Miami County EMS

1
(No Transcript)
2
Miami County EMS Our Code

• Jason M. Jenkins
• Chief

3
Objectives

• Have a working knowledge of the EMT Oath
• Have an understanding of the EMT Code of Ethics
• Understand the Miami County EMS Mission statement
• Be familiar with Our Code at Miami County EMS
• Work through some scenarios that have moral and
  ethical dilemmas

4
Morals

• Where do they come from?
• What determines if they are right or wrong?
• Can someone change your morals?

5
Morals

• of, pertaining to, or concerned with the
  principles or rules of right conduct or the
  distinction between right and wrong ethical
• founded on the fundamental principles of right
  conduct rather than on legalities, enactment, or
  custom

6
Ethics

• Can someone change your ethics?
• Where do your ethics come from?
• Whats the difference between an ethic and a
  moral?

7
Ethics

• the rules of conduct recognized in respect to a
  particular class of human actions or a particular
  group, culture, etc.
• moral principles, as of an individual His ethics
  forbade betrayal of a confidence.

8
EMT Oath

• Be it pledged as an Emergency Medical Technician,
  I will honor the physical and judicial laws of
  God and man. I will follow that regimen which,
  according to my ability and judgment, I consider
  for the benefit of patients and abstain from
  whatever is deleterious and mischievous, nor
  shall I suggest any such counsel. Into whatever
  homes I enter, I will go into them for the
  benefit of only the sick and injured, never
  revealing what I see or hear in the lives of men
  unless required by law.

9
EMT Oath

• I shall also share my medical knowledge with
  those who may benefit from what I have learned. I
  will serve unselfishly and continuously in order
  to help make a better world for all mankind.

10
EMT Oath

• While I continue to keep this oath unviolated,
  may it be granted to me to enjoy life, and the
  practice of the art, respected by all men, in all
  times. Should I trespass or violate this oath,
  may the reverse be my lot. So help me God.

11
Code of Ethics

• Professional status as an Emergency Medical
  Technician and Emergency Medical
  Technician-Paramedic is maintained and enriched
  by the willingness of the individual practitioner
  to accept and fulfill obligations to society,
  other medical professionals, and the profession
  of Emergency Medical Technician. As an Emergency
  Medical Technician-Paramedic, I solemnly pledge
  myself to the following code of professional
  ethics

12
Code of Ethic

• A fundamental responsibility of the Emergency
  Medical Technician is to conserve life, to
  alleviate suffering, to promote health, to do no
  harm, and to encourage the quality and equal
  availability of emergency medical care.

13
Code of Ethic

• The Emergency Medical Technician provides
  services based on human need, with respect for
  human dignity, unrestricted by consideration of
  nationality, race, creed, color, or status.

14
Code of Ethic

• The Emergency Medical Technician does not use
  professional knowledge and skills in any
  enterprise detrimental to the public well being.

15
Code of Ethic

• The Emergency Medical Technician respects and
  holds in confidence all information of a
  confidential nature obtained in the course of
  professional work unless required by law to
  divulge such information.

16
Code of Ethic

• The Emergency Medical Technician, as a citizen,
  understands and upholds the law and performs the
  duties of citizenship as a professional, the
  Emergency Medical Technician has the never-ending
  responsibility to work with concerned citizens
  and other health care professionals in promoting
  a high standard of emergency medical care to all
  people.

17
Code of Ethic

• The Emergency Medical Technician shall maintain
  professional competence and demonstrate concern
  for the competence of other members of the
  Emergency Medical Services health care team.

18
Code of Ethic

• An Emergency Medical Technician assumes
  responsibility in defining and upholding
  standards of professional practice and education.

19
Code of Ethic

• The Emergency Medical Technician assumes
  responsibility for individual professional
  actions and judgment, both in dependent and
  independent emergency functions, and knows and
  upholds the laws which affect the practice of the
  Emergency Medical Technician.

20
Code of Ethic

• An Emergency Medical Technician has the
  responsibility to be aware of and participate in
  matters of legislation affecting the Emergency
  Medical Service System.

21
Code of Ethic

• The Emergency Medical Technician, or groups of
  Emergency Medical Technicians, who advertise
  professional service, do so in conformity with
  the dignity of the profession.

