Paramedic | Practice Educator | Student of Leadership | Developing my Leadership Skills in Practice Education | I talk about the Lessons learned & mistakes made
After 2.5 years of blood sweat and tears I can officially call myself a Paramedic.
Another chapter completed.
Thank you to all those that supported me along my journey and thank you to
@EMASNHSTrust
for giving me this opportunity.
First shift out as a Newly Qualified Paramedic.
I’ve been doing this job for 6 years, but right now I sit here very nervous!
Strange feeling!!!
1800-0600 shift, roll on morning.
The BEST piece of advice I was told when I started my Paramedic journey was this.
“Your Scope of Learning is not limited to your Scope of Practice”
Be a continuous student of your trade & don’t let anyone tell you otherwise.
#studentparamedic
#studentnurse
#nhs
#studentmedic
Do you think this is a fair statement?
Members of the public have forgotten how to look after themselves, deal with minor injuries and Illnesses!!!
I have to challenge and educate patients that this could of all been sorted if they were proactive with their own care.
I believe all ambulance clinicians should have the following on a monthly basis.
1. Regular simulation & skills practice.
2. Ongoing CPD.
3. Thought provoking discussions & debates.
This would improve pt care, workforce development & retention and further progression.
Does anyone else have good days and bad days when it comes to cannulation.
I can have a successful week followed by an absolute belter of a week.
What’s the best advice you can give me to try and improve success rate when it comes to cannulation?
I’m all ears?
Finished listening to
@TheResusRoom
latest Roadside to Resus on COPD.
So many learning points but I wanted to:
- Reflect on what I have learnt
- Relate it back to my own practice
- Make changes to my clinical practice
I thought I'd share my 6 thoughts & action plan with you.
The Paramedic Profession should be one of constant learning & development, up-skilling and up to date
There needs to be a access to monthly:
1. Simulations & Skills Practice
2. Regular CPD
3. Case study discussions & debriefs
HART & HEMS are pioneers of this
Lifelong Learners
@rebelEducator
Children always seem to start education with so much enthusiasm and hurst for knowledge.
But leave school, broken and depressed and bored on education.
If this isn’t a red flag I don’t know what is.
Nightshift work is BAD for your mental, physical & emotional health!
However, it’s an integral part of life as a Paramedic working for the NHS.
Here are 8 Life Saving strategies that have helped me to survive the dreaded nightshift on the Ambulance.
🧵
@AvilloKarl
Even if you did fail that exam.
Don’t look at it as a fail.
Treat it as a learning experience for next time.
Use that growth mindset where every attempt is an opportunity to get better.
Remember, the end goal is the career you want, not 1 single exam.
Paramedic Educators, this should be common practice.
Get your student immersed into the ambulance life.
Let them ride up front! Engage with the MDT and prep themselves mentally for the job.
5 Tips I learnt from my first ATMIST experience in resus.
1. Plan your ATMIST prior to arrival.
2. Ensure you have everyones full attention.
3. Deliver as CLAP (clear, loud, as an order, with pauses).
4. You have 30sec of attention span.
5. Ask if anyone has any questions.
I attended the
@WhitbreadsECG
and OMG did it open my eyes.
If you haven’t been on his bootcamp then make it your highest priority to get on this course.
It will change your practice forever!
Here are a few of my take away points!
Enjoy!
🧵
When I first started my Paramedic course I thought it was all about the additional skills & drugs.
Now I’m coming to the end of my course I’ve learnt that Paramedicine is all about understanding the Why!
Why we do this & not this, why this is happening.
It’s been a journey!
A talk by
@timhayes1975
identified a big problem with NHS staff retention.
Staff are leaving the ambo service due to these 3 reasons.
1. Poor leadership & management.
2. Lack of development & progression.
3. Staff welfare & mental health
What are your thoughts?
We really need to stand together and enforce the remover of the term “AMBULANCE DRIVER”.
We have all, from ECA to Advanced Paramedics have dedicated time & energy, sacrifice family time, missed Xmas and birthday.
We are So Much More than an Ambulance Driver.
I started my Paramedic course in 2021, I thought it was all about cannulation & morphine.
Today, Im 2 weeks from finishing & I’ve learnt that Paramedicine is all about understanding Why!
Why is this happening?
Why am I doing this?
Why I shouldn’t do this?
Justification & EBP.
University finished!
