JB
@JBPara999
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Advanced Paramedic in Critical Care with Yorkshire Ambulance Service | ex HART | Dad | Husband | Veteran | #Autism | Tweeting #PHEM & #Photography .
UK
Joined July 2013
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Advert for Paramedics, paying £52,000pa for work through a private company awarded a contract to provide 999 response for an NHS ambulance trust… almost 20k extra for a paramedic on the start of Band 6 in the NHS - and we wonder why we have staff retention issues?
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Not going to lie, pretty bloody chuffed with this 😬 I’ll be sad to leave
@YorkshireHart
after 5 years - especially my team, but what an exciting new adventure helping to lead our Critical Care team into the future as an Advanced Paramedic in Critical Care
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Pre alert call:
ED: ‘And what’s the GCS?’
Paramedic: ‘Uhm, about 11’
ED: ‘And what’s that made up of’
Paramedic:
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Exciting times, absolutely thrilled to begin a secondment as the Area Clinical Lead in South Yorkshire. An amazing opportunity to lead, support and develop clinical practice back where my career began. Lots of work ahead! 🚑
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Really really pleased to have been successful in getting one of the new HART Critical Care Paramedic roles at
@YorkshireHart
- really exciting rotational role with a higher education pathway to boot! Months of pressure over now and the real work begins 😬
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Another day of being blown away with how effective
@what3words
is at allowing us to locate, access and treat patients - absolutely essential
#app
for your phones. Hopefully you never need it, but if you do, you’ll be glad you did!
#ukhart
#teamyas
#ambulance
#paramedic
#landrover
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Probably my most rewarding shift since qualifying as a
#Paramedic
. End of life dignity, a new life brought into the world and finally a second chance at life with a resuscitation all in a single day. This is the best job in the world and a privilege to do it
#TeamYAS
#MyEMSDay
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When we teach thoracostomy, we warn students about creating ‘funnels’ with their incision, where the outside is bigger than the inside - making the procedure less effective and more prone to becoming occluded. A student inadvertently gave me a good example to share with you (1/2)
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Something a little different today, refresher training in moving critically unwell patients with high consequence infectious diseases!
#UKHART
#paramedic
#ems
#ambulance
5
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Absolutely loving the last 24 or so hours on
#MedTwitter
since Ten Second Triage and MITT dropped. So much critical discussion and energy behind mass casualty responding from every corner of prehospital care. 🙌
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👨🎓 📄 Results are in! I now have an
#MSc
in Advanced Emergency Care 🎉 usual story of the pandemic, family dramas etc. along the way that is shared by many who commit to academia and what makes the success in spite of it all the more humbling! Thanks to everyone who supported me
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Wouldn’t change a thing ! 😬I am where I am because of the opportunities I’ve had to grow and develop at HART for 5 years. I’ll still be lurking !
Last week we were pleased to present
@JBPara999
with this frame, highlighting his career path to where he is now! Just a little reminder of his time spend on HART!
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Busy day on our MERIT Consultant/Critical Care Paramedic car covering
#Yorkshire
today! Keeping my hand in with my substantive critical care practice whilst seconded 😎
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Pretty cool 2022 to reflect on:
🟢 Got married
🟢 New job as a Critical Care Paramedic
🟢 Started flying a Drone
🟢 Earned a Masters degree
🟢 Retired from the Military
🟢 Lots of opportunities to teach and support others
Let’s see what 2023 has for me.
#HappyNewYear
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Busy week teaching our Critical Care Foundation Course - a Modular course staff that have a enhanced scope of practice (HART/HEMS/CCP) undertake at relative to their scope of practice. This ensures consistency across teams in the way that these skills and therapies are delivered
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What a thing to find in my email just now, absolutely buzzing that my MSc has been ratified and I’ve (somehow) managed a distinction! I left school with one GCSE so I never thought I’d have a degree let alone a Masters one day! What a journey 👨🎓
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Hands on with our new corpuls mechanical CPR device today which replaces our Autopulse. An excellent piece of kit that will be available on all of our
#UKHART
response vehicles and our critical care car!
#TeamYAS
#Paramedic
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Absolutely love this team, got on station this morning, bit of a Q start and lots of crews on station but mess room suspiciously empty. Out to the garage and one of my
#CriticalCare
colleagues has turned a DCA into a classroom and is running Paed sims with staff in the back💪
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Annnd sleep, end of a busy week. ED support, MERIT (Dr Car) shift, a few Case reviews, a governance day and ending with a Critical Care shift this evening (obviously copped for a late off job!). Weekend of assignment writing to look forward to now 👀
#TeamYAS
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Very long Day 1 of our Critical Care Paramedic assessments, some wonderful candidates that brought their everything today - thank you!