22
Code of Ethic

• The Emergency Medical Technician has an
  obligation to protect the public by not
  delegating to a person less qualified, any
  service which requires the professional
  competence of an Emergency Medical Technician

23
Code of Ethic

• The Emergency Medical Technician will work
  harmoniously with and sustain confidence in
  Emergency Medical Technician associates, the
  nurses, the physicians, and other members of the
  Emergency Medical Services health care team.

24
Code of Ethic

• The Emergency Medical Technician refuses to
  participate in unethical procedures, and assumes
  the responsibility to expose incompetence or
  unethical conduct of others to the appropriate
  authority in a proper and professional manner.

25
Our Mission

• To provide emergency medical services
  commensurate with the expertise of its Medical
  Director, the staff of the EMS and the facilitys
  resources. These services will be provided to
  all patients, regardless of their ability to pay.

26
Our Mission

• Develop relationships with other EMS providers to
  assure continuity of care to patients who cannot
  or should not be treated by Miami County EMS, to
  insure that the countys emergency medical health
  needs are met.

27
Our Mission

• Evaluate, on a continuous basis, the changing EMS
  system and the countys appropriate role in terms
  of quality, cost, and access.

28
Our Mission

• Miami County EMS through the County Commission,
  Chief, and Staff shall, on continuing basis,
  establish goals and objectives consistent with
  this stated mission.

29
Scenario 1

• Your unit is dispatched to a MVC. Upon arrival
  your patient requires extrication out of the
  vehicle. She is AO x3 and is stable. The
  patient is in possession of her purse, and SO
  requests you obtain her drivers license. In the
  purse you see a bag of weed. Do you tell the
  Sheriffs Department?

30
Our Code

• EMS will challenge you on its personal and
  professional level. The intent of Our Code is
  to help guide the employees through some of those
  challenges. Our Code is advice that has been
  learned the hard way, through trial and
  errorsuccess and failure. Be wise enough to
  learn from others.

31
Our Code

• The success you experience at Miami County EMS
  will depend on how well you understand the
  elements in this presentation and apply them to
  your personal and professional life.

32
Keep your ego in check

• Maybe youre nice enough. But why do you
  struggle to fit in? A common culprit is ego.
  Beware of the following rapport ruining
  behaviors

33
Playing topper.

• When someone tells a funny anecdote, dont rush
  to top it. Example Joe discusses his kids
  soccer game. You pipe up and brag about how your
  kid scored the winning goal last weekend.

34
Lecturing

• A co-worker shares his struggles trying to master
  a new skill. You should nod and empathize, but
  instead you interrupt to give unsolicited advice.
  Even if youre an expert and youre itching to
  chime in, wait until someone asks for help.

35
Taking yourself too seriously

• A good natured colleague gently jokes about a
  mistake you made. Dont take offense or defend
  yourself. Laugh along. Its OK.

36
Rid yourself of labels

• Your colleagues label everyone from the the bean
  counters to the paper pushers. Dont join in.
  Refer to each department by name (finance,
  human resources) without the cute moniker. You
  never know whos going to take offense.

37
Acknowledge your mistakes

• everyone makes mistakes. Sometimes we say things
  that can be taken wrong or unintentionally hurt
  someones feelings. The simple fix is to
  acknowledge it and say youre sorry and mean it.
  This will demonstrate maturity and character.

38
Wait until the right time to provide input

• when you have an idea, realize that it might not
  be the right time to share it. If it makes
  someone else look bad in front of a group or
  translates into you looking like a Know-it-All,
  the best course is to wait until another time or
  bring it up with your Lieutenant or Battalion
  Chief in private.

39
Follow the Chain-of-Command

• Miami County EMS operates with a
  chain-of-command. That means that official
  requests or reports move through the department
  in a logical sequence from one rank to another.
  There are informal means of communicating ideas
  or suggestions within the department by casual
  conversations with the Chiefs. Regardless of the
  idea, it will undoubtedly flow through the
  chain-of-command or flow through a committee
  review process.

40
You are your Brothers Keeper

• In this profession you are expected to look out
  for your counterparts. You are expected to be
  honest and demonstrate integrity. Integrity is
  following through on what you say you will. You
  will lose respect within the department if you
  dont practice integrity everyday.

41
Spend your working hours

• Talking about golf will probably not make you a
  better EMT or Paramedic.

42
There are three rules that supersede all other
rules

• 1) Do right
• 2) Treat Others Like You Would Like To Be Treated
• 3) Do Your Best
• You will be held to these without exception by
  those you work with.

