{"id":30221,"date":"2023-12-04T07:00:59","date_gmt":"2023-12-04T07:00:59","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=30221"},"modified":"2024-03-06T16:51:49","modified_gmt":"2024-03-06T16:51:49","slug":"emergency-services-technician-profile-auburn-medical-center","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/emergency-services-technician-profile-auburn-medical-center\/","title":{"rendered":"\u2018Greasing the wheels\u2019: How emergency services techs keep EDs running smoothly","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>If you tune into TV medical dramas, you\u2019re likely to see doctors and nurses performing all the tasks necessary to take care of patients in a hospital setting.<\/p>\n<p>What you don\u2019t see is the whole team of allied health professionals who \u2014 in reality \u2014 routinely work alongside doctors and nurses to ensure patients get the care and treatment they need.<\/p>\n<p>One of those allied health professionals is Raymond Fugate, an emergency services technician at MultiCare Auburn Medical Center. His role doesn\u2019t traditionally receive much fanfare in the media, but Fugate, along with his fellow technicians, are critical to the smooth functioning of the emergency department (ED).<\/p>\n<h2><strong>Inspired by family<\/strong><\/h2>\n<p>If you ask Fugate to describe what an emergency services technician does, he\u2019ll tell you they \u201cgrease the wheels\u201d of the ED \u2014 they notice what needs to be done and they do it. That could mean checking a patient\u2019s vital signs, cleaning a wound, performing an electrocardiogram (EKG), setting up a suture tray, running to the lab or pharmacy, or getting an initial summary of a patient concern in the triage area.<\/p>\n<p>Fugate has been an emergency services technician for 20 years \u2014 eight of those at Auburn Medical Center \u2014 and he credits his family, including his great grandmother and mother, for helping launch his career.<\/p>\n<p>\u201cMy mom was the first Black nurse at the hospital where she worked,\u201d Fugate says. \u201cShe helped me get a volunteer position there, and that\u2019s when I knew that working in a hospital setting was what I wanted to do professionally.\u201d<\/p>\n<div id=\"attachment_30225\" style=\"width: 390px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-30225\" class=\" wp-image-30225\" src=\"https:\/\/updates-www.mccdn.io\/vitals\/wp-content\/uploads\/sites\/15\/2023\/11\/Raymond_Fugate_image-300x225.jpg\" alt=\"Emergency services technician Raymond Fugate\" width=\"380\" height=\"285\" srcset=\"https:\/\/updates-www.mccdn.io\/vitals\/wp-content\/uploads\/sites\/15\/2023\/11\/Raymond_Fugate_image-300x225.jpg 300w, https:\/\/updates-www.mccdn.io\/vitals\/wp-content\/uploads\/sites\/15\/2023\/11\/Raymond_Fugate_image-1024x768.jpg 1024w, https:\/\/updates-www.mccdn.io\/vitals\/wp-content\/uploads\/sites\/15\/2023\/11\/Raymond_Fugate_image-768x576.jpg 768w, https:\/\/updates-www.mccdn.io\/vitals\/wp-content\/uploads\/sites\/15\/2023\/11\/Raymond_Fugate_image-1536x1152.jpg 1536w, https:\/\/updates-www.mccdn.io\/vitals\/wp-content\/uploads\/sites\/15\/2023\/11\/Raymond_Fugate_image-2048x1536.jpg 2048w\" sizes=\"auto, (max-width: 380px) 100vw, 380px\" \/><p id=\"caption-attachment-30225\" class=\"wp-caption-text\">Emergency services technician Raymond Fugate<\/p><\/div>\n<h2><strong>Preparing for the unexpected<\/strong><\/h2>\n<p>Fugate starts each 12-hour shift by meeting with one of the emergency services technicians on duty to discuss the status of patients on the unit.<\/p>\n<p>Rather than being assigned a specific number of patients, Fugate is in charge of a particular zone in the ED. On any given day \u2014 depending on how busy it is and how many technicians are on duty \u2014 Fugate\u2019s zone could include seven or more of the 30 private treatment rooms in the ED, as well as patients in the 12-chair fast-track area \u2014 for those with minor injuries or concerns, such as a sore throat or sprained ankle.<\/p>\n<p>One of the zones includes the four enhanced patient safety (EPS) rooms in the ED. These rooms are designed for people experiencing severe mental health crises who may harm themselves or others.<\/p>\n<p>The Auburn ED has experienced a 26.6 percent increase from 2021 to 2022 in psychiatric holds \u2014 patients who must stay in the ED until they can receive a psychiatric evaluation.<\/p>\n<p>\u201cThese types of situations can be difficult for patients,\u201d Fugate says. \u201cThere\u2019s a lot of steps we have to take to ensure our mutual safety. I put myself in their shoes \u2014 when patients are combative, it\u2019s often because they\u2019re afraid. I try to be a really good communicator by explaining exactly what\u2019s going to happen so they know what to expect and we\u2019re on the same page.\u201d<\/p>\n<p>Fugate has to be prepared for any number of emergencies on his shift, so after he meets with the technician on duty, he checks to ensure all equipment and supplies \u2014 from crash carts to EKG machines \u2014 are stocked and ready for use.<\/p>\n<p>As the lead emergency services technician, Fugate is also in charge of ordering and organizing many supplies in the ED, in addition to training new employees.<\/p>\n<blockquote style =\"font-size: 1rem;\">\n<h3>\u201cThe best part of my job is just playing a part in helping someone who is sick or injured get better. I\u2019m not a carpenter \u2014 I can\u2019t walk by and point to a house that I built, but I can say I helped that person breathe or I helped that person feel more comfortable.