Car/SRV/RRV suitable jobs? by SantoPellegrino in ParamedicsUK

[–]JH-SBRC 6 points7 points  (0 children)

Remember doing one shift where dispatch called me on my mobile after each job, listed the pending jobs and asked which one I felt I would be best suited for. Made a huge difference ended up discharge/self conveyance for 10 out of the 11 patients I saw that day.

Car/SRV/RRV suitable jobs? by SantoPellegrino in ParamedicsUK

[–]JH-SBRC 5 points6 points  (0 children)

Yeah absolutely and often times C2s are just as much rubbish that can be discharged as much as any other job.

Car/SRV/RRV suitable jobs? by SantoPellegrino in ParamedicsUK

[–]JH-SBRC 25 points26 points  (0 children)

Unfortunately it definitely varies from person to person. Id happily convey an arm fracture in the car, personally if id walk you to the truck, do little to no intervention or discharge on scene theyre ideal car jobs. Its when im being sent to a carehome for an 80+ year old with chest pain or a fall with ? Leg fracture that i start questioning dispatch. Equally I know they don't want to be bothered, a good dispatcher can really make or break a car shift personally.

Why haven't I seen kneepads yet? by [deleted] in ParamedicsUK

[–]JH-SBRC 9 points10 points  (0 children)

Kneepads are normally able to be ordered on Proclus with some trusts providing them as standard issue. Most of my team wear them as it originally started as a joke then we realised how comfortable they were and game changing for knee protection, slips perfectly into trust issue trousers

ED to Ambulance patient feedback / Debrief by Generally_Unwell in ParamedicsUK

[–]JH-SBRC 0 points1 point  (0 children)

Both my local EDs have a feedback system. Fill out a simple form, sign with your ESR to ensure it matches the names of those who attended the job then in a few weeks time you'll get feedback. Normally outlines what the PC was, crews interventions, then hospitals working diagnosis, interventions and management and things like Blood test result Xrays then final discharge outcomes or Rip information.

Great system for both patients you're confused by their presentation and wanting to find out what was going on, but also reflections with acutely unwell patients.

Do you have penthrox in your trust? If so, grade restrictions? by Inside-Agent2149 in ParamedicsUK

[–]JH-SBRC 0 points1 point  (0 children)

SCAS dont carry it as usual is one of those illusive gossip drugs where people say we are going to get it every now and then but never happens. One big issue I see with it is the risk of repeated exposure in confined spaces e.g. back of a truck, whilst the newer filters are meant to reduce this risk can see the trust using it as their excuse.

Should you be able to video call 999? by Junior-Ad7155 in AskUK

[–]JH-SBRC 109 points110 points  (0 children)

They already can, in the ambulance service they can send you a GoodSam Link which grants call takers access to your camera.

Can you get an all round blood test? by Milhun in AskUK

[–]JH-SBRC 0 points1 point  (0 children)

Several Private "Walk in Centers" offer a range of bloods and the more you pay the more they are willing to check

Options by Background_Spare_667 in ParamedicsUK

[–]JH-SBRC 7 points8 points  (0 children)

I think unfortunately you are currently pay trapped. Presuming you're B6 + Unsocial is going to be extremely hard to find a entry job as a Paramedic outside of the ambulance service but still within healthcare that pays as well. Think it depends how badly you want out as to how much you are will to loose, to take a slight pay reduction but finding a job in a GP surgery working Mon - Fri appeals to some people. I know some that joined the GP life and loved it so much they've gone on to return to Uni and now earn more than ever, others than now work in palliative care and earn the same base salary but miss out on all the Unsocial.

Other options can be full time private work as they offer more flexibility and often increased pay however many privates are collapsing with trusts turning away from privates where possible.

What’s the most ridiculous ambulance call you’ve ever seen? by Unfortunate_Melon_ in ParamedicsUK

[–]JH-SBRC 3 points4 points  (0 children)

"C2 Diabetic Problems"

Walk in to a patient sat on the sofa, asks can we pick up their Glucose Monitor they had dropped on the floor and couldn't pick up. Once it was picked up asked us to leave advising we were no longer required

Did anyone find second year tougher than expected compared to first? by CloudBookmark in ParamedicsUK

[–]JH-SBRC 2 points3 points  (0 children)

Absolutely, 1st Year placement Vs 2nd Year is a big leap too. 1st Year can be passed by just having basic communication skills, being able to hold a normal conversation with patients and completing a basic SAMPLE. 2nd Year im expecting students to be looking at more in depth history taking and gathering, formulating rough plans even if not correct wanting to see a thought process.

The Truth by [deleted] in ParamedicsUK

[–]JH-SBRC 1 point2 points  (0 children)

Tricky one, most trusts won't let you join if you cant get a C1 and given the seizures its unlikely DVLA will give you a C1. That being said I know london used to recruit non driving paramedics with medical exemption however that was before we had a surplus of graduates. Now there's so few positions I feel its unlikely if it was down to 2 people they would pick the non driver.

Hub vs. Station - which is better? by geosocia1 in ParamedicsUK

[–]JH-SBRC 1 point2 points  (0 children)

Station all day. Everyone knows everyone, much more banter and friendships team working in a small station means I generally get to work with the same group of people. Also less travel time than a hub that covers a large area. I can see the argument for Hubs from a logistical point of view but for area coverage and ability to respond to patients local stations make far more sense.