43
Know what is expected of you

• do it, and then do a little more than what was
  expected.

44
Learn something new everyday

• Those that have been in EMS for over 28 years at
  times feel that they have just scratched the
  surface of the knowledge required to be great in
  EMS. Always learn something new every chance you
  get.

45
If it doesnt have your name on it

• LEAVE IT ALONE

46
Read everything

• you find about EMS, listen to advice and war
  stories from fellow EMTs and paramedics, and
  observe everything around you at a call or
  accident scene. Remember what works and what
  does not.

47
Dont leave dishes in the sink

• Youre mother should have taught you better.
  Also, pick up after yourself. The reputation of
  a slob is hard to discard.

48
Shine

• your shoes

49
An EMT/Paramedic

• should be able to trust you with his life, his
  wife, and his money. Violate any one of them and
  youre done.

50
Its better to give than receive

• Help a co-worker out when you can, but dont
  expect much in return. EMS folks like most
  people will soon forget a favor received, until
  they need you again. Just enjoy the good feeling
  of helping others, thats why you are in the
  business.

51
Regardless of what happens

• be reliable. Show up when you say you will.
  Work for someone when you say you will. Carry
  through with your commitments to others. You may
  get by with letting people down once or twice,
  but it will be no secret on the job as to your
  reliability.

52
Pay back anything thats owed

• whether you owe time, money, or a favor pay it
  back. You will damage your character and look
  dishonest if you blow off a commitment or a debt.

53
Practice good hygiene

• In EMS we all live together and there is nothing
  worse than living next to someone who doesnt
  bathe and quite frankly, smells.

54
When you need help

• ask for it. Whether its personal or a
  professional dilemma you are experiencing, odds
  are you are working with someone who has already
  been there. Your officers and co-workers can be
  a great resource, but you have to let them know.

55
Nobody likes a complainer

• Another good term for this in EMS is a whiner.
  The best way to isolate yourself and to
  demonstrate a flawed character is to complain
  about everything the pay, the hours, the
  station, the food. It wont take you long to
  earn what you deserve if you engage in whining.

56
Youre not better than anyone else

• As much pride as EMS has, the bottom line is, we
  are public servants. We work for those who live
  in our community. Your chest should swell with
  pride, but it should be pride in providing a
  caring and compassionate service.

57
Demonstrate respect

• for the symbols of the department and wear your
  uniform with pride. Be proud of who you are and
  the organization you are part of. Be respectful
  towards any retiree, they spent a lifetime
  earning the publics trust that you now enjoy.

58
The job of an EMT/Paramedic

• is important, but so are your lifelong
  relationships. Take care of your mate and kids
  and come to work ready to perform heroic deeds
  and undertake courageous endeavors that very few
  people will ever get the opportunity to
  experience. However, for the safety of everyone,
  you have to have your head in the game.

59
Nobody likes a slacker

• When new, every job is your job unless it is
  assigned to someone else. You should be the
  first one up and the last one to sit down when
  there is work to be done. Doing so will gain you
  respect and increase your influence.

60
You will be defined

• by the habits you practice. If you have a spare
  minute, do you spend the time reading the paper,
  working the crossword, or studying the streets.
  If you develop good study habits and put in the
  time necessary to be thoroughly knowledgeable in
  your job you will reap the accolades of your
  co-workers and supervisors. If you are known as
  someone who has to be pushed to study, you will
  be widely known for that also.

61
Not following orders

• and going your own way will cost you your career.

62
Be careful

• of what you do or say. This is how you will be
  remembered for the rest of your career.

63
Its very tough to understand

• what someone is telling you with your mouth
  running.

64
Read. Read. Read.

• Never stop learning.

65
Go at this job like it was your calling

• Doing less is obvious to those you work with.

66
When training

• listen to what is being taught. Its being
  respectful to the instructor, which will be you
  some day.

67
Dont sit

• in any Chiefs chair

68
There are only a handful of jobs

• when you truly have peoples lives in your hands.
  This though should be on your mind when training
  and preparing yourself to do whatever is asked of
  you.

69
Represent this department

• with pride whenever attending training or
  conferences. Acting like an idiot will get you
  fired.

70
Be respectful to those with rank

• around the public use their rank in addressing
  them.

71
If you have a question

• ask it. Its better to know than to not know and
  get caught short. There are no dumb questions.
  Someone else is probably thinking it too, look
  like the smart one for asking it!

