Americans with Disabilities Act ADA The ADA prohibits discrimination on the basis of disability in employment, State and local government, public accommodations, commercial facilities, transportation, and telecommunications.
It also applies to the United States Congress. To be protected by the ADA, one must have a disability or have a relationship or association with an individual with a disability. An individual with a disability is defined by the ADA as a person who has a physical or mental impairment that substantially limits one or more major life activities, a person who has a history or record of such an impairment, or a person who is perceived by others as having such an impairment.
The ADA does not specifically name all of the impairments that are covered. I am very camera shy. I looked after a young man who fell off a zip wire, he totally lost his memory and was chatting about seeing his grandfather in the ambulance. Suddenly he burst into tears as he said he had just remembered his granddad had died a few years ago.
We were looking after him and his sister started to get tearful when she saw me, and said I looked like their mum who died. She had brought her brother up and looked after him as a child.
I had to hide in another cubicle because they moved me to tears. I wondered whether he really did see his granddad, was he looking after him in the ambulance? Sadly this was not caught on camera, but I will never forget this young man. Paul has a head wound and is complaining of shooting pains in his back as well as pins and needles in his feet.
Doctors are immediately concerned that he may have injured his spine. I just felt pretty helpless, but all I could do was hold his hand. He is very frail and a scan reveals that Anthony has broken some ribs, puncturing a lung and will need a chest drain.
I had a son that was involved in a car accident, I lost him. So instead of curling up and going into a little ball I decided to get myself off to college, get an education and put myself into that. I like to help others that are going through what I went through.
I am a Consultant of Emergency Medicine and Pre-Hospital care with a both a clinical and teaching role. The filming process had very little impact on our day to day work — the cameras were very soon forgotten and genuine natural work was captured. I have enjoyed the positive feedback about our department from the first episode — a real boost to the team. The high quality care in an empathic manner we deliver to our patients.
I greatest challenge was consenting and informing patients to the series. The delicate balance of ensuring no pressure is put on them to be involved and that it is their care is the most important thing. We, as a whole Trust, should be very proud of the healthcare we deliver — all day, every day. Only positive. As a trauma registrar you must be present at all major trauma calls and lead the assessment and management of the unwell patient in conjunction with the emergency department consultant.
We also provide a specialist service for all trauma and orthopaedic issues including foreign bodies in the foot! We lead patient care and coordinate with other specialities when their input is also required. I was anxiously excited but what a great opportunity for the hospital to showcase the fantastic job it does treating its patients.
Well, at first I felt the cameras presence, but that soon disappeared. The love and support that has been shown! Everyone warned me off not being involved… Apparently at best you could come off looking normal. What do you think about the reaction to the new series and your part in it?
I hope it does the hospital a great deal of positive publicity so it can secure its services and make the transition to a foundation trust.
There was a young polytrauma patient involved in a high speed head on collision that had numerous severe injuries including an open chest wound, intrabdominal injuries and a fracture dislocation of his hip.
His wife Kate received a phone call shortly after the accident.
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As the emergency team try to realign the tip of his thumb, Richard enjoys the effects of the pain-killing gas and air while reflecting on his time in the marines and the evolutionary benefits of risk. Consultant Will talks about how risks are part of normal life. Why did the trust agree to be filmed for the series? We thought it would be a great way to show the public what really goes on behind the scenes of a busy emergency department.
How much was the trust paid for being part of the series? We were given a facility fee for taking part. Where will the revenue go?
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Were staff paid for participating in the series? No, not directly. When we needed staff to spend time to help with the programme then money was used to backfill them so that patient care was not affected.
Did all patients give their consent to be filmed for the series? How did you know that patients were able to give consent? Before filming started the trust carefully considered the consent process. A contract was then signed.
Their experience gave us even greater assurance about consent. How much disruption did the filming cause for patients? Hardly any. There were only a couple of members of the production team in the hospital at any one time.
The cameras were operated remotely. The cameras and cabling were installed when the emergency department was at its quietest. Our own estates team played an important role in overseeing this — often at very unsociable hours.
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