HEALTHCARE PROFESSIONALS

                  MOST REQUESTED PROGRAM

  • Achieving Cohesiveness with Ease: ACE Team Building for Success

  • Getting the Lead on Leadership Five Part Series for Healthcare

  • When Every Second Counts: Learn how to manage time when doing rounds, charting, and dealing with staff and patients needs. 

  • Remove the Fear for Resolving Conflicts: Learn how to resolve conflicts between staff, family, and patients. It is easy and helps life find some balance. 

  • Professional Boundaries for Healthcare Workers

  • Jump Start Critical Thinking Skills - When all actions are critical we need to keep our critical thinking skills on high alert.

  • Ways to Improve Professional Assertive Communication
  • Skills for Professional Communication: Written/Telephone/Verbal/Nonverbal

  • Work, Live and Appreciate Our Global World: Cultural Diversity Issues

  • Knockout Aggression: When people are sick or overworked aggressive becomes a defense. Learn how to knock out aggressive behavior directed toward you or coming from you.

  • Change Hardy and Stress Free Environment

Customized Programs for Your Staff

    Achieving Corporate Excellence staff will speak with you and begin a  pre-program questionnaire  to assure that the we can meet the program needs.The information on this site contains only the most requested programs, another program may better meet your need or we may need to design a program that fits your specific needs and compliments prior training that you have already offered. Effective training helps anchor information learned with new information being acquired so that the new information is more easily applied. Participants see the continuity and compliment of information being received and discourages compartmentalizing learning.   

 

Need Continuing Education Credits or Units?

   Achieving Corporate Excellence will gladly supply the information needed to help various disciplines in healthcare earn needed continuing eductation credits. Let us know what is needed to earn credits for courses and we will do our best to accommodate this request. Many of these courses have been used for continuing education credits over the years.

     Keynote Speaker:

    Facilitator:

  • Strategic Planning: Leads organizations in their development, and plan for implementation of goals

  • Facilitator of Meetings: Is provided to assist a department or organization reach continuity in progress, while assisting them in maintaining direction, cohesiveness, and trust.

Cynthia is a member of the International Critical Incident Stress Foundation Web site: www.icisf.org    ICISF: (410) 750-9600

Cynthia is also a Clinican for the Crisis Care Network http://www.crisiscare.com/   Phone: (888) 736-0911

Achieving Corporate Excellence, Inc.
United States (Eastern Standard Time) (772) 461-8313


Critical Incident Stress Manager (CSIM)

Providing Debriefings and Defusings

 The letters CISM are 4 letters that have become well known to the emergency services industry. The purpose of using CISM techniques are to provide timely and valuable intervention for those individuals who have made a career choice to be "first response people." The goal is to help them mitigate the impact of traumatic stress that can result for various reasons.

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Who Can Benefit from CISM Services?

Emergency personnel that can benefit from CISM Services include: any emergency response personnel, (law enforcement, fire dept., EMT) nurses, doctors, mental health professionals, social workers, clergy, crisis team members, and many more.

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Primary Purpose of CISM

The primary purpose of CISM is to provide intervention following a "critical incident" in order to minimize stress-related symptoms. A critical incident can be defined as, any incident that evokes extraordinary emotions after exposure to a traumatic event and overwhelms the person's ability to cope.

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History of CISM

CISM has replaced the formerly known Critical Incident Stress Debriefing (CISD). In the late 1970's, CISD was introduced as a form of early intervention for assisting those exposed to traumatic incidents. Since that time, it has evolved from a singular form of crisis Intervention to a multi-management approach.

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Case Studies

Case studies of major events where numerous injuries or fatalities have occurred revealed that significant numbers of emergency personnel experience some form of stress related symptoms either during, immediately after or in some cases long after the incident. Many of these symptoms are temporary and most personnel suffer no long-term detrimental effects. The studies also reveal however, that a small percentage of personnel do experience long-term effects as a result of the exposure to the incident. Some of the effects can be delayed, surfacing later alter a period of no apparent symptoms. Without professional intervention, the personnel may exhibit stress-related signs such as a decline in work performance, deterioration of family relationships, as well as increased health problems.

