Mundane News

[oldwheels]

Cannot buy employees drink - might be seen as tempting them into error or worse. Or be blamed for pressuring them to drink if they get done on the way home.

All Scottish distillery workers used to get a hefty dram every day at stopping time. Tradition which I never carried on with and most distilleries and warehouses stopped the practice about the same time in the early to mid 1960's.
New Year was an exception but those driving were offered some sample bottles as an alternative.
These drams were doled out by the office when the staff came in for their wages and the head office girl was in charge. She had the habit of having a dram herself with those who came in and as a result I had to drive her home as she was not in a fit state to get a bus as she normally did.

 

[tom73]

Yes, sadly I think you are right.


I had to wait in an A & E corridor with my Mother after she broke her collarbone. I had given all her details to the Receptionist and I presume all the notes made by the Paramedic were written down.

What is the reason for the Ambulance Paramedic and Technician then standing with us in the corridor. One of them went off to assist a Porter, explaining quite rightly imo, that it was less tiring to do something useful than stand there with us, and no, they could not take a meal break.

Some Ambulance calls to a prospective patient would result in tests etc, but the patient staying in their own home.

Basically it's waiting for the formal verbal handover which every paieant go's though. Until that point they are still your patient and in your care. Handovers happen anytime patient get admitted be it by ambulance or admitted /moving a ward.

A lot of things need to change it's way more easy and cheeper to treat people at home for none complex issues. We need way more money into training advanced care practitioners and have like some areas have more clinical care, social care, social service, CPN ect combo teams. That respond and travel together to more complex needs which don't need hospital just multi agency help. This approach works well with people in metal health crises. Some area also have fire community safety officers too so home safety checks can be done reducing accidents. Work's well with reducing trips and fails in at risk groups.

It all come down to money advanced practitioners cost money but save it in spades. Political quick cheep fix wins hence the many x,y,z assistants. Current in favour is Physician Assistant cheep but total waste of money. Nursing associates is another. The real big politically brave thing to do is inverting how the NHS works, how its viewed and how it's funded with primary care at the top. The saving and quality of care we get back would make things way better.

 

[classic33]

Strained my wrist so badly that it's out of use atm. And it really hurts.

Feeling any better now?

 

[biggs682]

Calm and peaceful here in Hundred Acre Wood.

I bet

 

[postman]

Three more sleeps and good old Santa is bringing me a chromebook.

 

[Speicher]

So Patient A is at home and calls out an ambulance, which arrives, say after half hour of waiting (unless it is "Cat 1"). The appropriate treatment given at that time means you stay at home. The paramedic can ring the GP for a prescription to be issued, and request a follow up visit from the GP.

Patient B is at home with same symptoms as Patient A, but the ambulance arrives eight/ten or more.... hours later. By then the symptoms have worsened, and the patient now needs to go to hospital.

 

[Speicher]

I bet

Yes, out here in the quiet far west of the west of quiet west Worcestershire tis very quiet. Gets a bit noisy at times, with the ravens, foxes, Muntjac deer and Wols. Mind out for the snakes and mice.

 

[Speicher]

I have found, by accident, a short series of films with Hamza interviewing people about their favourite places in Scotland. That might raise my temperature a tad.

Great British Sewing Bee Christmas Special is on tonight.

If you like "Strike" (the private detective), have you watched "Vienna Blood"? Tis excellent in my opinion.

 

[tyred]

You can see a good stretch in the evening already!

 

[Illaveago]

We are back home . The weather has been lousy ! There were quite a few idiots driving without their lights on in the rain and spray on the motorway .

 

[tom73]

So Patient A is at home and calls out an ambulance, which arrives, say after half hour of waiting (unless it is "Cat 1"). The appropriate treatment given at that time means you stay at home. The paramedic can ring the GP for a prescription to be issued, and request a follow up visit from the GP.

Patient B is at home with same symptoms as Patient A, but the ambulance arrives eight/ten or more.... hours later. By then the symptoms have worsened, and the patient now needs to go to hospital.

Basically yes in fact Patient A examples already happens Mrs 73 had a call about a prescription like that this week.
Now change paramedic to an ACP and that cut's out the GP as they can prescribe full BNF unless ACP is a paramedic then they can't prescribe controlled drugs. Add to the mix hospital at home service and that open up things like having VI antibiotics at home.

 

[Andy in Germany]

Years ago 4pm Christmas eve and that was it for a fortnight, now the shops are open the day after so why does everyone still do that looney rush and greed buying for the end of the world? Glad I have nothing to do with it personally.

Handy for charity shops though: people rush and buy stuff then donate all the brand new cr*p they don't want a week later.

 

[biggs682]

Yes, out here in the quiet far west of the west of quiet west Worcestershire tis very quiet.

Sounds like Bewdley and beyond

 

[biggs682]

Just about drizzling here

 

[oldwheels]

Turned out a really nice day with hazy sunshine so got out on trike at last.
Strangely tho’ there was an area of fog a couple of miles away at a couple of hundred feet higher and viz at one point was about 100 yards. Stopped in a passing place to put my lights on as there was a fair bit of traffic on the single track road.
Mail services seem to be working pretty hard as last night I got post at just before 9 o’clock but no idea now when they are next on strike.
Went to Calmac office for tickets for trip off next week and confirmed that my trike travels free even if I ever get an e assist one. I also have a pretty cheap passenger fare so only the fuel for 42 miles extra.
The trike has not got the carrying capacity of a car obviously but can travel anytime without booking which is handy.
Fuel when I topped up today was 176.9p for diesel.