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Ambulance's tied up

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Comments

  • Registered Users, Registered Users 2 Posts: 1,783 ✭✭✭maglite


    I would assuem there would be spare vans but no crew?

    Same in Cork, There is a plethara of spare and some bordering vintage in there


  • Registered Users, Registered Users 2 Posts: 88 ✭✭MN_Medic


    Paulzx wrote: »
    How about providing the statuatory bodies with sufficient manning and resources in order to provide the best possible service to the public?
    God, i must be a genius for coming up this simple answer!!!

    That certainly is the answer for the long term, Your not the first genius for thinking of that. :). However right now in the short term, there is not enough staff and resources.


  • Registered Users, Registered Users 2 Posts: 5,260 ✭✭✭Elessar


    Of course more money is the better option! Better management of the A&Es! More stautory ambulances on the road! But until such time as that happens what should be done? Anything that will help the situation. Remember that privates don't really jump at the chance to do AS1/AS2 work, they already have their own clients and schedules and can't just drop them whenever they're needed. They too are busy.


  • Closed Accounts Posts: 61 ✭✭leadinglady


    sure we are all discussing the time that the DFB and HSE have their full compliment of ambulances on the road, what about the time when the DFB ambulance have broken down and have to change over and worse still which has happened only last weekend in rathfarnham that the fire brigade ran out of spear ambulances and had to take one of them of the road for the night and run one ambulance down for the whole night all because the senior officer in charge on that night refuse to get a mechanic in to fix it because of the ban on bringing in mechanics after hours in order to save money, and this also happened some months ago too with the swords ambulance, ye don't hear about that in the papers...
    and the HSE are paying for this????


  • Registered Users, Registered Users 2 Posts: 456 ✭✭sgt.bilko


    Elessar wrote: »
    But taking a paramedic (or two, as is required) away from an appliance will leave the appliance tied up until they are out of hospital. Aswell, what would the vols gain from that? All that would be needed in that case is a driver. What incentive is there really if they can't use their own crews?

    It's a shame that people have to wait for an ambulance in this day and age, but until such time that more money is made available to run more vehicles, or alternatively, manage A&E wards more efficiently, it wont change. Of course any ambulance is better than no ambulance, so I would like to see the vols or pdf involved in times of high demand. Once there is a practitioner on board, I can't see how having someone wait sometimes an hour or more in dublin for a statutory is in any way a better option.

    Voluntary organisations could be utilised by using a HSE/DFB Paramedic on board alongside the voluntary crew. This would also benefit the voluntary crew


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  • Closed Accounts Posts: 103 ✭✭Smokey Bear


    Leadinglady your correct there but the HSE do not pay for all the reserves ambo only for 1 open to correction.
    Sure the HSE are not paying for what they are meant to be paying DFB for at the moment and would be in no position to complain.They dont fund 134 (swords ambo)so DFB had on the road what is ment to be there as DFB are running 134 out of there own pockets and get NO MONEY from HSE for this service.Think there was 4 reserve ambo on Sunday night and it was only from 00:30hrs for apx 12hrs.HSE eastern region run ratio of 55 on the road with 4 spare so all in all DFB ratio a hell of a lot better 12 on the road with 4 spare.There should have been 3 new ambulance last year but for a legal challenge to tender process the deliver dates have been delayed over a year.Will be 3 new ones by end of year with a further 3 in first half next year.So the break downs should reduce with introduction of new spec ambo.

    If the A+E delays were sorted problems solved to a certain extent.I am fed up with the politics going on in certain A+E depts.Last week stood there looking at empty trolley for 2 hours while they decided what to do with it and then you have the cases that after 3 hours waiting on trolley they say they can sit in wheel chair aaaaggggghhhhh all because there are now 5 ambulance waiting.

