You’re dispatched to a cardiac arrest. Additional information from 911 shows that the call originated through a Life Alert system. The caller stopped talking just two minutes before EMS arrived on scene.
As you work to resuscitate the patient, the police officer advises there is no one else in the house. The intubation is difficult due to vomitus and the size of the patient’s neck. An expletive is used during the intubation attempt. Everyone involved laughs and someone in the crew negatively comments on the patient’s size and weight. You successfully covert v-fib to a sinus rhythm.
While you’re packaging the patient and moving them to the ambulance, additional comments are made by the EMS crew on the weight of the patient. The patient survives to ICU admission and is eventually discharged. Another successful resuscitation.
Weeks later, your supervisor asks for a meeting regarding this call. Together, you review the ePCR—and your patient care documentation is on point. Nothing to worry about, you think. But, as the meeting continues, you learn a lawsuit was filed by the patient against the EMS crew and your organization.
When the caller stopped talking, the Life Alert dispatcher stayed on the line until first responders arrived. The dispatcher then muted the phone to handle another call but was still recording. The audio from the call was recorded until the patient’s device was out of range from the base at the house.
The patient wanted to thank the Life Alert dispatcher and EMS crew and requested to listen to their recording. After hearing the events that took place and the comments that were made, the patient was emotionally distressed and took the action they deemed appropriate.
As our society becomes more and more intertwined with technology, the ways in which we’re watched, listened to and surveilled continue to evolve and increase, for example:
You can debate the ethics of recording devices and whether they’re for the greater good or for evil. However, what shouldn’t be up for debate is the importance of protecting your team and emergency service organization from the possible legal, reputational, emotional and other ramifications that could arise from being recorded at any given moment.
While your team doesn’t have the time or capabilities to check each scene and situation for recording devices, you can help mitigate risks by assessing your organization’s culture, ethics and values and evaluating how those standards are (or are not) reflected in your crews’ actions, decisions and behaviors—whether or not someone’s watching.
It would be convenient to be able to keep it simple and just say, “do the right thing”. However, if the principles that you’d like your team to adhere to are not formally written, taught to members, practiced by leadership and engrained in your organization’s culture—it can be easy for bad habits, careless mistakes and negative behaviors to creep up. That’s why it’s important to have policies in place that address your ESO’s ethical and conduct-related expectations for personnel, as well as organizational procedures related to these expectations, including how personnel are informed of these policies and the possible consequences they may face if they don’t follow them.
If your emergency service organization has the same mission statement from 1975 and the only time your members hear about your organization’s values is during their orientation—your governing policies may be considered mundane documents rather than inspiring traditions.
Here are a few considerations for your governing policies:
Your leaders can help establish the importance of these values and rules through leading by example and having frequent discussions with personnel about what it means to truly live by them. For example, you may have the word “integrity” written in your Code of Ethics, but do you talk about what it really means?
Integrity stems from the Latin word ‘integer’ which means ‘whole’ and ‘complete’. So, it assesses the wholeness, consistency and entire soundness of one’s moral character. Living with integrity means that you can be counted on to behave in a certain manner—including in your actions, words, decisions, methods and outcomes—no matter the situation (and whether or not you’re being recorded).
Even the best people have bad days. But, in today’s world, it’s possible for your worst moment to be caught on camera for the world to see. Given that possibility, and the fact that firefighters, EMS providers and other emergency responders are typically held to a higher standard than the general public, you can never have too many conversations about the importance of always doing the right thing.