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[skyscraper101]

On my local friends group chat one of my old friends got into the whole conspiraloon bullshit and kept going to the hospital to take photos of the ambulances there to prove we were just hanging around at hospital, and we didn't have any work to do.

We don't talk anymore.

That sounds mad. What does a photo of an ambulance at a hospital even prove. It's exactly where you'd expect an ambulance to be, ready to deploy. Absolutely nuts these people.

 

[sim667]

That sounds mad. What does a photo of an ambulance at a hospital even prove. It's exactly where you'd expect an ambulance to be, ready to deploy. Absolutely nuts these people.

Well he was trying to argue that we were sitting at hospitals because we had nothing to do. Not realising we don't deploy from hospitals and have completely separate bases, and when I was trying to explain they were sitting there with patients on the ambulance because there was no space in A&E I was obviously lying and it was all a conspiracy.

Not digging for sympathy here, but I'm pretty sure any NHS worker who was A&E, ITU etc will tell you early covid after the initial 2 week lull was an absolute nightmare for workers mental health, physical health etc etc, so having one of my friends of 20 years suddenly turn round and call me a liar, and completely undermine a good few weeks of nothing but acutely unwell people, death, and enabling people to die in care homes because hospitals just didn't have capacity to help was pretty fucking shit.

 

[InArduisFouette]

That sounds mad. What does a photo of an ambulance at a hospital even prove. It's exactly where you'd expect an ambulance to be, ready to deploy. Absolutely nuts these people.

in the best of times the service / systems allow 30 minutes after an ambulance arrvies at the hospital from an Emergency or 'urgent' call 15 minutes to hand over and 15 minutes clean / restock and finish any paperwork ... this is assuming that they aren;t queueing to even get the patient in the first place

in most services at or shortly after this 30 minutes point you are likely to get a phone / point-to-point radio call from your dispatcher of the Duty commander in EOC to see if there is a particular reason you aren't yet available - often the reason will be sorting the vehicle out after a serious case, or still completing the reports after a complex call or becasue the 'Attendant' for that call was a Student / Probationer so it's taking a bit longer to complete and/or it needs ot be read and countersigned by the lead clinician on the truck

even once clear you don't always get sent straight on the next call unless you are the closest clear resource to a call - also you tend to get sent on calls form station / hodspital in 'order' or the time you booked clear ( or booked on at the start of the shift on station)

 

[sim667]

even once clear you don't always get sent straight on the next call unless you are the closest clear resource to a call - also you tend to get sent on calls form station / hodspital in 'order' or the time you booked clear ( or booked on at the start of the shift on station)

If demand is low, which is almost never. We almost always get sent straight to the next job if its a C3/C4, if its a C1/C2 and you're closest then obviously you get it.

 

[InArduisFouette]

If demand is low, which is almost never. We almost always get sent straight to the next job if its a C3/C4, if its a C1/C2 and you're closest then obviously you get it.

depends on the service

there are some services which have dedicated urgent vehicles for C4 ( until the bandin appeals might mean that the urgent staff may as well be techs) and supposedly aim to send their PAS resources to ( none RTC) C3s - it;s amazing how many RTCs come out as Cat3 - even ones which have critical care running on them

 

[sim667]

depends on the service

there are some services which have dedicated urgent vehicles for C4 ( until the bandin appeals might mean that the urgent staff may as well be techs) and supposedly aim to send their PAS resources to ( none RTC) C3s - it;s amazing how many RTCs come out as Cat3 - even ones which have critical care running on them

We don’t, I think we’re trying to but don’t have enough staff for them, they only really like to put lower grade then techs on them, but then rewrite the policy so they can attend emergency calls, which the ECA’s quite rightly say “we don’t have enough training to do this independently”.

 

[InArduisFouette]

We don’t, I think we’re trying to but don’t have enough staff for them, they only really like to put lower grade then techs on them, but then rewrite the policy so they can attend emergency calls, which the ECA’s quite rightly say “we don’t have enough training to do this independently”.

in the service i'm talking aobut the Urgent care vehicles are crewed by Urgent care staff i nthe main but the 'not an ECA but de facto ECA mark 2 ' can be deployed to them ( if i used the trust's name for the ECA mk2 it would instantly identify the trust)

also the legacy ECA and 'not an ECA ECA ' ( and trainee techs who are ex Urgent care/ ECA /'not an ECA' ) can be crewed together on a 'yellow 'truck and sent to any category of call as long as an RRV / Duty officer / Clinical team leader (again not what the service calls them but to use the trust's term would identify the service) / Second crew are also tasked to cat 1 and 2 - but would be expected to go to cat 3s alone ( you can always ring CAT / EOC clinical hub / duty CTM ) and cat 4s

 

[PR1Berske]

in the service i'm talking aobut the Urgent care vehicles are crewed by Urgent care staff i nthe main but the 'not an ECA but de facto ECA mark 2 ' can be deployed to them ( if i used the trust's name for the ECA mk2 it would instantly identify the trust)

also the legacy ECA and 'not an ECA ECA ' ( and trainee techs who are ex Urgent care/ ECA /'not an ECA' ) can be crewed together on a 'yellow 'truck and sent to any category of call as long as an RRV / Duty officer / Clinical team leader (again not what the service calls them but to use the trust's term would identify the service) / Second crew are also tasked to cat 1 and 2 - but would be expected to go to cat 3s alone ( you can always ring CAT / EOC clinical hub / duty CTM ) and cat 4s

That's the most NHS sentence I've read for a while.

 

[InArduisFouette]

That's the most NHS sentence I've read for a while.

isn't it just

but that;s what happens when two pweople who are or have been in the job want to get information across Quickly !

ECA = Emergency Care Assistant - this is typically the lowest grade and least indepth trained member of the team you'll find on a 999 ambulance some services call them ' ambulance support workers' or ' ambulance support crew' London confusingly calls them AAP (Assistant Ambulance Practitioners)

the reference to 'not an ECA' ECA is in reference to one of the English NHS ambulance services who having said ' never going to recruit ECAs again' decided it needed bums on seats ( 20 ish weeks vs 63 week for a technician) so had to fudge the job description ( removed Supra glottical airways from the skill set to reduce the risk of a upgrading appeal even though required ot demonstrate competence in training and simulation to get one of the Qualifications used to underpin the role )
and to make this grade available to be deployed onto Urgent teir vehicles ( urgent tier crews having 8 weeks training - in part due to only having a 1 week driving coursde rather than the 3.5 to 4 week CERAD blue light course)


RRV / FRY rapid response vehicles / fast response vehicle i.e. the cars used by solo paramedcis to respond to incidents

EOC emergency operations Centre i.e. what a lay person would call the control room

CAT - clinicla advice team Paramedics / nurss/ Drs based in EOC who provide remote advice and support to the crews

 

[PR1Berske]

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