    As for the privates doing 999 work not to far off if the Beacon service takes off.

    http://www.sbpost.ie/news/ireland/beacon-to-launch-ambulance-service-44607.html

    http://www.herald.ie/national-news/city-news/private-ambulance--will-widen-health-gap-1899290.html

    As for the number of HSE ambo in DUB region
    HSE Eastern Region Ambulance Staff – July 2009
    Category
    Numbers
    Ambulance Staff
    183
    Patient Transport Staff
    15
    National Ambulance College
    12
    Administration, etc. backup
    11.5
    Management/Supervisor
    14
    Vacancies
    6.5
    Total
    242
    40.7
    The HSE Eastern Region provides the service with 55 ambulances including four spare vehicles. In addition, a motorcycle unit provides rapid response to emergency calls. The service also provides a dedicated national neonatal and mobile intensive care retrieval service. As well as responding to emergency calls the HSE service also provides inter-hospital transfers of patients and responses to urgent calls from doctors. Figure 146 details the deployment of the ambulances in the HSE Eastern Region.
    Figure 146 HSE Eastern Region Ambulances – July 2009 Region Dublin City and County

    James’s Street
    7 max on duty
    7 spare
    14 total

    Tallaght
    1 max on duty
    1 spare
    2 total

    Swords
    2 max on duty
    1 spare
    3 total

    Loughlinstown
    4 max on duty
    3 spare
    7 total

    Other Eastern Region
    Wicklow
    3 max on duty
    3 spare
    6 total

    Arklow
    1 max on duty
    1 spare
    2 total

    Baltinglass
    1 max on duty
    1 spare
    2 total

    Maynooth
    1 max on duty
    1 spare
    2 total

    Naas
    4 max on duty
    4 spare
    8 total

    Athy
    2 max on duty
    2 spare
    4 total

    National Services
    Loughlinstownb
    2 max on duty
    — spare
    2 total
    James’s Streetc
    3 max on duty
    —spare
    3 total
    Total
    31 max on duty
    24 spare
    55 total

    Notes:
    a The additional spare ambulances are required to allow duty commencement if existing crews have not returned to base when a shift is due to start. Routine servicing and breakdown is also accommodated within this complement by moving ambulances from one location to another when necessary.
    b Two incident response ambulances are based in Loughlinstown.
    c Two neonatal and one mobile intensive care ambulances are based in James’s Street.

    Have a read of Comptroller and Auditor General Annual Report 2008page 411 chapter 40 in regards to provision of Dublin ambo service,
    http://www.audgen.irlgov.ie/documents/annualreports/2008/Annual_Report_2008_Eng.pdf



    Smokey Bear


  • Closed Accounts Posts: 7 Nice_Guy_Eddie


    Is there any sense in using those D-Doc guys who who seem to be knocking about some of the time? If they were available to attend some calls it could take some of the pressure off I imagine.

    I'm just thinking out loud and I don't know their set up to be honest. Have just seen the cars about a few times.


  • Registered Users, Registered Users 2 Posts: 437 ✭✭Tango Alpha 51


    Is there any sense in using those D-Doc guys who who seem to be knocking about some of the time? If they were available to attend some calls it could take some of the pressure off I imagine.

    I'm just thinking out loud and I don't know their set up to be honest. Have just seen the cars about a few times.

    D/Doc, along with the rest of them ie Shannon Doc, Care Doc, South Doc etc only increase the number of ambulance callouts hence they wouldn't take the pressure off.


  • Registered Users, Registered Users 2 Posts: 437 ✭✭Tango Alpha 51


    Paulzx wrote: »
    How about providing the statuatory bodies with sufficient manning and resources in order to provide the best possible service to the public?
    God, i must be a genius for coming up this simple answer!!!

    +1


  • Registered Users, Registered Users 2 Posts: 2,029 ✭✭✭Paulzx


    buzzman wrote: »
    D/Doc, along with the rest of them ie Shannon Doc, Care Doc, South Doc etc only increase the number of ambulance callouts hence they wouldn't take the pressure off.


    Agreed. Whether they like me saying this or not GP's are part of the problem here


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