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04/07/08 

Union County (Iowa) EMS Association

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Volunteer Retention

Retention of Volunteers:

How can you recruit and retain volunteers? There is no simple answer, but understanding why people volunteer on an EMS service and what makes them stay on the service can help. Also, knowing why people leave EMS helps, because we may be able to prevent those things from occurring.

Why EMS Providers Provide EMS

#1 – Personal Satisfaction.  Outside of wanting to play with big trucks and make the lights and sirens go, most people get in to this business to help others. We feel good when we help others.  We want to make a difference in the world, even if it’s just the little part of the world where we live.  

#2 – Contributions to the community.  Citizens of a community, especially a small community, become a family. If you grow up in the family, you are protective of it, and want it to grow and be happy, healthy and safe.  EMS/Fire helps the community, not just by answering medical calls and fighting fires.  Personnel teach first aid and CPR classes, conduct safety programs at the schools, lead bicycle safety courses, host babysitting classes, and more. The involvement is limited only by the members themselves.

#3 – Excitement.  Face it, only 5-10% of our calls are exciting. But, that’s enough positive reinforcement for adventure-seeking types that are drawn to the business.  Like a gambler dropping coins into a slot machine, we know that sometimes when the button is pushed (or the pager sounds), the result will be exciting.   

#4 – Family & Friends.  Strong friendships can be born from joining an EMS/Fire Department.  The only people that truly understand how it feels to work a code on a neighbor, are the people working it with you.  If you think that EMTs and Firefighters would do anything for the general public, you should see what they will do for each other.  They can be a very close knit family. 

#5 – Career enhancement.  Volunteer work can look pretty good to a prospective employer.  Being an EMT can help seal a job for someone who has that one edge over other applicants. The experience gained can put a person in line for a full time job in the same field.  

#6 – Service awards.  Everyone likes a pat on the back now and then.  Recognition is something we strive for in our jobs, whether it’s in the form of a raise or a promotion.  Departments who recognize their volunteers with service awards and other forms of recognition tend to keep their members longer. Everyone wants to feel appreciated. 

#7 – Property tax deductions.  In some towns, members of EMS/Fire Departments are given property tax deductions for their volunteer service.  In other towns, a deduction on the gas or electric bill is given. With the price of energy, that would be a great incentive.

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 ALL GOOD THINGS COME TO AN END.

DO THEY HAVE TO?

Unfortunately, EMS loses good people every year, at an alarming rate. Volunteers are lost at a higher rate than new volunteers are found. Why? I've done some research, read many stories of EMS providers, and here are some reasons we lose crew members:

#1 – Family conflicts.  The spouse isn’t supportive.  The kids have activities the volunteer doesn’t want to miss anymore. Work schedules are longer, and people travel further for good jobs. There are so many possible conflicts!   

#2 – Burn-out. Even the 5-10% of calls that are exciting can be too much. The volunteer has worked too many codes on neighbors, talked to too many grieving parents, seen too much blood and flesh that just the day before was a living, breathing member of the community.  The pager tones have become dreaded instead of welcomed. Sleep is more precious than a call at 2 a.m.  The EMS “family” is too demanding, and the family at home is too neglected. No one can tell exactly when burn-out will occur, but there are things that can be done to prevent it, which will be discussed later. 

#3 – Lost interest. The 5-10% of calls that are exciting are not enough. The volunteer who seeks excitement on every call will be bitterly disappointed when he or she discovers that most of our patients would survive even if we did nothing. Or maybe the volunteer seems to be away when the calls come in, and his or her call shifts are quiet. This makes it seem like his or her time and efforts are in vain, and he or she isn’t really needed. 

#4 – Lack of leadership abilities.  A department without a good leader is like a table without legs. Put too much on the table and the table crumbles. A department without a good leader can get through the easy times without too much trouble, but the first crisis that comes along will cause disruption and chaos. Humans seek an order to things; without order, we feel lost, confused and unfulfilled. 

#5 – Cliques.  When a new member joins the department, and he or she is referred to as “the newbie” for 5 years, that person hasn’t become a full member yet.  When the new member can’t get into the club, even though he or she is in the department, there won’t be the personal satisfaction, feeling of family, and development of strong friendships. Interest will be lost quickly.

#6 – Personal conflicts and quarrels. Without teamwork and harmony, a department suffers. Here are some actual reasons that people have left EMS/Fire Departments:

            “I’m tired of him criticizing everything I do.”

            “She won’t ever drive. I have to drive every time. I want to do patient care.”

