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Found 81 results
  1. News Article
    An 'expanded workforce' will be delivering flu and a potential COVID-19 vaccine, under proposals unveiled by the Government today. The three-week consultation also focuses on a proposal of mass vaccinations against COVID-19 using a yet-to-be-licensed vaccine, if one becomes available this year. The Department of Health and Social Care (DHSC) is hoping new legislation could come into effect by October, ahead of the winter season. The consultation proposes to amend the Human Medicine Regulations 2012 to "expand the workforce legally allowed to administer vaccines under NHS and local authority occupational health schemes, so that additional healthcare professionals in the occupational health workforce will be able to administer vaccines". It said this would include 'midwives, nursing associates, operating department practitioners, paramedics, physiotherapists and pharmacists'. The consultation said: "This will help ensure we have the workforce needed to deliver a mass COVID-19 vaccination programme, in addition to delivery of an upscaled influenza programme, in the autumn." The consultation also said that "there is a possibility that both the flu vaccine and the COVID-19 vaccine will be delivered at the same time, and we need to make sure that in this scenario there is sufficient workforce to allow for this". Read full story Source: Pulse, 28 August 2020
  2. Content Article
    Coroners have a statutory duty to issue a Prevention of Further Deaths report to any person or organisation where, in the opinion of the coroner, action should be taken to prevent future deaths.  This coroners report relates to the death of 15 year-old Najeeb Katende and the delay in defibrillation due to the equipment being set to manual mode and not detecting his shockable rhythm. The coroner found that the delay in defibrillating Najeeb significantly reduced his chances of survival.
  3. News Article
    The number of paramedics taking time off with mental health conditions has almost tripled over the last decade, a Guardian analysis has found. In 2019, paramedics took 52,040 days off due to anxiety, stress, depression and other psychiatric illnesses, up from 18,184 in 2011 – an increase of 186%. While the overall number of paramedics has increased slightly over the period, the rate of mental health leave has increased more, resulting in the average number of days taken off per paramedic in a year rising from 2.8 to 5.8. Unison’s head of health, Sara Gorton, said: “Crisis-level staffing has increasingly become the norm within the NHS in recent years, even before the pandemic. Working long hours without breaks, in demanding conditions, it’s no wonder it’s taken a toll on the mental health of workers across the health service. And the coronavirus challenges have piled on more pressure.” Read full story Source: The Guardian, 23 July 2020
  4. Content Article
    This interview is part of the hub's 'Frontline insights during the pandemic' series where Martin Hogan interviews healthcare professionals from various specialties to capture their experience and insights during the coronavirus pandemic. Here Martin interviews an advanced specialist paramedic working in central London with four years' experience of working on the frontline. 
  5. Content Article
    There has never been a wider mix of illnesses and issues seen by the UK ambulance services. There's also never been more different care pathways. It can sometimes be hard to know what the best thing to do is. Choice fatigue, along with patients sometime presenting in the same way as others can lead crews to make some challenging decisions. In this podcast from General Broadcast, some of the patient safety team sit down to talk about what's important when leaving a patient at home and what safety netting needs to be in place. General Broadcast covers the whole of the Ambulance service, from clinical to non-technical skills, from best practice to learning from incidents and more.
  6. Content Article
    Dr Esther Murray is a Health Psychologist working at Barts and the London School of Medicine and Dentistry. She has a keen interest in moral injury, the term used when people are witness to shocking or traumatic events that change their outlook on the world. In this podcast, from General Broadcast, the East England Ambulance Service Patient Safety Integration Lead talks to Esther about moral injury and how it can impact ambulance crews, as well as what we can all do to help each other.
  7. Content Article
    In this podcast from General Broadcast, Clinical Lead Daimon Wheddon and the Norfolk and Norwich University Hospital's Dr Caroline Barry, sit down to talk about ReSPECT. The ReSPECT process provides a written record of patients' treatment preference and focuses on treatments to be considered as well as those that are not wanted or would not work. People with a complete ReSPECT form do not require a separate DNACPR form although it is important to be aware that a patient can have a ReSPECT form and still be in favour of cardiopulmonary resuscitation. ReSPECT aims to inform decision making for ambulance clinicians when the patient may lose capacity to make decisions for themselves.
  8. Content Article
    Dan Phillips, Clinical Lead from the East of England Ambulance Service, talks to General Broadcast about their aims to reduce time on scene for seriously unwell patients. He looks specifically at a project called 10-10 and how to improve outcomes for stroke patients.
  9. Content Article
    On this General Broadcast episode, Patient safety Integration Lead Jordan talks with Andy Collen. Andy is a paramedic who has completed a huge range of roles, including being the medications and prescribing lead for the College of Paramedics, a national investigator for the Healthcare Safety Investigation Branch and has written a book about decision making in paramedic practice.
  10. Content Article
    Once registered, paramedics must continue to meet the standards of proficiency that are relevant to their scope of practice; the areas of their profession in which they have the knowledge and skills to practise safely and effectively. These standards set out by the Health and Care Professions Council were effective from 1 September 2014.
  11. Content Article
    These resources, set out by NHS England, give guidance for ambulance trusts on the following: assessment and diagnosis management - suspected coronavirus (COVID-19) cases infection Control discharge COVID-19 patient transport services: requirements and funding.
