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Messages - RubberChicken

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SAAS / Re: Interesting problems with private providers.
« on: August 14, 2010, 04:22:13 PM »
Be weary.  It is hard to see the full picture from the confines of a chair in the ED.  

Is it also hard to see full picture from the confines of a chair being the front seat of your Ambulance as a single operator monitoring your patient via a camera?     - NOTE - Remainder of my comment RETRACTED.

Thanks Crash ... I actually had to revisit my comment after I had completed a little wiki-investigation around the country and to my surprise found that single operator ambulances are widespread - Victoria and New South Wales Ambulance Service (country only).  This before Medboy gets all wiki-legal.

How can this be?  Note the NSW Ambo Union are lobbying to cease this practice.   

I then had a little read of the Non-Emergency Patient Transport Regulations and Clinical Practice Guidelines (Dept of Human Services Victoria) and then fell of my perch.. In Victoria they (being the SA Health equivalent) are happy for a Cert III Patient Transport Officer to act as a single operator in an 'Ambulance'.... even with TWO stretchers/patients in the back of the Ambulance? WHATTHA


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SAAS / Re: Interesting problems with private providers.
« on: June 28, 2010, 03:14:50 PM »
The unit belongs to emc rescue from NSW.
www.emcrescue.com.au

One is sitting at merc benz on cnr of south rd and grand junction.

Red and blue lights......tut tut. ADRs and vehicle standards breach in SA.

No plates on the vehicle at merc benz.

Maybe a new player in town???? Rescue Paramedics...wonder what area they will be working in...unit seen around CBD ...is there a new Emeregncy Ambulance Servive in Adelaide...thought it was only SAAS...and..................EMT Adelaide hahaha.?? 

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SAAS / Re: South Australia Paramedical Services Ambulance
« on: February 09, 2010, 09:31:48 PM »


Joules.  Thanks for answering my question which crash'n'matt  :roll: could not bring himself to do.

Crash., fcm is not a licensed provider of non-emergency ambulance and certainly is not licensed by Health as a provider of emergency ambulance services. I dont need to tell you that.

You might want to read the HC Act closely again and pay closer attention to the definitions. Also read the holding out. Qualified you are no doubt. Licensed by Health not. Infield, outfield and all places in between. Operating services using Ambulances (clearly defined what one is under the Act) is now regulated guys.  Simply put - Old Act loose and filled with loopholes and interpretation.. New Act tight.

Clearly though I am no expert on this topic. Good luck. Im clucking off. 

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SAAS / Re: ICP's, Paramedics 3/4, ICU or ED Nurses - looking for adventure
« on: February 09, 2010, 09:08:16 AM »
Nope....no pepsi for you. I work for" a" service with a couple more thousand than you. Keep pluckin...dont crashnburn in the process. Just sharing something that I was asked to consider. Didnt suit me but might be just right for someone else.

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SAAS / Re: South Australia Paramedical Services Ambulance
« on: February 09, 2010, 12:23:15 AM »
Alright CnD. fair comments.  Enlighten me.

Who is the provider licensed by SA Health to provide "Emergency Ambulance" services as defined, and pursuant to the Health Care Act 2008.

I reference the Health Care Act 2008 in particular as the Old Act transitional licenses will expire (shortly I suspect). NEPT (PTS/ATS) approvals only is my mail.

Emergency Ambulance approval only out in the areas/regions where resources are light (or don't exist) or on company boundaries/lands with approval to Cat transport to nearest local hospitals from company site (read/search the SA Government Gazette for a list).  Examples"Frontier, Compasss, Heathgate Mine, BHP/OneSteel, APY Lands etc etc etc.

And last I checked SAAS don't approve providers (they wouldn't want the legal liability!)

I am not being prescious (or maybe I am by virtue of making that very statement) but I am certainly curious who is this "Emergency Ambulance Service" that I have yet to see. Or have they been right in front of my eyes the whole time and I just didn't appreciate that they were an "Emergency Ambulance".

Anyway. I might just have a chip. We'll review it in 6 months and see who has to buy who a Pepsi

PS. No job knock backs lately ... a few rebuffs from Mrs R Chicken though.. does that count as a 'job knock back' :-D.




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SAAS / ICP's, Paramedics 3/4, ICU or ED Nurses - looking for adventure
« on: February 08, 2010, 11:45:00 PM »
Chatting to a shapely (in a good way :-D) Emergency Department RN who knows the IMS lads she said that they are asking around and on the hunt for local ICP's and Paramedics (L3-4) and/or ICU/ED Nurses for a temporary gig potentially later in the year starting Sept). 

