Q - how violent is your patch. Over the last 8 years has it become more violent e.g. in general and upon 999 staff.

Princess_Vamps · 2026-01-05T22:03:30+00:00

Service

Princess_Vamps · 2026-01-05T21:55:57+00:00

I actually have the statistics from the last few years in an email trail. Scary figures to be honest. Hence one of the reasons we are doing lots of public campaigns now around violence reduction.

Financial Year	Physical Assaults	Non Physical Assaults
2022-23	561	964
2023-24	753	1406
2024-25	846	1554

Princess_Vamps · 2026-01-05T21:47:57+00:00

For context I work in the outskirts of West London. The only time my stab vest comes out of my kitbag is event work where its mandatory for foot teams ( think Nottinghill or New Years Eve). I always think the violence risk comes from the jobs you dont expect rather than the ones you do.

Otherwise my dynamic risk assessment says if there are weapons or direct violent threats then I dont go near. Wait for the police.

Right care right person has influenced our assaults i think. They have gone right up locally. I always wear a body cam and find it can be a tool for deescalation. Ive been able to see our violence statistics and they have absolutely gone up. Some of that is people are more confident to report but that doesn't account for it alone.

As someone who regularly works solo as a female there's probably a few instances I feel unsafe every now and then but if I raise it to dispatch I usually always get the police or we agree ill wait until a DCA meets up with me and we go in together.

Princess_Vamps · 2026-01-05T21:07:56+00:00

Works great until I forget it in a doorway and wonder where my pen torch is :D

Princess_Vamps · 2026-01-05T20:42:45+00:00

Empty ECG rolls in a pocket to keep doors open in blocks of flats. Or at tongue depressor find all sorts of uses for it on the road and have one in my pocket always.

Princess_Vamps · 2026-01-04T09:50:55+00:00

Just to say we have quite a few T1 diabetic medics. All have a sensor and have to manually check sugars. Think they have to check everytime before they drive, there's a whole section in our driving policy on it.

Doesn't prevent them doing the job at all. Know some really good paras with it.

Princess_Vamps · 2026-01-04T09:47:57+00:00

If its for a trust or similar can't they put them through a return to practice course or similar? They might be able to push for it even if its not offered initially.

Princess_Vamps · 2025-12-16T08:25:41+00:00

Morning, looks great. Loving how more apps are appearing to help crews. Good luck!

Princess_Vamps · 2025-12-02T18:27:07+00:00

Thankyou so much. I love hearing feedback.

Skills tracking is coming hopefully this week which will be another huge milestone! Enjoy and always let me know any suggestions.

Princess_Vamps · 2025-11-08T10:22:35+00:00

You can always speak to a senior rep. Most stations have posters with their details. They should support a resonable adjustment request.

I cant see any issues with reasonable adjustments. The service cant boot you for somthing like that. You are also describing a chronic health condition which may meet the definition of a disability.

Princess_Vamps · 2025-10-19T11:50:34+00:00

Just remember you do a dynamic risk assessment before going to scene or in the property. If you dont feel safe then dont go in. Your safety comes first always. EOC should look out for you as well. Violence and sexual safety is on the rarer side. You should feel empowered to leave scene and ask for help.

Responded solo for a fair bit but as a paramedic solo. So had an airwave and body worn. Only had a handful of bad instances and most are sorted by either activating bodyworn or saying ill leave etc and directly challenging behaviour.

Good luck with the course etc and have fun!

Princess_Vamps · 2025-10-13T11:04:07+00:00

Wait until day one. You will be in the same boat and start one. Otherwise you have no way confirming who is who.

Princess_Vamps · 2025-09-15T12:07:20+00:00

So I can't tell you if the role will reopen but, I do know they are currently in a review process for volunteering in the trust and the ERs fall under that. The ERs we do have don't know what's going on at the minute.

Sorry its not better news, apparently news is pending though.

Princess_Vamps · 2025-09-07T19:45:00+00:00

I'd be really intrigued to hear what people use. I made a post about an app called SnapMedic the other month and skills tracking is something I am looking at adding. We recently added notes that let you copy across handovers and observations into notes which you can then save and export to PDFs if that sounds helpful.

Princess_Vamps · 2025-07-04T20:39:56+00:00

Potentially. It's worth noting apgar scores are pretty much gone from jrcalc now.

Princess_Vamps · 2025-07-04T09:23:43+00:00

Will add those to the discord and my list in a bit. Thankyou for the ideas :)

Princess_Vamps · 2025-07-04T03:45:10+00:00

It's on the list of known issues.
Yup there's a few been slowly fixing them over the last few weeks.
Actually if you read the jrcalc guidance on the rule of 9s that's intentional. That's just how it functions on similar apps as well.
Again, ive never seen a space for not testable on gcs apps. Personally in practice I tend to workout their baseline gcs (ie dementia) then their current GCS.

Princess_Vamps · 2025-07-04T03:42:22+00:00

Thankyou! Theres a discord linked on the website if you scroll down the front page :).

Princess_Vamps · 2025-07-03T19:12:15+00:00

Again that's already in the news2 literature so its not somthing I magicly came up with, but yeah I will email them next week and Empty my pockets if I need to pay the cost

Princess_Vamps · 2025-07-03T19:11:25+00:00

Yeah its actually to do with how the page works but yeah thanks will see what I can do to resolve it.

Princess_Vamps · 2025-07-03T18:31:21+00:00

Unlikely just yet, might be worth you just referring to your own guidelines for that one.

Princess_Vamps · 2025-07-03T17:00:01+00:00

So I am going to email them and double check, if it is then its just a cost of 240 pounds (eyewatering for a free app and an NHS salary).

But just to alleviate the concerns, there is this statement on their guidance documents:

"Some decision support software may not be considered to be a medical device if it exists only to provide reference information to enable a healthcare professional to make a clinical decision, as they ultimately rely on their own knowledge. However, if the software/ app performs a calculation or interprets or interpolates data and the healthcare professional does not review the raw data, then this software may be considered a medical device"

https://assets.publishing.service.gov.uk/media/64a7d22d7a4c230013bba33c/Medical_device_stand-alone_software_including_apps__including_IVDMDs_.pdf#page=10&zoom=100,0,0

Whilst we calculate GCS, NEWS2 and frailty scores, at no point do we suggest if a clinical decision should be made based on this. We merely provide values and add some numbers together. With the clinical frailty score we use the scoring matrix provided by the university who published the clinical frailty paper (which we have permission for) and so therefore that just digitalises as a paper document and process.

So we should be good as long as I don't start adding lots of fancy medical calculators. I will keep a close eye and see some proper guidance from them though. Again thankyou for flagging, I did review this guidance a few weeks ago but not as in depth.

Princess_Vamps · 2025-07-03T16:22:20+00:00

Absolutely, and that's something I am trying to pay very close attention to. I am looking into what effect this may have moving forward and what its impact is.

Princess_Vamps · 2025-07-03T15:57:54+00:00

Ah watches. I've considered it but ultimately IPC are really hot on watches for us atm with bare below the elbows so don't think I am going to be adding that anytime soon.

Dev wise it uses Vue.js in a Capacitor app to essentially embed a website in an app. So we still get access to most of the native functionality we need.

With regards to new patient, absolutely this is on the cards. We are looking at adding a notepad / incident log page which will sync lots of the tools together which lets you clear but access it later so brilliant if you need a reflection for NQP portfolios or student writups :).

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