\u201d<\/h3>\n<\/blockquote>\n<h2><strong>A day on the unit<\/strong><\/h2>\n<p>While Fugate may start and stop each shift with a routine, that\u2019s where the predictability ends \u2014 no two shifts are alike. The Auburn ED averages about 120 patient visits a day, and so far in 2023, more than 35,000. Patients come in for a range of ailments and illnesses, from strokes to chest pain to bone fractures.<\/p>\n<p>One particular day, Fugate starts his shift at 11am. There are about a dozen patients on the unit. His co-workers duck in and out of rooms at a steady pace to answer call lights and administer care while others sit in front of computers coordinating care behind the scenes.<\/p>\n<p>The vibe could be described as calm \u2014 one might even be tempted to call it \u201cquiet,\u201d but that is not how Fugate, or his teammates, ever describe it.<\/p>\n<p>\u201cWhen it\u2019s like this, we say \u2018It\u2019s appropriate,\u2019 because you never know when it\u2019s going to change,&#8221; he says.<\/p>\n<p>And just like that, it does.<\/p>\n<p>Fugate is performing his usual checks of equipment and supplies when a hospital staff member calls a code over the announcement system \u2014 someone is experiencing a life-threatening medical emergency and may need to be resuscitated.<\/p>\n<p>Fugate, part of the rapid response team, grabs a pair of gloves and a stretcher and rushes to another floor of the hospital, along with other team members, to help.<\/p>\n<p>\u201cIn these moments, I just take a deep breath and head to the scene,\u201d Fugate says. \u201cThe patient is already in need of my help, and the best thing I can do for them is get there quickly and stay calm.\u201d<\/p>\n<p>This situation has a positive outcome; once the team stabilizes the patient, Fugate returns to his regular duties in the ED. After a quick check-in with the charge nurse and his colleagues, he attends to the needs of patients both coming and going.<\/p>\n<p>For one patient, he removes an IV, facilitating their discharge home. For another who has just been admitted, he helps them into bed and hooks them up to telemetry equipment. A short while later, Fugate helps that same patient out of bed so they can use the restroom.<\/p>\n<p>Next, he heads to one of the ED\u2019s two trauma rooms. These rooms are used to treat patients with severe injuries, such as gunshot wounds or injuries sustained in a car accident. The previous patient in this room has been transferred, so Fugate cleans and prepares it for the next person.<\/p>\n<p>Wiping down surfaces and ensuring all the equipment is ready for use, he performs each task with thoughtfulness and care.<\/p>\n<p>\u201cI ask myself, is this how I would want the room to look if one of my family members were to be treated here?\u201d Fugate says.<\/p>\n<h2><strong>Finding joy in patient care<\/strong><\/h2>\n<p>By now the pace of Fugate\u2019s shift has picked up, and no surprise \u2014 it\u2019s not out of the ordinary for Auburn Medical Center to be at or over capacity.<\/p>\n<p>In 2022, the facility was at full capacity for 319 out of 365 days. When there are no inpatient beds available, patients who need to be admitted must remain in the ED until a bed opens up.<\/p>\n<p>But regardless of the situation, Fugate carries on \u2014 he alternates between providing patient care at the bedside and keeping treatment rooms prepped and ready, all the while checking in with teammates to see what they need and how he can help.<\/p>\n<p>At 11pm, he will meet with the technician coming on duty before saying goodbye.<\/p>\n<p>\u201cThe best part of my job is just playing a part in helping someone who is sick or injured get better,\u201d Fugate says. \u201cI\u2019m not a carpenter \u2014 I can\u2019t walk by and point to a house that I built, but I can say I helped that person breathe or I helped that person feel more comfortable.\u201d<\/p>\n<p>Life in the emergency department is often marked by uncertainty and sometimes stress. To get through those times, he relies on the trust he\u2019s fostered with his teammates.<\/p>\n<p>\u201cNo matter how chaotic or challenging a situation may seem,\u201d Fugate says, \u201cI can just look at the people I\u2019m working with and know that we can do this together.\u201d<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>If you tune into TV medical dramas, you\u2019re likely to see doctors and nurses performing all the tasks necessary to take care of patients in a hospital setting. What you don\u2019t see is the whole team of allied health professionals who \u2014 in reality \u2014 routinely work alongside doctors and nurses to ensure patients get [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":367,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[79],"tags":[],"class_list":["post-30221","post","type-post","status-publish","format-standard","hentry","category-profiles-stories"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>A day in the life of an emergency services technician - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Emergency services technicians support patients and keep hospital emergency departments running smoothly.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/updates-www.mccdn.io\/vitals\/emergency-services-technician-profile-auburn-medical-center\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A day in the life of an emergency services technician - 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