Randy Hartranft Gregory Kile Kevin Neiley Richard Snyder Larry Wiersch Currently, Dr. Ellsweig has a private practice in Family Medicine located in Allentown. In 1970 Dr. Ellsweig received his BS in Chemistry from Ursinus College and in 1974 he earned his MD from Thomas Jefferson University Medical School. He serves as the Chairman of the following organizations: The Greater Lehigh Valley IPA, The Liaison Committee, The IPA/Payors for SIGNA, Blue Cross, United Health Care and Blue Shield Committee and The BucksMont Katrina Animal Shelter Committee. He also serves on numerous other Boards in the Lehigh Valley area. 2008 Board Committee Members New committee members for Board of Trustee committees will be assigned by the Board of Trustees at their January board meeting. The new committee roster will be reported in the February edition of the Cetronia Ambulance Corps Newsletter. Dr. Ellsweig received many awards over the years which include: The New York Festivals Silver Medalist which he received in 1993, he also received a video award for “Case Studies in Depression,” as well as an award for “Medical Consultant,” in which he was the writer and the director. He has also written several publications and has been featured in numerous video productions over the years. Cetronia Ambulance is pleased to have his experience and expertise on its Board of Trustees. Associate Suggestions Suggestion: Purchase Vending Machines outright. If approved, the bike team coordinator would take responsibility of ensuring the stocking, receipts, and acquisition of more supplies and any income can be distributed to the bike team to help offset cost. Outcome: A new vendor has agreed to take on our vending business for the immediate future. The idea can be revisited if we look to change our vendor in the future. Continued on page 14 10 Support Services by: Michael Nagel You’ll notice that blue office paper recycling bins have appeared at all of our stations. We now recycle shredded and whole office paper but beware of HIPAA! Patient-related documents must be shredded before disposal. These bins are for clean office paper only please, no cardboard, food wrapping or newspaper. Safety is a team sport! Snow removal and ice control at our facilities is the responsibility of the landlord, contractor or municipality, depending on the facility. Hazards can appear due to refreeze, particularly at night and there is also the occasional unexpected dusting. We have shovels, ice choppers and deicer at all of our facilities. If you see a potential problem, please take a moment to take care of it personally – your colleagues and our visitors will thank you. Be kind to your outdoor shore line! Please remember to coil and hang the unused shorelines at Stage 12. Left on the ground, they get frozen into the snow and then damaged by the snow plow. Unfortunately we have to try to plow the snow towards the shoreline side of the building – if we pile it to the west, it melts across the lot during the day and refreezes at night. Help keep our outdoor shorelines “in the clear.” Have a safe New Year! continued from page 7, safety corner roadside emergency scenes. The National Unified Goal is a move in the right direction to improve communication and coordination among responders, as well as urge drivers to slow down and move over when they pass emergency scenes.” Through the NUG, the leading national responder organizations pledged to work together to improve communication and coordination at crash scenes in order to minimize factors that can delay road clearance. In turn, the responders are asking motorists to slow down and move over when they approach traffic incident scenes, in order to reduce the number of responders injured and killed from being struck by passing vehicles while working at crash scenes, and to enable the responders to re-open travel lanes quicker. clearance. "Traffic congestion is one of the single largest threats to the nation's economic prosperity and way of life, and costs the United States an estimated $200 billion per year," Capka said. “Traffic incidents account for about one-quarter of all congestion on U.S. roadways. For every minute that a freeway travel lane is blocked during a peak travel period, four minutes of travel delay results after the incident is cleared. More efficient traffic incident management will reduce congestion and protect travelers and responders.” Learn more about the National Unified Goal at http://nvfc.org/files/ documents/2007proposednug207.pdf. Federal Highway Administrator J. Richard Capka congratulated NTIMC on its leadership in developing the National Unified Goal, and underscored the importance of safe, quick crash 11 January’s Puzzler 1 2 3 4 5 7 9 11 6 8 10 12 13 14 15 16 17 18 21 19 20 22 23 25 24 26 27 28 29 30 31 32 34 33 35 36 37 39 40 41 43 44 47 55 45 48 52 56 49 53 57 58 59 60 61 62 63 64 65 68 EclipseCrossword.com 12 50 54 67 42 66 46 51 38 Finance Across 2. 