Kudos from the Cath Lab: Volume 14

Aetna Paramedic receives Kudos from the Cath LabSTAFFORD — During June 2015, ASM Paramedics Jonathan Lentini, and Greg Derosier responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Jon wirelessly transmitted the 12-lead EKG to Hartford Hospital, activating their cardiac catherization lab from the field. (#15-46694). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:

Today’s STEMI: Stafford to Hartford Hospital TOTAL Ischemia time 73 min !!!

Congratulations everyone!!!

This patient was brought from Stafford to HH by ASM and Stafford Ambulance (pre hospital ECG was sent and communicated to the ED attending: Drs. Dufel/Price and Cath Lab was activated).

Highlight:   We utilized the quick registration where the EMS team was met at the triage and the patient was brought straight to the Cath Lab.

In a nut shell:

STEMI Stafford to HH 2 STEMI Stafford to HH1) HH D2B Time = 30 min

2) Total Ischemia Time =  73 min  (goal <90 min [1st Medical Contact in the field to Open Artery Time in the Cath Lab]

3) 100% mid-RCA –> 2 DES (TIMI III Flow)

In particular, we would like to recognize the following teams:

1) HH Cath Team – Dr Hirst; D. Jordan, T Schrimer

2) HH ER Team – Drs Dufel, Price and Tilden, and the rest of the clinical team (I am sure we missed many as this was a quick triage)

3) EMS team : G. Derosier and J. Lentini and the Stafford crew.

Strong Work.

Regards,

Marcin Dada, MD

Co-Director, CPC

Manager, Structural Heart Program

Manager, Cardiovascular Data Management Center

Manager, Preventive Cardiology and Cardiac Rehab

Required Forms for Non-Emergency Ambulance Transport in Connecticut – Volume 2

ASM Bariatric 3This post is an update and rehash of a previous post due to renewed interest in the topic.

Below is a comprehensive list of forms needed to complete a basic life support, routine inter-facility ambulance transfer in the State of Connecticut in 2015. More medical and billing information and demographics are necessary but in regards to forms that go to the ambulance crew, this it…

None of the information below should be construed as legal advice. If there are questions always consult the proper authority. If you have basic questions on this material please call us or post your question in the comments and we will answer to help the greatest number of interested parties. 

Medical Necessity Form (aka Physician’s Certification Statement (PCS) or MNF):  An MNF is required on routine, non-emergency ambulance transports where the patient has Medicare as their primary insurance. It is helpful to have on file for beneficiaries of Medicare HMOs as well. The form essentially works as a prescription for ambulance transport. Medicare never pays for wheelchair van transport so this form represents the threshold between wheelchair van (and all other types of transportation) and ambulance. There are some types of transports from skilled nursing facilities (SNF) and hospital where the sending facility is required to pay for the transport and therefore will not issue or sign an MNF.

There is a misnomer that MNFs are not needed on hospital to hospital and STAT transports because they are inter-facility or emergent. They are indeed required regardless of acuity or receiving facility. Although there are some rules around this they are detailed and convoluted. It is best to provide an MNF on every scheduled ambulance transport in which Medicare or Medicare HMOs are the payor.

A Medical Necessity Form alone does not guarantee payment. In fact it does very little in this regard. It must be on file, but the most important factor is the patient’s condition. The patient must be unsafe to travel by any other means. There are more rules regarding repetitive patients in which a new PCS is only needed every 30-60 days.

The rules around the use of an MNF and meeting Medicare’s medical necessity requirements are extensive and cannot be captured adequately here. Aetna and ASM crews are trained, reviewed, remediated and subject to a rigorous quality assurance process in this regard. If you represent a facility in our service area and feel you would benefit from an in-service to learn more about this, please call (860) 647-9798 x 249.

Physician’s Emergency Certificate (PEC): A PEC is required for the ambulance transport of a psychiatric patient going to any destination (typically a locked behavioral health unit) against their will (or by the will of the physician). In other words, they are being committed to the facility and their ability to make self determination is temporarily suspended by law.

