OCHS as a Paramedic
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Fatigued paramedics fear for safety of patients

Fatigued paramedics fear for safety of patients | OCHS as a Paramedic | Scoop.it
Leaked Ambulance Victoria report concludes paramedics have been recording fatigue levels that equate to a blood-alcohol reading more than twice the legal limit - and that patients' lives are being risked.
Rebecca Poole's insight:

This article shows the major potential for poor patient outcomes in immediate relation to the over- working and lack of fatigue management in the Victoria Ambulance Service. With an hour or more over run of a 12 hour shift being the norm down there. It's a wonder that there have not been more poor outcomes for patients in relation to fatigued paramedics - or maybe they are just being undocumented.

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Glen Evans's curator insight, March 11, 2014 1:59 PM

In any industry that runs 12 hour shifts there is the  potential for fatigue related incidents. The Emergency services are not immune to this potential and with such a demanding job that requires focus and in some cases a lot of physical effort, fatigue can only be to the detriment of the Patients.   

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Assaults of NSW paramedics rising

Assaults of NSW paramedics rising | OCHS as a Paramedic | Scoop.it
The chief of the NSW ambulance service says he's alarmed that violence against paramedics is rising, with 47 staff attacked already in 2014.
Rebecca Poole's insight:

This article covers the assualts of paramedics in NSW, with 47 staff members being attacked already within the beginning of 2014. As a paramedic you see people at their best and worst and therefore you should expect the best and worst of people. It is justice that this people should be charged as a paramedic is trying to do their job and assist the patient and look out for their wellbeing. This shows that sometimes even when doing a risk assessment first up on scene that patients can have the tendancy to do desperate things.

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Coroner slams paramedics who refused to jump into ditch to rescue dying man | Health | News | Daily Express

Coroner slams paramedics who refused to jump into ditch to rescue dying man | Health | News | Daily Express | OCHS as a Paramedic | Scoop.it
A FURIOUS coroner has attacked paramedics who left an accident victim drowning in a ditch because they did not want to breach health and safety rules.
Rebecca Poole's insight:

This article shows some of the tough decisions a paramedic may have to make on a daily basis, your life? or the patients? It is incredibly hard to imagine a paramedic not wanting to help another person if they could do safely. Unfortunately as paramedics you are bound rules and regualtions that are decided upon by your organisation. Due to these rules and regulations, it is not just your life you are putting in danger, but your livelihood. A paramedics job is always going to hold some risk, and people that hold these positions should know the downfall of these and the risks they will take on a daily basis.

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Ambo sues over lifting injury caused by obese patient

Ambo sues over lifting injury caused by obese patient | OCHS as a Paramedic | Scoop.it
AN ambulance officer is suing the State Government for more than $700,000 over injuries he says he suffered lifting an obese patient into an ambulance.

Via Rebecca Jones
Rebecca Poole's insight:

As this article states " hospital staff refused to assist" ambulance officer lift patient into ambulance via stretcher. This is a common occurance which I have seen firsthand at some hospitals here in Queensland. Manual handling accounts for 1/2 Queensland Ambulance Service incidents where staff are injured (QAS 2012). This is a very worrying statistic, espcially when considering that manual handling incicents have the ability to end your career As it what happened is this article

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Vonny~'s comment, February 28, 2014 9:51 PM
This will be interesting one to watch in terms of public comment ... might provide a bird's eye view of the perception of OHS in relation to emergency care staff!
Rebecca Jones's curator insight, March 3, 2014 8:37 PM

Article 5.

I feel that this article is well suited in this position of the Quest. The previous three articles depict the criticism and contempt shown to paramedics by the public, patient's family, media and even the coroner when they follow Clinical Practice Guidelines and OHS procedure first and foremost. This article shows what can happen to a healthcare provider when OHS procedures are not in place or are not followed. In this case, the 'hospital failed to have in place a system of safe transfer of patients into ambulances'. As a result, an employee of the ambulance service has been left with lifelong injury, medical expenses, surgical treatments and permanent loss of income. Hopefully this will prompt an immediate change in OHS procedures when lifting obese patients. This is particularly important as the numbers of overweight individuals in our society grows.

