6 Down Days

Today is a down day (day off).

A lay in is never achievable when you have children!

How do you separate your personal life from work?

Maybe it’s as I’m new to the job, but I can’t seem to escape it. Every phone call consists of “hows work going”, I simply scramble for a subject, any subject to divert the conversation away from the hub.

I’ve also noticed my vocabulary slowly being influenced by work terminology. Just today I told my mechanic my car had suffered a cardiac arrest, how humiliating!

Then there’s my triaging my infant child over the phone whilst she’s in the care of family, convinced she’s suffering anaphylactic shock by way of exposure to suncream (she’s allergic) when in fact she was simply tired and a tad puffy in the face.

One thing I absolutely never do is wear my uniform in public, mainly for safeguarding purposes, why would you put a target on your back? Secondly so that your local Tesco’s staff can’t identify you and ask all about your work.

Then there’s the problem of integrating back into work when you’re a part timer with days, sometimes even a week between shifts. On several occasions I’ve sat there frantically turning out the old cranium archives for that first word… “Ambulance”.

I’m first to admit I’m the worst closer, and by that I mean I just can’t seem to summarise my posts in an articulate manner.

I shall therefore leave you with the below quote.

KW x

Start every day off with a smile and get it over with. — W C Fields


5 Mechanics For Dummies

Arriving to work to learn that your vehicle has no intention of stopping is not the definition of fun.

To then identify the liquid oozing from beneath your front end as brake fluid is far from ideal when you shift finishes at midnight, arranging recovery may take hours and you absolutely can’t drive the thing.

My track record with cars is… poor! The one and only loyal vehicle I’ve owned being a 21 year old Suzuki Vitara which I prided, unfortunately being sold to accommodate my ever growing family.

It got me thinking about the wear and tear on fleet vehicles. It’s easy to sit back and assume the vehicles are regularly serviced, have reliable and fast break down services and rarely go wrong, but something tells me that could be optimistic and far from the truth.

I’d be interested to learn of the ambulance still serving on UK roads with the highest mileage.

Do our vehicles get scrapped or sold once they accumulate a predetermined mileage/age threshold?

This is just my being curious, any personal experiences openly welcomed.

KW x

Take it easy driving – the life you save may be mine. — James Dean

4 Intoxication

Common practice on a Friday and Saturday evening is to find yourself remotely controlling a scene where somebody has done themselves a mischief among a crowd of rather “merry” humans.

Never in my life have I loathed alcohol as much as I do now following yesterday’s night shift.

For the first time I found my self contradicting my own advice where it comes to caller management, it’s hard not to raise your voice when dealing with a rowdy crowd and being passed from drunk caller to drunker caller.

To say I am exhausted doesn’t even scrape the surface, and so a long enthralling read is not what you will be getting from me today.

Instead, a sample of legitimate sentences delivered to my dear callers in the early hours of this morning in order of recurrence.

“Listen to me, listen to me, listen to me, listen to me, listen to me, listen to me, listen to me…” (recurring).

“Hello Police”

“Stop passing the phone”

“I can’t hear you”

“Please refrain from shouting”

“Ok, slow down”

“Repeat that please”

“Do not move the patient”

“Tell me where you are”

“You need to stay still so we can find you”

“Do not stand in the way of oncoming traffic”

“Do you need an emergency ambulance?”

“Do not poke the patient, again, do not continue to poke the patient”

“You need to listen to my instructions”

And finally…

“I’m sorry, you’re biting him and he’s not waking up?!”

And that my dear readers is why I am and will remain, T total.

KW x

The harder the battle, the sweeter the victory. — Anon

3 The Thanks We Get

Amidst the media onslaught of damning headlines it is easy to overlook the things that as an organisation we do get right.

In a world enthralled by frivolous lawsuits targeting the NHS and their subsidiaries, it’s impossible to think that behind closed doors there are hard working individuals whom put patient care first and pride themselves on their compassion and ability to provide comfort to those truly in need.

I can assure you, we do exist! Far be it from me to gloat, but coming from a cutthroat corporate background where kindness was mistaken for weakness it’s refreshing to be commended for my dedication, nonetheless for doing something as simple as CARE.

Two callers in one week have taken the time to contact our control room during the aftermath of a life or death emergency to express their gratitude. I cannot begin to express how humbled I am, and how this feedback will help to shape my career as an EMD.

We appreciate and absorb both the positive and the negative feedback we receive, and cannot stress enough how important it is to continue providing this feedback to enable us to offer the best patient care possible.

If you’re unfortunate enough to require an emergency ambulance, rest assured that the person on the end of the phone is just that, a person, a person whom absolutely empathises with you, is determined to help and for the duration of your call will experience every emotion with you.

Stay safe out there.

KW x

The simple act of caring is heroic. — Edward Albert

2 Back To Basics…

Customer service is key. Normal rules apply, remain calm, polite and professional at all times (easier said than done in this case)

So back to basics – Training & preparation.

4 weeks training prior to going live left me prepared, yet scared.

