Welsh Ambulance Services NHS Trust

Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure Approved by Date Review Date...
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Ymddiriedolaeth GIG Gwasanaethau Ambiwlans Cymru

Welsh Ambulance Services NHS Trust

RRV Standard Operating Procedure

Approved by

Date

Review Date Every 4 weeks (if nec)

RRV Policy Version 12 Amendment 03

16/07/2008

Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure

Document History Version

Date

Author

Reason for Change

Distribution This document has been distributed to: Name

Title

Date of Issue Version

Health & Safety Committee

4.0

Approvals Name

Signature

Title

1

Date Issue

of Version

Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure Content: 1. Scope 2. Document Aim 3. Staffing Criteria 4. Deployment and Utilisation 5. Operational Unit Hour Production Objective 6. Equipment 7. Health, Safety & Wellbeing 8. Transportation of Patients 9. Training

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Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure 1.

Scope

The control centre will utilise the RRVs in accordance with the Control Room Standard Operating Procedure and this RRV standing operating procedure, to ensure maximum appropriate utilisation allowing for the best possible clinical care delivered in a timely fashion, to those patients requiring intervention. This policy describes the following procedures in relation to service delivery using single crewed rapid response vehicles: •

Staffing Criteria



Deployment and Utilisation



Operational Unit Hour Production (UHP)



Equipment



Health, Safety and Wellbeing



Transportation of Patients



Training

Rapid Response Vehicles (RRVs) will always be backed-up by the first available Emergency Ambulance.

2.

Document Aim

The aim of this policy is to provide a uniform framework for the safe optimal deployment and utilisation of RRVs and associated personnel across the whole of WAST.

This document has been developed to provide guidelines for departments such as Central Resource Units (CRU) and Control who have a shared responsibility for the staffing and utilisation of RRVs.

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Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure This document has been developed in conjunction with staff side representatives to support staff working on RRVs.

3.

Staffing Criteria

It is the responsibility of management to ensure that the criteria detailed below is fully adhered to.

3.1

Substantive RRV Paramedics

3.1.1 Paramedics must be registered with the Health Professions Council (HPC) and must have at least 12 months post registration experience.

3.1.2 The paramedic will participate with any necessary post registration continued professional development requirements.

3.1.3 The paramedic has undertaken a management of violence and aggression training course and its refreshers approved by the Trust.

3.1.4 The paramedic must comply with the Lone Worker policy in conjunction with the incident support desk.

3.2

Paramedics or Technicians on an ad hoc basis.

3.2.1 Qualified staff may be asked if they are prepared to volunteer to respond on an RRV on a ad-hoc basis.

3.2.2 The staff member has undertaken a management of violence and aggression training course approved by the Trust.

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Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure 3.2.3 The staff member must comply with the “Lone Worker” policy in conjunction with the incident support desk/control.

3.2.4 Once the member of staff has arrived on scene he/she should operate within their normal scope of practice.

4.

Deployment and Utilisation

4.1 Staff working on Rapid response vehicles will be deployed dynamically to meet the changing demands of service delivery. This will be a core function of the Incident Support Desk (ISD). RRV’s may also be deployed to calls outside of their normal zone area if resources are diminished.

4.2 The deployment and utilisation of rapid response vehicles and staff is documented in the Control Operating Procedures for Rapid Response Vehicles.

4.3 RRV’s will be utilised primarily for Cat A ‘999’ incidents. However an RRV may be deployed to all determinants of calls (Cat A, B or C) but may be stood down if the call transpires to be a lower category.

4.4 When allocating an emergency call Control will pass on all relevant information and update the RRV Operative when more information becomes available.

4.5 In line with current practice where an element of actual or potential danger is identified by the ISD or the RRV Operative, staff should:

4.5.1 Decide whether it is safe to respond based on either the ISD or RRV Operative’s specific knowledge of the area or incident details.

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Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure This decision must be evidenced and recorded on the Control and Dispatch (CAD) system in all cases.

4.5.2 Respond and stand off in a static location at a safe distance from the incident or adopt a rolling stand by position and advise the ISD of their intended action following a dynamic risk assessment of the scene. In such circumstances the RRV Operative should enter the status “At Scene” and remain at a safe distance until it is determined that it is safe to proceed.

5. Operational Unit Hour production (UHP) Objective

5.1 Due to the changing nature of both resource and demand pressures placed upon the Trust the following options should be considered and followed in sequence to provide the necessary RRV cover.

5.2 Utilise paramedics who are scheduled to use the RRVs and who undertake to do so.

5.3 Non substantive staff may be asked to use the RRVs on an ad hoc basis (not pre-planned). This is a voluntary decision by the member of staff and no pressure should be placed on them to carry out this function. The process detailed in 4.2 above must be adhered to.

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Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure 6.

Equipment

6.1 RRV Operatives must use only Trust approved and supplied equipment or consumables.

6.2 Any changes to the current equipment specification for RRVs must be approved by the Trusts equipment lead officer.

6.3 RRVs will be fitted with a fixed radio, portable radio, cellular telephone and satellite navigation system.

6.4 RRV Operatives should report any equipment or vehicle defects to the ISD immediately and be supported by the completion of the relevant documentation.

7. Health, Safety and Wellbeing

7.1 At times of low activity and especially during the hours of darkness, the ISD or Control will contact the RRV Operative every sixty minutes. If not contacted by control then the RRV operative must contact control every 30 minutes.

7.2 In the event that the ISD or Control fail to make contact with the RRV, the nearest available resource will be sent to the last known position to verify the safety of the RRV operative. If no resource is available then the police should be contacted and asked to attend.

7.3 In line with current agreed practice, the ISD or Control will ask the RRV Operative every Sunday morning to carry out a full Alpha Romeo test call on both fixed and portable radios. This will be recorded in control.

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Welsh Ambulance Services NHS Trust RRV Standard Operating Procedure 8 Transportation of Patients

8.1 The practice associated with the rapid response role will often present RRV staff with the opportunity to transport patients to the most suitable point of care. Staff will use their professional judgment to ascertain which patients are suitable for transport in the RRV.

8.2 As part of this decision-making process staff should ensure that they carryout a dynamic risk assessment of the patient’s mobility and clinical status to ensure suitability for transport by RRV.

8.3 Staff will ensure when transporting a patient to a point of care using a RRV, the patient is seated in the rear of the vehicle and appropriate safety restraints utilised. Seat covers must also be fitted to prevent any possible contamination of vehicle fabrics.

9. Training

9.1 In order to develop the provision of RRV’s and to provide generic support for staff, the Trust has developed a training package.

9.2 All substantive staff operating RRV’s will receive the Trust RRV training package by March 31st 2009. After this date staff who take up a substantive RRV position will receive the training package on appointment.

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