A PEC must be an original form, typically demonstrated by being two-sided and often written in blue ink for this purpose. A copy cannot be used and it must be signed by a physician. It must accompany the patient and therefore cannot be faxed or emailed ahead as facilities will not accept a copy. This form is NOT used for voluntarily committed patients or patients who are conserved where the conservator has ordered transport.

This form also authorizes the ambulance crew to hold the patient against their will. In Connecticut, the only forms that allow an ambulance crew to hold a patient against their will are a PEC and an Emergency Examination Report issued by a licensed clinical social worker or a police officer. Ambulance crews must always use the minimum force necessary and most often this means simply confining the patient and does not necessarily mean the use of force or restraint.

Ambulance crews are not trained or equipped to subdue individuals. Chemical and physical restraints used by ambulance crews are intended to be applied with the assistance of law enforcement or healthcare staff. Judicious, prophylactic application of soft restraints should be strongly considered for patients that present a risk of elopement or danger to self and others. The back of an ambulance is not a controlled and static environment and this should be taken into consideration.

Transportation Authorization Certificate (TAC): A TAC compels the State of Connecticut to pay for the transportation of a patient in need of psychiatric care who is being admitted to an inpatient, state-operated facility. The receiving facility representative signs on Line 4 of this form and it is used as a check and balance before issuing payment to a transportation provider.

There are only five state-operated, inpatient psychiatric facilities in the state, Blue Hills, Cedarcrest, Connecticut Valley Hospital (CVH), Greater Bridgeport Mental Health and Capitol Region Mental Health Center. An ambulance crew does NOT need this form if the destination is any other facility. The need for this form is not created by any other factor such as the chief complaint, the payor or the sending location.

W-10 (demographic portion of the discharge summary): Hospitals are required to provide the ambulance provider with enough information to safely complete the ambulance transport. Aetna and ASM are Covered Entities under HIPAA, have approved policies and procedures in this regard and all employees have been trained in appropriately handling protected health information (PHI). A hospital can restrict the amount of information they issue as long as the transport can be safely completed and sufficient information has been provided to carry out treatment, payment and healthcare operations.

Hospitals are no longer required to provide a State of Connecticut W-10 form or a full discharge summary and quite often they send the summary electronically to the SNF. Although the W-10 format is not mandated, hospitals must provide demographics, history, meds, allergies and any other pertinent information even if the patient is returning to a private residence without scheduled services.

No other form is required for routine BLS ambulance transport. Ambulance crews should NOT be looking for a full discharge summary, so-called “No Harm” letters, full medication administration logs (MARS), psychiatric notes, or any other form that is not listed above. EMTALA-type forms may be useful in informing an ambulance crew as to the patient’s condition and though they may be required paperwork, they are not for the ambulance crew.

Questions? Call the billing office at (860) 647-9798.

Cleared for Independent Dispatch: Aetna’s Joseph Tyree Completes Precepting Phase

Jen Pasquale and Joseph Tyree

Jen Pasquale and Joseph Tyree

HARTFORD –  As of May 15, 2015, Aetna’s Joseph Tyree has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

Joe started at Aetna as an EMT-Basic in October of 2009 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Jennifer Pasquale. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field.

As with all precepting phases at Aetna, Joe’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish Joe the best of luck and say we are very proud to have such skilled professionals on staff.

Cleared for Independent Dispatch: Aetna’s Christopher Willey Completes Precepting Phase

Christopher Willey 2

Christopher Willey (L) with Hartford Hospital’s Dave Bailey

HARTFORD –  As of June 5, 2015, Aetna’s Christopher Willey has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

Chris started at Aetna as an EMT-Basic in November of 2014 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Matthew Campbell. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field.

Originally from New Jersey, Chris moved to Killingworth at age fourteen and moved to Manchester after college. He went to the University of Connecticut for Psychology and Anthropology.

As with all precepting phases at Aetna, Chris’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish Chris the best of luck and say we are very proud to have such skilled professionals on staff.

