Question

How can we respond to the network expectations regarding the responsiveness of our 2a-team EMSI

Problem description

Regarding the demand for an intensive engagement for crisis management, our team is facing both the risk that the care demander doesn’t feel heard and the risk of an urgency response to the demand

Impact - effect

The expectations of the network resulted in a practice that doesn’t (always) allows to differentiate an urgent response, to prepare a first contact, to overlook a few things before leaving the office

To do

To explore:

- Distinguishing urgency and sense of urgency

- Co-reflexion with the care demander, by telephone, in order to prepare a first contact.   Think with several people around the telephone, use the speakerphone for example

- For ex. a co-intervention with the treating doctor, before leaving the office

- Start with a hypothesis of the crisis, have a framework prepared about best and worst case scenario

- Reinforce the support to present carers (prof. and non-professionals), return the competencies

- Maintain visits by EMSI in pairs

- Consider the crisis as moment of looking for present and potential resources in the environment of the user (“field of possibilities”)

- A relay to EMSI, after being admitted to a hospital emergency unit, may prove to be a resource for the emergency services and permits to maintain the second line function of EMSI

- Increase the time of medical presence within the team

Theme

Starting up and further development/deployment of mobile teams

Topic

critical success factors for starting up and further development/deployment

Reference -  contact

Nicolas Berghe, Dr Virginie Jeanmart

Mobile team

2a

Project

Hainaut Occidental

local support - expert

Frédéric Mauriac

Date

September 2014