72
Good hearted joking

• around the station is one thingits a totally
  different thing to get into belittling someone or
  trying to raise your own stock by devaluing
  others. Realize it for what it is and dont join
  in.

73
Treat the stations

• as if they were your home it is. Turn off the
  lights. Clean up after yourself, and double
  flush if you need to.

74
If you want a raise

• earn it

75
Dont put toast crumbs

• back in the butter dish

76
Being good at something

• is no accident. To excel in any field you must
  practice in situations that are as realistic as
  possible, only then can you find out where your
  weaknesses are.

77
The best

• never quit looking for ways to get better

78
Bring your own soap

• Use your own towel. Whats the last thing you
  wash? Me too, and you just washed your face.

79
If you know--Teach

• If you dont, listen and learn.

80
Never put yourself

• above your crew, station, or team.

81
Have a plan

• No matter where you are in your career have a
  plan. Too often we are reactive, without
  planning you are always playing catch-up.

82
Look for ways

• to make the job safer, easier, faster,
  anythingJust because thats how weve always
  done it doesnt make it the best way possible.

83
Live without regrets

• you never know when the opportunity to mend could
  be gone forever.

84
Find a way!

• Too often we find ourselves saying, I wish I
  couldI wish I wasI sure would like toI dont
  think I can If we said instead, I willIm
  going toI can youd find yourself standing at
  your goal.

85
Bring money to work

• Pay your food bill.

86
Leave your cell phone turned off

• during the day especially during classes and
  training. Use your voice mail to return calls at
  an appropriate timeduring training is NOT that
  time.

87
Avoid complacency

• Dont start off your career going full blast,
  then slack off because you have the badge.

88
Be the first one

• in line when a supervisor asks for volunteers to
  do something.

89
Attend all schools and classes

• you can. The more knowledge the better you will
  be.

90
Learn from the classes

• Do not simply attend. Someone has put a lot of
  effort into preparing and teaching the class.
  Respect the effort.

91
The old saying

• first impressions last forever is very true.
  Be yourself, be honest, and be prepared to play
  the new guy game.

92
Never think you know it all

• It makes you look silly and immature.

93
Both ends of a generation gap

• Have something to learn from the other.

94
Respect the age and experience

• of older EMS people. You can benefit greatly
  from their insights.

95
Choose your heroes carefully

• Who you associate with and who you choose to
  emulate will speak loudly for who you are.
  Choose poorly, and you will be remembered that
  way.

96
Although retirement

• seems so far away, make decisions now that will
  afford you comfort in 30 years. Recognize you
  start investing in KPF today and treat sick
  leave as something sacred. You never know when
  the need will arise for an extended use of sick
  leave.

97
If it stinks

• Wash it.

98
Its never a bad

• thing to buy too much food, but its always a bad
  thing to buy too little.

99
Set high standards for yourself

• Dont be coerced into keeping secrets or covering
  up bad behavior or poor performance. If you do,
  you become involved in a conspiracy. Not a place
  to be it never ends well.

100
If someone on the job needs help moving,

• with projects, or suchand you have the
  timevolunteer to help them. It will be repaid
  in spades.

101
What happens here

• This is your primary job. Day off jobs are just
  that. Dont get them confused or reversed.

102
Always remember

• that in the eyes of many (especially children),
  we are heroes. Wear the title well. It is our
  duty to continue this tradition and our
  obligation to retain this designation for those
  that follow us. We can do this by acting
  appropriately and professionally, while on and
  off duty.

103
The most popular person

• In the world is the hard-worker. In every
  country and every culture a hard-worker is
  appreciated and will always be accepted. Not all
  people will warm up to the most intelligent, or
  the best looking, or the wealthiest, but a
  hard-worker is welcomed in any circle.

104
Dont mess with anything relating to trade time!

• In theory only a third of the cant be missed
  graduations, funerals, and birthday parties, etc.
  should fall on our off duty days. However, by
  some mysterious quirk of the universe about two
  thirds of them actually do. This job would be
  miserable without trade time, so be a good trade
  partner. When youve agreed to work for someone,
  show up! If you owe someone time, work it back
  willingly. Dont do anything to cause management
  to question our trading policy!

105
If you have something

• that bothers you like flatulence, swearing,
  certain music, or the middle being taken out of
  the new cake, dont tell anyone. Everyone will
  do it just to get your goat. So dont tell, or
  have some thick skin, which isnt a bad thing to
  have anyway.