Aetna’s David Kemp and Michael Pacheco Promoted to Field Supervisor

Michael Pacheco

Michael Pacheco

David Kemp B

David Kemp

HARTFORD — On May 8, 2015 Aetna’s David Kemp and Michael Pacheco were both promoted to the position of Field Supervisor.

Dave has been involved in EMS for the past eight years as an EMT, AEMT and now a paramedic. He has been working for Aetna Ambulance the last two years as a paramedic, and served the past three years as the Deputy Chief of EMS for the Town of Canton Volunteer Fire and EMS Department.

According to Mike, he got his start in EMS in 2007 and has been employed by Aetna Ambulance since 2008. He graduated from the Capitol Community College Paramedic program in 2013.

On behalf of the Aetna family we would like to congratulate David and Mike on their promotion and look forward to great things from and for them.

Kudos from the Cath Lab: Volume 13

Aetna Paramedic receives Kudos from the Cath LabHARTFORD — During April 2015, ASM Paramedic David White and his AEMT partner, Al Pardi, responded to a medical call in Stafford with Stafford Ambulance. The EKG was indicative of a STEMI and Dave wirelessly transmitted the 12-lead EKG to Hartford Hospital, activating their cardiac catherization lab from the field. (#15-29463). The following are comments provided by Hartford Hospital’s Dr. Marcin Dada with some acronyms and patient information removed:

Congratulations everyone on a great care of this antero-lateral STEMI pt last Sunday.

STEMI Ambulance Service of Manchester Pre-hospital EKG TransmissionThis patient was brought to HH by ASM (prehospital ECG was sent and communicated to the ED attending: Dr. Herbst)

While in the ER, patient arrested with return of spontaneous circulation… and was brought to the Cardiac Catheterization Lab.

In a nut shell:

1) HH D2B Time = 77 min (off hrs, Sun 3 AM)

1) STEMI Total Ischemia Time = 115 min

In particular, we would like to recognize the teams involved:

1) HH Team – Dr Hirst, Engles and the Cath Lab team – W. Arcisz, D. Jordan, F. Natale.

STEMI Ambulance Service of Manchester Pre-hospital EKG Transmission B2) HH ER Team – Dr Herbst, and Snyder, and the ED team: M. Moquin, D, Phillips, S. Ferri.

3) and last but not least : ASM and Stafford Ambulance

Strong Work.

Regards,

Marcin Dada, MD

Co-Director, CPC

Hartford Hospital

Cleared for Independent Dispatch: Aetna’s Juan Rodriguez Completes Precepting Phase

Juan Rodriguez (L) with Hartford Hospital's Dave Bailey

Juan Rodriguez (L) with Hartford Hospital’s Dave Bailey

HARTFORD –  As of April 16, 2015, Aetna’s Juan “J” Rodriguez has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

J started at Aetna as an EMT-Basic in March of 2010 and graduated from the Hartford Hospital-Goodwin College Paramedic Program. His preceptor was Paramedic Kevin Stock. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field.

As with all precepting phases at Aetna, J’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

On behalf of the Aetna Family, we would like to wish J the best of luck and say we are very proud to have such skilled professionals on staff.

Meet the Newest Members of the Team: ASM Hires Seven

MANCHESTER — On March 31, 2015 seven EMTs were added to the ASM team. As part of our continued growth ASM and Aetna seek out only the best candidates. We look for employees who are focused on high-quality patient care, are team oriented and conduct themselves in a professional manner. During the orientation, employees learn about company philosophy and goals, quality assurance, and policies and procedures.

