Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 You are exactly right. We don’t do a good job of modeling proper behavior, not only as parents to our own children but as a society and truly I think one of the big problems is that there are too many lawyers (sorry, Wes and Gene). We know without a doubt that drunk driving is an epidemic in this country, but how many times have you heard this: “don’t drink and drive but if you do call (insert lawyer’s name here) I will get you offâ€. We try to establish sobriety check points and get shot down because we may violate someone’s rights, we hold “no refusal weekends†and the lawyers gripe that we are violating the drunk drivers rights to not self incriminate or submit to unreasonable search and seizure. I think it is sad that we have gotten to the point in this country that we are more concerned with not violating the rights of criminals and not protecting the rights of you and me and our loved ones to not be hit and killed by a drunk driver. Apologies for the negativity. Rick From: texasems-l [mailto:texasems-l ] On Behalf Of marilyn Sent: Thursday, June 03, 2010 2:55 PM To: texasems-l Subject: Re: Drive Safely - warning graphic violence I usually don't say anything on here, but do listen to all going on. This time I noticed something Rick said that shook my senses. He wrote: It is just hard to convince a 10 foot tall and bullet proof teenager " how right you are Rick! BUT, also my husband complains non-stop about the women that txt or talk while driving, then stop at the light and reach for make-up and brushes, lights turn and here they go applying lipstick and brushing their hair while talking on the phone. Then they speed in and out of two semi's because they don't like driving behind them. All the time having kids in the car. Think there could be a good video for that one too? Some might not be massive effective, but if just one single accident/injury/death could be avoided? Just one is very much worth it. All we have seen about DWI and DUI's causing injury and death, has it saved one - probably, has it stopped it, never. But, is it a good thing to show this to teenagers, They need to see it, they need to hear about, they need to hopefully prevent it from involving them. EMS folks are the ones that have to go when called and see what should never have happened, EMS folks live with what they see that most never will. It sinks in to the EMS folks, it needs to sink into everyone and be available to seen by everyone. Thank you for letting my two cents worth of thoughts out. Marilyn Ollarzabal, Director CCAT, CPAT, CMRS, RMC CLAIMS ACTION Re: Drive Safely - warning graphic violence I'm not so sure these have affect or at least the wholesale affect that we tend to think they do. Sadly the target audience is so use to graphic blood and gore on TV, in movies and such they see through these or at least I sense that they do. Are there any empirical studies showing these work in one way or another? I'd love to think they do have some affect but I just think that the kids of at least the past two generations are so use to seeing these things and the news too that they get numb in a way. Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) In a message dated 6/3/2010 9:53:52 A.M. Central Daylight Time, PRECEPTER@... writes: No Joke,,,,,,,, wow excellent for young drivers Eddie Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Don, I apologize if I came off sounding like I was trying to blast any programs. My point is that we need to take the time to do our homework to see if what we are doing is evidence based. As mentioned in a different post on this topic, CDC as well as SAMSHA (and I believe NIH) having information on programs that are evidence based as being effective or promising. I'm sure there is also research into other commonly done programs that can tell if they are or aren't effective. This is the standard that I know our program has used for the past decade when deciding on new programs, activities, curriculums, etc. Is there evidence there to support doing it and is it the right program to accomplish " X " goal with " Y " population? The " feel good " aspect is to respect that there are times when the " politics " and " public relations " value requires us to do things that are basically a " feel good " activity. For example, the research has shown that for changing health behaviors the act of passing out brochures and talking to people at health fairs is pretty much useless. Those brief interventions are not enough to create a behavior change. However, there are times when it's expedient to do a health fair because it's a pet project of those who approve your budgets or because it's a tool to build the relationships you need to get your foot in the door. Therefore, while the health fair is not evidence based for the overall outcome, it is a useful tool that will get you towards that outcome. The key is to what outcome you are trying to accomplish and does that outcome warrant the investment of time, money, etc. Barry Sharp, MSHP, CHES Tobacco Prevention & Control Program Coordinator Substance Abuse Services Unit Mental Health and Substance Abuse Division ________________________________ From: texasems-l [mailto:texasems-l ] On Behalf Of Don Elbert Sent: Thursday, June 03, 2010 3:35 PM To: texasems-l Subject: Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> lnmolino@... > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, barry.sharp@... writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Don, I apologize if I came off sounding like I was trying to blast any programs. My point is that we need to take the time to do our homework to see if what we are doing is evidence based. As mentioned in a different post on this topic, CDC as well as SAMSHA (and I believe NIH) having information on programs that are evidence based as being effective or promising. I'm sure there is also research into other commonly done programs that can tell if they are or aren't effective. This is the standard that I know our program has used for the past decade when deciding on new programs, activities, curriculums, etc. Is there evidence there to support doing it and is it the right program to accomplish " X " goal with " Y " population? The " feel good " aspect is to respect that there are times when the " politics " and " public relations " value requires us to do things that are basically a " feel good " activity. For example, the research has shown that for changing health behaviors the act of passing out brochures and talking to people at health fairs is pretty much useless. Those brief interventions are not enough to create a behavior change. However, there are times when it's expedient to do a health fair because it's a pet project of those who approve your budgets or because it's a tool to build the relationships you need to get your foot in the door. Therefore, while the health fair is not evidence based for the overall outcome, it is a useful tool that