SA Firefighter
General Discussion => SAAS => Topic started by: 360Joules on April 18, 2010, 03:40:41 PM
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:-)
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so they're finding that common sense has pricked the double time nerve?
Poor lil boys and girls...fancy having to work for your salary when u could have been bubmbling around with a lap full of donuts on a cushy number
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The story doesn't make sense, First it says a Trauma Specialist and an RN, but then it says GP's later on.
I find it hard to believe a Trauma Specialist would be riding around in the back of an ambulance around a horse race course.
But they do make a point about having AV Paramedics being called regardless of the other medical service attending.
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In reference to the second to last paragraph of the article.
I would have thought the contract would be for providing services within the race track area (general public, harse areas, race track, etc), not a transport to hospital.
If this is correct, then wouldn't ambos be upset with the patient transfer from track to hospital because it is treading on their turf ?
Pls correct me if I am wrong.
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:-)
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360, I have to ask - why do you have such a chip on your shoulder about these private companies?
This article is from almost a year and a half ago.
I don't see how you can compare private companies doing event work to security guards taking over from police. It's not like these events are public domain work.
It's harder to compare here in SA as we don't have the 'user pays' police system for events like some other states, but in that situation you have to ask, if the security guards were good enough, why would events pay to have police there? So clearly events are happy with these companies, because they're still getting work - and there obviously is a market for it judging by the number that are popping up around the place.
If SAAS were so upset about private companies doing the work, perhaps they should be more competitive with pricing - and surely if these companies were so bad, the events wouldn't use them? It's not exactly a huge industry.
As far as patient transport stuff goes, that's a whole different kettle of fish IMO, and there should be regulation (although from what you've said with regards to getting the licensing etc, there is). Given the stories on here about the EMT mob running around playing emergency service, there should be a lot more scrutiny - both clinical and business management.
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I think that 360 has some valid concerns, obviously there are potential accountability and quality issues with private companies. But it is kind of guilty until proven innocent. We are assuming things will be bad and aren't waiting to see if any of these companies are actually going to run a proper, ethical and quality service.
Another issue is that the title 'Paramedic' is not protected legally, so I could go with my job as an Orderly and my Senior First Aid cert and employ myself as a Paramedic, despite not having the actual Paramedic qualifications and not be sued or convicted for it.
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Face it guys, SAAS priced themselves out of the market by maintaining a government mandated monopoly for far too long. They are about to do so again in the patient transport market.
If you want to see how to make a public service/private sector system work have a look at Singapore. Same system as South Australia but with integration at the operational level. I'm sure you older blokes in the AEA would remember the word integration from the 1980's.
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I think the reason there is so much discussion about the privates and transfer work is that no one seems to have a clear idea how the system will work. On the surface it seems simple - they bid for a contract and start hauling geriatrics back and forth, but think about it:
Will the privates be happy to wait up to an hour for a ward to send down a patient? (SAAS does)
If not, will they strike up a deal with the various unions to allow their staff to go to the hospital wards and get the patient themselves (SAAS can't)
Will the public hospitals be able to accommodate the need for a private enterprise to be efficient and profitable - or will some penalty be incurred by the public system, blowing out the original cost savings.
If a non emergency patient has ambulance cover, are they going to be happy paying the privates? (I think not - they will call SAAS)
To get over this, will the privates set up a deal with SAAS so that SAAS does the billing, collects the money and then pays the private company. (ie, SAAS does all the work)
Will the privates be happy shifting a non emergency patient back to a nursing home at 3 in the morning so that the ward bed can be used for another patient.
Remember, the last word in SAAS is "Service" - and this is a word that not too many private companies are comfortable with. Most of SAAS's inefficiencies in the non emergency transfer sector are caused by our clients and the nature of the work
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How d insurance companies look at these crowds? the threads here are giving them quiet a hard rap and I would assume that you wouldn't be able to get any liability insurance unless you demonstrated a certain level of consistent skill across your staff.
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:-)
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In reply,
>>>>AmboMan...... patients don't pay for anything on intra hospital transfers form public hospital that is, the hospital do. Hospitals want people who have solutions not problems. So if they are willing to go up to wards and get patients, the hospitals will love them.