106
Scenario 2

• You are dispatched to the scene of a cardiac
  arrest. Upon arrival you find a 24 y/o male in
  cardiac arrest. Your protocol states to work the
  code for 20 minutes and to stop any further
  efforts. It is a winter day, roads are snow
  covered, and the hospital is 30 minutes away.
  You prepare to call the code, and tell the
  mother about your plan of action. She becomes
  very emotional and wants you to transport him.
  What do you do?

107
Whenever possible

• Handle minor internal disputes and problems at
  your own level. As an EMT/Paramedic you find
  that the off going shift is leaving a lot of
  stuff sitting around, handle the matter in a
  mature manner with your counterparts on that
  shift. The likelihood of a problem being
  resolved in a quick fashion with minimal hurt
  feelings, is inversely proportional to the number
  of bars on the collar being brought to bear on
  said problem.

108
Always strive

• to be First to work, First to start cleaning,
  First to the truck, First to start training,
  First to do the dishes, and the First one up in
  the morning.

109
Always strive

• To be Last to finish cleaning, Last to finish
  training, Last one to get your food, and the Last
  one to do your laundry.

110
The New Guy game

• You will always be the new guy at the station
  until someone with less time is stationed with
  you. You may still be the new guy after being
  on the job several years. Your day will come
  when you are no longer the new guy and it will
  be someone elses turn.

111
Use sick leave only

• when youre truly sick or helping your family
  with sickness. Youre not fooling anyone if you
  abuse it. If you have a serious event, you will
  be glad you have some to draw upon.

112
There is no rule

• that says the last piece of cake has to be
  divided 32 times before someone washes the pan.

113
Dont use every pan

• in the kitchen if you cook. You clean items as
  you work.

114
Support others in time of crisis

• A kind word. Thoughtful listening. And, empathy
  will demonstrate your character.

115
The only thing EMS workers

• can steal from other shifts is food (this is
  called borrowing, except its hard to return
  lasagna).

116
Look for the best traits

• in everyone and make them your own.

117
Never talk behind someones back

• It makes you look small and odds are those same
  people youre sharing things with will soon be
  sharing things about you with others. Its
  disloyal and petty behavior.

118
You will buy ice cream,

• if youre in the newspaper!

119
All work and no play

• makes you old. Enjoy the job and those you work
  with. Work when youre supposed to, play when
  you can fit it in.

120
Your health

• is the most important thing you have. Protect it.

121
The Unwritten

• Professional Advice

122
If you become lost

• in a train wreck call, STOP. Gain control of
  your thoughts, and your breathing develop a plan
  and execute it.

123
Its OK to feel panicky

• Anyone can feel that way at any time. Whats not
  OK is to act that way. If you feel panicked
  STOPthink how you were trainedand do that.
  Fall back on your training. It will save you.

124
Stay in voice

• and visual contact with crew members. Do not
  go it alone.

125
Check your equipment

• Each time you check a truck, check to see that
  its all there and in good condition. Cutting
  corners in checking your equipment endangers your
  life as well as the others on your truck. Dont
  do it. You lose respect and become unreliable.
  That tag is not easy to overcome. Check the
  compartments for missing equipment, it may just
  refresh your memory of where items are.

126
Each morning

• after you put your gear on the truck and check it
  over, report to your Battalion Chief that the
  unit is ready to go. Management will
  appreciate it and it demonstrates that youre
  responsible. Dont fake it. Dont report
  something you havent done, you will eventually
  be found out.

127
Avoid pathogen exposures

• Always wear your gloves and eye protection. Be
  consistent in this and management will notice.

128
Always wear your seatbelt

• In the unit youre driving. Its department
  policy and just makes good sense. How many lives
  have you seen that were saved by seatbelts?

129
Wait for help

• in lifting heavy loads or patients. Back
  injuries can produce a life time of pain and end
  careers. No one has to injure themselves. If
  there is a question in your mind whether or not
  something is too heavystopask for some help.
  Thats why we work together.

130
If youre hurt, injured,

• or reached your fatigue point, tell your
  Battalion Chief. The worst thing you can do is
  compound an emergency by becoming a patient
  instead of a rescuer.

131
Maintain your

• Situational awareness. If youre in trouble
  ask for help quickly.

132
Using your nose

• to identify chemicals only shortens your life and
  your career.

133
You can kick your way

• through sheetrock walls into an adjoining space
  if youre trapped.