#Paramedic
#ems
#TeamYAS
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Day 1 of our
#HART
new starters clinical course. Today has been about honing their existing skills, applying a team based approach to trauma & understanding bariatric patient care. Now we start extending their scope of practice throughout the week to enhance their care in trauma
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Pretty chuffed! MSc in Advanced Emergency Care, as ever with these days for every person stood here with an odd hat there is an army of lecturers, support staff, family and friends that make this possible ❤️
#graduation
#paramedic
#MSc
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Working on our critical care car today, busy one so far! Also experienced hail, torrential downpour and then sunburn on my head all before midday … and tomorrow is June 👀
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Vehicle checked and out responding today covering Sheffield and Rotherham critical care. Lots and lots of office/project work the last few weeks so it’s nice to get out for some fresh air! We’ve got HART and SPCC jobs out right now in
#TeamYAS
- why not check them out?
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Officially de-kitted from
@YorkshireHart
today - what an adventure and privilege the last 5 yrs has been, taking Paramedic care to patients in the most challenging of places. I've made some incredible friends along the way, it'll be great to collaborate clinically into the future
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Another week, another mass casualty response course and exercise delivered for our HART and Specialist Paramedic Critical Care staff! 3 more to go. Absolutely love seeing colleagues rise to these challenges and push themselves to do more for our patients 💪
@PhilDrummer64
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7
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After 2 days of exams, physical competency assessments, swimming, crawling under things, climbing up and down things and a thorough interview... I got the job! I’m off to
#UKHART
with
@YorksAmbulance
! Still can’t believe it 😱
#TeamYAS
@NARU_org
thanks to all who supported me!
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Incredibly varied work week:
✅ Critical Care Desk EOC shift x2
✅ HART/Crit Care dual responding shift
✅ Critical Care OT shift in my home city
✅ Critical Care/Police Co-responding for 🔥 night
Couple of days off then back in Uni then teaching work colleagues 😴
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2
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Busy day in
#Sheffield
(where my career began!) on the critical care car. Not normally a selfie person but the position of the head rest in this car highlights how comically short I am 🤣
#teamyas
#paramedic
#criticalcare
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Couldn’t have asked for a better
#Team
the past couple of months! Pushed hard for our final exercise but pleased to say we all passed the last piece of our
#UKHART
training and we’re all headed back to our Trusts to start work as HART Paramedics 🤙
#TeamYAS
@YorkshireHart
7
5
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A huge honour accepting this award from
@rodbarnes_yas
and
@kathlavery
this evening, very humbled. It’s a privilege to do this job and work along side colleagues that do the extraordinary every day.
#Paramedic
#Ambulance
#TeamYAS
@YorksAmbulance
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Experienced
#Paramedic
looking to develop as a Specialist in Critical Care? We have SPCC vacancies in East Yorkshire for highly motivated individuals to join our team:
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Training week! Recertification in working at height to start off with then a complex RTC day today. If you’re considering a career in HART I highly recommend it 😬
#paramedic
#ems
#teamyas
#criticalcare
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Day 2: Our new colleagues have been introduced to their extended drugs: Ketamine, Co-Amoxiclav, Calcium, Lidocaine and Midazolam followed by a resuscitation masterclass by our
#TeamYAS
Advanced Paramedic. We ended with moulage incorporating their new PGDs
#HART
#Paramedic
#Trauma
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Back at HART for my training week this week, bit of juggling things around to make everything work but it’s great to catch up with the mighty 🟦 Team.
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Great to get stuck back into work this week, challenging mix of Critical Care incidents and HART jobs (sometimes both at once!) and a clinical supervision/support shift with my Advanced Paramedic in Crit Care. Bit of teaching and project work too. Weekend off now! 🍻
#UKHART
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My NHS career began as a CFR so it’s amazing to be able to give a little back to our responders that give so much as volunteers
Thank you to
@PhilDrummer64
&
@JBPara999
for talking to our volunteers about the Specialist Critical Care Paramedic role within
@YorksAmbulance
Both started their career as a CFR!
#yascfrcpd
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Yorkshire Air Ambulance are now recruiting for HEMS Paramedics for a 2 year secondment for those wishing to take a step into critical care: More details:
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I’ve been incredibly lucky to have a career that’s taken me to so many places, into every corner of the Human experience and challenged me throughout. Surround yourself with people you aspire to be like, and enjoy the journey.
