Hi all,
Just got around to reading this thread.
Firstly, I don't think you will find it written anywhere that PTS/ESS staff have to work a minimum of 160 hours per year to maintain accreditation - because there is no accreditation, no CDP's no nothing!! - Well, that is not quite true, did have one a couple of years ago.
Secondly, there are plenty of managers who squeeze themselves into their uniform and call themselves paramedics - even though the last clinical thing they did was to put a bandaid on their grandkids teddybear. It should be automatic accreditation for everyone, no tick on the sheet, no wear the uniform.
Having made that last statement might I add that I don't think that qualifications or hours spent in the truck are the main things that make a good ambo. I know plenty of career ambos with years of experience who are clinically incompetent, degree carrying paramedics who know all the correct terminology but don't know which end of the patient to look at first. I also know vollees without any (non SAAS) clinical background and who only attend one job per month who I would literally trust with my life.
It all comes down to knowing the basics, knowing your limitations, keeping a cool head, being a good detective with regards to scene and history and knowing when to call for advice and backup. They are the ones who come back from a job muttering, "The hospital said it appeared to be unstable angina" and then disappear into the world of Google or the volume on cardiac conditions to find out more on the subject.