134
Never go into an emergency

• scene empty handed. Carry something that would
  be of value.

135
We cant save everyone

• we just provide them the best chance to survive.

136
Never don what you are

• going to wear on the way to an emergency without
  your seatbelt on. Dress before you respond or
  after you arrive.

137
When on the street

• or next to a highway, stay out of the traffic
  lane. Do not assume other drivers will see you.
  Wear your vest!

138
If youre working on the roof

• Look up.

139
Practice controlling

• yourself. Realize you didnt create the
  emergencies and we have prepared you to deal with
  them. You have to get control and calm yourself.
  

140
If you worked for another department

• nobody cares how they did it there. Make
  constructive suggestions at the right time and in
  the right place.

141
No where on your job description

• did it list human sacrifice as a job
  requirement. Operate so that everyone goes home.

142
After the call

• be eager to begin getting ready for the next one.
  Demonstrate your work ethic and determination to
  get the job done. Everyone wants to go home ASAP.

143
When people die

• stay focused on your job. Its OK to get
  tearyit only shows you care.

144
Someone has to protect the county

• when everyone else is at the Big One. Thats
  just as important.

145
The difference between

• part-time and full-time is not a paycheck. Its
  how you conduct yourself and the professionalism
  you display. Both can fall short.

146
If you dont know where

• youre going, turn off the siren and find out.

147
Radios can

• and will fail you at the worst possible time.

148
If someone wants to

• talk about a difficult call they had, let them.
  An understanding ear can do more for the heart
  and soul than therapy.

149
Never

• Never-Ever-bet your life on technology.

150
Drive to reach

• the scene of the emergency safely. Everyones
  life depends on it the victims, your fellow
  co-workers, people on the street, and even your
  own.

151
When things become more dire

• on the emergency scene you have to be more
  disciplined in carrying out your assignments.
  Efficiency and speed may save someones life.

152
Sometimes

• only a cuss word will help.

153
Courage

• is not what you do in the face of fear its the
  actions you take despite it.

154
Calm yourself before

• using the radio. Sounding hysterical is not
  reassuring to the incident commander or scanner
  land.

155
Sadly, there is no place

• for you in this department if you freelance at
  emergencies. That endangers everyone and drives
  Battalion Chiefs crazy. You dont want that.

156
Scenario 3

• You are dispatched to the scene of a fire stand
  by. You are aware that there are patients
  trapped in the structure. Mother has been
  extricated and has 2nd degree burns to her body.
  Her children are trapped inside. The FD states
  to you that they have found the bodies of the
  children and they are dead. The mother says she
  wont be transported to the hospital until she
  knows her children are out and OK. What do you
  do?

157
Needle sticks

• are not funny. Use the sharps containers, and
  immediately report the incident to management.

158
Keep your hands off

• other peoples bags. Stay out of their lockers,
  too.

159
We will not risk anything

• for lost property or victims that cannot be
  saved. You need to keep that in mind.

160
Dont put any equipment

• back on the truck dirty. Everyone will know you
  did it.

161
If you take something off

• a truck, report it to your Battalion Chief.

162
If you get the chance

• pick up any medical trash (containers and such)
  before you leave the scene. People will
  appreciate it.

163
Medical Alarms

• are not always false alarms. Go in as prepared
  to a medical alarm as you would a code blue.
  Dont get caught with your pants down.

164
911 emergencies

• Are not emergencies for EMS. That is what we are
  trained to handle. Act with confidenceyouve
  been prepared.

165
Never forget to say thank you

• for a meal or drink if anyone provides it for you
  (especially at the scene of an emergency). Even
  if its a baloney sandwich.

166
Be observant of who is around you

• off-hand joking after someone has suffered a loss
  can reflect badly on the department and makes us
  appear to be uncaring.

167
Be wary of management

• that does not train regularly with their crews.

168
Simply because you have a blister

• doesnt mean everyone has to see it.

169
Were not at war with

• law enforcement or fire over whos most
  important. We all have a job to do, even though
  people like us better.

170
Its OK

• to tell someone you are sorry for their loss.

171
And my personal favorite!

• If youre hungry EAT, you never know when your
  next chance will be.

172
Thank you!

• Please make sure you signed in on the attendance
  roster
• Please fill out an evaluation for the class and
  turn it in to receive CEUs

• Do you have questions???
• What did you think of the program?

173
(No Transcript)