#InternationalParamedicsDay
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Really excited to announce we are recruiting 2 x permanent Specialist Paramedics in Critical Care (Relief) as part of a planned expansion of the team, providing resilience across the area, enabling us to staff our increasing platforms. Full details below:
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Hot off the press,
@YorkshireHart
is recruiting now! Taking applications from both internal AND external applicants - there has never been a better time to come to
#Yorkshire
:
✅ Exciting Training
✅ Extended Scope of Practice
✅ Take your care to places you’d never imagined
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Shift 4/5 providing critical care cover to
#Yorkshire
. A mix of dedicated RRV and HART dual responding - plenty of challenging incidents but as ever I’m blown away by the decisive skills, decision making and compassion demonstrated by my YAS colleagues in difficult circumstances
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Weekend nights are a wrap! Had the pleasure of facilitating a clinical contact shift with one of our HART paramedics last night, some really interesting discussions and reflection with a mix of critical care jobs. 🛏️ now!
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It isn’t cheating! I’ve had hands on these in my own practice, couldn’t recommend them more! Check lists and prompts provide structure and anchorage in stressful circumstances, widening your bandwidth and getting you back in flow. Highly recommend!
A busy day for the ambulance service yesterday but saw these being used on jobs made me feel so genuinely grateful 😍😭
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As always, incredibly humbled working so close with
#FireFighter
colleagues in this sort of environment. Huge privilege to see the graft and dedication they put in to their incredibly dangerous work
#UKHART
#TeamYAS
#Paramedic
#EMS
#Team999
@YorksAmbulance
@YorkshireHart
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Officially dined out from the
@BritishArmy
Reserves last night after 15 years as a Medic in the
#RAMC
. It’s been a huge privilege to provide healthcare to our armed forces and I’m incredibly lucky and grateful for all of the opportunities I was given. 🇦🇲 Now the next chapter!
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Naomi and I joined YAS together and worked in Sheffield together, so so so proud to be able to give her these today 😬 welcome to both of you - great to see you grafting on the Cas Collection Point with some tricky patients (not sorry!) 👀
Congratulations to our newest HART Paramedics Chris and Naomi on successfully qualifying today, earning your new epaulettes and officially joining
#UKHART
- the end of a gruelling few months of intense training which we are so proud of you for - well done!
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Having an awesome day with
@YASCFR
supporting their excellent CFR conference - 150+ of our amazing volunteers and an opportunity to take a staged photo with
@PhilDrummer64
where we look the same size (I’m stood on a 1-2foot stage next to him…)
#yascfrcpd
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Last shift with the mighty Delta team tonight, we spend upwards of 40-50 hours a week with each other - often more than my family so it’s always sad to move on. From next week it’s taking up the Critical Care role in Charlie team, new challenges await !
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Got married, caught covid (not a pleasant experience!), now back at work. Supernumerary today so it’s on one of our RRVs providing extended clinical support to our A&E Ops colleagues over the county! Foggy start so far, drive safe!
#UKHART
#Paramedic
#ems
#ambulance
#TeamYAS
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Part of the Crit Care role involves peer support shifts, where two CCPs on a car respond together to support and learn from one another. Today it’s me and
@IanKilgour5
- the day began with personal airway drills & delivering a clinical education session to todays live HART staff
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Really varied week as I enter the last couple of months of my secondment. Organising CPD, developing practice guidelines, meetings and responding to critical care incidents around everything else. Taken loads away from the experience as I get ready to go back to my team at HART!
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Busy week teaching the latest
@YAA_HEMS
clinicians, the first cohort of staff to be put through our new centralised Critical Care Foundation Course. A long 4 weeks ahead for them but what an awesome and motivated team they are 💪
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Annual leave is over, Operational on one of our critical care cars today. Thanks
@TheResusRoom
for some morning standby
#CPD
today. Really looking forward to this one 💪
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So everyone needs a hobby,
#Photography
is one of mine. Below is a culmination of photos taken and subsequently edited by me in my spare time. Hoping to show some of the work undertaken by
@YorksAmbulance
on here now and then.