Tiffany George:    FULL TIME, EMT. My name is Tiffany and I am 27 years old. I have worked in commercial EMS since 2008 as an EMT and Dispatcher. I recently moved to Manchester with the intention of pursuing a career as an administrative assistant, but quickly learned the position was not for me. I’m glad to have received the opportunity to continue my work in EMS at ASM. I graduated from Naugatuck Valley Community College in 2010 with a degree in General Studies and along with that came my EMT certification. I have also worked as an ER Tech and have received training in phlebotomy and EKGs.  I’m hoping to someday attend Paramedic school, but until that time I am a junior at Post University working towards earning a degree in Marketing. I’m a former pageant competitor and titleholder in the Miss America Organization and spend as much time as I can volunteering within the program. I enjoy leading an active lifestyle, as well as meeting new people. In the free time that I sparsely have I do enjoy spending time with family, friends, and my dog, Pippa, as well as baking tasty treats.

Robert Grzywinski:    FULL TIME, EMT. Hello my name Robert Grzywinski and I am 37 years old. Originally I was born in Wroclaw, Poland an arrived to the U.S at the age of five. My family settled down in New Britain where I graduated from Mary Immaculate Academy. I currently live in Coventry and enjoy the different pace of life. For over ten years I worked with children and adolescents in different capacities, from a direct care counselor in a safe home, extended day treatment, residential, and a day school servicing special education and behaviorally defiant adolescents. For most of my career I have worked to assist others, so it came to no surprise that I went on to obtain my EMT certification through CPR Professionals out of South Windsor and am looking forward to starting an exciting and new profession. In my free time I enjoy do some DIY projects around the house as well as cooking. The rest of the time I spend with my family, barbecuing, going to parks, beaches, attractions for the kiddos or just hanging around the house with them.

Chelsea Heitman:    FULL TIME, EMT.  My name is Chelsea Heitman.  I took the EMT course at Springfield Technical Community College in 2010 and have been a volunteer EMT at Suffield Volunteer Ambulance Association since 2012.  I got into EMS because I want to help people in their time of need or their family members, like the paramedic did for my mom when my dad passed.  While at Central Connecticut State University I decided I wanted to become a Paramedic.  Since then I left CCSU and am currently finishing the Paramedic program at Springfield College with plans to finish my degree.  I was able to put my knowledge to the test while doing clinical study at Baystate Medical Center and my ride time with in Springfield, MA.  I was a Patient Care Technician at Baystate Medical Center in the ER and saw a wide variety of patients doing everything from changing patients, to vital signs, to EKGs, and to lab draws.  In my spare time I like to snowboard, run, and generally spend time outside.  I am a pretty easy going person with a loving personality.  I am excited to start working with ASM and see what the future holds for me

Charles Lodge:    FULL TIME, EMT. My name is Charles Lodge. I am 24 years old and currently reside in Glastonbury, CT. I graduated from Glastonbury High School in 2008 and went on to earn my Bachelors Degree from the University of Connecticut in 2012. After college I moved to Washington D.C. and worked as an Arborist for one of the largest commercial and residential tree care companies in the country. After moving back to Connecticut I decided it was time to chase my dream of a career in public service. I am extremely excited to learn new skills and apply my training as an EMT. Besides a career in Arbor culture, some of my professional experience includes Community Outreach for underprivileged youths, bar tending, and serving as a Marine Science Technician in the U.S. Coast Guard Reserve

Christopher Tevnan:   FULL TIME, EMT.  My name is Chris Tevnan, I am 32 years old and live in Farmington.  I went to Bridgewater State University in Bridgewater, MA and graduated with a degree in Aviation.  For the last six years I was a Federal Agent with Homeland Security in NYC.  It was a great job but I was never home.  In January I completed the accelerated EMT course with CPR Training Professionals in South Windsor.  I’m excited to begin a new career within the medical field and to be able to really make a difference in someone’s life.  My wife and I are happy that I will be around more often especially with our daughter Brooke expected in early May.  In my free time I volunteer with the Tunxis Hose Fire Department, spend time with family and friends, BBQ, and do work at our new house.

Nora Young:   FULL TIME, EMT. My name is Nora Young. I am 21 years old and currently live in Storrs, CT. I am finishing up undergrad at UConn and will be graduating in May with a degree in Physiology and Neurobiology. My goal is to eventually attend PA school. I am also a volunteer EMT in Ellington where I thoroughly enjoy giving back to the community. I am a die hard UConn Huskies basketball fan as well as a Patriots fan. I am very excited to be working at ASM where I can further my education in the EMS field.

