Gary Gustar

Advanced Clinical Practitioner (Paramedic) - Elderly Medicine/Rehabilitation, SWICC (GWH). Former military (RAF) MERT Paramedic. All views are my own

[Gary Gustar @GaryGustar]

@doctorwibble A very good interview with the BBC earlier today :-)

[Gary Gustar @GaryGustar]

@JacquiDeevoy1 Hi, I’m an Adavnced paramedic in a hospital, and undertaking palliative care. This person showed disgraceful behaviour and needs reporting. This is not typical of paramedics. EOL care should be about controlling symptoms so patients can have quality time with their families.

[Gary Gustar @GaryGustar]

@aggie_kopanska Many congratulations Aggie :-)

[Gary Gustar @GaryGustar]

@drchriscarson @kieran_robinson I agree, even though anonymised it still requires the patient’s permission. Also, the form is a guide and doesn’t outweigh clinical judgement/decision making at time of any incident. It shows a conversation has taken place.

[Gary Gustar @GaryGustar]

@ParamedicsUK Is this aimed specifically at those in primary who prescribe? I am a ward based ACP, and so would like to clarify.

[Gary Gustar @GaryGustar]

@nursetracey2 You lucky person. I use to live on Unst when I was in the RAF. Definitely an amazing place!

[Dying Matters @DyingMatters]

Our #griefwords this week come from the book 'Tuesdays with Morrie', by @MitchAlbom💛

[Gary Gustar @GaryGustar]

@theveindoc @CQCProf It does seem very odd and probable failing on their part. They need to take ownership of their mistakes or lose the trust of the public.

[Gary Gustar @GaryGustar]

@stacey06768980 Well done Stacey 😃

[Gary Gustar @GaryGustar]

@doctor_oxford @RishiSunak @DHSCgovuk @NHSEngland @gmcuk @UKLabour @wesstreeting Completely agree Rachel, but as an ACP (who you know) I am finding there are small corners of people lumping us into the same group as PA’s. We are very different and take many years to achieve our qualification, unlike the PA cadre.

[Gary Gustar @GaryGustar]

@DrHuw As a ward based ACP (Paramedic), I can say this is illegal. Only registered health care professionals can administer medication. Even if a PGD is in place it would still be illegal.

[Gary Gustar @GaryGustar]

@dchlittle @MyNameVeeZee @JeannetteGodwi2 @lbuckle01 @gemmalouise21 @lhart100 @VicsterNeilson Absolutely!

[Gary Gustar @GaryGustar]

@ExNHSorthopod Great analogy :-)

[Gary Gustar @GaryGustar]

@ExNHSorthopod I’m not convinced by the current system and they certainly need regulation. It can be a little annoying when ACP’s will have years of demonstrated clinical experience. This experience I have found is well received by consultants/Dr’s I have worked with or discussed for advice.

[Gary Gustar @GaryGustar]

@ExNHSorthopod 3/3
I then have regular clinical supervision, and prescribing is reviewed as part of this.

[Gary Gustar @GaryGustar]

@ExNHSorthopod 2/3
An SHO/ST4 who covers the other half of ward. Wards rounds are done as standard with me fulfilling an SHO role. All patients are seen by the clinical leads, as well as newly unwell.
I can prescribe any medicine within the BNF, but will always be within my scope of practice.

[Gary Gustar @GaryGustar]

@RAFMedicWO Many congratulations to you both, and well deserved.