Josh Rust

🏳️‍🌈 • Newly Qualified Paramedic @eastenglandamb / @stjohnambulance • 👬

[Josh Rust @Josh_R137]

3 Years ago today, a slightly naive and very baby faced (more-so than now) 18 yr old Josh started with the ambulance service! Amazing to see how much has changed in that time, including slightly more common sense and slightly more competence! See how many more years we can get!

[Josh Rust @Josh_R137]

Beds & Herts on tour, with a trip south of the M25 for @Ratcliff1Rob & I today, providing a paramedic led DSA at Epsom Derby!

[Josh Rust @Josh_R137]

@mattstevenssja @stjohnambulance @_pro_cloud @SJA_Logistics Oh? Are we meant to be signing things out?! 😜

[Josh Rust @Josh_R137]

@NatashaMDay I am absolutely LOVING this. Keep them coming!

[James Yates @heli_med_james]

“A candle doesn’t loose any power when it lights another candle”

Too often people are protective over their knowledge and skills, believing that this offers them an advantage over others.

Whereas true power is found in sharing and developing others, allowing them to grow

[Josh Rust @Josh_R137]

@danbevis @IOWNHS @04worsfoldd @OFFICIALIOWAS It’s close enough! Absolutely love the change of going over there - and the friendliness of the people! We’ll definitely be back if we can!

[Josh Rust @Josh_R137]

The views & sunsets on IOW never cease to amaze me… 3 days done on @IOWNHS with @04worsfoldd - double para is a rare treat since qualifying!
Now to relax for 2 weeks in the Caribbean!

[Josh Rust @Josh_R137]

@nqpcharlie If they’re comfortable going in the back then great! We have cameras & an intercom here which I find useful… I usually give some red flags to look for & let me know if they happen or anything changes!

[Josh Rust @Josh_R137]

@nqpcharlie I find it easier having been an ECA previously - but making sure they know what they’re comfortable with & boundaries (I.E. don’t start any new treatment without discussion 1st). If they’re new, ease them in gradually - let them watch you attend, build up to obs, history taking…

[Janey Godley @JaneyGodley]

Earlier this morning Janey passed away in her sleep. Her family were with her.
The love and support from all her friends and fans during this cancer journey brought her enormous joy. It has also been a huge comfort to us, her family and close friends, thank you.

[Josh Rust @Josh_R137]

@NJL_Blancq Zebra Z-Grip smooth! They write like a dream 😍

[Josh Rust @Josh_R137]

@geeky_gillon @NatashaMDay @NJL_Blancq @Reb_eccai @ReevePara I signed up for an NHS service finder account with a trust email… got an email from the MIDOS team saying something along the lines of “we have midos, don’t use service finder”… not sure why the trust doesn’t want us using it if MIDOS isn’t appropriately updated/used!

[Josh Rust @Josh_R137]

@EEAST_OpSupport @HeyTomAbell @EastEnglandAmb @ant_brett Any idea when any of the new designs are making their way to sunny north beds?! :)

[Josh Rust @Josh_R137]

But needing attention on arrival, or not suitable to wait on the back of an ambulance for X hours without treatment

[Josh Rust @Josh_R137]

👏pre-alerts👏are👏for👏a👏reason👏

I’ve seen a huge increase recently of tutting followed by “go to RAT/AHO” then on them seeing the patient or handing over, “why aren’t you in Resus?”, or varying opinions between trusts leading to conflict (classically NEWS7 getting prealert)

[Jess Sparrow 🐥 @JessicaSpara]

I really shouldn’t be afraid of being judged by received ED staff when I bring in an unwell paediatric patient but yet here I am, frequently feeling nervous and ashamed for being “over”-cautious. I’m on my own in the back with a poorly kid & worried parent & doing my best. 😭

[Josh Rust @Josh_R137]

Would be rather handy to see a graded prealert system - such as Red and Amber calls to negating courtesy calls and pre-alert fatigue.
RED: Needs seeing immediately I.e. Cardiac arrest, Resp arrest, Seizure, CVA in window etc…
AMBER: Everything else not particularly needing resus

[Josh Rust @Josh_R137]

@geeky_gillon @NJL_Blancq @MuffinAnderson Completely appreciate that - I’ve heard some horror stories of people fighting for placement hours etc… I’m in a very very lucky position with my station being a small satellite (we get left alone), a permanent crewmate who is brilliant and supportive management

[Josh Rust @Josh_R137]

@NJL_Blancq @MuffinAnderson I do appreciate though, I’m in a very privileged position - in a well staffed area where we rarely have to be split… and have an awesome mentor who takes every single opportunity he can to mentor me and allow me to develop as a clinician… I know this isn’t the case for all!

[Josh Rust @Josh_R137]

@NJL_Blancq @MuffinAnderson Whilst I can see where you’re coming from, I’d argue against this. As an apprentice paramedic, 90% of my shifts are with my mentor. The other 10% is with AEMT/ECA, allowing me to cement decision making skills and build confidence - so it’s not completely meaningless :)

[Josh Rust @Josh_R137]

@NJL_Blancq @MuffinAnderson So I did ECA and am currently a tech… having a mentor when I was an apprentice tech and then as an EMT, I didn’t have a formal mentor - but my crewmate is now my mentor if that makes sense 😂

[Josh Rust @Josh_R137]

@geeky_gillon @DrLindaDykes Many of us rural Bedfordshire crews are scared of big, scary Luton… that drive up the A6 gives us palpitations 😂