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  1. #1
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    Default In for a Penny and all that!

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    Many of you already know how i've been looking for Medical training here in the UK, well after a last ditch effort to do an Intense Training course (many TP's provide plenty of info if you can pick it up fast enough!) using my MOD ELCAS credits and Fire Service support, which my management refused.
    I have decided to go Uni and do the all out FdSc Paramedic Science Degree, but after emailing the Uni Lecturers I found out I am lacking acedemically and therefore have to do a Access to Healthcare College course, this is a course for School drop outs like myself to play catch up in a year in order to be ready for a degree course. So from Sept 2013 till Aug 2016 I will be a student bum inn the hope of achieving the HPC Paramedic Registraition.

    For those wondering my management refused the course application due to fear of being liable after contributing towards the training costs. (basically they'll me let save a life with any skills I have learnt out of the service and will claim all the glory, but if I loose a life they want to be able to wash their hands of me!!!) So when I told them I was going all out and applying to College and Uni they was VERY supportive, in fact even said they would work the rota's to assist my learning so long as they ain't paying for the course and are not liable for any of my actions or inactions.

    You see their cowardess does not put me off, I'm a rescue worker period. If I have to go it alone in court to do what the tax payer pays me to do then fine. Otherwise what's the point in saving a life from a fire or a car wreck just to watch them die on the floor infront of everyone, you may aswell have not turned up at all and not given them or their loved ones false hope.

  2. #2
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    Well done Jonah good on yer sir and good luck.

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    Wishing you all the best on your endeavours. If you need any help or advise you know where we are

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    Best of luck with it all, as mm said where only a shout away !.

    Russ

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    Thanks guys, I have a feeling I may have to dig in for this one!!!

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    I would have thought that the reason that the fire service refused your course application is that it is not a core requirement to be able to undertake your role as a fire fighter and for no other reason. It would be like a paramedic applying for paid time off and course fees in order to undertake a firefighting course. They would be refused as it is not a core requirement for their employment. Nothing to do with liability. More about Governance.

    Hope you are successful in your learning journey and that you meet your ambition.

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    @Phecta originally I applied to EMT (the half way measure as I still wanted to be (FIREFIGHTER/Paramedic) as they have over the pond) I even applied to do your EMT I course and the service refused my application, and your right clinic governance was why the service became partly liable on a previous case. But if I qualify and work as a paramedic and also as a firefighter then Best Interest Act come into play really, because if I don't treat a casualty to the best of my paramedic abilities while working as a firefighter then I'm liable under the act.
    Like I said, I'm a rescue worker, if I have the skills to save a life or at least give that life a chance of being saved then why should I let legislation hinder me... just look at how many times Firefighters have been slagged of for not doing enough because health and safety legislation got in the way. Its all about winning, because if you come out on top, management will praise you and claim they trainned you well, if you fail trying they hang you out to dry. I'm no scared of failing, I'm scared of not giving my all for whoever i'm rescueing.

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    I think you may still encounter some issues regarding clinical governance. I can see the fire service being very nervous about allowing you to operate as a Paramedic at an incident when your primary role is that of a fire fighter. When you are deployed to an incident on a pump, whether it be to a fire or entrapment rtc, are your individual roles not clearly defined ? I have seen the clear benefits of fire fighters being trained to a level that enables them to provide a first response to trauma patients at the roadside. I am however unconvinced that the fire service in the UK require a Paramedic on a pump, as ambulances are more often than not deployed to incidents in conjuntion with fire and rescue.

    There is also a question regarding maintaining your registration, as the limited exposure to patients in your day to day routine as a fire fighter, I imagine, will not be sufficient. Perhaps securing bank shifts with an ambulance trust or private provider would be the answer ?

    Anyway, it's an interesting challenge you've decided to undertake and I wish you all the best with it.

    Stew

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    Having looked into clinical governance a little more you may all have a point about working as aparamedic on the fire ground, to answer your question stewmac91 no we all muck in, however all Firefighters that have gone through the full modern apprenticeship have undergone FAAW and Immediate Emergency Care (FPOS with operational required add on's basically).
    However I would like to become a member of the HART Team here in Wales once I qualify as a Paramedic, as for Firefighting I plan to continue that too and while on the Fire Ground theres no reason why I can't use my Paramedic knowledge and skills if I only use the the equipment provided by the Fire Service. (With a little knowledge you can do a great deal with a minimal toolbox!)

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    There is a vast differenmce between someone doing first aid at work and FPoS and that of a Paramedic. It is like comparing somoeone who makes model aeroplanes to someone who flies a jumbo jet. As Stewmac91 indicated youyr exposure to medical emergencies would not suffice your requirements to maintain registration.

    The Trauma aspect of a paramedic role is around 5% of the workload. The other 90% are the medical emergencies with accute and chronic conditions. It is this exposure that as a fire fighter you would seldom be exposed to and would see knowldge and skill decay.

    When compared to the rest of the ambulance service, the Hart Teams are very very quiet and lads and lasses are biting at the bit to do overtime shifts on vehicles to keep their paramedic skills up to date. They are itching for call outs just to stop skill decay. If you do a freedom of information request and compare the amount of Emergency calls your local ambulance service undertake in a 24 hour period and see how many Emergency calls your fire-service do in the same period and also compare the numbers of crews on (not personnel) then you will have an idea on how much more exposure the ambulance service paramedics and technicians get compared to someone in the fire service.

    I would hate to see you spend a lot of time money and effort to go through the university route only to find that you are not in a position to use your skills and not in a position to maintain state registration.

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