Sunday, May 20, 2018

Turning impossible into "I'm possible" and vomiting on the reader

This is Sara Backhaus, an ER nurse at a Florida Krankenhaus, who was featured in Laerdal's "Celebrating all who say 'I'm Possible'" advertising campaign to promote their simulation training products. I'm not going to pick on Sara too much because I personally would be mortified if Laerdal had done this to me, but I would be negligent in my duty to the public if I did not comment on the ridiculous claims of this ad campaign.

Click here to read her story, as told by Laerdal. In short, Sara was working in the ER at her hospital when someone came in looking like garbage and having chest pain. She followed standing orders in calling for a 12-lead EKG. A paramedic applied the 12-lead EKG. The nursing team started an IV and obtained vital signs. Laerdal then somehow caught wind of this incredibly ordinary event and felt that it was worthy of heroic praise.

Here's my problem with this situation: Sara's apparent actions were the standard of care. Nothing more, and nothing less. Anything less should have been dealt with through the quality management system or the disciplinary ladder. Sara performed to the expected standard of an emergency services provider. The appropriate reward for meeting the standard of care is a paycheck, and continued employment. Ordering a 12-lead and then working with a team of providers in an environment completely absent of hostilities is not an heroic or extraordinary feat.

It was also noted that Sara didn't even apply the 12 lead herself - she had a paramedic do that for her. Obtaining a 12-lead EKG when necessary is also the expected standard of care for a paramedic, yet the paramedic's name was not even mentioned as Laerdal paeaned Sara for her mundane yet somehow superhuman feat. I have a problem with this because, in general, RNs earn twice the wage of paramedics, who have equivalent education, and who are expected to work under inhospitable conditions without a team of RNs, CNAs, scribes, and other various techs to assist them. Laerdal's lack of acknowledgement of this while lavishing extravagant praise upon a nurse for asking an equally qualified paramedic to run a 12-lead is unequivocal bullshit.

If this is the best Laerdal can do to promote their simulation training products, I suggest emergency medical services agencies and facilities save their money. 

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