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One More Award at Hilton Head Island Fire & Rescue

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While Capt. Tom at EMS12Lead.com might not be trumpeting his success, I will do it for him, as well as for the rest of my colleagues at Hilton Head Island Fire & Rescue.  This week we received another honor, the IAFC's Annual Heart Safe Community Award.  With a lot of pushing and pulling from Capt. Tom Bouthillet, and a lot of support and cooperation from other notables, including Fire Chief Lavarn Lucas, Deputy Chiefs Brad Tadlock and Ed Boring, Capt. Eric Lainhart, our medical control docs, Bo Sherwood and Van Gaube, and of course, Kelly Arashin, we received the award in recognition of the system we have in place in our community.

Between our bystander CPR education efforts, placement of automated defibrillators in the community and our advanced life support response system, individuals experiencing a cardiac event have a significantly better chance of survival than in the past. If an arrest is in progress, we dispatch additional Fire/Rescue companies, where all the line personnel are trained in use of the "pit crew" concept, to maximize the efficiency of assigned resources and to deliver a very high standard of care.  

It doesn't end there: our Fire/Rescue personnel have a number of tools we can use, including 12-lead EKG monitoring with transmission capability and the ability to provide therapeutic hypothermia if indicated.  Our system is also capable of identifying possible STEMI patients in the field and setting off an additional chain of events.

Our delivery of the patient at the Hilton Head Hospital Emergency Department is just one more step.  There, they will have already been alerted by the teams in the field and depending on the situation, have either already brought in a cath lab team, or are prepared to continue therapeutic hypothermia through as needed.  We have a great relationship with our emergency department personnel and we all work together as a team to provide the best possible chances for a positive outcome.

What's more is that the pertinent information is documented and shared through the CARES Registry, where we will be able to extrapolate data needed to help us improve our service.  We have identified methods for communicating good performance as well as performance requiring remediation.  And above all, the system is delivered daily by nine Fire/Rescue companies with extremely professional, caring, and knowledgeable personnel, all of whom are aware of the importance of excellent public service.

When we factor this in with our recent CFAI accreditation, which we have maintained through three cycles, we are pretty proud.  But even more impressive is that our personnel have maintained their positive attitude and professionalism despite comments made about their integrity by certain individuals in our community, rather than those individuals stepping back and defending what they should have known to be true.  Our entire force maintained this very same quiet professionalism even when held to a 1% salary raise last year (and that was not across the board) and no increases in years before that, not because they were afraid to speak out, but because they heard the concern of the community, especially with the economic situation being what it was, and they were willing to accept that and soldier on, when they had every right to be vocal and upset about the situation.  These personnel have also maintained their quiet professionalism among other challenges as well, challenges that will remain unsaid by us, because that's the kind of people we have.

One of the primary things we say to guide our people is to always "do the right thing".  If that means stopping and helping someone change a tire, or picking you up off the floor for the seventh time that week, or loading up your kids in the rig to take them to the hospital when we are transporting you because you have no family available, we do what it takes to make our "customers" happy.  And we say customers because it isn't just the taxpayers; we serve the visitors, the workers, the homeless, anyone we deal with.  They may be patients today, or the may be the homeowner on another, or the occupant, but to us, they are people.

We have an extraordinary amount of pride in our department, but a lot of humility as well.  I talk about all of our personnel because I am proud of them, but they don't go around bragging about it, so I am happy to tell you all about them.  We have very high expectations of our people, but we have fun too.  And while there are plenty of bad moments, the good definitely outweigh the bad.  The difference is that we try to let everyone in on the decisions (to the extent possible), we listen, we try to get them the tools they need (but they aren't spoiled, our budget didn't budge but a single digit percentage from last year), and we do things safely, with a lot of common sense applied rather than emotion.

So while we will be celebrating this new award, we already realize, it is recognition for what we have done.  For us, what we have done so far is never good enough.  We will continue to push forward and improve from where we are today, to keep looking at ways we can tweak this or adjust that to make our organization that much better.  We do not rest on our laurels.

If you get a chance to come to our Island, make sure you stop by a station.  EVERY station and Headquarters is open to the public and we encourage visitors.  We will always take the time to show someone the trucks, or to take a blood pressure, or just to talk about what we do.  We are an all-hazards response agency who takes the job very seriously and we like sharing what we do. Thanks to all of you at HHIFR; you all make me proud to be affiliated with you. 