I know that this is the way interhospital transfers work - even amongst the private hospitals, but what about those hundreds who get a SAAS ambulance INTO hospital, how do they get home? - in a private?, and if so - who pays? You also forget that SAAS personnel cannot go past the reception area of a public hospital without causing a demarkation dispute with the orderlies (see todays medical directive that spells out the few times when we can take a patient to/from a public ward). Many PTS crews would rather go up to the ward, meet the patient and get a proper handover
>>>>As a Paramedic of some years I have to disagree with your last comment. Most of PTS/ATS current woes and potential downfall is their own staff not willing to do certain jobs even though they are trained to do it, i.e an emergency crew, sprint car or EOC clinican downgrades the job from Emergency to ATS or ESS, then the ATS/ESS crew gets there are refuses to take a basic patient.
As an ATS/ESS officer of some years, I have to disagree with your last comment. We are more than happy to jobs we are trained to do, but for so long we have been limited by restrictive policies and stifling initiative. Remember when we wore a different uniform?, how about not letting us have glucometers because they were too complicated?, how about having to consult with an ICP or Hugh to administer penthrane. how about not being able to carry a patient who has had morphine within the last hour or so (obviously we are too stupid to recognise respiratory depression).
A PTS crew has every right to refuse to carry a patient they are not happy with or does not fit within their extremely limited protocols - maybe the initial emerg crew did not do any handover paperwork, maybe 4 or more hours had passed between being seen by SPRINT and the patient has deteriorated since then, maybe the ECP has been given a "bum steer" by hospital staff anxious to clear a bed - and yes, maybe the PTS could see the hospital from the front of the re-triaged patient's house and thought "stuff it - lazy p***s". All of these things have happened to me. Maybe they simply don't feel comfortable because they haven't had any meaningful training or development for the last year or two, no audits, no nothing. Oh yes, I forgot the jobs where the EOC has downgraded the really sick patient (and not told us the patient's true condition) because all of the emerg cars are tied up.
Quite frankly, I don't care how many privates come in as competition, I just want the opportunity to compete on equal terms, and as 360 Joules says, work at the level we are trained for. And quite right, - limit the number of casuals so we don't spend all our time training uni students into future paramedics; if you want to transfer patients after midnight, don't put the only crews doing it at Port Adelaide; give us more dedicated PTS radio operators (not emerg fill-ins) who understand that good coordination is more than clearing the screen, and yes, get the guts to move on the deadwood who think that PTS/ESS is a quiet place to reside until retirement comes.
Maybe the ones that should really be worried are the Emerg crews. "The Road Ahead" mentions that that up to 20% of emerg jobs are "low acuity"(??non emerg), how often are eight university trained para/ICPs needed at a four car bingle; are death rates so dramatically different in the country where Cert IV is the usual qualification; with SPRINT, ECP's etc as rapid backup, do we REALLY need to send fully qualified crews to "call direct" non responses, "lift onlys" or a hundred other basic jobs, - all at professional rates. It would not be too hard to argue that greater efficiencies in SAAS could be had by increasing the non-emerg section.
Not that it will ever happen of course - just like there would never be competition for PTS.!!!
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:-)
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Anyone know who drives the Rescue paramedic ambulance? Wears the Rescue Paramedic tshirt? Saw him at the BP on South road regency Park. Full Blue and red lights... NSW plate? Looked like a fit operator tho...
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Anyone know who drives the Rescue paramedic ambulance? Wears the Rescue Paramedic tshirt? Saw him at the BP on South road regency Park. Full Blue and red lights... NSW plate? Looked like a fit operator tho...
SAAS S.O.T.
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Golly,
NSW Plates? Sounds like there are some NSW Ambulance Service Rescue Paramedics still on the run!
Someone call the Fire Brigade!
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Yeah which company is that?
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The unit belongs to emc rescue from NSW.
www.emcrescue.com.au
(http://[i][/i])
One is sitting at merc benz on cnr of south rd and grand junction.
Red and blue lights......tut tut. ADRs and vehicle standards breach in SA.
No plates on the vehicle at merc benz.
Maybe a new player in town???? Rescue Paramedics...wonder what area they will be working in...unit seen around CBD ...is there a new Emeregncy Ambulance Servive in Adelaide...thought it was only SAAS...and..................EMT Adelaide hahaha.??
