Early Intervention Vehicle (EIV): Crews have raised concerns about the specification of their vehicle, including lack of space to store equipment and the heat in the crew cab. This matter is being addressed by an EIV meeting in June and involvement of EIV crews in the design of the next generation EIV vehicle to ensure that it is fit for purpose, robust and future proofed.
Concerns are still being raised in respect of the current Bariatric ambulances, the different positions of the stretcher and issues about torque wrenches.
Due to variations noted around the Trust, the subject of PPE for Observers is to be raised via H&S committee to ensure proper and appropriate PPE is provided for all types of Observers.
The subject of safety helmets not being provided to NES / PTS employees has been raised again despite initially being turned down in the past. The current requirement for proper PPE “roadside” does not exclude members of NES / PTS and in line with “observers” they must also be provided as part of their PPE. Being raised via H&S committee.
There has been a high number of comments from members in respect of the latest instruction covering the completion of the ePCR “within the job call time” with members referring to “clock watching, increased pressure, unrealistic and disappointed but not surprised”.
With regard to the completion of the ePCR within the Job Call Time, the following variables must be taken into consideration:
Type of incident
Severity of patient’s illness / injuries
Distance from scene to hospital
Travel time to hospital
Ongoing clinical treatment
Any contamination that has occurred
Patient’s wellbeing and interaction
Serviceability & reliability of the ePCR
Familiarity with the ePCR by new starts and students
Walking distance from A&E or Ward back to the vehicle.
Ongoing need for crews to be vigilant and aware of changes in the situation or the behaviour of the patient / relative / escort.
Drivers are responsible for the security of their load and the safety of their “passengers”. The only time that an ePCR is safe when the vehicle is in motion, is when the ePCR is secured in its docking station. If the driver is forced to take avoiding action or other safety manoeuvres while the ePCR is outside of the docking station, there is a genuine and realistic danger of the ePCR becoming a lethal object capable of inflicting serious, life changing or fatal injuries.
There is an expectation that employees will make Dynamic Risk Assessments (DRA’s) throughout their period of duty and if, as a result of that DRA, the crew deem it unsafe to use the ePCR while the vehicle is in motion, then that is their DRA and it should not be challenged at that time.
It is bad practice to sit sideways or to twist the torso in order to complete the ePCR in the docking station current position on DSA’s. When travelling on the rear facing seat, the occupant should be facing the rear of the vehicle and wearing the seatbelt so that they are properly secured and protected in the case of any motoring incident that may occur. Completing the ePCR with the spine turned can lead to long term health issues.