will get you towards that outcome. The key is to what outcome you are trying to accomplish and does that outcome warrant the investment of time, money, etc. Barry Sharp, MSHP, CHES Tobacco Prevention & Control Program Coordinator Substance Abuse Services Unit Mental Health and Substance Abuse Division ________________________________ From: texasems-l [mailto:texasems-l ] On Behalf Of Don Elbert Sent: Thursday, June 03, 2010 3:35 PM To: texasems-l Subject: Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> lnmolino@... > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, barry.sharp@... writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Barry, Somebody, on another list I think, mentioned a while ago that most of the trash in the trashcans outside emergency departments consists of discharge instructions. GG Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> lnmolino@... ; > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, barry.sharp@... ; writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... ; (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 4, 2010 Report Share Posted June 4, 2010 Barry, Somebody, on another list I think, mentioned a while ago that most of the trash in the trashcans outside emergency departments consists of discharge instructions. GG Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> lnmolino@... ; > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, barry.sharp@... ; writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant LNMolino@... ; (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2010 Report Share Posted June 5, 2010 I have seen them discard the discharge instructions, and then complain that they were never given any instructions to take home when they filled out their Press Ganey form.... ck In a message dated 6/5/2010 05:25:21 Central Daylight Time, wegandy1938@... writes: Barry, Somebody, on another list I think, mentioned a while ago that most of the trash in the trashcans outside emergency departments consists of discharge instructions. GG Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> _lnmolino@..._ (mailto:lnmolino@...) ; > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, _barry.sharp@..._ (mailto:barry.sharp@...) ; writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant _LNMolino@..._ (mailto:LNMolino@...) ; (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) [Non-text portions of this message have been removed] =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: _http://www.etmc.org/mail/_ (http://www.etmc.org/mail/) Thank you. =========================================================== [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 5, 2010 Report Share Posted June 5, 2010 I have seen them discard the discharge instructions, and then complain that they were never given any instructions to take home when they filled out their Press Ganey form.... ck In a message dated 6/5/2010 05:25:21 Central Daylight Time, wegandy1938@... writes: Barry, Somebody, on another list I think, mentioned a while ago that most of the trash in the trashcans outside emergency departments consists of discharge instructions. GG Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> _lnmolino@..._ (mailto:lnmolino@...) ; > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, _barry.sharp@..._ (mailto:barry.sharp@...) ; writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant _LNMolino@..._ (mailto:LNMolino@...) ; (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) [Non-text portions of this message have been removed] =========================================================== This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this message is strictly prohibited. If you received this message in error, or are not the named recipient(s), please notify the sender and delete this e-mail from your computer. ETMC has implemented secure messaging for certain types of messages. For more information about our secure messaging system, go to: _http://www.etmc.org/mail/_ (http://www.etmc.org/mail/) Thank you. =========================================================== [Non-text portions of this message have been removed] [Non-text portions of this message have been removed] Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 7, 2010 Report Share Posted June 7, 2010 Press Ganey asks about home care instructions, not discharge instructions. Patients do not seem to understand the two are synonymous. We changed our scripting on discharge to call it that so when they get their survey they know what Press Ganey is asking about. From: texasems-l [mailto:texasems-l ] On Behalf Of krin135@... Sent: Saturday, June 05, 2010 11:06 AM To: texasems-l Subject: Re: Drive Safely - warning graphic violence I have seen them discard the discharge instructions, and then complain that they were never given any instructions to take home when they filled out their Press Ganey form.... ck In a message dated 6/5/2010 05:25:21 Central Daylight Time, wegandy1938@... writes: Barry, Somebody, on another list I think, mentioned a while ago that most of the trash in the trashcans outside emergency departments consists of discharge instructions. GG Re: Drive Safely - warning graphic violence Sounds good Lou....What proof? Are you or Rick or Barry saying there is true proof that DWI programs for high-schoolers have no value? Just wondering. Maybe there is - I'd like to know actually...... I ONLY offered my thought that there is skepticism but see no reason to discontinue these programs and 3 guys jump on it with one asking if I believe in evidence-based medicine and another with a comparison to doing things only because they " feel-good " . What? There's a big difference between skepticism and evidence. Do you guys sit at your desks all day just waiting on someone to post a comment/opinion so you can shoot holes in it? Do you know what presumptuous means? Argumentative? It's why a lot of good folks say they stay away from this listserve. I see what they mean. >>> _lnmolino@... _ (mailto:lnmolino@... ) ; > 6/3/2010 3:08 PM >>> In a message dated 6/3/2010 2:52:01 P.M. Central Daylight Time, _barry.sharp@... _ (mailto:barry.sharp@... ) ; writes: Maybe they are only good as a public relations activity that promotes the agency as " good guys " . Then you have to decide if the " good guy " feeling is worth the costs of doing the activity. Yet even in the face of PROOF where things do or likely do (forget the MAY word) we see things done in the name of " it feels good " and that just isn't right! Louis N. Molino, Sr., CET FF/NREMT-B/FSI/EMSI Freelance Consultant/Trainer/Author/Journalist/Fire Protection Consultant _LNMolino@... _ (mailto:LNMolino@... ) ; (Cell Phone) " A Texan with a Jersey Attitude " " Great minds discuss ideas; Average minds discuss events; Small minds discuss people " Eleanor Roosevelt - US diplomat & reformer (1884 - 1962) Quote Link to comment Share on other sites More sharing options...
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