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There are a number of ambulances in SA(adeliade) that are being seen around town but are being refurb for the mines and other private use...
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The unit belongs to emc rescue from NSW.
www.emcrescue.com.au
(http://[i][/i])
One is sitting at merc benz on cnr of south rd and grand junction.
Red and blue lights......tut tut. ADRs and vehicle standards breach in SA.
No plates on the vehicle at merc benz.
Maybe a new player in town???? Rescue Paramedics...wonder what area they will be working in...unit seen around CBD ...is there a new Emeregncy Ambulance Servive in Adelaide...thought it was only SAAS...and..................EMT Adelaide hahaha.??
Nope..he's subcontracting to the health service at the desal plant.
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Had an IMS crew come in the other day. They had a patient who was from a nursing home and had a fall. Would this be a transfer or emergency?
Also, their stretcher was really nifty, but they don't use sheets so we had to slide the patient using their clothes which was weird. The crew almost left without handing over to the appropriate nurses aside from the triage nurse too!
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Disorderly you are getting confused with the other company.
Firstly, IMS does not currently have contracts with Nursing Homes and does not perform inbound cases. Private hospital transfers only. We attend RAH but only for admission of a patient out of a private into public 'or' for outpatients/appointments at RAH. So an inbound elderly patient to RAH post fall is the other provider..who do have direct contracts with a few Nursing Homes.
The other provider also reportedly uses 'paper sheet' type covers on their stretchers (you will have to ask them why???). A few hospitals have commented on this practice by the other provider and held similar views regarding the issue of transferring on to a bed from stretcher.
IMS has NEVER transferred a patient without sheets...and our crews.being predominantly SAAS personnel we adopt identical standards ATS/PTS.
Please get your facts correct. Check the uniform and vehicle before you decide to post comments misrepresenting our company.
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My mistake, I do remember the crew being a Paramedical Services crew. I had seen an IMS truck in the bay also that day, so that's where I got confused!
And the paper sheets are indeed silly.
I appologise for making that error and I have yet to work with an IMS crew. However, I don't think what I said was that negative and aside from the sheet issue, the mistake made was one that any crew can make so your company was hardly misrepresented.
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Would be nice if some of these private units did some country work so local crews just have to deal with Emergency cases would make life a lot easy for all....
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I know that this is the way interhospital transfers work - even amongst the private hospitals, but what about those hundreds who get a SAAS ambulance INTO hospital, how do they get home? - in a private?, and if so - who pays? You also forget that SAAS personnel cannot go past the reception area of a public hospital without causing a demarkation dispute with the orderlies (see todays medical directive that spells out the few times when we can take a patient to/from a public ward). Many PTS crews would rather go up to the ward, meet the patient and get a proper handover
With regards to this, I believe this issue arose when the government Orderlies were around. They were concerned about losing their jobs (which they did due to their own fault) and decided that ambos couldn't pick up pt's from the ward. However, times have changed and we are now contracted. There were over 100 government Orderlies on staff, there are now approximately 70 and the workload is astronomically bigger than the government days. I believe most of our staff (and I speak for myself and not the company) would prefer it to escort ambos to the wards rather than picking the patient up ourselves for a number of reasons:
-It is quicker for SAAS/companies
-It reduces our workload
-Does not remove nursing staff from ward
-Orderlies are not trained to use the Ferno and are not allowed to lower the stretcher. Most times the patient will be out of bed and as a result, they must be put back into bed, raised and slid or wiggled across which takes more time than lowering the stretcher.
Having said that, I quite enjoy doing these tasks, but on the whole I can see its inefficiencies.
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@IMS2009
Do you know the common law definition of defamation (libel/slander)?
You may wish to consider it in relation to your comments...
FYI,
The benefits of any disposable medical product are documented thoroughly in a number of medical journals, particularly in the United States, and also here in Australia. With regard to draw sheets/stretcher sheets, disposable have benefits and drawbacks just as non-disp'. Disposable decrease the risk of allergic/anaphylactic reaction of patients, whereas 'non-disp' obviously have a risk with bleaching agents (sometimes fragrances) becoming allergens. Patients' also appreciate disposable with the feeling of sterility.