            “All she ever thinks about is what’s in it for her. I don’t want to be like that.”

            “He is so bossy. Why can’t the rest of us have an opinion once in awhile.”

            “Even when I’m on call, others who get there just seconds before me take my call.

Why should I even bother anymore.”

Or…

“I’m glad he’s gone. He does this full time and was always trying to teach us something, like we need that.”

“We didn’t need him anyway. He was an EMT when he moved here and didn’t do things the same as we do.”

“She would only take one shift a week. If she can’t pull her weight, we don’t need her anyway.”

     There were so many more stories too complicated for one line, but so often a petty disagreement results in losing a member. Have you ever been in an organization that has a “troublemaker?”  And did you ever notice, that person is the one that endures, and drives away member after member, as if he or she was trying to create a department of his or her followers. And this longevity seems to give the troublemaker even more self-worth.  Most troublemakers want power, control and/or money. They will make it known that you can’t get along without them. (Or can you?) They will intimidate, criticize, and make anyone who won’t join “their team” feel unwanted and unneeded. Often the troublemakers have a different motivation for their membership. They may say their patients are the reason they do this, but it may well be that the patients are simply a means to an end – their own ego boost. They don’t need anyone to pat them on their back because they do it themselves. 

So, we have identified what keeps members and what drives them away. It makes sense to study both so that we can promote the “keep” list and dissuade the “away” list.

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Retention of Volunteers 

Here are some ideas that services can do easily, and increase the satisfaction of the volunteers on the service. This could potentially increase the length of service of the members. Following each tip for individual services is a response that the Union County EMS Association could make.

Individual Service:  Make new members feel welcome and part of the team. Introduce them at the first scheduled meeting after they join. Find out something about them – family, hobbies, work, experience – share the information at the meeting so that it will be easier for everyone to strike up a conversation with them. Consider inviting their spouse and/or children to the meeting, too. If you have a call schedule, be sure to include them.
UCEMSA:
A letter of congratulations to the new member, with contact information, info about UCEMSA, and an invitation to meetings. 

Individual Service: Track years of service, and statistics for number of calls each year for each member. Share this information with UCEMSA.
UCEMSA:
Provide recognition awards for members. Years of service certificates, pins, patches, letters.  

Individual Service:  Special family events – birth of a child or grandchild, marriage, special anniversary, awards received, etc. Share with UCEMSA.
UCEMSA:  Mention special family events on the website. 

Individual Service:  “Job Well Done” by a member. This could be exceptional job of handling a difficult call, going above and beyond the call of duty, receiving a letter of praise from a patient or family, or other special circumstances.  Share this at your local meeting. Share with UCEMSA. Share pictures if appropriate and possible.
UCEMSA: Provide a certificate to the member. Recognize the member on the website. 

Individual Service:  Share results of election of officers with UCEMSA.
UCEMSA:  Letters of congratulations to officers. Recognition on website. 

Individual Service:  Choose a “member of the month” by whatever criteria your department deems appropriate. Submit your choice to UCEMSA.
UCEMSA:  Certificate to each member of the month. Draw from names for a prize. End of the year, solicit applications and choose a member of the year.  

Individual Service:  Host continuing education classes within your department 4 times per year. Provide a place to have the class and refreshments.
UCEMSA: Provide the instructor, handouts and registration materials, arrange for the continuing education hours, and track hours for all who attend.  

Individual Service:  Notify UCEMSA of fundraising events.
UCEMSA:  Publish on the website. Provide other assistance as able. 

Individual Service:   Hold case studies and/or audit reviews quarterly. This will provide feedback to members on the calls they have participated in.
UCEMSA:  Provide guidance for conducting these, attend as necessary until the local department is comfortable with the process. 

Individual Service:  Hold one or two events per year which involve members and members’ families. This can be informal gatherings, a picnic in the summer and a bowling party in the winter, for instance. Even a pot-luck before a meeting or a cook-out afterward.  It’s okay to let the families sit in on a meeting, too, so they can see what their family member does
UCEMSA: Provide notice on the website, door prizes for those who attend, and coverage in the newsletter after the event.

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Upcoming Events

Next meeting date of the Association will be Wed., April 16, 6:30 p.m. at the Creston Fire Station in Creston. An agenda will be posted soon.

Visit www.iemsa.net for details on what's going on with EMS in Iowa, classes throughout the state, and for legislative bills regarding EMS and Fire services.

Take a look at the upcoming classes being offered.


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Last modified: 04/07/08.