Information for the seventh new hire has been removed.

Meet the Newest Members of the Team: Aetna Hires Nine

HARTFORD — On March 27, 2015 seven EMTs and two Paramedics were added to the Aetna team. As part of our continued growth Aetna and ASM seek out only the best candidates. We look for employees who are focused on high-quality patient care, are team oriented and conduct themselves in a professional manner. During the orientation, employees learn about company philosophy and goals, quality assurance, and policies and procedures.

Raymond Berwick:   FULL TIME, EMT. My name is Raymond Berwick and I am 21 years old. I currently live in Ellington, Connecticut. I was born in Vernon but moved from Connecticut to North Carolina at a young age and then on to Mississippi. I eventually ended up finishing out my high school years at Rockville High School, right here in Connecticut. As soon as I could hold a hammer I was building various things with my father. Naturally after high school I quickly became a carpenter. I joined the United States Army Reserve which is where I has my first contact with emergency medicine. I took a “combat life saver course” and immediately knew I loved it. Just the thought of helping people on one of the worst days of their life. Or the possibility of maybe one day being able to save one of my brothers or sisters in arms is amazing. I run a “small time hobby farm” which includes around 30 chickens and a few pigs. In my spare time I enjoy hunting, fishing, backpacking and camping. I cannot wait to explore this new chapter of my life and I am counting down the days until orientation.

Israel Cardona:    FULL TIME, EMT. My name is Israel Cardona Jr. and I am 23 years old. I was born and raised in Hartford, CT. I received my GED with Honors in 2011 and then graduated from Lincoln Technical Institute in New Britain for Medical Assisting. Since then I have worked for both U.S Security Associates and Allied Barton Security Services for the past two years now. I have worked primarily as security for the Phoenix Life Insurance company in Downtown Hartford. I started as a part-time third shift officer and I was fortunate enough to land a supervisor position within a year. While working at the Phoenix I attended the EMT-Basic course at Code One Solutions in East Hartford which was a great experience and made my decision to be an EMT one I would not regret. I went for my EMT-B certification because I love the challenges that the EMS field faces and know that it is a career that would always push me to learn more. Although I will miss my friends and coworkers at the Phoenix I look forward to working alongside the Aetna Ambulance staff for many years to come. Within the next year I hope to attend paramedic school to further my knowledge in the EMS field.

Joseph Kosswig:     FULL TIME, EMT. Hello my Name is Joseph Kosswig, I am 23 years old and from Plainville, CT. About five years ago years ago I joined the Volunteer Fire Department in Plainville. When I started there I completed fire school and loved helping people in their time of need. I enjoyed it so much I decided to continue my education and took an EMT-B course at New Britain EMS Academy. It was a fast course, full time over a span of a six week period in the Summer of 2013. During the time of this course I began to take on as much ride time with New Britain EMS as I possibly could, as a student. I loved helping the patients and knew I wanted to continue my career. During this time I have also been enlisted in the CT Army National Guard, serving as part of the Charlie Company in the 1-102 INF. I have been in the military for about five years now in which I have taken on the responsibilities of a Team Leader. I have also completed a couple of military courses such as Army Mountain Warfare School and Warriors Leadership Course. I have been a student at Tunxis Community College for a few semesters now and have only eight classes to finish my degree. I plan on finishing my degree and hopefully one day I become a Paramedic. I look forward to starting my career at Aetna Ambulance and becoming part of the greatest team.

Muath Omari:    FULL TIME, EMT. My name is Muath Omari, I am 27 years old. I am newly married and having my first born son this year. I thank Aetna for giving me the chance to start my new life with a wonderful new career with their company. I love helping people and love the emergency medical field. I am grew up in the streets of NYC most of my life. CT is my new home for my new family. I have work hard to achieve my goals. I have struggled through many obstacles in life to get to where I am today and plan to finish school as a paramedic. My life has changed for the better, but the man who loves football and cars will never change. Now I will look forward about teaching my son about all the things I learned in life and loved in life. Thank you to everyone at Aetna who believed in giving me a chance.

