Two Way Radios in Primary and Acute Healthcare

Communication plays a crucial role in healthcare. Timely dissemination and sharing of information is critical for acute healthcare providers. Similarly, primary healthcare can be easily administered by using practical and handy communication channels. However, there are several factors that need to be taken into account before deciding upon an effective mode of communication in both primary and acute healthcare institutions. Reliability, coverage and confidentiality of transmitted information along with the institution’s capacity in handling the equipment, play an important role. Healthcare institutions can largely benefit from a mobile clinical staff and two way radios can provide prolific results if used effectively for sharing information.

Functionality and Build of Two Way Radios

Two way radios allow only one function at a time – either receiving or sending the signal. This helps the users efficiently communicate without interrupting the interlocutor. These devices are helpful in exchange of crisp information, rather than constant communication. Two way radios are also known as transceivers or walkie talkies.

Two way radios are simple devices made of primarily six components: power source, receiver, transmitter, microphone, speaker and the crystal. This implies that running and maintenance costs for these devices are not too high. Two or more communicating devices operate on the same radio frequency and a push-to-talk button switches the device between receiving and transmitting modes.

Primary Healthcare and its Challenges

There is a growing emphasis to offer primary healthcare to one and all. This requires creating an environment where equal emphasis is laid on healthcare for all individuals. However, shortage of trained medical practitioners poses a serious threat to achieving this objective. Medical planners have to focus on the use of technology to make the maximum use of the available resources.

Isolation of patients is a big problem that surfaces in primary healthcare. Patients who need medical attention are usually dispersed, especially in rural areas and may not have access to medical facilities. The supply of drugs and medical tests are difficult to conduct and this defeats the very objective of primary healthcare. Lack of communication is another major problem in administering primary healthcare.

A quick exchange of information offers a suitable solution to meet all these challenges. Two way radios enable exchanging of crucial medical information and gradation of current medical practices. The absence of advanced technologies in many locations also increases the importance of two way radio communication devices.

Using Two Way Radios in Primary Healthcare Settings

The most important use of two way radio in delivering primary healthcare is in connecting local medical practitioners with hospitals in cities and more advanced areas. This is critical to diagnosing a patient as well as for prescriptive purposes. A timely decision whether the patient must be referred to a hospital with advanced facilities can be crucial in saving lives. The hospital can also monitor the condition of a patient at another location through two way radios.

How well two way radio technology is implemented for primary healthcare will be dependent on medical and health protocols. Doctors in some countries contact health aides and monitor the situation of the patient by use of two way radios. The medical structure of a community and the country determines how effectively the two way radio can be used for primary healthcare.

Emergency situations can also be addressed by using two way radio. Lack of good transportation and communication facilities can jeopardize a community in case of a medical emergency. Two way radios can be used to send news of such medical exigencies to hospitals or district headquarters and help save many lives.

In some countries, two way radios are used to connect fieldworkers with doctors who are constantly on the move. Use of airplanes helps attend to critical patients in a very short time as soon as the news is delivered by way of two way radios.

Two way radios can also help in training field workers who play an important role in primary healthcare. It depends on the level of existing competence of the medical workers and the desired levels of training. Moreover, field workers can listen in to the conversation of co-workers with physicians and learn by observing the standard medical practices adopted in different cases.

Using Two Way Radios in Acute Healthcare Settings

Clinical information in a hospital can be shared with the help of two way radios. A mobile unit of clinical staff will be more efficient in dealing with day-to-day problems faced by patients and in specific cases where a patient requires immediate attention. A patient who undergoes a complicated heart surgery may require constant monitoring for a few hours after the operation. However, it may not be possible for the doctor who operated on the patient to stay by his side all the time. Two way radios can prove to be a handy solution for helping healthcare institutions, solve such critical operational issues. A nurse attending on the operated patient can inform the doctor about the patient’s progress or whether the patient needs immediate attention, using two way radios. This will not just update the doctor on the patient’s condition but also help him take immediate decisions based on the available inputs. The healthcare industry has successfully tested and used two way radios for acute healthcare. Hospitals make wide use of two way radios for exchange of information among healthcare workers.

Two Way Radios: Advantages

Two way radios provide for a cost effective medium of instant communication. Healthcare industry requires rapid and extensive sharing of information in the most cost effective and efficient manner. A large healthcare institution can be brought under the ambit of wireless radio communication without running up high costs. Moreover, radio signals are quite reliable as compared to mobile networks, where one must depend on the network strength and connectivity. Also, issues of interference do not surface often. Maintenance costs for these devices are also considerably low.

