> -----Original Message-----
> From: Accident and Emergency Academic List
> [mailto:[log in to unmask]] On Behalf Of Helen Deborah Vecht
> Sent: 05 June 2005 21:43
> To: [log in to unmask]
> Subject: Re: Assessment tool for transfer of medical patients
>
>
> Mike Bjarkoy <[log in to unmask]>typed
>
>
> > >> As Maurice has stated, absolutely necessary to ensure funding is
> > >> there for an additional 24/7 ambulance transfer up to paramedic
> > >> level.
> > >
> > > Wouldn't funding to tech level work out as effective in terms of
> > > patient care and slightly cheaper?
>
> > I would agree as long as the doctors and nurses ordering
> transfers are
> > educated that Technicians are more than capable to deal with the
> > majority of transfers. All to often I used to get ambulance
> transfers
> > requiring 'paramedics' and when I questioned why it was "well thats
> > what the doctor wanted - someone trained". It is a gross
> injustice to
> > technicains and ties up paramedic cover - but it does still happen.
> > regards
> > Mike
>
> I have had experience of technicians stating they were not
> supposed to manage patients with intravenous infusions, when
> transferring patients from a MIU to A&E.
>
> Clearly, there will be patients who are suitable for a
> satellite hospital, who have IVIs in progress.
>
> Will they need paramedics?
> Is my experience out of date?
> What is the current practice?
>
I have had experience of such late 2003 / early 2004 - nice ride across
north lincs with an ENT patient from scunthrope to grimsby because Lincs
AS didn't have a time frame for a paramedic crew but could provide a two
tech crew but could let them take a patient with a running drip without
an RN or doc. I don't know what their current practice is havign moved
away and now working in a different ambulance authority area
I have also heard audible sighs of relief over the radio /phone when
out doing VAS ambulance support work that the VAS vehicle could transfer
patients with IVIs running because I am a Nurse.
Martyn
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