Zen Zone #16

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"The perfect way", Sosan said, "is not difficult. Just drop discrimination. Clear and bright is the world when we neither hate nor love."  

Our world is filled with commentary on politics, ethics and social conduct. Society is fixated on "What is best?" "What is worst?"  "What is right?" "What is wrong?" "What is new and improved?" Our lives are spent trying to compete and climb our way to the top, wherever that is. Ego and pride continue to be evident in the poor decisions made by politicians, celebrities, the wealthy, and "leaders" in general. Self is placed above the needs of others on a daily basis and the world is much harsher as a result.

To correct this we must increase human compassion. Society revels in the advances made in science and technology, yet remains blind to our responsibility to our fellow man.  While there are those who continue to grab more and more, there are increasing numbers of those who have less and less. Instead of engaging in the race for greatness, we should be willing to work for goodness.

Zen Zone #15

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A great warrior decided to attack the enemy although he had only a fraction of the number of men the opposition commanded. He knew that he would win, but his soldiers were in doubt.  On the way to battle, he stopped at a shrine and told his men: "After I visit the shrine I will toss a coin. If it is heads, we will win; if tails, we will lose."

The warrior entered the shrine and offered a prayer, then came forth and tossed a coin. Heads appeared, and his soldiers were so eager to fight that they won their battle easily.  "No one can change the hand of destiny," his attendant told him after the battle.

"Indeed not," said the warrior, showing a double headed coin. "The battle was already won in our minds. We simply required action to fulfill that destiny."

Half the battle, in many cases, requires looking past potential failure and being present to create change.

Zen Zone #14

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We are what we think. All that we are arises with our thoughts, with our thoughts we make the world.” – Buddha

As leaders, we need to consider the result of our thoughts on what becomes the product.  What we say and do, and what we fail to say and do, not only impacts our own existence, but the existence of others as their worlds bump up against our own.

We are not alone in this existence.  We should approach every action with mindful consideration, realizing that every action also has a reaction. These actions and reactions are even more profound when they are directed at others.  Thus, positive leadership defines not only our own world, but creates positivity in the worlds of those who surround us.  Remember that positivity can cascade to others and so can negativity as well.  If you desire positivity, create a force of positive action and the result will be positive reaction. 

Zen Zone #13

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We took Caroline on a Ferris Wheel for the first time, along with her two sisters.  It was big and there was a lot of commotion with the crowd and the other rides.  She was tentative at first and I was watching her eyes as she was taking it all in.  She sat in my lap and clung to me in fear as we made the first few rounds.  While she was crying, it wasn't hysterical crying, and we all kept reassuring her until she finally turned around and saw the Ocean City Boardwalk's lights and sights trailing off to the north.  She dried her eyes and was immediately enthusiastic.  By the time she got off the ride, she was so excited she could hardly contain herself.

By opening her eyes and realizing that there were people sharing her experience and reassuring her through the process of the change, she took a good look at her new perpective and understood the additions to her environment were good ones.  She could see many more things, the breeze was delightful, and we were all around her.  She took a leap of faith, unsure of what opening her eyes would entail, and found a whole new world.

Change, often enough, requires risk.  There is the risk of danger and harm, but more often than not, it is the risk that things will not be the way they once were, which is uncomfortable and scary in its own right.  Let go of the past and look forward.  You can't improve on what was, but you can always make the future better by being there for it.

Zen Zone #11

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Paraphrased from Zhuge Liang in Mastery of the Art of War:

“Thus the intelligent think because of this; the mettlesome fight because of this: Where you see the enemy to be empty, proceed; where you see the enemy to be full, stop. Do not look down on others because of your own elevated rank. Do not oppose the common consensus with personal opinions. Do not turn from the loyal and trustworthy through the artifices of the skilled but treacherous. Do not sit down before the soldiers sit; do not eat before the soldiers eat. Bear the same cold and heat the soldiers do; share their toil as well as their ease. Experience sweetness and bitterness just as the soldiers do; take the same risks that they do. Then the soldiers will exert themselves to the utmost, and it will be possible to destroy enemies.

Advance and retreat are a matter of timing- military affairs are not directed by the ruler but by the general.  Therefore, in war, there is no heaven above, no earth below, no adversary ahead and no ruler behind.  If generals can be like this, people will be willing to fight when they give the orders, and the enemy will be defeated before any blood is shed.  Look upon your soldiers as beloved children, and they will willingly die with you.”