Two Way Radios: Standard Practices for Operation

Some of the standard practices followed for using two way radios in healthcare institutions are:

  • The devices are used in “receive only” mode in patient areas.
  • Medical staff is advised to leave the patient area if the device has to be used for outgoing communication.
  • Two way radios must be kept at a distance from highly energized medical devices.
  • Lowest possible setting must be used to avoid any interference if the device so permits.
  • In case of malfunctioning of any medical equipment, the use of radio devices must be stopped immediately.
  • Unnecessary use of two way radios may distract a medical practitioner during surgery. Therefore, such devices must be used only when required to avoid any delay in patient care.
  • Using Two Way Radio Systems: Interference and Other Issues

Two way radios do not generally interfere with other medical equipment. Research studies have proved that hospitals can safely use two way radios for communication purposes. These devices can be safely used at a distance of 0.5 meters from most medical equipment. The reason is that these devices operate at high frequencies and do not cause any interference. However, the use of two way radios is discouraged in highly sensitive medical environments like the ICU.

Some of the other issues with two way radio systems include problems, like poor maintenance, lack of power, non-availability of spare parts and poor training of the medical staff regarding the usage of these devices. Any compromise with the quality of the device can prove disastrous and defeat the entire purpose of setting up two way communication radios.

Conclusion

Two way communication systems have been in use for more than seventy years in the field of healthcare. Even today, with the advancements in technology, radio systems play a vital role in setting up communication in healthcare institutions. This is because no other technology can adequately address all the needs of healthcare communication – little interference with medical equipment and immediate and hassle free communication. This establishes the fact that two way radios will continue to play a major role for communication in primary and acute healthcare as well as improve the provision of healthcare services.

Looking 40 Years Back – A Circle Closes

T.S. Eliot must have attended a few school reunions of his own when he wrote: “We shall not cease from exploration, and the end of all our exploring will be to arrive where we started and know the place for the first time.” I just returned from my law school 40-year reunion. I saw my old school for the first time through the eyes of a man who now grasps the significance of my three years there, but also saw for the first time the reasons for how I experienced law school and the four decades of law practice that followed.

Over the years, law school announcements follow you across your various new office or home addresses. Invariably, they include a direct appeal for money and present a showcase of successes by alumni. With all those smiling faces moving into top positions in government and private practice, I wondered how many of them were struggling like me to learn the craft and build a business. I felt I was on the margins, a creature of hiding and shame, just getting by in comparison. It was a surreal experience to see an announcement of promotion, completed deal, or court victory by someone not even born until ten years after I became a lawyer.

But the shame was mostly self-imposed. Comparison is a deadly practice that poisons a balanced view. Somehow it didn’t occur to me that a law school will not show the dark underbelly of the alcoholism, the drug addiction, the divorces, the lost cases, the bankruptcies, and depression that especially afflict lawyers. After 40 years of stressful deadlines, demanding clients, and combative opponents I still managed to win a few, had my health and could claim a few friends, and a close intimate relationship. Maybe I wasn’t a star, but I had survived 40 years dodging a wrecking ball and even had some golden moments of my own.

Law is punishing work. It is unforgiving, high stakes, and extremely competitive. Add to that nasty cocktail that lawyers by disposition focus on “getting it right” to earn the rewards of social approval. That’s great, except it doesn’t work over the long term. It doesn’t work over 40 years. It may not even work for four years. High blood pressure, lack of exercise, poor diet, and burnout can quickly turn a middle-aged man into a critical care patient. Big law firms especially demand long working days that turn into weeks and months of relentless hours. Family meals, family events, time with the kids, getting away from it all with your spouse — these good intentions collect in the wastebasket of forever lost memories.

The Hazelden Betty Ford Foundation 2016 report chronicles the casualties. Of responses by 12,825 lawyers across 19 states, the results indicated that about 28 percent struggle with depression, 19 percent admitted to disabling anxiety. But of the 12,825 replies, 75 percent skipped the questions about drug use entirely. Lawyers are likely afraid to admit their dependency for fear of losing clients and possibly their licenses. That secrecy only makes matters worse as they hold to the illusion they are still in control. After all, lawyers are “take charge” personalities. They are loath to admit they’re addicts in need of a 12 step program and rehab.

According to Seattle-based psychologist Andy Benjamin, J.D., Ph.D. law schools twist personalities into status driven, often hostile adversaries who develop analytical skills and suffer from atrophied emotions. The artistic or playful sides of law students are shrunken and disfigured by the experience. Professional work after law school reinforces the dehumanizing process. The desire to serve the public good is overwhelmed by the dangling carrot of prestige and big money. The good news is that the student population is getting smart, and law school applications are dropping as students realize the high tuition does not deliver the promised rewards.