     Following a Natural Disaster there are many normal reactions

PHYSICAL REACTIONS:

Fatigue

Sleeping too much or too little

Underactivity- laying around doing nothing

Health problems; change in appetite, headaches, digestive problems, grinding teeth,

Chills dizziness, thirst, etc.

Nightmares

Hyperactivity

Exhaustion

Startle reactions

COGNITIVE REACTIONS:

Difficulty with concentration

Difficulty solving problems

Flashbacks; may follow a 'trigger' event

Difficulty making decisions

Memory disturbance

Isolating

Inability to attach importance to anything other than this incident

EMOTIONAL REACTIONS

Fear

Guilt

Emotional numbing

Over-Sensitivity

Anxiety

Depression

Feelings of helplessness

Amnesia for event

 Stages:

Survivor: (Immediately after the disaster) -basic survival - go into auto pilot doing what has to be done to get by.

Honeymoon – (a week or up to 3 weeks post the disaster) - deny impact, feel blessed to survive and believe that you are coping and are strong.

Disillusionment: ( two to five weeks after the disaster) – realization of loss and intensity settles in, grieving begins as the realization that life still isn’t normal, feel abandoned, isolated and overwhelmed as there appears to be no end in sight.

Recovery: (three to six weeks post the disaster) emotional stabilization begins slowly. Resume moving forward and not permitting yourself to get so overwhelmed.

You may not experience any of the above reactions or you may experience one or more. These are normal reactions and although painful, these are part of the healing process. EAP Services may help.

Disaster Links


Housing Assistance:
Resources to assist those with housing needs. http://www.hud.gov/news/katrina05response.cfm [see especially “Pending Actions”].http://www.fema.gov/news/newsrelease.fema?id=18598

Frequently Asked Questions:
These Federal “FAQ” lists provide a good starting place to learn about disaster aid resources available to those affected by Hurricane Katrina.http://answers.firstgov.gov/cgi-bin/gsa_ict.cfg/php/enduser/std_alp.php?p_sid=KTOOiSBh

http://www.fema.gov/rrr/qanda.shtm

Financial Recovery Questions:
This link leads to a Red Cross publication to help people impacted by disaster regain their financial footings.
http://www.redcross.org/services/disaster/beprepared/FinRecovery/

Disaster Application Centers:

Federal Disaster Application Centers (DACs) provide “one stop shopping” for aid applications.  A quick description of the Centers and the things one should bring when coming to apply is found at this location. http://disaster.ifas.ufl.edu/PDFS/CHAP03/D03-11.PDF

Children’s Issues:
The National Child Traumatic Stress Network (NCTSN) provides resources for schools, families, and practitioners regarding traumatic stress in pediatric populations.  Their site has links to many well written, evidence based documents and ideas, including pamphlets and materials for kids.http://www.nctsnet.org

Online Disaster Services:
FirstGov presents a wide range of links to Federal online disaster applications and services. http://www.firstgov.gov/

Finding Evacuees/Making Contact
Several avenues have appeared on the World Wide Web for persons to seek information regarding persons in the impact area and for those who have evacuated to let concerned others know their location and well being. Most of these are spontaneous recourses—they are blogs or message boards established on news sites or spaces set up by persons looking to help. Some of the most active ones include the areas on the web site of the New Orleans Times-Picayune where those seeking to locate persons post notices at http://www.nola.com/forums/searching/ and those seeking to tell others they are okay post at http://www.nola.com/forums/imok/. Each area has a search function. Cable News Network (CNN) has also started a web tracker system where people cal tell others they are safe and has been promoting it hourly. That site is at http://www.cnn.com/SPECIALS/2005/hurricanes/list/. MS-NBC has posted a similar service and also has links to several other sites providing opportunities to seek others or declare oneself safe. This element of their site is http://www.msnbc.msn.com/id/9144525/ Requests for information through Salvation Army can be posted on the web at http://www.tsasw.org/qso/healthandwelfare.asp.

Ways to Help- follow the following links:

Local chapter representatives can be located and contacted via the American Red Cross web pages athttp://www.redcross.org/where/chapts.asp 

Federal Emergency Management Agency
New Orleans Homepage
U.S. Dept. of Health and Human Services
SAMHSA

Achieving Corporate Excellence, Inc.
United States (Eastern Standard Time) (772) 461-8313




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