Dennis Pelletier:    FULL TIME, EMT. My name is Dennis Pelletier, I am 26 years old and currently live in Windsor, CT. I grew up in Coventry and joined the US Air Force right out of high school. I served five years in the Air Force in Security Forces and I was fortunate enough to travel around the world and live in Turkey and Guam for some time. My deployment to Iraq opened me up to EMS and I discovered I had a passion for it. Once out of the Air Force I started college and worked at Cabelas in the firearms section. I took my EMT class in the Summer of 2014 at Code One in East Hartford and I currently have an Associates Degree in Homeland Security from Goodwin College in East Hartford. I am also finishing up my Bachelors degree in Public Safety and Security at Goodwin. My ultimate career goal is to have a career in emergency management however EMS is not just a stepping stone, I see it as a career as well. I eventually want to get my Paramedic license and a Master’s Degree in emergency management with a focus on public health. I am excited to begin a career with Aetna Ambulance and to provide a public service.

David Rivera Jr:     FULL TIME, EMT. My name is David Rivera Jr. I am 27 years old and currently reside in East Hartford, CT. I became a certified EMT about two years ago. I am a volunteer member of the Manchester Fire Department as a Firefighter/EMT. I have always been so interested in how the human body works and its functions. That small fire really burned within me when I went on my ride along with Aetna while working on my certification. Volunteering with the fire department and going on emergency calls just confirmed that this was what I wanted to do. Everyone in this world has a purpose/calling and I truly believe that this is mine. I am a new father to a beautiful baby girl. I will take care of every child as if they were my own. I will a care of every mom, dad, brother, sister, grandmother and grandfather as if they were my own. I spend my free time with my family, loved ones and two dogs. I give thanks to God as He is the rock in my life. My hobbies are working out, fishing and reading. I am blessed and thankful for this opportunity with Aetna and I look forward to the experiences and room for growth.

Shawn Testa:    FULL TIME, EMT. My name is Shawn Testa and I was born and raised in Bristol, CT. I am a six-year veteran of the United States Army. After graduating high school I joined the Army as an Airborne Infantry Medic and was stationed in North Carolina for four years. I was deployed for two combat tours in Afghanistan in support of Operation Enduring Freedom VIII and X with the 82nd Airborne Division. I was attached to an infantry company of the 508th Parachute Infantry Regiment and participated in daily patrols as the first line of immediate medical attention. Aside from battlefield medicine, I was responsible for clinical and daily care of the soldiers in my unit. The final two years of my military career were completed as a reservist in New York. After my initial enlistment I went to school and recently graduated from Tunxis Community College with an Associates Degree in Science. I enjoy spending time out doors and camping with my family and close friends. My favorite holiday is The Fourth of July. America!

Eric Thepsiri:     FULL TIME, Paramedic. My name is Eric Thepsiri, I’m 22 and I grew up in Vernon, CT.  I first got started in EMS when I became an EMT at 16.  My first call was a respiratory arrest.  I remember being excited, nervous and scared all at the same time. When I began to bag the patient and they started breathing again, it was the best feeling I’ve ever felt. That was the call that sparked my love for medicine. I decided to continue my education at the University of Connecticut as a pre-med student.  As I was going through my studies at Uconn, I came to the realization I wanted more out of my education. Not only did I want a degree but I wanted my education to be practical.  I wanted to learn how to care for patients, how to make tangible differences and explore emergency medicine. Therefore, after my junior year at Uconn, I decided to become a paramedic. I enrolled in Goodwin College/Hartford Hospital’s Paramedic Program, where I recently graduated in December 2014. Currently, I work as an EMT for the town of Vernon and help to teach with the Department of EMS Education at Hartford Hospital. When I’m not working, I enjoy spending my time with friends and family, taking pictures, traveling and providing sustainable medical care overseas. I’m excited to start my journey in paramedicine here as a member of the Aetna Family, while continuing my education towards medical school.”