  12. Content Article
    This guidance set out by Public Health England is for possible cases of COVID-19 where an emergency ambulance response is required.  Content includes: identification of possible cases on-scene clinician precautions personal protective equipment (PPE) patient assessment conveyance and patient handover post conveyance decontamination.
  13. Content Article
    What impact does working on the frontline in healthcare have on your own mental health? How do you cope with the daily traumatic events you see at work and then go home and care for your family? What happens when you start to feel out of control?  In this blog, a paramedic recounts their feelings and fear when things started to get out of control at work and at home, describing the symptoms of 'moral injury', and how talking openly to colleagues, their line-manager and to a counsellor helped them to recover.  
  14. Content Article
    It is estimated that the average member of the public within the UK will experience one or maybe two traumatic situations in a lifetime – whether that be through witnessing or being involved in an accident, natural disaster, collision, medical episode or traumatic event. Those working in frontline emergency ambulance services however are exposed to distressing and traumatic events on a much more frequent basis. This paper, Published in the Journal of Paramedic Practice, discusses Post Traumatic Stress Disorder (PTSD) among emergency workers, the effects it has on them and what can be done to support them.
  15. Content Article
    This US-focused article looks at the evolution of the ambulance service and the methods used to try to ensure that supply meets demand.
  16. Content Article
    Fatigue is a complex phenomenon that has effects on physical characteristics, cognition, behaviours, and physical and mental health. Paramedicine crosses the boundaries of many high-risk industries, namely medicine, transport and aviation. The effects of fatigue on paramedics need to be explored and considered in order to begin to identify appropriate interventions and management strategies. This article, published in the Irish Journal of Paramedicine, demonstrates that fatigue is associated with increased errors and adverse events, increased chronic disease and injury rates, depression and anxiety, and impaired driving ability. It has suggested that paramedic services and paramedics need to work collaboratively to identify and action appropriate measures to reduce the effects of fatigue on the wellbeing of the workforce and mitigate its effects on clinical performance and safety.
  17. Content Article
    Emergency care needs fast, effective sharing of information. When clinicians have access to the information they need, they can better ensure safe and high-quality care for patients. To facilitate this, the Professional Record Standards Body (PRSB) has developed a standard for the information that is shared when care is transferred from ambulances to emergency departments. Once implemented, the standard for handover will improve continuity of care, as emergency care will have the information they need available to them on a timely basis. Whichever ambulance service brings the patient to the hospital, there will be a consistent set of information available to the emergency department. It means that patient safety will be improved, because emergency care professionals will know what medications have been administered, what diagnostic tests have been done, whether the patient has any allergies and other important information. Sharing clinical information with emergency care will also support professionals in arranging patient discharge and preventing unnecessary admissions.
  18. Content Article
    Sam Goodhand is a Anaesthetic Registrar who I had the great pleasure in working with in Brighton University Hospitals NHS Trust. He produced these action/prompt cards for health professionals who attend and take part in RSI's. These are great to attach to your ID badge. This ensures you always have one at hand in those tricky situations.
  19. Content Article
    In Wales, like in England, the government has come under pressure over the poor performance of parts of the service. The Betsi Cadwaladr Health Board is the largest in Wales. It also has the worst A&E waiting times and has been in special measures for three years. Its hospital in Bangor, Ysbyty Gwynedd, serves 193,000 people, from tourists visting Snowdonia to the many retirees who live in North Wales. In this film, Saleyha Ahsan, looks at how the department tries to cope with unrelenting demand for patient space.
  20. Content Article
    Team-targeted rudeness may underlie performance deficiencies, with individuals exposed to rude behaviour being less helpful and cooperative. The objective of this paper, published by The Official Journal of the American Academy of Pediatrics, was to explore the impact of rudeness on the performance of medical teams. In conclusion,  rudeness had adverse consequences on the diagnostic and procedural performance of the neonatal intensive care team members. Information-sharing mediated the adverse effect of rudeness on diagnostic performance, and help-seeking mediated the effect of rudeness on procedural performance.
  21. Content Article
    This blog highlights: The juxtaposition of how work is carried out by healthcare staff compared to the work that policy makers are 'imagining' healthcare workers are doing. The need for healthcare staff to be part of patient safety solutions.
  22. Content Article
    A great  initiative by East Sussex Healthcare NHS Trust to reinforce the importance of basic checks to keep patients from harm when administering medicines.
  23. Content Article
    "It’s time to halt, take a break, and redraw the relationship between patient care and self-care. Self-care isn’t an optional luxury. It must sit at the heart of what we do, to ensure our teams can continue to rise to the challenges of working in the 21st century NHS, to give our patients the best of both ourselves, and the organisation so many of us are proud to be a part of."
  24. Content Article
    Information for the Public pre-hospital emergency medicine (PHEM) feedback is a collaboration between the Princess Alexandra Hospital and the services who bring patients to them (ambulances and air ambulance teams) and provide pre-hospital care to those patients.
  25. Content Article
    In this lecture from the PHEM (Pre Hospital Emergency Medicine) Feedback Showcase, Gordon Patterson (Patient Representative for Resuscitation Council UK and Patient Representative for PHEM Feedback) describes his experiences as a patient who experienced an out of hospital cardiac arrest 15 years ago. With him is Jonathan Dermott, the paramedic who was called to rescue him and provide resuscitative care, and who since has benefited from following up the case. He describes the life-changing consequences of his care both as a clinician and educator.
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