Overview Much like symptoms represent external evidence of something going on inside our patients, change signifies an organization in transition. Whether you work in the fire service, a hospital-based service, a private ambulance service or a volunteer rescue squad, chances are your organization is undergoing some form of transition or change. Buyouts and mergers now ravage the private sector. Financing issues have caused every EMS agency to re-examine how it operates and make significant changes. Change isn't limited to the external world.
Constant change is like evolution.
In order to survive, organizations must adapt and change in response to their environment. Because the world around us constantly changes, healthy organizations regularly change and adapt. If evolution stops, an organization shrivels and dies. Dealing with transition and managing the human results of significant change are assignments that most often land in the laps of managers and supervisors. While senior executives determine broad directions and plans, often the women and men in middle management actually make it work.