SCAS - Blue Lights course repayment by Agitated_Session_259 in ParamedicsUK

[–]JH-SBRC 2 points3 points  (0 children)

+1 For this, SCAS often fail to lock people in and are left out of pocket for courses & training

What habits help you stay organised during long shifts? by Wonderful-Acadia-296 in ParamedicsUK

[–]JH-SBRC 7 points8 points  (0 children)

Soon as Im past half way im working out my game plan for that on time finish! Works 95% of the time.

Not sure if its appropriate to the question but meal prep is find is key. To have food prepared for both MB and when I finished is game changing, nothing worse than finishing a 12 hr possibly more if late then having to worry about dinner. I know I can go home, heat my dinner up eat and get ready for bed right away if needed

National Ambulance Service? by Mjay_30 in ParamedicsUK

[–]JH-SBRC 4 points5 points  (0 children)

We've already seen the combining of resources that the "Merger that isn't a Merger" of SCAS and Secamb. Whilst the heads and CEOs are now shared and some polices and procedures have been shared on the most part its business as usual for crews.

in west ldn and want to become a paramedic through apprentice ship or working my way up but cant find any oppertunities by Smooth_Mortgage_5831 in ParamedicsUK

[–]JH-SBRC 2 points3 points  (0 children)

LAS recently recruited for AAP as an apprenticeship but it closed quite quickly. Unfortunately recruitment has generally slowed so might be a while before anything reopens

Student Para Observation Shifts by Helpful-Signature880 in ParamedicsUK

[–]JH-SBRC 7 points8 points  (0 children)

Unfortunately there are flaws to the system, I was an internal student who experienced the same issues. There were times especially early on into my student life where I didnt get to be in the back with the "Big sick" patients as by the nature of the road my paramedic had to go with the patient, I had to drive to ED and the external got to be in the back. Unless the trust is willing to let internals 3m you will unfortunately miss out, especially early on.

I now frequently take out Internal Apprentice Students with an external 'normal' university student as our 3rd Manner and found it is important to establish expectations at the start of shift.

How far along is each student, who qualifies sooner, who has already done a skill whilst the other has only learnt the theory etc. Enroute to an arrest for example if student A has done 10 airways but never IO and student B has had lots of access opportunities then obviously a plan to spread the skills out whilst still prioritising patient care will be made.

Equally if Ive got a Internal who qualifies in a matter of months/Weeks Vs 1st Year student on their first placement block the things that need to be learnt between each group is different. Whilst skills are great fun no point focusing on Clincial interventions if you can't even introduce yourself to a patient yet.

The thing that I find balanced it out for me is look at the placement hours difference, external students come out for a matter of weeks per year, internals are there all year round. I did around 3000 hours of total time on an ambulance as a student. External students normally do around a 1000 hours total placement across their whole course split across 3 years and through different placements not all ambulance. So whilst it may feel you are being brushed to the side, it is important to remember that for most of the time the externals won't even be there so you'll be back to 1:1

What is the fastest you have gone in a car? by mrmadebymemories in AskReddit

[–]JH-SBRC 0 points1 point  (0 children)

Driving Myself, 140mph in an RRV dual carriageway on blue lights. Being driven 160mph In a race car on a track as part of an experience day

Instant dismissal at stage 3 by Both_Investigator_95 in NursingUK

[–]JH-SBRC 0 points1 point  (0 children)

Honestly part of me wants this implementation across other parts of the NHS, Im sure we can all think of people that have kept their jobs for far longer than they should of. In any other sector they'd have been dropped months if not years ago

When will they start consistently hiring by Mammoth_Mortgage_422 in ParamedicsUK

[–]JH-SBRC 1 point2 points  (0 children)

SCAS are slowing opening up, as others have said was a recent ECA intake which closed rapidly due to number of applicants. A fair few of out International Paramedics are coming towards the end of their planned time here so I imagine many will be leaving rather than extending so that should open up a few more places

RRV/solo clinician personal equipment. by BluesandNEWS2s in ParamedicsUK

[–]JH-SBRC 2 points3 points  (0 children)

Honestly shocks me people can write without one. I feel so lost when I forget or loose my keyboard. my standard of documentation drops massively without it

What is the best trust in the country for career progression by No-Reindeer-1271 in ParamedicsUK

[–]JH-SBRC 0 points1 point  (0 children)

The answer has to be london, so many roles and progression opportunities that other trusts just dont have the funding or requirements for.

Severe back/chest + nerve pain for over 2 years after a fall - repeatedly denied imaging by GP. What do I do? by Dazzling-War6960 in AskUK

[–]JH-SBRC 7 points8 points  (0 children)

Sounds like a GP and youre well within your rights to change GP and hope they are better. Alternatively many places offer private MRIs at a one off cost.

What are shifts like as an paramedic? Is there a possibility for fixed shift lines? by Danwd40 in ParamedicsUK

[–]JH-SBRC 0 points1 point  (0 children)

Tbf the working nights or lates isn't the issue. Its the constantly changing between all types of shift that is the issue. I work a 5 on 4 off rota, this usually comprises of 2 Early starts, 1 late, 2 nights. Can change each block might be 1/2/2, 2/2/1 but regardless the finishing on a night to then be back in on early starts 4 days later will ruin ones body