#TeamYAS
#Paramedic
#EMS
#UKHART
#PhotographyIsArt
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Super proud of
@MidoriOtoko1
- one of our HART Paramedics has worked months to get a Methylene Blue PGD off the ground and tonight was his ‘Train The Trainer’ session with HART Critical Care Paras to roll out across the wider unit before being carried on vehicles. Incredible work
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End of a busy course! Happy to see a new cohort of clinicians within HART successfully pass their extended clinical care course. We invite external clinicians from outside the unit to assess our staff on their final exercise which meant I had opportunity for a little photography
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Pre-Hospital
#Consultant
looking to join an expanding and relentlessly innovating team? We are recruiting Critical Care Doctors to support our MERIT Response working alongside our Specialist Paramedics in Critical Care, details below:
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Thanks
@MediMemosUK
! Super easy to order and quick delivery. Very pleased!
#checklistsarentcheating
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We’ve had a great day at
@RotherValley
talking to people about water safety, drowning first aid and taking part in demonstrations with our water rescue colleagues from
@SYFR
- thanks for inviting us and thanks to the engaged and enthused public!
@YorkshireHart
@YorksAmbulance
2
5
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Awesome couple of days with
@ShuParamedic
- high fidelity sim blending Critical Care across the spectrum of the patients prehospital journey with full HEMS/RRV/HART based critical care integration - thanks
@PhilDrummer64
for the phots 💪
#paramedic
#criticalcare
#UKHART
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Chance coffee encounter with
@ZachDavies94
tonight. One of the big strengths of my role is the integration with the trusts wider critical care team, same role, just different departments! We train together, attend all the same governance days and are supervised in the same way!
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Dear 27 year old me: Spend the most of your assignment time planning your assignment, structuring your arguments and ideas with bullet points and finding their references and the assignment pretty much writes itself in a third of the time. Love, 35 year old me. 😂
#student
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Two weeks after submitting the last MSc’s dissertation, it’s time to start the next MSc today 😮💨
#backtoschool
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Nervous but absolutely honoured to be invited - I’ll be talking about Critical Care in Hazardous Environments and explaining how the first Critical Care Paramedics in a UK HART Team function and govern themselves to be credible specialist clinicians and HART operatives.
@RGUParaSoc
@RGUNMandP
@QMU_Paramedic
@QMU_ParaSoc
@Stir_Para
@ParaSocietyUWS
@GCUSHLS
@GCUParamedicBSc
@Scotambservice
@ScotTraumaNwk
Couple of
@YorksAmbulance
folk have sneaked into the line up. So excited to hear
@JBPara999
&
@ZachDavies94
#criticalcare
#paramedics
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Happy
#IPD2024
! Wouldn’t change a thing, for those on the fence - take the leap, for those facing the daunting prospect of exams, placements and assignments - stick with it, you never know where this will take you 💪 🚑
0
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Couple of incidents attended today with one of our
@BasicsYas
Doctors - These highly skilled pre-hospital specialists bring their knowledge and experience to our sickest patients in their spare time as
#Volunteers
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Another day, another ‘check lists ain’t cheating’ post. Here new HART staff trouble shoot a ventilator using emergency action cards following a pre-hospital anaesthetic delivered by one of our Doctors.
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Another week of teaching our newest HART staff their extended clinical skills course. Following this they’ll spend months building a portfolio of evidence with clinical supervision for sign off to use these new skills
Independently. Looking forward to being back on the road now!
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Today I’ve spent the day staffing our Critical Care desk, our function here is to identify and interrogate high acuity and complex patients that will benefit the most from our regions Critical Care specialists.
#paramedic
#criticalcare
#phem
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Paramedic with a passion for improving outcomes for patients experiencing acute mental health crisis? YAS are recruiting Specialist Paramedics in Mental Health now!
✅ Fully funded PGDip
✅ Expanding Scope of Practice
✅ Clinically-led specialist Services
✅ B7
Apply Below!
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😴 After weeks of teaching it’s great to get back to responding to jobs, very busy weekend of nights at an end with a challenging but varied workload. Met lots of crews for the first time and as ever I’m blown away by the skill and compassion displayed under drastic pressures
3
1
56
Awesome day out with HART colleagues climbing on our rest days - good for the body and mind!
#paramedic
#ukhart
#teamyas
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Ambulance overtime shift tomorrow, pressures aside I’m looking forward to being able to sit down with some patients and talk to them/solve an issue or two. Critical Care is a huge privilege but being able to converse and solve less acute problems sometimes is good for the mind…
3
0
56
Sunny day in
#Yorkshire
and our new Polaris and Carrier is out and about!
#UKHART
#paramedic
#teamyas
2
2
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One of the current
@SPServicesUK
bags on trial with
@YorksAmbulance
as a potential replacement for our current bags. What I like about these is the modular pouch design on the inside organised and labelled to allow a systematic approach to both the bag and patient!
