Community Specialist Paramedic, Dave Blowers Monday Today is the first day of a busy week – a lot of meetings! I am catching up on my emails as well as reviewing any emergency calls which occurred over the weekend. We have a busy surgery where I am based, so I provide telephone triage of patients, over the phone. It is a hectic morning, but all triage patients are booked in appropriately, so that’s a result! In the afternoon, I go to the local Emergency Department to help the Advanced Paramedics with some live audits of pathfinder. I enjoy doing this, as it provides an opportunity to meet with crews who come in and enables me to introduce myself and promote the Community Specialist Paramedic role to our crews but also the hospital staff. It’s a great chance to catch up with colleagues, old and new. Tuesday In the morning, I meet with the local Clinical Commissioning Group to talk about a new innovation that is being developed, to improve co-ordination of patient care. They have invited me to attend, as they would like some input from the ambulance service’s perspective, as to what the Trust can bring to support this initiative. An interesting meeting but cut slightly short because…my pager goes off. There is a cardiac arrest around the corner and I am the nearest clinical resource. Leaving everything else aside, I am still a paramedic and I still respond to calls; I’m on scene with the patient within three minutes. Unfortunately, the patient is beyond help and has passed away. I can stand the crew down and I spend some time with the family. I contact the GP and arranged for him to visit the family later and certify the death. In the afternoon, I am back at the surgery. One of the GPs asks if I can assess a child with abdominal pain. After giving him the once over, I discuss my findings with the GP and we discuss a treatment plan. Luckily, it’s nothing more than a bit of gastric ‘flu, so we send him and his mum away feeling happier, and reassured. In the evening, I am off to the local youth club. Part of my role is to engage with the local community. Partington has a high proportion of children under 16, so I have the chance to sit and chat with the kids and show how truly awful I am at playing football! Wednesday Today is another busy day, but this time at the other surgery. They only have on GP available today, so I am acting as a triage filter and assessment. Unfortunately, after only one patient, the pager goes off again, so back out I go. Luckily, it’s to a patient known to the surgery, so I contact the surgery, in order so that I can access her patient notes. After a bit of a chat and a nebuliser, I discuss her care over the phone with the GP. The GP asks me to take some bloods, as he’s worried some tablets may be making her anaemic, but otherwise he is happy to leave her at home and review in surgery. Back for a bite of lunch, and then the pager goes off again! Bizarrely, it’s to a local factory where I am about to head for a meeting anyway! I find a chap with a possible fractured patella. A bit of entonox and morphine, and I hand over to the crew who take him to Trafford for an X-ray. Running a little late, I make my way to my meeting and thankfully, they understood why I wasn’t on time! We talk about getting an AED for the site as well as arranging for me to have a tour of the site, next week. Thursday I have a meeting in the morning at the Trust’s offices on Parkway, in Manchester with my colleague and follow Community Specialist Paramedic, Rebekah, as well as David McNally from the Community Resuscitation Team. We talk about our respective areas and the possibility of getting a CFR team up and running, as well as some community public access defibrillators. It was a really positive meeting and on my way back to Partington, I pop into Manchester Central ambulance station to catch up with some paperwork. Once back over in Partington, I visit a patient who has recently been placed on a community care pathway, with Nicola Wilde, one of the Trust’s safety practitioners. We are here to do a risk assessment and to review the patients individual care plan, following an incident report. We are happy with the adaptations that have been made, and we leave after having a good chat with the patient, who is much happier now she can get back to having a shower in her own house. On the way back to the surgery, I pop into a local care home for a quick meeting, to help them with some moving and handling concerns. But before I set off, I get a call from Trauma Cell. There is a serious road traffic collision not far away – can I assist? I head off to the incident, which sounds very severe. Unfortunately, there is a fatality, but I take some time to speak with the crews on scene and liaise with EOC. Friday Today is a day off, so a nice long weekend but I’m ready and able to do it all again, next week.