Unit 4

Question 1

Social marketing is a continuous health-improvement cycle that begins with gathering information to determine the health-related needs of community populations. In addition, the text states health practitioners must first learn everything they can about the public they serve. How does this statement apply to EMS and EMS leaders? Is there a need to be proactive in learning the health-related needs of the community? Why, or why not?

Your response must be at least 200 words in length.

Question 2

Our text suggests that social marketing strategies translate into improved health for individuals and the communities in which they live. Whereas, this statement applies mainly to the public health program, discuss how the changes in health care and the possibility of community-based EMS in many communities apply to this statement.

Your response must be at least 200 words in length.

Question 3

Should the justification for line items in the expense budget be incremental or zero based? What detailed information is needed for each program or service area? Who or what are the best sources for this information? Is the desired process for input of information from the bottom up, top down, or a mix? Is it best to operate with a fixed expense budget? Explain your response.

Your response must be at least 200 words in length.

Question 4

Finance is concerned with the generation and use of funds to support organizational objectives; whereas, accounting provides guidelines for recording transactions and summarizing how funds are expended. Do you think EMS leaders should be more concerned with knowing the financial concerns of the organization or accounting principles? Which one do you think is more important, and why?

Your response must be at least 200 words in length.

Unit 5

Question 1

Our text states value systems are inherently individual, but they can incorporate elements of theories and approaches. The expectation of our leaders is for them to do what is right and have a value system. Discuss how breaking or bending the rules in the scenario below diminishes the leader’s ability. Was this an ethical decision? Why, or why not? Support your answer.

The administration for your EMS agency has been alleged of unfair labor practices for bargaining in bad faith. The administration unilaterally changed mandatory overtime requirements outlined in the collective bargaining agreement (CBA) to reduce overtime cost. The administration believes that their ideology gave them the right to make unilateral decisions because it dealt with the budget. There have been many reports that the administration was anti-union and even threatened anyone who complained about the overtime issue.

Your response must be at least 200 words in length.

Question 2

Our text suggests that personal ethics has a slightly different meaning for each person. Many times as EMS leaders, we rationalize withholding important information concerning performance reviews when it comes to professional relationships, personal relationships, or both. Explain how this rationalization pits the values of honesty and respect for the relationship against the individual’s moral right to know the unpleasant information so he or she can improve. Is this an ethical concern? Why, or why not? Support your answers.

Your response must be at least 200 words in length.

Question 3

Our text states teleological models for decision making seek balance and harmony. This model focuses entirely upon the action that the individual performs. When the consequences are right, then the person is moral. Based on the scenario below, were the actions of the EMS leader judged morally right based on the consequence? Why, or why not? Were the actions of the employee morally right based on his problem? How does this scenario apply to the teleological theory?

An EMS leader who had a professional relationship with one of his employees was asked to stop by his employee’s home. The employee had an outstanding performance review but was having a personal issue that he needed help with. As the leader enters the employee’s home, he finds it unsanitary and unkempt with garbage and dirty clothes scattered throughout the home. The employee shared that he took some money from one of their patients because he had an alcohol problem and needed help. Upon returning to the office, the EMS leader prepared pre-termination papers and later terminated the employee even after he asked for help.

Your response must be at least 200 words in length.

Question 4

The fairness or justice approach is concerned with ensuring that all persons receive equal treatment. It focuses on how fairly or unfairly actions distribute benefits and burdens among the members of a group. Discuss the fairness or justice approach related to the scenario below. Should the EMS providers transport this potentially ill but reluctant patient? Why, or why not? How does this relate to an ethical concern? Does the EMS agency have any ethical obligation as the emergency transport agency related to being fair or just? Support your answers.

EMS personnel respond to a person who has become known as a “frequent flyer” that is homeless. As always, the patient is reluctant to be treated and after a few minutes becomes agitated. You follow your agency’s policy of making sure the patient demonstrates an understanding of his or her illness and understands the risks of refusing care. However, this time you observe the patient does not appear to be rational enough to refuse intervention. You begin to further assess the patient when your partner states that you should leave and tend to patients that are truly ill and need your help.

Your response must be at least 200 words in length.

Unit 6

Question 1

Contract discussions or bargaining sessions between union representatives and management focus on the many issues involved in the what, where, when, and how workers shall perform their duties. However, there are times where both parties cannot reach an agreement. Our text discusses three different means to resolve those disagreements. List the three means and state the differences among each of them. Explain why one is better than the other.

Your response must be at least 200 words in length.

Question 2

According to the text, in the beginning, trade unions worked to increase pay and conditions of employment. However, today, trade unions and collective bargaining are in many arenas viewed with disfavor by those who believe that unions are out of step with an independent and self-reliant national character. Do unions artificially increase wages? Why, or why not?

Your response must be at least 200 words in length.

Question 3

In labor relations, an employee may be discontent or have dissatisfaction for any reason and file a grievance. Discuss the benefits that will accrue to both the employer and employee as a result of the grievance process.

Your response must be at least 200 words in length.

Question 4

Although management may discipline an employee in response to a violation of organizational rules, it must be able to prove that the violation occurred, demonstrate that the rule was known or should have been known to the affected employee, and show that punishment was both suitable and administered in an even-handed manner. Discuss the means that employees have to seek resolution while maintaining an amiable work environment.

Your response must be at least 200 words in length.

unit 7

Your text supposed that employees may exhibit problem behaviors in the workplace as a result of situational stressors which may or may not be dependent on substance abuse. Discuss the differences between substance abuse and situational stress. Does either one affect leadership or interfere with work performance and job duties?

Your response must be at least 200 words in length.

Question 2

As an EMS leader, it is critical that one recognizes personality disorders and their effects on an organization. Explain how these types of disorders could affect the goals and objectives of an organization.

Your response must be at least 200 words in length.

Question 3

Someone with a borderline personality disorder can be very impulsive and have difficulty maintaining and respecting boundaries with many. Discuss how this disorder, if occurring in an individual with leadership duties, could be destructive and generate serious and enduring effects on the individuals he or she leads.

Your response must be at least 200 words in length.

Question 4

According to our text, which type of personality disorder describes people with a tendency to think very highly of themselves and usually exaggerate their achievements and talents? Thoroughly define this personality disorder and explain strategies EMS leaders should use when dealing with employees with this disorder.

Your response must be at least 200 words in length.