6. 8. 9. 11. 13. 16. 17. 19. 21. 23. 24. 25. 26. 28. 29. 35. 36. A dog sound Very hungry Pea containers Burning light Hair raising Gave away Male family members Defrauds Deer meat loom up Game place Frozen flakes Do over May Celebrant Information Coagulates Diet word Heavenly messenger 37. 39. 41. 43. 44. 45. 47. 50. 51. 52. 56. 58. 59. 61. 62. 63. 66. 67. 68. Champagne glass Edge Manger bedding Small fish Sheriff's star Eve's son Swerve Brain area Gas Acts on stage Mental pictures Tasteless Rental contract Consumed Box an item Departs Male hogs Apple insides Mistake by Rick Dotter North Whitehall Township, South Whitehall Township and Upper Macungie Township have enacted ordinances for the Local Services Tax (LST). This $52.00 tax, collected by the Parkland School District Tax Office becomes effective January 1, 2008. This tax is to be withheld in equal amounts on a per pay period basis, unlike the OPT or EMST, which this tax replaces. There is no applicable collection fee with regards to LST. If you have any questions regarding this change, please contact me directly at extension 519. Ring in the New Year 8. Down 1. 3. 4. 5. 7. 10. 12. 14. 15. 18. 20. 22. 25. 27. 30. 31. 32. Reach a high Float processions Fly As well Pronoun for a ship Puts on the stove Get away Treats for a dog Era Be afraid of Anger Memos Answers Desert water hole King of the beasts No partner College term continued from page 1 33. 34. 38. 40. 42. 46. 48. 49. 50. 53. 54. 55. 57. 60. 63. 64. 65. Tractor trailer A hole through Barely flowing Glossy Three feet Terrible Rainbow shape Animal hides Radio fan Rise above Positive about Animal with a rack Lodges Hears more than once Young fellow In addition Hurricane’s center Research. Study new ways to do your job, handle your problems, care for your patient’s, or complete your tasks. Then implement them!! 9. Do something nice for yourself. Think of something you really want to do for you, just you…and do it! 10. Check out nature and all of its’ beauty. Maybe it’s a hike, bike ride, car trip or cruise. No matter what it is, thank God you have the strength, ability, and freedom to see and do whatever you wish to do. Many can’t. So as you start the year, I challenge everyone to have a very Happy New Year and reflect on things that get you going. Whether you use my list or create your own, why not think about it? After all, it only takes a few minutes…..a few minutes that might just make your year start off right. Happy New Year! 13 Communications Center by: Bob Walbert Help us help you…. I am fortunate enough to have the ability to sit back from time to time and watch the flow of our system. While at times our system is flawless there are other times that things aren’t so easy. I’ve heard many of you clearly ask for information when you’re going to be late for calls. While our system doesn’t allow this to be automatic I’ve asked the Controller to get a message to you via pager when possible. I’ll ask each of you to please keep an eye on the pager, also the first part of the pager message is the Run# and the very next part is the scheduled pick up time. We receive telephone calls from doctors offices from time to time telling us that a patient is ready and when we tell them that we are scheduled for a certain time they say “we told the crew that the patient would be ready at such and such of time.” If you have a doctors office tell you a patient’s return time, please have them call us directly, (remember we have the business cards to hand out), or advise the Controller when you clear the call. Another area for improved communications between field providers and controllers is for field providers to be more specific in their requests. For example, just recently a field provider called into the communications center and requested to speak to an Operations Supervisor. The Operations Associate Suggestions supervisor was busy and unable to answer their cell phone at the time. A few minutes later the same crew called the communications center back and asked if another supervisor was available for them to speak to. To make a long story short, the crew was on scene with a bariatric patient and needed another unit as well as the bariatric litter. Remember, the controllers are there to assist crews for these types of requests and it is not necessary to speak to an Operations Supervisor in these types of situations. To be more efficient, it is important for both the