#TeamYAS
#EMS
8
4
55
Thank you to
@SYFR
Sheffield Parkway for facilitating some excellent training in Heavy Rescue for our South Yorkshire crews today - excellent feedback from all involved. Lots of opportunity for staff to practice trauma care with our CCPs
@PhilDrummer64
and
@stew_ashburner
also!
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3
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One more night to go, busy mix of work over the weekend and into this week, wouldn’t change a thing 😬
0
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Yet another
#TeamYAS
opportunity? Yep.
2 Yr HEMS Para Secondment with
@YorkshireAirAmb
- great opportunity to take your first steps in
#CriticalCare
& valuable exp for those wishing to progress to Specialist Paramedic Critical Care roles in the future!
2
11
52
A nice 🧵 demonstrating the new HART Physical Competency Assessments (PCAs) that came into effect recently. For those considering a career with us it gives you an idea of the sort of movements and muscle groups you can start to train.
@NWAmb_HART
Team 5 completing the new
@NARU_org
fitness tests today.
First up is the 20m bleed test to level 5.1
#FitnessTest
#ParamedicFitness
#BleepTest
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I finished last week with a return trip to finish off some photography with our fantastic SORT volunteers, this time with their ballistic PPE: if any
#TeamYAS
staff would like to volunteer for SORT responding - details are in last Fridays staff update!
0
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@nickstuffin
If you were 21, just qualified and wanted to get your finances in order - maybe even a deposit together I’d imagine the longer term benefits wouldn’t fuss you too much!
3
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Taking this baby out for her first ever operational shift tonight, 95 miles and still have the floor protectors on! I’m like a big kid.
@YorksAmbulance
@OHVCUK
6
3
52
Back at
@YorkshireHart
today supporting our fantastic Women in HART open day. I’ll be discussing the HART extended scope of practice, and our new clinical education pathway within YAS for all staff practicing enhanced care (HART, HEMS and CCPs)
#UKHART
#Paramedic
1
1
50
Absolutely the hardest part about an assignment/project - getting started! Breaking it down into chunks helps me, 10% of the assignment word count a day as a min (often ends up being more than this once in flow) - shout out to everyone else looking at a blank word doc right now!
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Slightly different shift than usual tonight, currently covering our Critical Care Desk, identifying appropriate calls for our specialist resources and providing critical care advice to our crews!
#TeamYAS
#Paramedic
1
0
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Busy night last night working in A&E Ops again, lots of Newly Qualified Paramedics taking their first steps into practice - really privileged to meet and support a few last night across some challenging incidents. Worth remembering what being new felt like!
1
1
49
Keen to drive change and improve quality of care in your own little slice of Yorkshire? YAS are now recruiting 5 x Advanced Paramedic: Clinical Leads
✅ B8
✅ Flexible Working
✅ Flexible job plan
✅ Work across all 4 pillars of Adv. practice
0
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Regardless of the political circumstances that brought us here, you have to beproud of the way our troops from
@TheParachuteReg
and the rest of 16 air assault/the RAF are putting it all on the line in
#Afghanistan
right now so that others may live, absolutely the best of us 🇬🇧
0
3
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ALS recert tomorrow which can only mean one thing - Paramedic ABG cramming to make up for never doing ABGs 😂, luckily I’m armed with a ‘made easy guide’ from
@ZachDavies94
this time round
2
1
48
Today ended providing close medical support to the incredible grafters from
@WYFRS
at a large fire in
#Dewsbury
along with HAZMED input. Thanks to
@WestYorksPolice
for scene and public safety!
@YorksAmbulance
@YorkshireHart
#paramedic
#firefighter
#UKHART
#ambulance
#team999
6
3
46
Assignment submitted, relaxing evening now ahead of a weekend of Nights on our HART critical care car up here in
#Yorkshire
4
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Absolutely over the moon to receive this email from a
@syptweet
officer today, lump was firmly in throat - thank you!
@YorksAmbulance
#TeamYAS
#Paramedic
#Ambulance
10
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ICYMI:
@YorkshireHart
are now recruiting internal and external Paramedics to the Team. The post below highlights some of the opportunities available to our staff, they also dropped loads of info on what is involved with our selection yesterday. Interested? Check it out.
A CAREER IN HART: Qualifying as a HART Paramedic is a proud moment following months of hard work, but it’s just the beginning. The career opportunities available include:
✅ Instructor in any discipline
✅ HART Team Leader
✅ HART Deputy Team Leader
✅ HART SP Critical Care
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