The national epidemic of prescription opioid abuse leading to heroin addiction has hit the legal profession hard. Lawyers’ drive to succeed leads them to be functional addicts until the binges catch up with them. The “production at all costs” mentality of big firms can cause his colleagues to ignore the red flags as long as the addict keeps hitting his billable hour quota.

My law school reunion included a slide show on a large overhead screen. One slide listed as “In Memoriam” at least 40 dead classmates. When my eye caught the slide during the few seconds it was displayed, I was shocked at the numbers, about 1 out of 7 of our total class population. Most of us are in our mid-sixties. As I looked around, I saw the bent backs, rounded shoulders, the deep creases around the eyes and cheeks, the overweight or underweight physiques, the balding or gray hair, and most telling, the awkward effort to connect to a time and place we left behind so long ago.

And so, I saw myself and the law school of my past as if for the first time 40 years later. I saw that I had been hoodwinked by a subculture of promised power and prestige, but had paid the price of my soul. If I had survived 40 years, and if I was to survive another ten, it would be because I continued to unlearn the dehumanizing habits of law school and law practice. It would be because I awoke from the hypnotic trance of social status and money to claim the real significance of being a lawyer: to serve the cause of justice and the social good. Corporations don’t meet stockholder expectations with abstract ideals, nor do they pay lawyers to pursue such goals. There will always be personalities ready and able to advance shareholder value. But many great lawyers could make a living defining their law practices for themselves if only they had the courage and imagination.

7 Important Issues: Which Means Most To You?

Don’t ever believe, it doesn’t matter, who, we elect, as President of the United States, because they’re all the same, anyway? While, few elected officials, may be ideal, and most could improve, if we did not recognize the potential risk/ concern, to our American way of life, before, these past, nearly – four years, should have taught you, otherwise! Haven’t we learned, yet, that governing, by – slogan, does not achieve what’s needed, and necessary? Although, many have differing, preferences, and priorities, we would be, best – served, if/ when, our leaders, strategically planned, and created the finest, action plan, to get things done, effectively, etc! With that in mind, this article will attempt to, briefly, consider, examine, review, and discuss, 7 important issues, and, ask you to consider, which, might be most important, and relevant to you.

1. Public Health: Although this President has said, he’d give himself, an, A+, in terms of his handling of this horrific pandemic, and, states, no one could have handled it, as well as he did, many seem to believe, otherwise! Do you believe, the American response, and results, have been great, or, extremely concerning? With less than 5% of the world’s population, this nation has experienced over 20% of the cases, and deaths, from this pandemic. Are we supposed to be, thrilled, with over 7 million cases, and, over 200, 000 deaths, so – far, and still, no apparent national, public health policy, to flatten – the – curve? From setting a questionable example, by claiming, it was a hoax, minimizing the benefits of wearing a mask, refusing to follow the advice of experts, etc, how important is this, to how one might vote, this November?

2. Affordable Health Care: From, before, he was a candidate, to the present time, Trump continues sounding like a One Trick Pony, continuing to promise, better, cheaper, more affordable health care, for – all! However, after nearly four years, in office, he continues, saying this, and, has not released, his so – called, solution/ program, etc! He claims he will protect pre – existing conditions, while bringing it, to the Supreme Court, in an attempt to eliminate all of the Affordable Care Act, without having a viable solution! Experts claim, if this occurs, about 20 million Americans, will lose their medical/ health – care protections!

3. Unify, versus, polarize: Would we be, better – served, if/ when our leaders, prioritizes unifying us, and bringing us, together, for the greater good, and seeking a meeting – of – the – minds, or, one who, creates adversity, and polarization?

4. Social Security, and Medicare: Some refer to Social Security, and Medicare, as an entitlement, but, since, we have paid taxes, all our working lives, for these, they should be considered guarantees, instead! Some are concerned, because, President Trump, recently signed an Executive Order, to eliminate employee contributions/ taxes, for these, and, if, this, becomes permanent, puts the solvency of these funds, in – danger!

5. Fairer tax system: In 2017, President Trump, and his political party, passed his so – called, tax reform plan, which he promised, would, primarily, benefit the middle – class! However, we soon discovered, the major beneficiaries of this plan, were the wealthiest corporations, and individuals, and it did not significantly, if, at – all, benefit the middle – class! At the same time, the United States’ Federal Deficit, expanded, exponentially!

6. Integrity: Are you, tired/ fatigued, yet, with the lack of integrity, and enormous amount of lies, we’ve experienced, in the last 4 years, from President Trump?

7. Foreign policy: We have witnessed, many of America’s traditional alliances, have been minimized, and we seem, to have gotten, cozier, with several despots, and dictators, etc! In addition, how do you feel, about, this administration’s minimizing of Climate Change concerns/ dangers (leaving the Paris Accords, etc), and significantly, reducing environmental protections? Does this make you feel safer, than you did, four years ago?