The regular draw sheet is generally used to slide over the patient, but the disposable can also be used, and may well be predominantly in the future. There is no difference in strength, and there is always another sheet on the ED barouche. Hence this is a non-issue. The patient is pat-slid over and then the disposable removed after (and quite easily), just as the regular one is. But if there are people who never go to the wards, they would never know that.
Disposable simply costs the private operator more, saves the hospital money (public $ saved), and is better for the patient. If everyone had the patient in mind, the system would function as we all would like it to. :wink:
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and that is the best spin you will ever see on a forum..lol....obviously your State Manager has schooled you well, he was a grand master of the stuff :lol:
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Yeah, well the staff of the company we were with didn't appear to want to use the sheet to slide. But I think next time they come in I will insist upon the use of the sheet.
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I know that this is the way interhospital transfers work - even amongst the private hospitals, but what about those hundreds who get a SAAS ambulance INTO hospital, how do they get home? - in a private?, and if so - who pays? You also forget that SAAS personnel cannot go past the reception area of a public hospital without causing a demarkation dispute with the orderlies (see todays medical directive that spells out the few times when we can take a patient to/from a public ward). Many PTS crews would rather go up to the ward, meet the patient and get a proper handover
With regards to this, I believe this issue arose when the government Orderlies were around. They were concerned about losing their jobs (which they did due to their own fault) and decided that ambos couldn't pick up pt's from the ward. However, times have changed and we are now contracted. There were over 100 government Orderlies on staff, there are now approximately 70 and the workload is astronomically bigger than the government days. I believe most of our staff (and I speak for myself and not the company) would prefer it to escort ambos to the wards rather than picking the patient up ourselves for a number of reasons:
-It is quicker for SAAS/companies
-It reduces our workload
-Does not remove nursing staff from ward
-Orderlies are not trained to use the Ferno and are not allowed to lower the stretcher. Most times the patient will be out of bed and as a result, they must be put back into bed, raised and slid or wiggled across which takes more time than lowering the stretcher.
Having said that, I quite enjoy doing these tasks, but on the whole I can see its inefficiencies.
I'll think you'll find a very old and dusty industrial agreement that was forged between two unions many moons ago - which related to ambo's not going up to the wards because it put the jobs of public sector employed orderlies at risk.
Hospitals fixed that problem by out-sourcing orderlies......
does it need to be re-visited? Maybe.
How long will it take you to orientate 800+ ambo's to all the major metro hospitals? Not to mention all the metro fringe volunteer crews, and the country crews (like RMTS) who come to town to pick up patients.
Add to that staff turn-over. New staff in metro would be no problem.
how about every new SAAS Volly in the state - how do you fund their day off work and Fuel to drive to town just to do an orientation to a handful of hospitals which they may get to once every 4 months?
anyone want to volunteer for this job?
no - didn't think so.....
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The ideal would be;
Orderlies accompany the PTS/ATS/Emerg crews to the wards. This is how it is done in NSW Ambulance.
The orderlies are great at moving patients, have great spacial reasoning and understand the hospital layout and system better. Therefore an orderly can accompany the patient on a barouche with the Ambo crews accompanying the patient for a correct handover. Orderlies should not be left with that responsibility, and I myself do not leave a patient unless they have been fully handed over to the ward, or consultant.
I have received nothing but excellent help from the orderlies, especially @ the RAH, and look forward to working with them constructively.
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NSW Ambulance and hospital system...there's a model to hold up as best practice.... not!
The current system sort of works ok. My only issue is the waste of a crews time waiting in Emerg waiting for a pt to come down. Tying up an emerg truck for 30-40 mins waiting for admin is ridiculous. While space is at a premium we all know, a holding area needs to be found so that when pts are booked, they can be there waiting when we arrive. We have suggested previously that if the pt doesnt arrive in 20 mins from our arrival, we will clear and return and the pt can be re-booked. Now that we are all part of the one happy (health) family, then it cant be too hard to find a solution for all
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Every ambulance system, and hospital system has issues. NSW ambulance does a lot of things very well, and some things not so...don't forget population density, traffic, and admission rate are 'generally' higher in & around Sydney's major hospitals. If you have ever seen St Vincent's ED on a weekend, it is amazing, 11 crews waiting in the corridor just to get beds, a lot of the time more, 11 cars!
