Social commentary. Maybe not interesting.

Kept my ambulance running.

It doesn't mean that we were any better at our jobs than other crews.
We had some luck with the type of job, the circumstance/setting of the pt, location.

The old 'You call, We haul' is indeed the safest option in the view of many still in the current ambulance service.

Your taking every single patient to the hospital to see a doctor.

This is safest mainly for your benefit, it covers your arse.
You care,
Cover Arse, Retain Employment!

It is best for the pt?
Is it best for the health service (hospital)?
Is it best for ambulance services?

No.

We have to think outside the box, be proactive not reactive.

It wasn't hard to see that the asthma pt had a home nebuliser and think what if we left her a few ampoule's to use over night rather than unnecessary transport to hospital.

The all over ache's for over a year, to the low acuity little hospital to be put in the waiting room, and while there are not drunk tanks as such unfortunately that's what we use the waiting room for. If they can sit or have someone to keep them sitting they can also leave when they're sober or less drunk.

It's not transporting everything because it's easier for you.
It's not leaving them at home unsafe.

It's clinical decision making, it's taking your professionalism further and even educating the public not denigrating them.

I'll get off the soapbox now.

Besides, the fact that you're here reading this means that you do already have these qualities.
Your the right stuff in a sometimes bad place that we love/hate to work in.


See you at the big One.

Taz