Carl Siggett, Jr.

Was one of the original qualified hires & founders of the SWAT Paramedic position upon it's inception in 2008. I (along with the 4 other medics at that time) was responsible for essentially "piloting" the position into a full time and warranted role within the already existing SWAT department, which was composed of RN's only at that time. This consisted of building a repor hospital wide (including but not limited to all units of the hospital and multiple procedure areas) and educating current staff in said areas on what this new position entails and the service it is targeted to provide.

My role, since becoming permanent, has consisted of multiple avenues of patient care, including: transporting patients of all ages (neonatal - geriatric) and care levels (stable telemetry, general care with increased risk / care needs and ICU- both "stable" and "unstable" / critical status to various procedure areas (CT, MRI, IR, CVC IR, CPU pre-op and recovery, Neuro IR, INU, IU, GI Radiology, X-Ray, etc...) throughout the hospital and remaining with them during the duration of their respective procedures, during which time I provided monitoring of all sorts (B/P, cardiac, SPO2, CO2, ICP, arterial lines, medication management, airway / ventilatory management with various methods of protection and delivery. Was also responsible for the protection and integrity maintenance of post cardiac catheterization sites (femoral & radial) during transport back to patient units, Ventric's, Codman's, LVAD's (trained on Heartmate, Heartware and BrioVad), external pacemakers, lumbar drains, various other types of implanted drains / chest tubes, tracheostomy's (freshly placed).

I'm trained and well experienced in conscious sedation & sterile procedure as well. Part of my duties on SWAT was to work side by side with a RN and proceduralist(s) in providing safe sedation for patients whom may require it for various reasoning / procedures. Including but not limited to bedside, IR / CVC IR, IU, INU procedures such as PICC line placements, tunnel cath's, chest tube placements, drain placements, dressing changes / wound care, wound vac placement & changes, intrathecal chemo administration for pediatrics, bone marrow biopsy's for both in and out patients. Sedation also provided for emergent MRI's for ER / AES patients for reasons of pain control and / or claustrophobia. During sedation's, my primary role is patient assessment / monitoring along with doing all the documenting in the MiChart sedation timeline of the procedure on the SWAT side. This includes all prevalent information such as pre-sedation assessments, medical history, vital signs, pain level, sedation level, medication dose / route administration, etc... along with keeping in communication with the sedation providers and those doing said procedure and eventually closing out the case with proper handoff to appropriate personnel.

I was also (in recent years) involved with the transition of the AES "MERT / MOVE" Team to the SWAT medics / department. The team is responsible for responding to all medical emergencies (which are treated as a 911 call) involving staff members, visitors / family members and outpatients of all ages throughout all medical buildings and parking structures (Main, Mott, CVC and Cancer Center). Since obtaining, we (SWAT medics) have vastly improved on the overall efficiency and effectiveness of the team by developing a new triaging system & protocols under our medical director and finally obtaining medical equipment to better assess and assist those having an emergency / medical crisis. I provide direct & rapid medical assessment to which I then determine the severity and urgency of care to be implemented. Upon my clinical decision to transport the patient to AES / CES, I provide continued care and monitoring while enroute and then direct report / handoff to ER staff and when necessary, the Resus team / physicians.

Went back as a contingent employee for supplemental income under the shift / contract obligation of 24hrs or more / per month to maintain employment status. Job duties remained the same as my previous time of employment in this position with this healthcare system.

Worked here as a part time / contingent employee obligated to a minimum of 2 shifts per month. Took the job after being contacted by a friend whom was a supervisor there at the time and was looking for experienced paramedics to help with shift coverage due to their then lack of adequate staff. Also wanted good mentoring for the new hires and younger staff who were just getting into the field / line of work. This was a private EMS company that provided basic scheduled transports between hospitals and other various medical facilities, along with providing emergency coverage & emergency transports to select areas within their contracted regions. Jobs duties were the basic standard practice of an EMS worker on a road crew as listed below, (with the exception of some scheduled ALS / MICU transports between hospitals to which medications & occasionally ventilators needed to be managed / maintained.