Information unavailable on ninth new hire at time post was published; a full time Paramedic.  

ASM’s Matt Tuttle Promoted to Supervisor

Matt TuttleMANCHESTER — On March 23, 2015 ASM’s Matt Tuttle was promoted to the position of Supervisor.

Matt started at ASM as an EMT-Basic in 2006. He graduated from the Capital Community College Paramedic Program and was cleared for independent dispatch in June of 2014.  

On behalf of the ASM Family we would like to congratulate Matt on his promotion and look forward to great things from and for him. We are very proud to have such skilled professionals on staff.

Cleared for Independent Dispatch: Aetna’s Samuel Dybdahl Completes Precepting Phase

Samuel Dybdahl (L) with Hartford Hospital's Dave Bailey.

Samuel Dybdahl (L) with Hartford Hospital’s Dave Bailey.

HARTFORD –  As of March 18, 2015, Aetna’s Samuel Dybdahl has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

Sam’s preceptor was Paramedic Matt Campbell. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field. As with all precepting phases at Aetna, Sam’s final approval came from Hartford Hospital after shadowing him and his preceptor in the field as they responded to emergency calls.

Sam has a bachelor’s degree in Business Administration, is a nationally registered Paramedic and received training as an Army Critical Care Flight Paramedic from University of Texas Health Science Center in San Antonio, TX. He  is a combat medic and healthcare specialist in the military since 2008 with one deployment to Afghanistan. Sam says he enjoys helping others and furthering his knowledge within the medical field. In his spare time he often competes in Duathlon/Triathlons, road races and weight lifting.

On behalf of the Aetna Family, we would like to wish Sam the best of luck and say we are very proud to have such skilled professionals on staff.

Cleared for Independent Dispatch: Aetna’s Terrence Wain Completes Precepting Phase

(L to R): Terrence Wain, Jennifer Pasquale, Hartford Hospital's David Bailey.

(L to R): Terrence Wain, Jennifer Pasquale, Hartford Hospital’s David Bailey.

HARTFORD –  As of February 3, 2015, Aetna’s Terrence “TJ” Wain has been cleared by Hartford Hospital medical control for independent dispatch as a paramedic to the towns that Aetna serves.

TJ’s preceptor was Paramedic Jennifer Pasquale. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field. As with all precepting phases at Aetna, TJ’s final approval came from Hartford Hospital after shadowing Terrence and his preceptor in the field as they responded to emergency calls.

TJ started at Aetna as an EMT-Basic in 2014 and graduated from the Capital Community College Paramedic Program. Initially from Waterbury, TJ resides in Wolcott and volunteers for the fire department there.  A graduate of University of New Haven with a Bachelor’s Degree in Criminal Justice, he was President of the New Haven Alumni Association until attending Paramedic school at Capital Community College. TJ actively DJs events and stays fit through cross-fit and other endurance activities.  

On behalf of the Aetna Family, we would like to wish TJ the best of luck and say we are very proud to have such skilled professionals on staff.

Meet the Newest Members of the Team: ASM Hires Five

MANCHESTER — On February 4, 2015 five EMTs were added to the ASM team. As part of our continued growth ASM and Aetna seek out only the best candidates. We look for employees who are focused on high-quality patient care, are team oriented and conduct themselves in a professional manner. During the orientation, employees learn about company philosophy and goals, quality assurance, and policies and procedures.

Tiffany Armas:     FULL TIME, EMT. My name is Tiffany and I’m 23 years old.  I was born in Caracas, Venezuela and moved here when I was ten.  I graduated from UCONN in May with a B.S. in Allied Health and a minor in Biology.  I currently work per diem at the UCONN Student Health Services Laboratory and I’m trained in phlebotomy.  I love working in the medical field and am super excited to be involved in emergency care.  In my spare time I like to cook, practice yoga, and anything involving being outdoors.  I’m also trying to teach myself Portuguese and after that, hopefully another language.  I love traveling and learning about different cultures and hope to one day be able to volunteer around the US as well as the rest of the world as a doctor to help communities in need.

