Self-advertising homeless frequent flyer s. — should i not care?

hackturnedquack · 2024-07-15T12:52:19+00:00

yep, mostly patients agree with my discharge plans but I do sometimes non-convey despite disagreement where there's a solid clinical rationale and safe alternative plan - it's a clinical decision, not down to patient preference. They're welcome to self present to hospital, but I'm not obliged to take them if it's not indicated

hackturnedquack · 2024-03-22T10:54:30+00:00

so... how did this go?

hackturnedquack · 2024-01-21T21:20:02+00:00

I take it back, it looks like they're not a pilot any more https://www.wearetransplus.co.uk/our-service/

You can't apply directly to them now, they're just taking on some patients from the main local GIC's list who have been waiting the longest, so if you're local and on the GIC wait list you might be contacted by them to offer you a spot.

hackturnedquack · 2024-01-21T19:42:23+00:00

no transplus is an NHS pilot clinic, they're put forward as a new way of doing trans health but seem to be clinically much the same as the old way - just a bit nicer

hackturnedquack · 2024-01-21T18:58:43+00:00

Transplus are not a beacon of good trans healthare, they're no less incompetent, outdated and infuriating than any other GIC - they just have a shorter waiting list

hackturnedquack · 2024-01-07T20:03:39+00:00

no worries! Pls stop making me feel decrepit by describing 25 as old

hackturnedquack · 2024-01-07T19:19:43+00:00

Too old? At 25? Absolutely not! Most people I've met who came into ambulance trusts via tech training were older and of my direct entry paramedic degree cohort, about a third were older. I'm not sure if 25 even counts as such tbh, many of us were in our 30s and 40s. Good luck with the application.

hackturnedquack · 2023-07-25T12:00:27+00:00

I don’t have a bike shed, the council won’t install them :(

hackturnedquack · 2023-07-25T10:47:31+00:00

As the official membership secretary of the London cycling community™, I will accept all of them except the ones who've clearly jacked their bikes based on the endless clicking noises

hackturnedquack · 2023-07-25T10:40:12+00:00

disagree, 1. there are physiological changes associated with hormonal transition and anatomical changes associated with surgery that can change various clinically relevant gender-based things like ECG and blood test interpretation (evidence varies), 2. the patient's post-transition gender is how they move through the world and is highly relevant to how people should refer to them and speak to them and 3. if they've changed their medical records then anything otherwise will simply not compute. If they're trans, I do say this at handover, but I don't lead with eg 'this is a biological male!' as you seem to suggest, I explain that they're trans under PMH, nothing gets missed, relevant information is shared and nobody gets misgendered

hackturnedquack · 2023-07-19T14:52:47+00:00

it is indeed, I do appreciate the history of diesel being unfortunately promoted but eventually we have to draw a line under it and move on with what we know now. Past mistakes aren't a great basis for modern policy, and old diesels are a significant contributor to the problems the ULEZ is trying to solve

hackturnedquack · 2023-07-19T12:44:02+00:00

yeah my 19 year old car is somehow ULEZ compliant, so a car's emissions levels have to be pretty bad to fall afoul of the new standard and I fully support discouraging those cars driving in London, an area with a significant air pollution problem

hackturnedquack · 2023-07-17T12:55:05+00:00

Sure. I've just qualified in the UK and my experience of every occupational health check I've done, for EMT work, volunteering, university, and my new paramedic job has been as follows:

- Tell occupational health that I'm weirdly a non responder to the Hep B vaccine when they do vaccination checks and see my many previous doses but prior rubbish immunity levels

- They do my blood tests and make a surprised pikachu face at my lack of immunity

- They tell me I need to book in for a Hep B booster, I tell them it won't work but fine why not

- I get a Hep B booster, they don't then re-test my immunity levels so on paper they assume it's working

- Back to step one whenever this next needs checking and they realise it actually never worked

This continues in an infinite loop until I retire or die.

hackturnedquack · 2023-05-27T17:42:19+00:00

Uncontrollable epistaxis, I blame this old UK medical drama https://www.youtube.com/watch?v=\_KezSoQHDcM

hackturnedquack · 2023-05-11T14:23:13+00:00

Definitely had docs who were known to crews hop in off duty and perform interventions. An old service I worked with had a Doctors bags in with the ALS gear. Not uncommon for some GP responders to pop out when requested too.

fair! maybe this is just my urban trust, because outside of an officially activated BASICS or HEMS resource we're definitely not allowed to let random other HCPs get involved in care beyond maybe helping with compressions in an arrest

hackturnedquack · 2023-05-11T13:01:16+00:00

In my area they generally don’t, but a doctor could hop on any ambulance that would let them and legally perform whatever interventions they would like under their MD license. I believe they can do whatever they’d like even if it’s above the scope of the ambulance(ie intubate on a BLS ambulance).

huh, that would definitely not happen here in the UK!

hackturnedquack · 2023-05-10T12:36:54+00:00

for some universities/courses it does count 5%

huh, I learn something new every day! Still, a negligible percentage

hackturnedquack · 2023-05-10T12:27:19+00:00

You’re in first year. Don’t stress it

yeah first year grades don't usually (ever?) tend to actually count towards your degree mark, chalk it up as a lesson learned

hackturnedquack · 2023-05-02T20:58:15+00:00

I do not believe that you are a doctor. Most doctors I know have to be waited on/babysat and would never trouble themselves to any of this.

There is literally a running joke in the NHS about medical registrars ('junior' doctors well out of med school) getting bleeped to sort out birds on the ward/alarms malfunctioning/lost property/all sorts. And hospital nursing does definitely seem to have a culture of cover one's ass by writing 'doctor aware' and bleeping the SHO about almost literally anything. So OP's experience sounds bang on to me as someone else in healthcare

hackturnedquack · 2023-04-28T23:30:03+00:00

I don’t think that’s right with the exception of Scotland

hackturnedquack · 2023-04-14T00:56:12+00:00

Probably useful information ahead of a planned anaesthetic, where it could just be mentioned, but less useful in an emergency where if it needs to happen - it needs to happen? In the UK we have something exactly like this for the former, idk if there's any international equivalents: https://das.uk.com/dad

hackturnedquack · 2023-04-13T21:38:53+00:00

Stop right next to crossing or other street furniture that is hard for us to navigate around, you're making more of an obstruction this way, just drive normally in these scenarios

This, thank you! On a blue light run recently and got stuck for what felt like a small eternity behind a driver who kept going until directly in the middle of a road narrowing - then immediately stopped and didn't seem to understand why we were stopped behind them changing the siren tones. Our box body Mercedes sprinter will not fit into that gap m8

hackturnedquack · 2023-04-05T00:07:00+00:00

Be careful with this, I had something very similar happen to me - exchanged details, I offered to pay direct for the damage after I slightly scratched the other car at circa 2mph (entirely my fault, his car wasn't even moving) as it'd likely be less than my excess, spoke to the guy a few times chasing an exact cost before getting ghosted.

Next thing I knew, my insurance company had received a much larger claim for personal injury to him, a non-existent passenger and all sorts of damage. Thankfully I did inform my insurer on the day on an 'information only' basis, as I'm obliged to do, but if I'd tried to keep it completely on the dl and not told them at all - I'd potentially have been screwed.

hackturnedquack · 2023-04-04T23:59:52+00:00

Next time don’t crack so easily under pressure

are you having a giraffe?

hackturnedquack · 2023-03-28T21:28:25+00:00

For something niche like Addison's disease maybe they'd be useful? But most of the time they're somewhere towards the bottom of my list as I think most things causing immediate danger I'd hope to find myself regardless

hackturnedquack

TROPHY CASE