There is no amount of training that can ready you for the pure horror you will experience when you hear that beep in your ear indicating a real life call dropping in. Fortunately for me my first was a non life threatening call coming in from no other than a frequent caller (we’ll discuss these somewhere down the line). A huge contrast to my second call where 45 minutes was spent listening to a patient profess their love for me.

My mother has always reiterated that preparation is key. I came prepared with my flask of coffee, sugary snacks, notepad and multiple writing utensils, ensuring my work space was clean and uncluttered. Today I would not be caught off guard, I was ready and waiting. I was fully prepared I told myself, there’s no time like the present. I operated on a “the sooner the better basis”, and so jumped in the deep end taking a live call all but immediately.

Why is it then that when said call ended my desk looked as though a toddler had ravaged it and I sat feeling completely disorientated, like a deer in the headlights!

10+ shifts in and this is no longer the case. You quickly get into the swing of things, finding a system that works for you. No more hovering over the keyboard in eager anticipation of a call hitting you. You learn to sit back and relax, even pick up a book or complete crosswords between calls to keep yourself focused, and, most importantly when on a night shift, awake!

So back to basics – Caller management.

If you’re calm, they’re calm right? I can assure you this is rarely the case.

It all comes down to client/patient expectations. I myself have called 999 in the past and have received an outstandingly quick response, but then I called in the event of a dire life or death emergency and unfortunately this is not always the case where it comes to our callers.

A rapid response for a superficial cat scratch is not appropriate; However, it is the belief of our caller that they must see a paramedic immediately and who am I to tell this rather distressed elderly lady that this is not a priority? I am an Emergency Medical Dispatcher is who I am, and it is exactly my duty to inform this patient that we will not be sending an emergency response at this time.

Then we deal with the backlash, the push back from the poor patient whom strongly believes they are in the midst of a medical crisis.

This is where previous customer service experience is invaluable. The phrase “I understand” cannot be used enough. Avoiding negative buzzwords (no, can’t, won’t) will help to deescalate the situation.

There really is no textbook or script to guide you word for word through a hostile call, but we certainly have been prepared to receive such calls during our extensive training program and were ready as we’d ever be.

So back to basics – Staying on top of your game.

Before you know it you’re on you’re 80th call of your shift, it’s approaching 05:00hrs and you’ve hit the equivalent of the runners wall. It’s all common sense really, this is where basic life skills come into play. Eat well, stay hydrated, manage your time and utilise your breaks to rest and re-energise.

Sure, it sounds easy, but when your body clock is still adjusting to night shifts your body aches, your brain quite literally throbs and your organs feel like they’re shutting down and my word, it’s painful! You wouldn’t imagine it would be challenging to sit (or stand) in a stationary position for 8 to 12hrs, but I liken it to the pain I experienced after my recent commando challenge.

You welcome a busy shift as time quickly disappears and before you know it it’s time to wrap up for the day, then again, during the drive home you find yourself questioning your morals, as to wish for a busy shift is to wish for an influx in sick or hurt people and this goes against every moral fiber in your body.

So back to basics – Leave work at the door

I remind myself, you chose to do this job it did not choose you. I had sacrificed a lot to be here and had been applying for this job for 3 years before my application was successful. This job role was made for me, my unhealthy blasé towards death and tough skin make me a strong and robust EMD.

Of course, even those of us whom are ordinarily very hardy can be affected by any call. In my case it was not a particularly distressing call, but rather one which I had found frustrating. 3 weeks on and it still enters my mind when I lay awake at night, it still sits in the back of my mind.

Outsiders would assume we have the best support available to us, those people would be correct. In my short time here I have been offered support from not only colleagues and peers, but also assigned support guardians team leaders and even in the most unlikely places, such as from kind staff in the estates department who are often floating around the hub performing cleaning or maintenance duties.

Regardless of your time in the hub, your rank or your job role, there is support and advice available to you night and day, you really do feel a sense of community and comradery amongst the ranks.

Everyone has their own coping mechanisms, mine is to simply remind myself that if my instructions and my being on the phone can help preserve or save the life of even one person, then I can rest easy at night knowing I have made a difference, and I have fulfilled my civic duty.

So let’s wrap this up…

The basics really are just that, basic. Common sense prevails and the extensive training really does cover all bases.

If you are reading this as an EMD hopefully you can relate to the feelings and pressures I feel.

If reading this as a general member of the public I hope you see that we work tirelessly to provide the best care we can, and will always strive to be better, work harder and deliver the best quality of care we can to you during our brief telephone encounter.

Until next time stay safe

KW x

Carry out a random act of kindness, with no expectation of reward, safe in the knowledge that one day someone might do the same for you. — Princess Diana

1 The Journey Begins

Thank you for joining me!

Welcome to the personal blog of an Emergency Medical Dispatcher.

Follow my posts to experience the day to day trials and tribulations of working within a fast paced and unpredictable Ambulance Control Hub.

I hope to share with you the highs and lows of being a 999 Emergency Call Handler to highlight the pressures that we face as the first point of call for those experiencing an Medical emergency.

As well as sharing stories in relation to the job at hand, I also hope to shed light on the strong sense of community we have built to offer help and support to one another.

KW x

Good company in a journey makes the way seem shorter. — Izaak Walton