All of these issues, and many others, are relevant, and significant, but, which ones, are most important to you? Demand viable solutions, and well – considered plans, etc, rather than empty promises, and rhetoric!

The Impact of Good Leaders in Society

Unfortunately, everywhere we go nowadays we see signs of ethical deterioration. And we ask ourselves – indeed, what is wrong with the world. The whole trend of this new century seems to be away from the principles and practices of ethics – not toward them. What is most disheartening than man’s puny spirit and man strained relationship with nature? I think we should examine our own position in relation to nature and society with the most appreciate care. Why do we tolerate bad leaders? Here, in a sentence, is the issue. One must decide how he feels about the future of his family and his community before he decides to pick the lesser of two evils. Is this really a dilemma? Frankly, is there no way out of this?

The good leader does walk in step with the sages. He knows he needs to learn more. This is because the true leader understands that everyone who wants to grow and help others to grow needs a mentor. Having a mentor can improve our chances of success. The good leader seeks disciples. He is the first one to know that he will not remain with power forever. He has a duty and a responsibility to pass on his knowledge to others. He becomes, then, a mentor. He motivates his team members all the time.

What does the bad leader do? The bad leader sits in the company of fools. He does not have knowledge. He doesn’t find himself a life mentor. Those who want to lead without listening are not working for the benefit of mankind: they care only about themselves and their political agenda. There is no full dominion over all things. Bad leaders are doing irreparable harm to their coworkers and also to their community.

On the other hand, the good leader has perfect self-control. He knows integrity pays off. He doesn’t have to cheat to win. He does choose right from wrong, and gives service to the world. Of course, ethical conduct is about self-respect.

One more thing, a good leader is the difference maker between success and failure. Good leadership offers forms of contribution that no other activity does. After all, being a leader involves the highest responsibility. Good judgement seeks balance and progress; lack of good leaders eventually finds imbalance and discouragement. Good leaders are a vital element in keeping the peace and in creating opportunities for community progress. Good leaders are the binding force that guarantees mutual respect and love.

Why Do Core Supporters Continue, To Believe Lying Politicians?

We seem to be living, in the era of fake, or false news! Sometimes, there are, simply, a few faulty aspects of an otherwise accurate report, while other times, the entire statement or article, is a total misstatement. It appears, both sides of the political spectrum, take advantage of these types of tactics. While this is probably, not a new phenomenon, for a variety of reasons, we seem to be witnessing, an epidemic of these. Individuals, who rarely tell the truth, attacks their opponents, by claiming, anything, written or stated, which opposes them, are fake facts! How is anyone, to know, what might be true, and which reports, are not?

1. Why does it appear, this is more prevalent, today?: Are we actually, witnessing more of this, or does it, only seem that way? In the past, there were far fewer forms of, press media, and coverage was predominantly covered, by a few newspapers, magazines, television, and radio stations. Today, with the growth of cable television, satellite radio, and, of course, the Internet, it seems, there are endless numbers of outlets. While we used to rely, on the reputation of the company, and developed a degree of trust on certain news anchors, such as Walter Cronkite, David Brinkley, and Chet Huntley, etc, today, instead of balanced reporting, certain appear to focus on the conservative, or right – wing, positions, while others, are more progressive, or left – wing. The major networks, and the cable ones (which are owned by major companies), often, skew their reports, according to their perspectives, positions, and the demographics of the viewing audience. How often, have we observed, one specific company, appears to focus, and report, far further to the so – called, right, than the others?

2. The Donald Trump Phenomenon: Whether one supports, and believes in, or opposes and despises/ fears, etc, most agree, Donald Trump, is significantly different, than those, who proceeded him! His campaign appeared to bring hope, and to a degree, idol – worship, to/ from, his core supporters, and he used rhetoric, and vitriol, to encourage. and even enable them, to view things, as, us, versus them! Most political fact – checkers state, President Trump, had lied consistently, and constantly, at a record pace, even for a politician. He seems to change positions, as the wind blows, and while, proclaiming himself, as the so – called, master of negotiating, his style is an adversarial/ polarizing one, rather than a unifying one.

3. Why do his supporters continue to support him, and believe in him?: There are many theories, but I believe, the major reason, is the message, he articulates, is what they want to hear. He stokes their fears, and appears to enable them, so they feel justified, with their often – prejudiced positions, which they believe benefit them. They don’t seem to care about his lies and, even, actions, as long as he continues to articulate a message, the want to hear!

Wake up, America, because, until/ unless, you do, our nation will no longer, remain the country, which represents, liberty, freedom, and justice, for all. We’ve seen this before, and the impact, in history, was consistently, a sad one!