Bruno Posted February 27, 2007 Share Posted February 27, 2007 gud on ya mate, the rest of us support you!!!!!!!!! Just a thought, why not team up with your event on this? or have you already got plans for a different area of the hospital? Link to comment Share on other sites More sharing options...
babychickens Posted February 27, 2007 Share Posted February 27, 2007 Jeeeezus b***dy christ, people? What is wrong with you tight-fisted miserable lot? It's for an AMBULANCE for the PICU, not chip butties for football fans or chewing gum for teenagers. Whilst it would be fabulous if ambulance access was improved, and all equipment was suitable for both babies and 17 stone bruisers, that doesn't actually mean you're not allowed to part with 50p of your hard earned whinge money without actually having a pop at the guy raising the money, or at scoop for having more than a passing interest in providing a decent ambulance service. if the nhs money isn't there for an ambulance, then if no-one tries to do anything about it, there just won't be a PICU ambulance. then, no doubt, there will be much whining about its absence. it's at times like this that i really question why i come on sheffield forum. i find it genuinely sickening how tight-fisted you bunch can sometimes be. you know what lots of you sound like? MOAN MOAN MOAN MOAN WHINE WHINE YEBBUT WHINGE MOAN MOAN don't want to part with MY money for charity MOAN MOAN MOAN. scoop - feel free to report my post and remove me from this thread, it just really pees me off sometimes what a bunch of apathetic tightarses most people are, and i couldn't quite contain my irritation. don't want to turn your thread into a duff one. eric_the_man - good for you for having the decency to do something good with your time. you're in the minority. Link to comment Share on other sites More sharing options...
zippy Posted February 28, 2007 Share Posted February 28, 2007 Because our set up is designed so that all equipment is completely compatible with that used within the hospital. Modules for the monitors can be swopped over, so that there is no break in the history of the childs vital signs. All equipment belongs to the hospital, so there is no issue of restocking equipment that belongs to the ambulance service. as is the monitoring used by those areas without dediciated vehicles Also, as I've already said, beacause we are dealing with children, we have to carry alot more equipment due to the size range that we have to carry, it would be impossible to carry all the necesarry equipment on the person as we would have to do if we didn't have a dedicated ambulance. and the DGHs don't have approapiate sized equipment / don't provide the information required ? most of the paeds retrevals i have been involved with as a 'donor' hospital have seen the child in question fully 'lined' ( peripheral IVs and arterial , CVP if neded ) , IOed if necessarily and allready intubated ... Also, on the occasions when we have used generic ambulance (due to ours being in for repair) we have had enormous difficulties with (for eample) incompatible trolley docking, one would assume that given the 'mark 6' locking device is now standard across the YAS fleet this will no longer be an issue ( perhaps Dan or oor another of the YAS(S) bods o nthe site could confirm / deny - as being in YAS(W) land i don't see a lot of YAS(S) A+E wagons at present insufficient oxygen supplies, insufficient temperature control within the ambulance (hypothermia can kill critically ill babies) etc. at best sensationalised at worse an outright untruth... There is also the issue of demand for the service, not having a dedicated ambulance means that we would have to ge in line with all others who needed to use the service, which brings us back the problem of response times. a level3 transfer is a cat A emergency Bear 1 does not as far as i am aware have a dedicated crew and the retrevial team do not have a dedicated response vehicle (as used by other PICUs to deal with the 'response time ' red herring where the team are delivered to the patient and the ambulance follows on or is provided by the 'donor' hospitals local service Another issue is staff familiarity. It's recognised that working in a familiar environment is safer for the patient as the staff are obviously better able to work when they know exactly what equipment they've got on board and where it is, If you need to reintubate a patient in the back of an ambulance, seconds lost looking for the equipment can be life threatening for these children. a poor workman blames his tools , odd how many other level 3 transfers manage more than adequately working from transfer packs / cases there is also the option with 'mark 6' locking device equipped vehicles to use the critical care transporter trolley which includes equipment storage, 10G monitor / driver mounts and gascylinder storage in apackage totally compatible with any 'mark 6' equipped vehicle Link to comment Share on other sites More sharing options...