Zen Zone #10

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Before we engage others, we must first engage ourselves. If we do not understand our own desires, strengths and weaknesses, how are we to understand the same in others.  When we see conflict, the first place we should look is in our own heart.  First ask, "What might I have done to make this happen?  What possible issue could someone have with my position?"  If we can see things from the other person's perspective, we can better understand.

Even if, after serious introspection, we find ourselves to be in the right, the act of looking at our argument from another perspective can provide us with insight to help win the minds of others.  If you can understand the conflict from the eyes of the adversary, it too can help us to understand our own desires, strengths and weaknesses. 

Zen Zone #9

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Capt. Tom, over at EMS12lead.com, was relating to me an analogy a while back.  He was discussing a symposium where Chief  Kelvin Cochran posed that to further the forces of the positive side, individuals had to "get off the fence" and "choose a side".  In short, if you aren't actively professing your allegiance toward the organizational mission, then you are effectively working against it.

If you think about it, the side that serves the best interest of the community is the side you should be taking.  The only people  permitted to define the "good guys" should be the people who are paying the bill.  If what you are doing doesn't serve the best interests of the public, then you are working against the mission.  Make it about the people you serve and you will win every time.

2010 Hilton Head Island Buddy Walk

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Caroline & FriendsIf you’re wondering where I’ve been, those of you who have known me for a while know where I have been.  Working on Buddy Walk stuff.  And the advantage of having your own blog is the availability of a bully pulpit. Therefore:

Seven days until the 2010 Hilton Head Island Buddy Walk! (Saturday, October 30) Make your plans to attend from 3 to 5 PM, behind The Mall at Shelter Cove, Hilton Head Island, SC

Buddy Walks are held all over the nation to educate about Down syndrome and ours is no different.  Our organization, Caroline & Friends, is a little different however, because we are not a traditional support group but an advocacy and education organization.  Through our website right now, and supplemented by literature in the future, we continue to look for best practices in research and therapies to help families point their loved ones with Down syndrome toward achieving their full potential.   This is our fifth annual Buddy Walk and we continue to grow in size, but we have a lot of fun and there’s food, music, and trick-or-treating out there.

If you happen to know of a family who wants more information on what’s being done out there, or just wants to talk to another person who has been through the experience, point them toward the site.  If you happen to be on Hilton Head Island next Saturday, I will be the one running around coordinating things, wearing the orange t-shirt that says, “Caroline’s Dad”.  I hope to see you there.

Daily Values vs. Emergency Ops Values

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webDSC_0162A while back, Chris Naum at TheCompanyOfficer.com discussed briefly the New Rules of Engagement for Structural Firefighting.  This is, of course, a work in progress, but I urge you to read it and understand what these rules mean to us as practitioners.  We are called to save lives and fight fires, but to do so safely and responsibly, understanding that our resources are finite (you just can’t keep throwing firefighters into fires until one comes out safely with the victim).

If you search this blog for discussion about leading with values (I even linked the search to make it easy for you),  you’ll see that values were specifically mentioned in at least eight articles, not to mention all of the other times values were a peripheral part of the discussion.   Like it or not, organizational values define organizational culture.  These values help guide you in times when hard decisions must be made under ambiguous situations.  When organizations lack defined values, or personnel don’t understand them as the gospel truth, they don’t always reflect those values when challenged. If you have never implicitly discussed your organizational values, your personnel will revert to whatever values conform with those of the group (think “B” Shift) or scarier, their own beliefs (which you have no ability to predict).

While the article by Chris suggests that the Rules should be concise and bulletized in format, it is in that suggestion related to firefighting that I see these “rules” as reflecting our values in considering the risky nature of engaging with a particularly dangerous enemy.  I challenge each of you to read more about this and ask yourself, as well as your leaders, questions that help refine what to do in those emergency situations, especially as they involve our own organizations.

While we value the service we provide to our customers as being our highest calling, there comes a defining moment where we must place the welfare of our troops at a higher level, especially when it comes down to fighting a “lost cause”.  I am willing to personally take a calculated risk to save lives, but I am NOT willing to take a risk personally, or to expose each of you to a risk for the sake of a body recovery or to fight a structure that will be written off anyway.  I am as aggressive as they come when it comes to firefighting, but I value my personnel higher than any property, and I think we all need to think that way about how we choose to engage at these incidents.

