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Monday, December 21, 2015

What are We Supposed to Do?





     The following blog post was submitted by Peer Supporter Ryan Lettieri (Rolling Meadows FD) which includes a link to a pertinent article he read, along with his commentary on the same.  Please read the article, then his post.  Ryan’s hope is that this will start an open dialogue on this subject matter where others will also share their point of view in the Peer Reporter.  Thanks, Ryan for this entry.


 

     I recently read and digested the included article on PTSD and how it affects the fire service as a whole. I began to think if our hiring process, schedule, and culture is really designed to protect us from the trauma that we see on a daily basis or if we have negotiated and pursued these subconsciously in response to the trauma we see. After all, the culture (and schedule) of the modern fire service has changed over the years and can cause an applicant to try and "fit the build" of the type of individual he or she believes the department is searching for. 

 


Polygraph exam


     Our hiring process is a long, drawn-out waiting game followed by a week or two of complete terror as a candidate has every aspect of his or her personal life, physical capacity, and mental capacity examined, exposed, and investigated. It seems as if we as a profession want to "find the ones who are resilient" because they will likely function at a high level in the face of stress, not to mention they are less likely to stumble if they have clearance from a cardiologist, a detective, some guy running a polygraph, and a shrink......right? Nope, we have individuals that can no longer handle the job because either their personal or professional life was too much. There's no shame in that, it's not these individuals' fault, after all who would want to leave a career that they put so much effort into getting in the first place?

 

     When the trial does occur, the probation period includes input and evaluation from shift personnel and supervisors who are technically evaluating the candidate on ability to complete tasks and make decisions. The more I thought about what we look for in a new employee, it seems as if we envision that individual in the situations we've struggled in: maybe a fire, an intense medical call, or something else. 



 

     We see if we can picture that person having the capacity to persevere through the struggles we've felt both physically and mentally to ensure that the new firefighter will be able to effectively cope with what he or she is about to experience. Honestly, our evaluations are somewhat irrelevant and much too basic to be completed in a year of probation. We have to know that the new firefighter "gets it" and will learn how to cope with not only what he or she sees in the people we serve, but also in us. If they're struggling, we need to recognize the signs and talk to them. If we're struggling, we have to know that the new guy or girl will point it out to us in an acceptable way: not in a judgmental way, but as a friend. We must be sensitive to the needs of the individual and assure them that they will not be punished or ridiculed for the struggle they're experiencing. We must also attempt to assist our friends in the searching they must do for the root of the issue they're experiencing. 

 

     Let's face it, we're all a bit broken, and we EXPECT our friends to help us navigate our issues. After all, at some point we all play the role of a cardiologist, a detective, some guy running a polygraph........and a shrink.

 

Ryan Lettieri

Sunday, December 6, 2015

The Most Important Person in the Self Care Paradigm is . . . You



     A few weeks ago I was one of three team members who had the opportunity to present the ILFFPS concept to the Bolingbrook Fire Department, the others being Kelli Krupa and Tom Howard.  Each time I present, I improve upon the delivery of our message by changing the emphasis on important points.  What has truly added to these events is the ability to share our informational video which eloquently drives home the point of our mission. 

     I begin the post-video discussion with the topic of situational awareness, that every first responder is schooled on during each professional development class that he or she attends.  Situational awareness basically means taking in the big picture, as well as being cognizant of your surroundings at all time (visual, auditory, or olfactory senses-don’t rely on the last one).  For example, you are inside a burning structure and you start to hear the building moan and creak-possibly signifying a pending collapse.  If you do not pay attention or miss this detail, the results could be disastrous.  One may ask at this point how this relates to behavioral health in the fire service.  Let’s take a look.
 
 
     I continue the conversation by relating that one of the most difficult things for a firefighter to do is to separate their professional from personal lives.  However, it is paramount that when at the scene of a fire the individual must focus on the task at hand versus allowing the mind to drift to the big argument he/she had that morning with their spouse or significant other.  Otherwise, they may miss that the fire started in the basement of a multifamily residence, and communicated to the third floor where it is showing upon arrival to the scene.  This leads to the second point in my discussion.

     All too often we can become overwhelmed and consumed by the demands of our daily personal lives.  This in turn affects our professional performance:  A once positive and happy firefighter begins to exhibit road rage, interpersonal conflict with peers, excessive sick days, etc.  They start to make errors at emergency scenes with regard to tactical decision-making.  Does any of this sound familiar?  One thing to keep in mind is that we are human beings first, and emergency responders second.  We are not superheroes nor infallible, and can succumb to the pressures of daily life just like anybody else. So, how do we keep our head in the game amongst any personal chaos?

 
 
     I conclude the presentation by stressing to my brothers and sisters that we, the individual, are the most important person in the self-care paradigm.  If we can recognize in ourselves that our ability to do the job is being stunted by our personal or professional conflicts, then it is time to step up and ask for help.  In the face of adversity, we must have the courage to ask for and except any assistance available on the road to healing.  It is always better to take care of oneself before someone else mandates that you do so (such as your chief).  Furthermore, if our colleague does not recognize they need help, then as a brother or sister we should have an honest conversation with that person and extend a hand of friendship and healing rather than condemnation.   However, at the end of the day, self-care is a personal responsibility.
     Future posts will cover self-help strategies. As always, if anyone out there wants to share their own healing experience please email me your story so that all may benefit.  Until next time-

Stay safe,

Tim