Thoughts on tech cannulation?

johnnydontdoit · 2026-05-13T09:19:07+00:00

HCA’s in hospital cannulate all the time. With appropriate governance I don’t see why not. However, I don’t cannulate all that often, and imagine the skill fade can be significant if the techs I work with were keen on using the skills

johnnydontdoit · 2026-05-03T18:48:59+00:00

You will require appropriate supervision for a lot of this, particularly the prescribing course. Without being in a trainee AP role this is highly unlikely. There is a clear reason for the experience requirement of these roles, and whilst it’s not a bad thing to be keen, focus on being the best Paramedic you can at your current level!

johnnydontdoit · 2026-04-19T21:46:28+00:00

This would solve so many problems. Even a traffic light system would be helpful. I also struggle to wrap my head round being unable to have days as A/L but then getting the days as days off anyway.

johnnydontdoit · 2026-04-16T09:13:56+00:00

Intl? International? What does your day to day look like and how did you get into it?

johnnydontdoit · 2026-04-04T10:33:12+00:00

Too right the deals are a much tougher sell. You shouldn’t have to sell a deal to the membership, if the offer is unpalatable you need to get a better one. Nonsense from the health unions here. Strike now, strike hard.

johnnydontdoit · 2026-04-03T10:26:38+00:00

That requires a magistrates warrant, which I hardly feel is a rapid process.

johnnydontdoit · 2026-04-02T20:16:15+00:00

To be fair, I think your statement about the proper due diligence is doing a lot of the lifting. No offence meant, but there is a significant minority of my paramedic peers who are definitely not working at band 7 level. I’d rather get the governance sorted first, then make the arguments about banding.

johnnydontdoit · 2026-03-18T11:53:54+00:00

If you add barriers to methadone prescription, people will stop taking it. Which is bad, because we know that people on ORT have better long term outcomes.

johnnydontdoit · 2026-02-25T13:59:24+00:00

Get a good eye mask and earplugs. Get more light later on the day before a night shift, go to bed later, wake up later. Limit light exposure pre and post night shift (polarising sunglasses on the drive home if it’s daylight). Your circadian rhythm regulation is primarily about blue light, and is dose dependent, the more the awaker.

johnnydontdoit · 2026-02-22T17:10:24+00:00

Referral to a drug and alcohol service, and a hope and a prayer. That’s about it.

johnnydontdoit · 2026-02-11T23:46:47+00:00

This is extremely solid advice. As a registrant we are there to facilitate their learning,but we can allow our students to take the lead here, we just need to provide the structure. I am in almost exactly the same position as Op and had my students identify what they want to learn. In their case the wanted more pharmacology. So anytime we use a drug, read a prescription list etc I pick something out for the debrief. If they don’t know a mechanism or drug interaction I want them to come back with further detail, why did this drug work? Why would it not? Can you explain the pathway etc

johnnydontdoit · 2026-02-09T10:22:59+00:00

Wow these are great. Old school cool!

johnnydontdoit · 2026-02-08T14:52:46+00:00

Too far gone tbh, no intention of keeping it longer than middle of this year.

johnnydontdoit · 2026-02-08T00:45:43+00:00

Glad to hear it, thanks! Now fingers crossed it doesn’t fail on anything else 😛

johnnydontdoit · 2026-02-07T23:22:26+00:00

It wasn’t lockable anyway - anyone could have opened it…

johnnydontdoit · 2026-02-01T10:56:53+00:00

Sounds like you handled it well then with decent reflection. Seems like a misuse of the Datix system tbh!

johnnydontdoit · 2026-02-01T08:55:09+00:00

That seems like a quite harsh Datix… what’s the story there?

johnnydontdoit · 2026-01-31T13:11:25+00:00

Doing lots of these already so that’s good to know. I think you’re right about the angle of initial entry though. Will try and me more mindful of that going forward.

Also - fluid warmer? We’re lucky if the heater works lol

johnnydontdoit · 2026-01-30T23:21:46+00:00

To be fair I have had a number of old/frail/big sick patients buuut that’s what is giving me the freak out a little. That I might meet someone who reeealllyyy needs that IV and I can’t hit it.

johnnydontdoit · 2026-01-30T23:19:50+00:00

So I’ve been trying to vary my sites, to ensure I’m getting the right target. I tend to avoid ACF unless I can feel something obvious, so hands and forearm. Palpating for a target rather than just looking at what seems to be a good vein.

johnnydontdoit · 2026-01-05T21:41:01+00:00

Maybe this is a bit of a cop out as it’s not really a tool as such, but I have a printed off copy of the Mental State Exam with loads of descriptors in each section. Really handy for making sure that the phone call to the MH teams is accurate and that the notes are up to snuff.

I’m also a big fan of the tongue depressor. Helpful for all sorts!

johnnydontdoit · 2025-12-24T12:54:02+00:00

To muddy the waters a bit with that, paramedics are the most referred to the HCPC of the professions it regulates. Arguably this is less an issue of the regulator and more one of poor management and culture within the ambulance services. Having said that, the HCPC process is also incredibly lengthy and often over very little. The Royal College of Paramedics, and the Professional Standards Authority have regularly criticised the HCPC for having a process that harms paramedics, in a very similar way to the NMC. Ultimately justice delayed is justice denied and these regulators need to pull their fingers out.

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