zippy Posted February 28, 2007 Share Posted February 28, 2007 Jeeeezus b***dy christ, people? What is wrong with you tight-fisted miserable lot? It's for an AMBULANCE for the PICU, not chip butties for football fans or chewing gum for teenagers. Whilst it would be fabulous if ambulance access was improved, and all equipment was suitable for both babies and 17 stone bruisers, the point that has been raised is that the current generation of Ambulances in use within the YAS region include features which 10 or so years ago were considered specialist such as inverters / gensets to provide 240 v ac power , oxygen cylinder technology has improved consierably in the same tiem frame with cylinders offering 2 to 3 times the gas capacity in the same sized package due to the higher working pressure of carbon composite or high strength alloy cylinders with integrated regulators etc ... trolley compatibility within the UK Ambulance service is becoming less and less of an issue due to the dominance of ferno and the mark 6 series of trollies which meet the 10 g crash stable standard of the CEN Ambulance contruction standard and allow interchangablilty between a number of variants of standard trolley, bariatirc (heavy patient ) trollies, specialsi critical care trollies and incubator transporter bases - which in the past had different requirements due to the reliance in A+E work of manually loaded stretchers which is impracticable for a criticla care trolley or incubator transporter... that doesn't actually mean you're not allowed to part with 50p of your hard earned whinge money without actually having a pop at the guy raising the money, or at scoop for having more than a passing interest in providing a decent ambulance service. if the nhs money isn't there for an ambulance, then if no-one tries to do anything about it, there just won't be a PICU ambulance. then, no doubt, there will be much whining about its absence. or will there ? the equipment will still be there funded already by the trust and /or the critical care network , and it can and has been carried in Standard vehicles operated by YAS or even other providers (NHS, charitable or private) Link to comment Share on other sites More sharing options...
Mr1chop Posted February 28, 2007 Share Posted February 28, 2007 TBH, I'll gladly send some money, but I don't realy want to sponsor the guy to go on (effectively) a nice walking holliday. Sorry if that sounds a bit harsh. The average cost per person for a trek in the Himalayas is £2.3k http://www.himalayantravel.co.uk/results.php?id=106&id=75 It does seem a little extravagant to raise the sum of £5.5k. The 3 people going could just give the cost of there travel for the ambulance and have cash spare. I will gladly donate direct to the Children’s hospital for the ambulance and I will contact the fund raising department today. Link to comment Share on other sites More sharing options...
scoop Posted February 28, 2007 Author Share Posted February 28, 2007 In response to suggestions that we dont really need this ambulance I can only stress, that yes, we really do. I think I've already given an adequate explaination of why we need the dedicated ambulance. Follow this link for a bit more information about the service we provide, a service recognised nationall as 'best practice' (If it were unneceserry it wouldn't be best paractice would it?). http://www.doh.gov.uk/Children/Nsfcasestudies.nsf/0ffae828d1e48e8e80256f5c0041d510/7d1b52f3c3d6b08280256f6a003f2426?OpenDocument&Click= As you can see, our retrieval coordinator has won a prestigous award for her work in developing and co ordinating the service, again, why would she be recognised with such an honour if she was spending so much money on something unneceserry. I understand that some people may have doubts about essential equipment being paid for using charitable funds, but I think that may be a discussion for another thread. I also feel that while some people may have experiences working in similar fields to this one, that it is incorrect to judge that we don't need this equipment unless you have worked in our unique set up. We've proved that this is the best way to do paediatric intensive care transfers, we've saved hundreds of childrens lives as a result. I'll say it again: There is absolutely no doubt that a dedicated PICU ambulance is a vital part of our equipment, we need it and only with the generous support of the public will we get it. Thank you to everyone who has supported us so far, it is very much appreciated. Link to comment Share on other sites More sharing options...
BlackVelvet Posted February 28, 2007 Share Posted February 28, 2007 BLACK VELVET, at least this guy is actually doing something to help, it doesnt matter where the money is being spent. its the kids health that MUST come foremost and if that means raising money for a certain type of ambulance then that gets the thumbs up from 99.9% of sheffield folk. gud on ya mate, the rest of us support you!!!!!!!!! believe you and me, i do more than my fair share for the sick kids of sheffield, and im more involved than you are aware of, but do feel the need to question a sizable sum of cash on a not strictly indespensable vehicle. The Jessop SCBU seem to manage pretty well without a 'special' vehicle and using one of Yorkshire ambulances own, and their 'customers' are neonates. My daughter was one of them!. and it comes to something when the budget of the hospital dictates that they can recruit NO MORE staff, leaving the wards to struggle. Perhaps if we addressed the root cause, the need for shunting sick kids around the country would be greatly reduced. in the case of my daughter, the transfer was necessary TWICE due to LACK OF SPACE and EQUIPMENT for her. I would much rather that equipment have been available in her home town, where she was born, than some flash private ambulance to take her the 2 hr drive to the nearest place it was available, then BACK again when a bed is free at home. So Tell me? where does the cash REALLY need to go? Link to comment Share on other sites More sharing options...
