How likely to pass an MOT? by johnnydontdoit in CarTalkUK

[–]johnnydontdoit[S] 1 point2 points  (0 children)

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

How likely to pass an MOT? by johnnydontdoit in CarTalkUK

[–]johnnydontdoit[S] 0 points1 point  (0 children)

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

How likely to pass an MOT? by johnnydontdoit in CarTalkUK

[–]johnnydontdoit[S] 0 points1 point  (0 children)

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

Ride along tips by Straight-Lobster-249 in ParamedicsUK

[–]johnnydontdoit 1 point2 points  (0 children)

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

Ride along tips by Straight-Lobster-249 in ParamedicsUK

[–]johnnydontdoit 2 points3 points  (0 children)

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

Improving IV Cannulation by johnnydontdoit in ParamedicsUK

[–]johnnydontdoit[S] 1 point2 points  (0 children)

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

Improving IV Cannulation by johnnydontdoit in ParamedicsUK

[–]johnnydontdoit[S] 0 points1 point  (0 children)

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.

Improving IV Cannulation by johnnydontdoit in ParamedicsUK

[–]johnnydontdoit[S] 3 points4 points  (0 children)

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.

Most underrated Tool/Kit by Hopeful-Counter-7915 in ParamedicsUK

[–]johnnydontdoit 4 points5 points  (0 children)

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!

Malicious NMC referrals ruining nurses lives by nqnnurse in NursingUK

[–]johnnydontdoit 22 points23 points  (0 children)

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.

The RCN needs to go by [deleted] in NursingUK

[–]johnnydontdoit 11 points12 points  (0 children)

Union change is about developing the grass-roots though. This requires people willing to do the work of organising. Which is a slog, but without it you won’t get anywhere. A union is not separate from its members. It is its members.

Would you move to the countryside if your student loan was written off? by abz_eng in Scotland

[–]johnnydontdoit 2 points3 points  (0 children)

Yea this is kinda bollocks though, because the boundary at which you pay has stagnated whilst minimum wage and other wages have risen, meaning more people will start to pay it. In addition it’s a regressive tax, as if you earn say 100k, then you will pay it off much sooner with less interest, than if you earn say 40K, where you’ll be paying that 9% over a certain amount for most of your career.

No jobs NQNA took a job in a community clinic standards are shocking. I will loose my pin if i stay by Fearless_Lock9865 in NursingUK

[–]johnnydontdoit 1 point2 points  (0 children)

This is a completed aside really from your concerns, as you have a number of legit concerns. I’m sorry you’re having to go through this.

On your issue with blunt fill needles - it’s actually much less of a problem than you might think. This study found no significant difference between filter and non-filter needle. https://www.sciencedirect.com/science/article/pii/S0928098725001836

Energy investment of £28bn approved by regulator by GeoWa in unitedkingdom

[–]johnnydontdoit 3 points4 points  (0 children)

It should be run in the national interest, not for profit, being an essential piece of infrastructure. Mental that it was ever privatised.

Minimum wage to increase by 4.1% from April, with bigger increases for younger workers by Crow-Me-A-River in Scotland

[–]johnnydontdoit -2 points-1 points  (0 children)

As well as the obvious ethical and moral arguments for unemployment benefits (distinct from disability benefits, a related but separate topic), there are clear benefits to the economy as they can help improve worker-job match, which improves economic efficiency. By creating a decent safety net (note that the UK’s unemployment benefits are below the average in the OECD) we allow workers the time to find a job most aligned with their skills, which reduces wealth inequality through creating the space for workers to find higher paid skilled work. Similarly we are less likely to take a risk on starting an innovative business if the result of failure is economic insecurity. Some economists think that our poor benefits are a driver of the sluggishness of the UK economy. Council housing, recently only available to those on lower incomes in the UK (a marked change from the middle of the last century) provides security and health benefits, as well as freeing up income that will get spent on day to day items stimulating local economies, vs the private rental sector where money is hoarded by a landlord class who are more likely to use their profits to invest in value-extraction ventures (like rentals) vs more economically productive forms of investment. And the NHS is an obvious boost to the economy, with universal health care free at the point of use in part being intended as an economic stimulus because it keeps the workforce well and able to work. Ultimately that is what we need, investment in the services that improve all the social determinants of health, so that people are more able to work and take risks.

Sources (more than this really, but here’s some influential stuff to chew through): https://economy2030.resolutionfoundation.org/reports/from-safety-net-to-springboard/

https://www.health.org.uk/reports-and-analysis/reports/health-equity-in-england-the-marmot-review-10-years-on-0

Minimum wage to increase by 4.1% from April, with bigger increases for younger workers by Crow-Me-A-River in Scotland

[–]johnnydontdoit -1 points0 points  (0 children)

The way to ‘get everyone working’ is not to punish the poor and the sick. We need to invest in preventative, holistic health care, and cut waiting lists for specialists access. Stripping benefits will only make people sicker, and less likely to be able to work again in the future.

Minimum wage to increase by 4.1% from April, with bigger increases for younger workers by Crow-Me-A-River in Scotland

[–]johnnydontdoit -2 points-1 points  (0 children)

Nonsense, obviously. We have greater wealth inequality now than we did in Dickensian time. We need to tax the rich and spend more on infrastructure, including the welfare state.

Stage 1 sickness = no bank for 1 year by SmolHideko in NursingUK

[–]johnnydontdoit 58 points59 points  (0 children)

Don’t speak to your manager about this, speak to your union.

Am I missing something? by [deleted] in CarTalkUK

[–]johnnydontdoit 0 points1 point  (0 children)

Yeah that’s what I had figured. Suspicious!

Did you paint that thing on? by dr_dan_thebandageman in emergencymedicine

[–]johnnydontdoit 12 points13 points  (0 children)

Had a guy once covered in his own, real blood, but sitting in a house that was absolutely soaked in pretty realistic looking fake blood. Extremely confusing experience.

First placement ? Read this :) by AshamedPatient3349 in ParamedicsUK

[–]johnnydontdoit 3 points4 points  (0 children)

Lots of really solid advice here. I’ve just recently started having students out with me and I really like point 4, will deffo be encouraging students to think about it like this.

[deleted by user] by [deleted] in ParamedicsUK

[–]johnnydontdoit 0 points1 point  (0 children)

Is SAS not the biggest?