Cheryl Everest:    FULL TIME, EMT. My name is Cheryl Everest I am 23 years old and currently live in Simsbury. I take great pride in helping people everyday in our community. I took my  EMT course three years ago and almost instantly fell in love with EMS. I recently graduated from Tunxis Community College with my associates. In my spare time I like to hike with my dog and spend time with my horses. I also volunteer with Simsbury Ambulance. I could not be more pleased to be able to turn my EMS passion into a career with ASM. I plan to further my career in emergency medical a services and become a paramedic.

Patrick Gleason:    FULL TIME, EMT. My name is Patrick Gleason, I am 43 years old and l live in Manchester, CT. At age 18 I joined the Army and served four years active duty with the 25th Infantry Division.  I assumed the duties of squad leader and particularly enjoyed the time I spent at Combat Life Saver School.  I went on to work as a Regional Director and Project Manager in the business world but always yearned to acquire an occupation in the medical field.  In 2014 I completed an EMT course at Code One in East Hartford and obtained my license. I love to learn new things and am looking forward to a more meaningful career by making a difference in the lives of those I serve as an EMT.  The experience I will gain in the field as an EMT will help to prepare me for my ultimate goal of becoming a Paramedic. I spend my free time with my wife and two kids, attend and volunteer at our church and am assistant coach for basketball at the kids school.  I am excited and grateful for this new opportunity.

Jonathan Sanchez:     FULL TIME, EMT. My name is Jonathan Sanchez and I am 22 years old and from New Britain, CT. I graduated from Tunxis Community College with an Associate’s Degree in Criminal Justice. My career goal is to become a police officer and to do the best I can to support the communities and the laws in place. In 2012 I got my first job at St. Francis Hospital & Medical Center as a transportation tech. With this job I became exposed to the hospital environment and was intrigued by the hospital environment and how much health care providers make a difference in the people they help. That’s when I decided to become an EMT. I obtained my certification last year and since July I have had the pleasure to work in the Emergency Room as an ER Technician which is basically an EMT within the ER. I have seen many different types of patients, from basic toe pain to cardiac arrests. I have done all types of different jobs and procedures within the ER and I love the fact that I get to actually help people out when they are in need and potentially help save a life. I look forward to working with the ASM crew and learning new things and incorporate what I already know on the road. I look forward to the future with the ambulance service and hope to take what I have learned and incorporate that in my career later on in life!

Cleared for Independent Dispatch: ASM’s Bryan Mathiau Completes Precepting Phase

Bryan MathiauMANCHESTER – As of January 27, 2015, ASM’s Bryan Mathiau has been cleared by Eastern Connecticut Health Network medical control for independent dispatch as a paramedic to the towns that ASM serves.

Bryan’s preceptors were Paramedic Sue Allen and Paramedic Supervisors Melissa Osborne and Vinnie Maston. The full precepting phase can take ten to 12 weeks or more as the paramedic is prepped for the realities of the field. As with all precepting phases at ASM, Bryan’s final approval came from Eastern Connecticut Health Network after shadowing Bryan and his preceptor in the field as they responded to emergency calls.

Bryan started at ASM as an EMT-Basic in 2011 and graduated from the Capital Community College Paramedic Program.

On behalf of the ASM Family, we would like to wish Bryan the best of luck and say we are very proud to have such skilled professionals on staff.

Public Service Announcement on EMS Use of Lights and Siren

Courtesy of MONOC this Public Service Announcement (PSA) discusses the use of emergency lights and siren in EMS response and its impact on the public policy and the public’s best interest.

Aetna and ASM support the judicious use of lights and siren and industry best practices in regards to “hot” and “cold” responses.