I am in no way criticising SAAS, it is such a large system, and it does very well. SAAS and the crews have been cooperative and friendly in all encounters.
Following on...if the patients are not ready, there isn't much that can be done. I just find in that going to the wards that the patients seem to be ready much more quickly for Tx, they make a special effort to clear. If they think all SAAS crews are out on Emerg jobs, or in Tx, they will not increase their throughput as the patient has nowhere to go.
A holding area is a great idea, push as hard as you all can to get it in the new hospital when it is built.
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The only issue with a holding area is the fact that the patient needs to be watched. Then we have jurisdiction issues, which nursing staff are the most appropriate to supervise patients? The ward nurse who knows the patient is most appropriate, but then you are keeping a ward nurse off the ward and you will also have a nurse standing around for every single patient. Then who is appropriate? And when are you meant to get a hand over and from whom?
We have had issues like this, for example a patient was brought to us on the wrong day for an appointment. The SAAS crew had already left and the particular OPD refused to observe the pt until another crew arrived to pick the pt up. ED refused to look after a patient that wasn't theirs, and rightly so.
I still think that orderlies escorting ambulance personnel is the best option. That way the attending ambo can get a handover from the nurse while the orderly and the other ambo get the pt ready with the nursing staff.
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@disOrderly
Promote that person!
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This is beginning to be a bitch fest again. Since the private providers have started to do Patient transfers it has not made any difference to SAAS ATS workload according to an ATS officer that I know. So stop your bitching and just accept the help.
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correct...no noticable difference what-so-ever
there is a place for both. Just so long as the dodgy one of the two companies lifts its game....
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correct...no noticable difference what-so-ever
there is a place for both. Just so long as the dodgy one of the two companies lifts its game....
:evil: hahahahahah...great work Boredy
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That did make me laugh too haha
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SO which one is dodgey?
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despite popular belief- i'm not into casting asperions.
each may have issues- as to whether they're operational or relate to business management.....i'm sure it will all come out in the wash.....
Time will only tell what will work.
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So who's looking to get sued and lose their house?
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What about the single operator ambulance that turned up at the RAH today, unloaded the patient and proceeded to the orderlies.
Orderly gowned up because the patient was VRE and transferred the patient. Private ambo went to hang up the patslide and was told it needed to be wiped down - orderly received strange look from Mr P.A.
Private Ambo was then called away to another job, grabbed the stretcher, - no clean or even so much as a a brief wipe down - just a fresh sheet on top and off he went.
Swell
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Mr Amboman69,
Be weary. It is hard to see the full picture from the confines of a chair in the ED. You seem to know a lot about the patient and the P.A. for someone who should be either looking after their own patient, or clearing for the next job from dispatch.
Everybody makes mistakes, on occasion. No one ever hears about the SAAS ones though, only private. There are things you perceive to be mistakes, when maybe it is done differently elsewhere...stick to patient care.
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There are things you perceive to be mistakes, when maybe it is done differently elsewhere...stick to patient care.
It doesn't matter whether you work public or private sector- infection control shouldn't be 'done differently' as you so eloquently put it.
Best practice infection control IS patient care!
perhaps someone needs to find their policy and get a little education on best practice infection control!
If said policy can't be found then perhaps that person should be asking questions!
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Be weary. It is hard to see the full picture from the confines of a chair in the ED.
Is it also hard to see full picture from the confines of a chair being the front seat of your Ambulance as a single operator monitoring your patient via a camera? - NOTE - Remainder of my comment RETRACTED.
Thanks Crash ... I actually had to revisit my comment after I had completed a little wiki-investigation around the country and to my surprise found that single operator ambulances are widespread - Victoria and New South Wales Ambulance Service (country only). This before Medboy gets all wiki-legal.
How can this be? Note the NSW Ambo Union are lobbying to cease this practice.
