30 March 2020
The Australian Paramedics Association (NSW) (APA(NSW)) has significant concerns for the safety of patients, Paramedics and university students after NSW Ambulance (NSWA) announced their plan to temporarily introduce Paramedic students to out of hospital emergencies.
NSWA has proposed to place two-hundred-and-fifty 2nd and 3rd year Paramedic students on the front line after a brief induction course. Under the proposal from NSWA, these students would be hired on a casual basis and would fill unplanned vacancies.
“This proposal poses a substantial and avoidable risk to public safety. These students would not be permitted to drive an ambulance under ‘lights and sirens’ and would not be able to treat patients unsupervised,” said APA (NSW) Acting Secretary and operational Paramedic Liu Bianchi.
When an ambulance crew is responding to the most urgent emergencies, such as heart attacks, respiratory arrests and strokes, the student Paramedic would not be able to drive ‘lights and sirens’ to hospital and would likely be attempting to treat the patient while the supervising Paramedic drove. In an emergency, Paramedics need to be performing the life-saving skills they are trained to do.
“We understand that this is an unprecedented crisis, but NSWA will be placing Paramedics under extreme pressure with this strategy. It will cause far more harm than any perceived benefit,” said Ms Bianchi. “This is an irresponsible and ill-thought out plan from NSW Ambulance. Rash workforce planning is only made necessary through a systemic failure to use ambulance resources appropriately.”
APA (NSW) members are reporting that they are being sent to non-urgent potential and confirmed COVID-19 patients in order to transport them to hospital. On multiple occasions, they have arrived to find the patient well enough to stay home.
Some of the burden on Ambulance resources could be addressed by appropriately triaging patients who call 000. Bureau of Health Information (‘BHI’) data from last quarter (Oct-Dec 2019) showed that only 45.3% of jobs attended by ambulances were categorised as emergency.
NSW Ambulance is at the frontline of this crisis. It is imperative that they appropriately triage patients who call 000. Failing to do this will lead to vital ambulance resources being used to unnecessarily transport patients to overflowing Emergency Departments that are already stretched beyond capacity.
“NSW Ambulance needs to go back to the drawing board. This is a disaster waiting to happen,” said Ms Bianchi. “As long as Paramedics are continually and constantly tasked with non-urgent work, NSW Health will be putting the public at risk. The COVID-19 pandemic has made this clearer than ever.”