Jordan

Northerner, lost in Norfolk | Advanced Paramedic Critical Care @EastEnglandAmb | Critical Care Paramedic @EastAngliAirAmb

[Jordan @Jordanvannoor]

@EEAST_UrgCare @OliSmith91 FICB (landmark and USS guided) currently sits under the APCC scope in EEAST.

Arguably, APUCs should be targeted towards supporting crews with safe admission avoidance, no? Hopefully leaving a full complement of APCCs to support with this...

[Jordan @Jordanvannoor]

@Junaid_APP @hazzajg @JBPara999 @antkitchener @iampaulgates Completely agree, Junaid. A blended approach where mentored RRV shifts with an AP/APP/ACP-CC (or other abbreviated job title) gives the option of some of the cons you list (list obv not exhaustive).

Systems with an interchangeable operator model is also pretty key 👍🏼👍🏼

[Jordan @Jordanvannoor]

@hazzajg @JBPara999 @antkitchener @iampaulgates Also, to competently and confidently work at sub-anaesthetic level (L2 in EEAST), you probably need to have the fundamentals down of working in an anaesthetic capable team (L3) first. This is only (reliably) achieved by working as part of one of the region's HEMS teams.

[Jordan @Jordanvannoor]

@hazzajg @JBPara999 @antkitchener @iampaulgates It's not about the mode of arrival, it's about the supervision and increased exposure you get on HEMS vs solely RRV.

Increase your responding radius ➡️ increased chance of exposure

[Jordan @Jordanvannoor]

@hazzajg @JBPara999 @antkitchener @iampaulgates EEAST/EMAS are different beasts, the critical care provisions are very different. We are well represented in EEAST by several HEMS charities, offering a solid platform to learn & develop your critical care practice. Incorporate mentored RRV shifts & it could be a great pathway

[Jordan @Jordanvannoor]

@hazzajg @JBPara999 @antkitchener @iampaulgates Exactly my point made in other replies, geography/demographics differs wildly in EEAST and the pathway to Critical Care has to be standardised. This can't be achieved with some trained on RRVs and others in a blended approach of HEMS/RRV. 1/2

[Jordan @Jordanvannoor]

@oli_m_sims @hazzajg @JBPara999 @antkitchener @iampaulgates @BHECCS Already fully aware - working on CCD and with @richard_mcgirr on the roll out of the new CC skillset. What works in one area may not necessarily work in another but the pathway to CC needs to be standardised to reduce clinical variation.

[Jordan @Jordanvannoor]

@hazzajg @JBPara999 @antkitchener @iampaulgates Makes sense and sounds great! Pathways to develop into critical care roles will always differ across trusts. Establishing a standardised scope of practice for critical care would be great 👍🏼 @CarlSmithCoP @ParamedicsUK

[Jordan @Jordanvannoor]

@hazzajg @JBPara999 @antkitchener @iampaulgates IMO, I'm not sure a road based resource in the EEAST region would offer enough exposure to sign off (with confidence). A 5 year pathway (tACP to ACP-CC) involving HEMS, mentored practice on an RRV, and with certain milestones to meet seems the way forward.

[Toni @toniwriter]

A hill I will absolutely die on is that, despite being a healthcare provider, the NHS is one of the most toxic organisations you could ever work for or in.

[Jordan @Jordanvannoor]

@oz1986 @Ldn_Ambulance @MillwallFC @TheMillwallFans @NHSEnglandLDN @danielelkeles @andytrotter51 @AACE_org @SadiqKhan @HealthCareersUK @EFL @Millwall_MCT @HeyTomAbell Agree. "Frontline" promotion is largely limited to registered colleagues in EEAST and opportunities need to be made more equitable.

[Jordan @Jordanvannoor]

@ErringtonAaron @DrLindaDykes Whatever you do, avoid Reddit today (and for the foreseeable)! Paramedics are the devil's work, it would seem.

[Jordan @Jordanvannoor]

@antkitchener @EEAST_UrgCare @EEAST_Education @SJB293 Agree, there's definitely some great steps forward in progressing both specialties. Wonder if there's scope for some regular regional training days for each specialty too? The feedback from the tACPs training days is very positive 👍🏼

[Jordan @Jordanvannoor]

@liamsagi1 @EastEnglandAmb @EastAngliAirAmb @EHAAT_ @Magpas_Charity Legends

[Jordan @Jordanvannoor]

@Harrisongalgut @NMW018 @RobertProsser96 Simply untrue. Interventions are done so if indicated and in the patients best interests.

[Jordan @Jordanvannoor]

@angrypalmtree @EastAngliAirAmb Gutted to see you going mate, you'll be missed for sure. Hopefully we get to Cambridge today to see you all!

[Isaac Major @Isaacs1000]

I'm fundraising for East Anglian Air Ambulance. Check out my @JustGiving page and please donate if you can. Thank you! #JustGiving https://t.co/XJKSj7Ja5r

[Jordan @Jordanvannoor]

@ChrismcgE @EEAST_Education @EastAngliAirAmb @EastEnglandAmb Even got the callsign in... Amazing.

[Jordan @Jordanvannoor]

@robertflute @nigelkay @jazznhenry @emt_uk @PaulClarke999 @GlynnLaverack Thought it was a urinal at first glance 😳