I then had a little read of the Non-Emergency Patient Transport Regulations and Clinical Practice Guidelines (Dept of Human Services Victoria) and then fell of my perch.. In Victoria they (being the SA Health equivalent) are happy for a Cert III Patient Transport Officer to act as a single operator in an 'Ambulance'.... even with TWO stretchers/patients in the back of the Ambulance? WHATTHA
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If SAAS as the agency overseeing these things (on Healths behalf) is happy with single operator strecher transfer cases, then its all a moot point Rubbs. Sadly, operators will always scew up, I've seen similar things happen with SAAS crews in the bay at the RAH several times (and worse).
Remembering that AIMS is the Health SA wide system for reporting clinical and systemic issues, feel free to make your observations known to them officially (yes it can be anonymous) - but if you don't, you're just adding to the issue - your choice :-)
Just in case you feel the courage of your convictions - the number is 1800 668 439
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Actually the incident WAS reported to AIMS - who said that they have had similar reports over the last few weeks (didn't say whether they were SAAS or privates).
And yep - SAAS personnel do the same (and worse), I guess the difference is that at least SAAS has specific guidelines regarding (VRE) infection control, we all know what these rules are - and it is up to us ambos to follow them. The poor soul I was talking about gave the impression that he thought VRE stood for "Very Recent Enema". - it was all a little embarrassing.
And no medboy, I was not watching from the comfort of a chair, neglecting my own patient or slacking off avoiding my next job - I was actually waiting for my patient to come down from the ward and started walking over to give the guy a hand to shift his patient.
It all comes down to professionalism and whether you would be happy for your elderly immuno-suppressed grandma with the leg ulcers to be the next person to lay on that stretcher.
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Actually the incident WAS reported to AIMS - who said that they have had similar reports over the last few weeks (didn't say whether they were SAAS or privates).
great work right there from AIMS....
Confidential incident reporting my aunt fanny....
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Maybe speak to the orderlies first, and if you are going to report something, listen to the whole thing first. The said incident was reported to PMS management at the time it happened. The only reason for this being that the P.A. wanted to clean the pat-slide, and the orderly said, "don't worry, leave it outside against the wall, and I will fix it ASAP". The said P.A. did in fact clean the stretcher, our cleaning products are in our vehicles, we aren't able to have a cabinet or locker like SAAS, and we don't want to use hospital products, so it has to be done outside.
Make sure you look at the whole chain-of-events and not a snapshot. I am sure the orderly in question will be happy to clarify the situation.
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Hi All
I have watched this forum with some concern over the past few months, and while most discussion is harmless and in the spirt of the forum I now feel that the line has been crossed for the last time and wish to set the record straight.
First Care Medical is not and has no interest in Ambulance work or becoming an ambulance service provider.Despite being named as such multiple time on this site.
Nor do we engage in anonymous comments on forums such as this, such acts are not what we are about and nor do we have the time for such nonsense.
Medboy
Be very careful with naming companies when you hide behind a very thin veil of anonymity.
Your naming of First Care Medical as a party to some sort of slander is liable and slanderous in its own right, considering you accuse rather than provide proof of such acts.
This is to be considered a not so friendly warning.
First Care Medical will not tolerate slander or unsubstantiated comments regarding its business or staff and will follow all such comments from now on through the appropriate legal channels as well as those of the moderator.
Copies of this site have been made and also reported to the moderator.
David Funnell
Director
First Care Medical
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grabs the popcorn and settles in for the nights entertainment
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Oh lordy. This scheiße just got real.
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as opposed to being able to just make allegedly slanderous comments and take the mickey out of whomever & whenever someone likes?
Glass houses and all that.....
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as opposed to being able to just make allegedly slanderous comments and take the mickey out of whomever & whenever someone likes?
Glass houses and all that.....
= 10/10
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just an interesting note for all the person who is doing the racecourse work is acutaly a guy from mount pleasent, not sure what his level is but his got his own fleet etc nor dose anyone know what his crew level is, guess at the end of the day they prob have to follow the same rule as the SA P.M.S. have to follow!
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That sole operator you are referring to would not have to follow the same rules as PMS SA, or IMS as he is not doing patient transport and does not have a license (that I am aware of). The conditions for providing medical support at events are vastly different to the restrictions and conditions for Pt Tx.
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I still think that orderlies escorting ambulance personnel is the best option. That way the attending ambo can get a handover from the nurse while the orderly and the other ambo get the pt ready with the nursing staff.