• Delivered advanced cardiac life support (ACLS), basic life support (BLS), and pediatric advanced life support (PALS) under pressure.
• Delivered compassionate care to patients with a variety of medical emergencies, including cardiac arrests, traumas, strokes, and respiratory distress.
• Improved patient outcomes by providing timely and accurate assessments, treatments, and interventions.
• Transferred patients safely and securely to medical facilities for continued care.
• Assessed patient condition through physical and verbal exams and by collecting information from others at scene.
• Adapted treatment plans quickly and effectively based on changing patient conditions and reactions.
• Ensured patient safety by adhering to strict protocols for proper lifting techniques, equipment use, and infection control.
• Assisted in training new paramedics by serving as a preceptor and sharing clinical expertise during ridealongs.
• Coordinated with other emergency services personnel such as police officers and firefighters during complex incidents for optimal scene management and resource allocation.
• Adhered to set standards, rules, regulations, guidelines and protocols set forth by the various counties to which coverage was being provided for at set time.

Did basic ER Tech duties / responsibilities while holding my EMT-B license and then provided more advanced assistance once my EMT-P was obtained.

Helped with the development and implementation of an ER code blue team to assist with events throughout the hospital to help alleviate workload on the house physicians and unit staff where the event was taking place. The team also helped educate said staff on proper emergency actions to take if they were unfamiliar or new to those situations.

Went to contingent status during later years after my hire at Michigan Medicine. (reason for overlap in employment timeframe)

• Assisted with resuscitation, CPR, and emergency airway procedures.
• Enhanced patient care by providing assistance to nurses and physicians during medical procedures.
• Assisted in obtaining and documenting vital signs and placement of oxygen saturation, cardiac monitoring, and non-invasive blood pressure monitoring systems.
• Participated in ongoing training programs to stay current on best practices in emergency medicine.
• Conducted regular inventory checks of medical supplies to maintain adequate stock levels within the Emergency Department.
• Collected basic samples, labeled specimens properly, and transferred to laboratory for testing.
• Administered IVs, medications, wound dressings, urinary catheters, NG tubes, 12 Lead EKG's, assisted physicians with various procedures
• Applied orthopedic devices like traction and OCL splints.
• Collected accurate patient information during triage, helping to streamline the registration process and reduce errors.
• Served as a patient advocate, liaising between medical professionals and patients & families.
• Implemented crisis intervention techniques when needed, de-escalating potentially dangerous situations effectively.
• Maintained a clean and organized emergency department, ensuring a safe environment for patients and staff.
• Assisted in life-saving procedures, working alongside medical professionals to provide optimal care.
• Reduced wait times for patients by efficiently triaging and prioritizing cases based on severity.
• Worked with nurses to assess patients and prepare for tests and procedures.
• Improved patient satisfaction by quickly addressing concerns and providing compassionate care.
• Provided emotional support to patients and families during stressful situations, fostering trust and communication.
• Monitored vital signs of critical patients while alerting appropriate medical personnel when changes occurred.
• Safely transported patients by wheelchair, stretcher, or bed to other units.
• Quickly responded to codes and cardiac monitor alarms.

Performed the basic duties / job description of a firefighter / EMT.

Including the emergent response to fires (structural, vehicle and other types), along with responding to medical emergencies / accidents / personal injury situations and assisting to the best of my trained ability (which was provided on the job) and allowance as a volunteer until my EMT-B was obtained. Then I was able to partake in the medical coverage of local events (school sports, city festivals, etc..) and was also then able to transport BLS level patients to the nearest and most appropriate hospitals.

Was brought on / hired on as a volunteer (paid on call) firefighter due to city needs at the time. I responded to an ad put out by the city via a local public broadcast TV channel. This was the start and my initial interest / goal in public service & pre-hospital care. I was occasionally staffed part time but still operated primarily as a paid on call personnel. I eventually had to seek other employment due to city budget restructuring and the impending layoff's of lower seniority staff / volunteers. The department was composed of primarily part time and paid on call staff at the time and had not yet been approved for ALS care & transport. Hence my pursuit of my medic license and the ER position at Oakwood Hospital.