{"id":127947,"date":"2023-12-05T11:45:28","date_gmt":"2023-12-05T17:45:28","guid":{"rendered":"https:\/\/uwm.edu\/news\/?p=127947"},"modified":"2023-12-12T15:14:07","modified_gmt":"2023-12-12T21:14:07","slug":"community-paramedics-help-close-a-gap-in-health-care","status":"publish","type":"post","link":"https:\/\/uwm.edu\/news\/community-paramedics-help-close-a-gap-in-health-care\/","title":{"rendered":"Community paramedics help close a gap in health care"},"content":{"rendered":"
\n

Amy Grzyb, who has worked with emergency services for 20 years, sees learning about preventive care and education as part of her job. That\u2019s why she and other emergency responders signed up this summer for a unique program offered through 51ÁÔÆæ\u2019s School of Nursing.<\/span><\/p>\n<\/div>\n

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The Community Paramedic Program trains paramedics and emergency medical technicians how to do preventive and follow-up care after responding to emergencies.<\/span><\/p>\n<\/div>\n

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\u201cIt\u2019s another way we can be of service to our community,\u201d said Grzyb.<\/span><\/p>\n<\/div>\n

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The program, which started in 2015, has trained approximately 250 emergency responders as community paramedics, said Kim Litwack, dean of the School of Nursing who established the program. She is one of the leaders of the sessions along with Andrew Hargarten, a battalion chief with the Milwaukee Fire Department who earned his doctorate in nursing at 51ÁÔÆæ.<\/span><\/p>\n<\/div>\n

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\"\"
Four members of the West Allis Fire Department who have completed the 51ÁÔÆæ School of Nursing\u2019s community paramedic course are (from left) Assistant Chief Jason Schaak, MIH Lt. Quinn Dombrowski, Capt. Matthew LaDousa and Deputy Chief Armando Suarez Del Real. (51ÁÔÆæ Photo\/Elora Hennessey)<\/figcaption><\/figure>\n

The course is done primarily online, but it includes ride-alongs with community paramedics, either with their own fire departments or with other departments that have trained community paramedics.<\/span><\/p>\n<\/div>\n

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\u201cI think this program recognizes that many of the calls that paramedics go on could have been avoided with appropriate resources being made available to individuals in the community,\u201d Litwack said. \u201cThey see individuals that are using 911 services in place of primary health-care services. These are often individuals who have slipped through the cracks.\u201d<\/span><\/p>\n<\/div>\n

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The Community Paramedic Program now draws in emergency responders from local fire departments and private ambulance companies all over Wisconsin, Minnesota and from northern Illinois. The 51ÁÔÆæ program is the only one of its kind in the state, and successful graduates now receive an endorsement from the state as a community paramedic.<\/span><\/p>\n

Using resources in the community<\/h3>\n<\/div>\n
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The program isn\u2019t meant to replace primary care, but to train emergency responders to connect patients with resources in their communities. Litwack gives the example of someone who goes to the ER and is released with a handful of prescriptions and an appointment with a doctor at 8 a.m. three weeks later. If the patient can\u2019t afford the prescriptions and can\u2019t make it to the appointment because she has to get three children off to school at the same time, and doesn\u2019t have transportation, she may end up making another emergency call.<\/span><\/p>\n<\/div>\n

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\u201cThe difference between a community paramedic and your regular 911 paramedic is just the thought process,\u201d Hargarten said. \u201cYou\u2019re now part of a continuity of care, not just a moment in care.\u201d<\/span><\/p>\n<\/div>\n

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That continuity, according to the emergency responders, may involve working with doctors, nurse practitioners, home health care staff, pharmacists and family members to make sure the patients get the continuing support they may need.<\/span><\/p>\n

Program becoming better understood<\/h3>\n<\/div>\n
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Fire departments, ambulance companies and others have more interest and understanding of what a community paramedic does as opposed to when the program was relatively new in 2015, Hargarten said.<\/span><\/p>\n<\/div>\n

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Emergency responders can also help their own communities improve prevention programs. In Grand Chute, for example, community paramedics found many of their emergency calls were for falls at the community\u2019s senior facilities. So they worked with the community and the senior homes to set up training on ways to prevent such falls.<\/span><\/p>\n<\/div>\n

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Drug overdoses are another area where just responding to the immediate crisis isn\u2019t usually enough, Litwack said. During training, this summer\u2019s class of students heard from a former addict who is now a peer counselor. She shared in heartbreaking detail her own long journey to recovery. The students also heard from mental health counselors who offered insights into how issues like hearing imaginary voices may interfere with emergency and ongoing care.<\/span><\/p>\n

Better care for opioid overdoses<\/h3>\n<\/div>\n
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Opioid overdoses are becoming an increasing part of emergency responders work, even in rural communities. That\u2019s something community paramedics need to be tuned into.<\/span><\/p>\n<\/div>\n

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\u201cIt\u2019s not just the administration of Narcan during an emergency, but it\u2019s a way to provide community and family support to individuals who may have overdosed and survived or to family members who have someone who has overdosed,\u201d Litwack said.<\/span><\/p>\n<\/div>\n

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Feedback from those who\u2019ve taken the community paramedic class is positive, Litwack added.<\/span><\/p>\n<\/div>\n

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\u201cThey are grateful that they now have education that they can immediately use to help their patients, their clients. I\u2019ve gotten emails where they describe the programs they\u2019ve set up in their communities and the difference those make,\u201d she said. \u201cThey are able to practice to the full extent of their license because that endorsement now allows them to provide preventive and education services in addition to emergency services.\u201d <\/span><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Many patients making 911 emergency calls would have been better treated in a different way. 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