[/quote]
Hello,
May I suggest you visit the Victorian model. Ambo's (para's) retreive Patients for transport direct from hospital wards and or 'Transit Lounge' and the attending nurse provide a full handover and subsequent paperwork is supplied either by the attending nurse or ward clerk. Note 'Transit Lounge'. These lounges are pretty much similar to a hospital ward where patient that are waiting or have been to appointments will enjoy the courtesy of a cup of beverage and some nourishment (even lunch) while being observed by nurses. The patient are looked after right up to when the lounge closes and then a patient still waiting may be transferred to the emergency dept to wait for transport. It works extremely well and orderlies work with the nurses seamlessly assisting in transferring Pt on to beds/stretcher/wheelchairs.
Regards
Kelly
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re First Care Medical,
Well said and I could not agree more with Davids comment. I am sure the many forum members on this site will agree that a very costly precedent may occur if comments are not kept to strictly factual matters and remove all or any inuendo that may have inoffensively published. This forum is a very very good site and we should keep it that way for us all and our future members.
Regards
kellyp
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KellyP, That seems like a very logical model, but SA is totally in disarray and could do with a shake up in the hospital system. Oops did I say we have no money due to very extravagant projects that have blown way out off budget. Go figure but a great idea. :-)
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We used to have that exact system....
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re First Care Medical
I saw one of their ambulances at the horse races recently. Looked like a old ex ambulance with clear light bar (not sure what colour when lit up).
I heard a few people at Uni work for them as casuals.
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Hello Forum Members,
With due regard to the use of disposable paper sheets in ambulance.
Let me assure you that the use of dispoasable paper sheets and pillow cases (even draw sheets) are common with advanced ambulance services interstate and overseas. Have a think why and you may just understand a bit about cost savings, not using hospital linen, (costing hospital budgets) and that wonderful statement 'Infection Control'. I am sure every self respecting ambo would understand the protocols in regard to 'VRE' 'MSRA' and many other little things we can pick up if we do not exercise basic skills and the obvious "every patient is a infectious risk regardless', thus the use of disposable paper products. Had an x'ray lately, they use them.
Regards
Kellyp
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Hello Forum Members,
With due regard to the use of disposable paper sheets in ambulance.
Let me assure you that the use of dispoasable paper sheets and pillow cases (even draw sheets) are common with advanced ambulance services interstate and overseas. Have a think why and you may just understand a bit about cost savings, not using hospital linen, (costing hospital budgets) and that wonderful statement 'Infection Control'. I am sure every self respecting ambo would understand the protocols in regard to 'VRE' 'MSRA' and many other little things we can pick up if we do not exercise basic skills and the obvious "every patient is a infectious risk regardless', thus the use of disposable paper products. Had an x'ray lately, they use them.
Regards
Kellyp
yes....for the 3 seconds you are on an x-ray table, they are probably ok. Nanna with a 45 min transfer - Well....maybe not. Let's not mince workds Kellie, your organisation does it to save $$, no other, so maybe leave the sow's ear looking like pork.....or at least change pockets, cos this one's full.
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Hello again,
About the use of disposable paper sheets in ambulance.
Yes, a cost saving is made when using disposable linen. One must be reminded that not all disposable linen is as thin and loose as toilet paper. Specialist disposables are purpose designed and that is why they used in ambulances worldwide. Its no point getting on your high horse and using silly quotes because your pockets are full. Remember, underneath disposables, in many cases, are standard linen products. It is easier to wipe the bum of Nanna with the disposable sheet and place in soiled bin receptacle rather than use the linen sheet. Yes it is about savings and there is no suggestion that hygiene requirements is not maintained in every case when using disposable products in ambulance. Syringes, Oxygen masks and just about everything in ambulance today is disposable. How many mum's have Never used used disposable nappies for our little tackkers bums.
Regards
Kellyp
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Looks like we are going to need a higher wall. This one is drenched!
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I've been told SAAS has tried disposable linen and is planning to use it with the next 6 months after a supplier tender is complete.
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great work right there from AIMS....
Confidential incident reporting my aunt fanny....
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Hello,
And how is your aunt Fanny?