Anyone with some Long Service Leave (annual leave or SLWOP) available for between a 12 to 16 week stint, looking for adventure (working offshore - commercial flights in/out of SA and then company chopper to rigs), getting free HUET training (something about Helicopters Underwater :-o Training), rotating roster of 3weeks/3weeks and obviously making some pretty substantial $$$$ should get in early and express interest and have a chat with them (all names kept confidential) before the official tender goes out.

They are apparently keen to keep it local (SA teams) and foster relationships with SAAS professional personnel. 

Might look good on the old CV if you aspire to wear the red overalls.

Being a dylsexic chicken who is afraid of deep water,  not to mention flying in a helicopter that requires training in the event said helicopter should decide to go underwater, it was too much adventure for my liking. 



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SAAS / Re: South Australia Paramedical Services Ambulance
« on: February 08, 2010, 09:42:36 PM »
Where to start!
Joules - I agree with the issue raised as it harks back to my original statement "as long as people do not try to play Emergency all should be good".  I would bet my left one that it is the very provider in this topic that will be doing the SAJC contract as they do a range of events in NSW.  NSWAS raised the same issues regarding clinical practice/scope and capability. SAJC would be concerned solely with $$$ and the decreased risk of having to stop the races (and avoid TAB fines) by having an on-track Ambulance whilst SAAS scoups up the jockey/punter/other at the gate.  The standby rate is also probably cheaper (given the cost of SAAS Paramedics these days on overtime  :-D )

I thought these guys were meant to be Non-Emergency.  They have just been licensed and it is like going straight for third base on a first date.   Maybe PSSA should try taking SAAS out to dinner and a movie first before rushing straight in. (or maybe they already have).

Regrettably, we shall await the first coroners report :cry:.

CnD.  Not sure if you know these guys or have seen inside their rigs (visit 4 Manton Street - WorkCare's old premises ) but I would suggest SAAS equipment is probably a little more upspec and capable (and current).  Unless they are engaging experienced SAAS personnel (or have an Emergency Doctor on board) I would really have to question entering such a high risk pursuit.  The family of maimed/deceased jockeys tend to make really big Professional Indemnity Claims and PI insurers love passing the buck back to the provider where there is clinical neg or other failures :-o

This little chickens sphncta does puckereth shut just thinking about all the scenarios :| :-o

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SAAS / Re: South Australia Paramedical Services Ambulance
« on: February 06, 2010, 09:32:50 AM »

Link:

http://www.austlii.edu.au/cgi-bin/sinodisp/au/cases/cth/FCA/1999/548.html?query=^paramedical


Case Title:
Paramedical Services Pty Ltd v The Ambulance Service of New South Wales [1999] FCA 548 (5 May 1999)


The case has various elements to it.  Whether NSWAS was right or wrong it highlights the difficulties of a private provider encroaching a space that is the domain of the Emergency Ambulance service. 

Paramedical in NSW is in the same pigeon hole as WorkCare NSW and reportedly within NSWAS there is still a general dislike for both. Could just be case of sour grapes.  The NSW Police and NSW Transport have also jumped on these entities to remove lights and sirens (sound familiar :-D).

SA now has the regulations (copied directly from Victoria) for Non-Emergency Ambulance providers so as long as everyone stays within the defined scope of PTS/ATS and no-one trys to play Emergency then all should be good.

The Federal Court Case example should put SAAS on alert that this little PSSA puppy bites if provoked (unless of course CL has more diplomatic channels in the event there are any little mishaps on the carpet). 

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SAAS / Re: South Australia Paramedical Services Ambulance
« on: February 05, 2010, 10:59:22 PM »
Joules is certainly excited about Paremedical Services. "Watch Out" everyone indeed.

A few contacts in NSWAS not so excited when mentioning same. See austlii  (Federal Court) - Paramedical Services vs New South Wales Ambulance Service.

Case dismissed. 10 years and still no change in relationship.

Note to Hugh: Read transcript - just in case. We know how easy you find it to make friends.

Q1. Do you reckon CL got a case of dejavu and a panic attack when he saw Paramedical's GREEN uniforms?
 
Q2. Everyone is still mentioning WorkCare :evil:? Is that guy still around as I thought he went out of business. If anyone still sees him running around code ring SAPOL advising of date/time/location/direction and plate number.  'Filtered' Menace

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