controller and the field provider to share the “big picture.” So in the future let your controller know right away what additional resources you may need. As we are fresh into the HPEMS system one of the important factors in HPEMS is accurate times. As a friendly reminder our Comm. Center only has a scanner for the fire frequency’s, which is not very reliable. While it’s understood that you are required to move to Fire South or Fire North when on certain calls, remember that your status change needs to be updated with Cetronia Comm. for accuracy. Again this is not just for fire calls this is for all calls, so if you don’t hear the Controller acknowledging you, please verify to insure accuracy of times. If you have any suggestions to improve our day to day communications feel free to send me an email or stop by and visit. Welcome New Associates continued from page 10 Suggestion: Could we get our names and certifications put onto our work shirts so that other people in EMS or our patients have a better idea who we are and what our certification in EMS is? Outcome: Badges should be worn so that other responders and patients can see your level of certification and your name. As the dress code is reviewed in the future we will look into the addition of names on uniform apparel. 14 Kathleen Knight -Paramedic Joined the Cetronia team on November 30th Welcome Kathleen! Jeffrey Nutche - Paramedic Joined the Cetronia team on November 30th Welcome Jeffrey! On the lighter side of life… When things in your life seem almost too much to handle, when 24 hours in a day are not enough, remember this story. A professor stood before his philosophy class and had some items in front of him. When the class began, he wordlessly picked up a very large and empty mayonnaise jar and proceeded to fill it with golf balls. He then asked the students if the jar was full. They agreed that it was. The professor then picked up a box of pebbles and poured them into the jar. He shook the jar lightly. The pebbles rolled into the open areas between the golf balls. He then asked the students again if the jar was full. They agreed it was. The professor next picked up a box of sand and poured it into the jar. Of course, the sand filled up everything else. He asked once more if the jar was full. The students responded with a unanimous "yes." family, your children, your health, your friends and your favorite passions -- and if everything else was lost and only they remained, your life would still be full. The pebbles are the other things that matter like your job, your house and your car. The sand is everything else -- the small stuff. "If you put the sand into the jar first," he continued, "there is no room for the pebbles or the golf balls. The same goes for life. If you spend all your time and energy on the small stuff you will never have room for the things that are important to you." "Pay attention to the things that are critical to your happiness. Spend time with your children. Spend time with your parents. Visit with grandparents. Take time to get medical checkups. Take your spouse out to dinner. There will always be time to clean the house and fix the disposal. Take care of the golf balls first -- the things that really matter. Set your priorities. The rest is just sand." The professor then produced a couple of beers from under the table and poured the entire contents into the jar effectively filling the empty space between the sand. The students laughed. One of the students raised her hand and inquired what the beer represented. The professor smiled and said, "I'm glad you asked." "The beer just shows you that no matter how full your life may seem, there's always room for beers with friends." "Now," said the professor as the laughter subsided, "I want you to recognize that this jar represents your life. The golf balls are the important things -- your Have a happy New Year! Cryptogram Author: Anonymous submitted by: Teresa Szajkovics Author: Unknown 15 Have a safe and happy new year! 2008 Dates to Remember 2008 Staff Meetings February 12, 2008 May 20, 2008 September 9, 2008 National Volunteer Week April 27th—May 3rd Volunteer Dinner April 29th, 6:00 Location to be announced November 18, 2008 EMS Week All staff meetings will be held at the Broadway location Meeting Time: 6:00 pm May 18—24th General Membership Meeting December 9th Dinner : 6:00 pm Meeting: 7:00 pm Newsletter Ideas or Submissions? 7355 William Avenue, Suite 700 Allentown, PA 18106 www.cetronia.org 16 Email your suggestions or submissions for the Cetronia Ambulance Corps Newsletter to [email protected] The Leader in Emergency Medical Services, Transportation and Community Health Resources 16