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More assaults on NSW paramedics

More assaults on NSW paramedics | OCHS as a Paramedic | Scoop.it
PHYSICAL and verbal assaults on NSW paramedics have trebled, with most offenders drunk or on drugs.

Via ReGenUC
Rebecca Poole's insight:

As more and more young Australian's ring 000 for drug or alcohol related sickness, assualts whether verbal or physical  seem to increase beyond sight. D for Danger is the first part of any paramedics primary survery and should never be taken lightly as in the real world you dont have anyone except your partner to watch your back. It's is also excressingly important to report any assault to hierachy.

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QAS_graduate_booklet_2-2.pdf

Rebecca Poole's insight:

This booklet covers the graduate entry to the Queensland Ambulance Service. It covers the major topics that will land graduates in sticking situations regarding OHS. Inlcuding de-escalation techniques for the psych or mental health patient, manaul handling program to ensure that no injuries occur, driver training to ensure that students are aware at all times of their job to keep patients safe at all times. Its nice to see that they implimented programs over a range of OHS issues

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Three dead, one trapped in Hunter crash

Three dead, one trapped in Hunter crash | OCHS as a Paramedic | Scoop.it
Three people have been killed and a fourth remains trapped in a vehicle following a crash in the Hunter region of NSW.
Rebecca Poole's insight:

This article talks of a horrific crash in Jerrys Plains in the Hunter Region of NSW. Three patiens were deceased on arrival of paramedics. The paramedics were delayed to the scene when they had an accident themselves - stating that the wet weather was to blame for the incident. This a reminder that while driving code - which means a patient is in serious trouble - ie; chest pain, difficulty breathing or RTC - to be extermely diligent to drive to the conditions of the road.

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Patient dies after overworked paramedics opt for a shift change, delaying treatment

Patient dies after overworked paramedics opt for a shift change, delaying treatment | OCHS as a Paramedic | Scoop.it
A PATIENT has died after sick, tired and overworked paramedics opted to do a shift change instead of taking the patient straight to hospital.
Rebecca Poole's insight:

This article summarised that due to a crew "hot swapping" a patient, that they unintentionally aided in the death of the patient. How both paramedics that had a shift overun, had been fatigued to the point of exhaustion. Fatique management was not utilised in this situation. This is a major problem as people that are fatigued are at a higher likely hood of micro sleep, loss of hand eye coordination and lower concentration span. These symptoms could also have major impacts on the health of a patient. Hence the fatigue management protocol currently in place in the QAS - which states a paramedic must have a ten hour break between rostered shifts.

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Recruits: Paramedics Series 1 Episode 7

A large number of ambulance call outs are to motor vehicle accidents. So for a trainee paramedic, learning how to extract an injured passenger out of a wreck...
Rebecca Poole's insight:

Motor vehicle accidents and "clubbing" jobs are the bread and butter so to speak. Most commonly low speed or mechanism RTC's are the most common and drug/acohol fuelled violence and sickness are common as well. This series show quiet truthfully what a day in the life of a paramedic is like. With these jobs its primarily your first thought to keep yourself safe; Am I wearing the correct PPE? Have I notified communications if i need backup for any reason ( lift assist, extrication or patient, restraint of patient), then have you protected the public; hazard/ emergency lights for accidents, Police and Firefighters for redirection of traffic. A quick hazard and risk assessment is always needed at these jobs, even if you have to think on your feet.

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Design Ideas For Hospital Ambulance Bays - Healthcare Design

Design Ideas For Hospital Ambulance Bays - Healthcare Design | OCHS as a Paramedic | Scoop.it
Design Ideas For Hospital Ambulance Bays
Healthcare Design
Ambulance bays connect EMS personnel and their patients to the triage area of a hospital and should be fast, safe, and efficient at getting everyone in, and out.
Rebecca Poole's insight:

It's interesting to see, that even in the USA, they have the same communication issues between hospital staff and paramedics when relating to the saftey of EMS workers and patients prior to when they come through the hospital doors. Even though this space is techinically under their supervision. The angle parking diagram seems to have worked a treat! Excellent solution.

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