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ASSESSING PARAMEDICS' PERSPECTIVES ON AN EMERGENCY DEPARTMENT VIRTUAL OBSERVATION UNIT FALL PREVENTION PROGRAM.

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Mobile integrated health (MIH) paramedics in the Emergency Department Virtual Observation Unit (EDVOU) Fall Program reported positive experiences. They gained new skills, unique patient insights from home visits, and felt more integrated into the care team, enhancing fall prevention efforts.

Keywords:
EMSemergency medical servicesfallsgeriatricparamedicineparamedicstelehealth

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Area of Science:

  • Gerontology
  • Emergency Medicine
  • Public Health

Background:

  • Falls are a primary cause of injury and death in older adults.
  • The Emergency Department Virtual Observation Unit (EDVOU) was developed to provide home-based observation care for elderly emergency department patients.
  • Assessing fall risk in older adults is crucial for preventing injuries.

Purpose of the Study:

  • To explore the experiences of Mobile Integrated Health (MIH) paramedics participating in the EDVOU Fall Program.
  • To understand paramedics' perspectives on implementing a home-based fall prevention program.

Main Methods:

  • A qualitative study was conducted using semi-structured interviews.
  • Interviews were conducted with paramedics involved in the EDVOU Fall Program.
  • Interview transcripts were analyzed using thematic coding.

Main Results:

  • Fifteen paramedics were interviewed, representing 42% of the program's participants.
  • Key themes included paramedics learning new skills, gaining unique patient insights from the home environment, and feeling more integrated into the healthcare team.
  • Paramedics reported an overwhelmingly positive experience with the program.

Conclusions:

  • MIH paramedics found the EDVOU Fall Program highly beneficial, enhancing their role in fall prevention.
  • The program enabled paramedics to develop new skills, leverage unique home-visit perspectives, and feel more valued within the patient care continuum.
  • Paramedics' home-based medical care role is a valuable, underutilized resource for preventative care, especially within virtual fall programs.