But it is in this that the problem is apparent; we have made a decision to discuss our values in regard to emergency operations, but have we defined our organizational values when they come to day-to-day operations?  In many departments, the over-arching statement seems to be, “Use common sense and logic when it comes to making decisions”.

While I agree one-hundred percent with that statement (and that approach may very well save your life some day on an emergency scene), when we have recruits (and in that, I’m lumping Juniors, new volunteer members, etc.) making value-based decisions on day-to-day things (like when they are unsupervised or in situations where they are asked to show initiative), have we really done a good job of reinforcing our belief system to them and demonstrating a positive example by living those values ourselves?

Take setting fires, for example.  While we (and society) continually insist that firefighters setting fires is wrong, is the culture around your organization such that going to fires and “fighting the red devil” is more important than community service?  Is it more apt to say that personnel walk around moping about the loss of call volume?  Are members who seek to demonstrate their commitment to the community challenged by the lack of calls to demonstrate that commitment?  Why is it that we are in this business, anyway?  If the answer is to run around in a uniform and drive fast down the road with lights and sirens on, well, we all know that only represents a finite amount of our jobs (and it’s not like I want someone who thinks that’s a good reason to be an emergency service provider anyway).

While it seems pretty intuitive that setting fires is a bad thing, when you are dealing with people who already have a less-than-mature attitude and a challenge to their belief system, you set yourself up for disaster.  If you really want to avoid this type of incident occurring in your organization, one of the basic things that should be done is to engage personnel in activities OTHER than fighting fires/running calls.  If you want to find out how committed these personnel are to the community, give them day-to-day assignments that include non-emergency prevention or participation duties- just have them man an engine and go show the flag at the local high school football game, or go spray water for the kids on a hot day.  Anything to have them prove their worth OTHER than running hot and exerting their “auth-or-it-tie” (it always loses something unless you hear Cartman saying it).

Organizations who find themselves struggling to recruit or to get people to do their jobs must evaluate if there is a gap between what the leadership defines as valued behavior and what the membership (or potential membership) defines as a valued behavior.  If there is a gap, someone had better define the expectations, or the expectation will be that everyone is entitled to define the organizational mission according to his or her own needs.  If that is the case, I’d expect to be reading about you on STAT911 or Firegeezer some morning soon, and not in a good way.

Prove Yourself

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a federal qDon’t waste your time thinking that opportunity is going to come find you.  The value of your network is extremely important.  Many jobs in the private sector get awarded to people who know someone within the company.  Referrals are worth their weight in gold.  But this also goes toward obtaining opportunities to prove yourself.

The chief of department, when he has a sexy project, isn’t going to come hunting you down unless he is familiar with your track record.  If you are some firefighter toiling away in obscurity at your designated “vacation station”, no matter how clever and innovative you think you are, the choice projects aren’t going to you.  Why should they?  The chief knows there’s a dozen guys who will kill for this opportunity; why search someone out and reward them with the plum assignment?

If you want those good assignments, you are going to have to sniff out and handle some unpopular ones first.  If you can prove your worth on one of those, the next time a less-horrible project comes up, you could possibly end up on the list for that.  If you handle THAT one well, expect a bump up on the list.  This is called developing political capital.  It spends, just like money.  As you gain this capital, what is really happening is that you are building a relationship between you and the chief, and the relationship is evidenced in the trust he has that you will be the right one for that challenging, but rewarding position.

I don’t care who you are, how long you have worked here, or how smart you think you are, if you can’t handle a small assignment, why should I stake my reputation on whether or not you are reliable, and the only way I can know that is by having some evidence in my pocket.

Can’t get the powers that be to feed you even the most lousy of projects?  Go out in the community and make yourself valuable.  By that, I mean, find some non-profit or civic group and join up.  These guys are ALWAYS looking for able bodied people, especially those who want to help for free.  For FREE? That’s what I said.  This, however, is an investment you are making.

The experience you gain from managing projects in the community will pay you back multi-fold, and in addition, you build up people in your network, people that later in your career you will be comfortable calling up directly on the phone and having a conversation with them.  A genuine conversation, not, “Hi, remember me?  Can I get you to give me a reference…?”

When opportunity comes knocking, if you aren’t prepared by being qualified to be the one to take it, don’t expect everyone to be knocking down your door to appoint you the next best thing since sliced bread.