EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.
Issue link: https://emsworld.epubxp.com/i/285693
are opportunities to learn and improve from versus issuing punish- ment and cover up should be encouraged. The RAA system is derived from the Aviation Safety Reporting System (ASRS), which itself was based on the NASA system where voluntarily submitted incident reports are collected and analyzed from dispatchers, pilots, flight attendants, maintenance technicians and others related to unsafe practices, occurrences and hazardous situations. 3 Sustainment Continuous reinforcement is a feature to RAA operations. Many agencies put out information about safe driving during inclement weather or other unusual situations. RAA regularly reinforces the importance of safe vehicle operation. The use of field operation supervisor talking points, SRD e-mail updates, time clock login messages, RAA's daily news item Word on the Street, and daily operational coordination messages contribute to management's support of the concept. Maintenance and Truck Design RAA views the ambulance as the providers' "office" for at least 12 hours a day. Employees need to be as comfortable and happy as possible—along with safe and skilled—while they provide world- class EMS. The fleet maintenance section's primary objective is to supply field crews a mechanically sound and mission-ready vehicle. Regular preventive maintenance and prompt repairs keep the fleet readiness at optimal levels. Having a ready fleet allows the vehicle operator to concentrate on getting to a call instead of worrying if the brakes are going to work. Each vehicle is on a miles-based maintenance schedule based on engine type. Routine service includes a standard oil and filter change. The mechanics also do a comprehensive bumper-to-bumper inspection looking for any unusual wear and tear. At the first sign of any issue major component replacement is completed. Not all vehicles wear or age at the same rate and this is why problems should be identified in the shop and not while the ambulance is on duty. Employees are encouraged to participate in committees created to benefit aspects of their job. Vehicle design and layout is no excep- tion. The fleet manager has used information solicited from field crews in the design and refurbishment of RAA vehicles. The end user VEHICLE OPERATIONS 888.448.1238 | AironUSA.com pNeuton ™ model S CPAP with ventilation MACS ™ Stand-alone CPAP MACS is a stand-alone CPAP system, pNeuton model S ventilator has CPAP with ventilation 1. Both are portable, afordable CPAP devices for critically ill patients 2. 45-minute CPAP run time on a D cylinder 3. Extremely low operating cost per patient 4. Calibrated CPAP and oxygen controls for easy operation 5. 100% or 65% to match patient oxygen requirements 6. Low-prof ile, easy-seal mask to reduce facial pressure 7. Monitor CO 2 with invasive/non-invasive ventilation 8. Fill in-line medication nebulizer without losing CPAP 9. Oxygen powered – no batteries 10. Provide non-invasive positive pressure ventilation (NIPPV) with the pNeuton S Critical care CPAP with ventilation or without. It's your choice. reasons why EMS professionals prefer CPAP from Airon 10 pNeuton ™ mini Neonate to pediatric ventilator with nCPAP New! For More Information Circle 36 on Reader Service Card Regular servicing and maintenance ensures all fleet assets are both mission-ready and safe. 34 APRIL 2014 | EMSWORLD.com EMS_26-36_CoverReport0414.indd 34 3/13/14 2:40 PM