babychickens Posted February 28, 2007 Share Posted February 28, 2007 believe you and me, i do more than my fair share for the sick kids of sheffield, and im more involved than you are aware of, but do feel the need to question a sizable sum of cash on a not strictly indespensable vehicle. The Jessop SCBU seem to manage pretty well without a 'special' vehicle and using one of Yorkshire ambulances own, and their 'customers' are neonates. My daughter was one of them!. and it comes to something when the budget of the hospital dictates that they can recruit NO MORE staff, leaving the wards to struggle. Perhaps if we addressed the root cause, the need for shunting sick kids around the country would be greatly reduced. in the case of my daughter, the transfer was necessary TWICE due to LACK OF SPACE and EQUIPMENT for her. I would much rather that equipment have been available in her home town, where she was born, than some flash private ambulance to take her the 2 hr drive to the nearest place it was available, then BACK again when a bed is free at home. So Tell me? where does the cash REALLY need to go? so because the nhs as a whole isn't the tip-top system it could be, then nobody should give money for the new ambulance? why? addressing the root cause would surely cost billions of pounds, and is something that the government is permanently trying to address? in the mean time, should someone who is intimately involved with the care of children just sit around and twiddle their thumbs and wait for funding for equipment which clearly they DO think is necessary? and, by the by, since your daughter has been transfered by ambulance twice, surely you are aware of the necessity of the service? does it matter where the cash actually goes, as long as they get their ambulance that they're trying to raise money for? to those who object so firmly to a guy going on a jolly and raising money at the same time - WHY??? when you go on holiday, do you raise money for charity? what is the problem with someone going on holiday and raising money at the same time? ok, so some of the money raised will probably be spent on supplies (probably not equipment, as i imagine he has done this kind of thing before and has most of the necessary equipment) and flights, but by the end of the expedition he will have still raised money for charity that wasn't there before. zippy - to summarise what you seem to be trying to say amid your techie know-it-all responses, you think the needs of all age groups are met with current ambulance equipment, so there should be no specialist provision for children (so why are there paediatricians, if children have the same needs as adults?), you think there is no need for compatible trolleys etc as these needs have been met (good, but hardly a reason why a new ambulance isn't necessary), and you don't think a new ambulance is needed because there are plenty of ambulances already available. personally i thought there wasn't enough ambulances available and taht paramedics etc were hideously over worked and under pressure. Link to comment Share on other sites More sharing options...
medusa Posted February 28, 2007 Share Posted February 28, 2007 Mod Note: This is an emotive topic, but that doesn't entitle users to be disrespectful to the OP or other users. Accusing other users of telling untruths with no evidence is really not on, especially when the aim of this thread is to improve paeds care in this city. I think it fairly obvious that some of the most qualified people to comment on how such services could be improved are those who work in that service already, and that is what's happening here- please don't turn it into an unneccesary row about why improvements are needed. You have the choice to donate or not donate- sabotage of the fund raising is unwarranted. Link to comment Share on other sites More sharing options...
BlackVelvet Posted February 28, 2007 Share Posted February 28, 2007 but i have just illustrated that the equipment needed IS available, the staff transferring my daughter had all they needed in two large backpacks. the ambulance she travelled in was clean, modern and seemed perfectly equipped to meet her needs during that two hour journey. I dont doubt for a minute that the paramedics are overworked and could do with more ambulances, but how will having a new ambulance alter that?. Moving a child to another location is still going to require several hours (6 hours in our case) of paramedic time, and even with a 'special' vehicle, theirs is still going to be sat at a hospital unused for that time....Whats the difference?. sure the cash raised is not going to cure the whole NHS, but without knowing the actual cost of the ambulance funds are being raised for, Im sure that amount of cash would provide for example, an incubator for a sick baby, or monitoring equipment for another intensive care bed, or even employ a nurse to staff one of the incubators stood empty because there is no nurse to man it. also, from the little bits of staff conversation I heard, it seems the original 'Bear 1' has never been considered popular and basically a thorn in the hospital/ambulance services side Link to comment Share on other sites More sharing options...
Recommended Posts
Archived
This topic is now archived and is closed to further replies.