Last assignment submitted.
Exam board booked for the 9th April.
So might as well go back to work then. Booked onto a 0630-1830 shift with a tech.
Time to apply all this Paramedic stuff into practice 😁
Paramedics and student Paramedics, what’s the best podcast you listen to for your CPD?
What gives you the most value when listening?
Let me know below?
Finally got to use my
@MediMemosUK
ATMIST Pre Alert card in anger yesterday.
An aid to help deliver a good handover to the Major Trauma Team where I received excellent feedback from the consultant.
Some of the Docs liked the card as well.
Hopefully some additional interest.
I strongly believe all ambulance clinicians should have access to the following on a monthly basis IMO:
1. Regular simulation & skills practice.
2. Ongoing CPD.
3. Thought provoking discussions & debates.
This would improve patient care, retain & develop staff, feel valued.
Good Morning!
“Remember, you do not study to just pass an exam.
You study to prepare for the day when you are the only one standing in between a patient and the grave”
Mark Reid.
This quote always reminds that we are training for more than just a university grade.
@AvilloKarl
Don’t choose to study because you think you have too.
Study because it’s the right thing to do.
We all know what the right thing is, so go out and do it.
No matter what the conditions are.
Study Hard! Win Easy!
Number 1 lesson I’ve learnt as a student Paramedic.
By the time I’ve qualified Im never going to be the finished product.
And that okay!
Instead of chasing perfection, chase that growth mindset.
Every experience and every mistake is a learning opportunity.
Merry Christmas!
Standing in a Resus bay with a very poorly pt lying still on a trolley.
Still wired up to your defib, alarms still going off.
A number of Doctors & Nurses all staring at you.
This is a very scary & nerve racking time for any student Paramedic.
What do you say to them?
1/9
Bad mentors see you as an inconvenience. They want an easy life.
Good mentors see you as a younger version of themselves. They help you follow in same path as them.
Great mentors see your potential to be a better version of themselves. They’ll teach you to create your own path.
@AvilloKarl
This can be such a controversial discussion.
You have some who lack the drive to do well and are lazy. To them, what do you expect.
To those who dedicate hours to study and the returns are not the same. To them, it’s not your fault, but your learning system that’s failed you.
The best Practice Educator I know are the ones who still consider themselves a student of their profession.
They are the ones reading articles, watching talks, having discussions.
They are always in learning mode.
To be good at something, you have to become a lifelong student.
Had an interesting chat with a very experienced Paramedic.
and he said 1 thing that hit me hard, made me think.
“The mentors that you look up too are also still trying to figuring it out!
This is a game of constant learning & sharing.
And you will take over one day!”
Stop prioritising the hiring of more staff to replace to the ones that leave and who will eventually quit themselves.
Instead figure out why current staff want to leave.
Our staff are human beings not a statistic.
The great resignation is upon us!
You can certainly learn something from everyone you work with.
Not just your Paramedic Mentors
Some of the best advice I’ve received are from very experienced ECAs & Technicians.
Be open minded, humble and listening to all that wisdom.
My mentor used to test my knowledge regularly by telling me to teach him something.
He would say “I’m a newbie, teach me about …?”
It was so effective, it confirmed to me what I knew & what I didn’t.
His final words were “go find out & teach me again next week”
Great! 👍
Good Morning!
Booked onto a 0630-1830 3rd manning Shift with my mentor.
Action points today are:
1. Have a working prognosis & at least 2 differential diagnosis for each pt. Think outside the box.
2. Dive into pt hx a little further rather than superficially.
Lets do this!
Are you a Student Paramedic who still gets nervous when doing an ATMIST handover?
Trust me, we have all been there!
Here are my 5 Top Tips to deliver a confident ATMIST handover that has worked for me every time!
🧵
A job I went to last year as a Student Paramedic, destroyed my confidence & nearly ended my career.
But the lessons I learnt that day prepared me for my future as a Paramedic.
“The more you know the more you realise your don’t know”
Let me share my story with you 👇
🧵
Good Morning!
I’ve been told many times whilst on placement:
“Oh don’t worry! You don’t need to know that”
I say Don’t limit your Scope of Knowledge to your Scope of Practice!
Having a better understanding of the broader picture will help with decision making & confidence.
Best advice I got from my Paramedic Mentor when I joined the Ambulance Service:
“Don’t let your Professional Scope of Practice interfere with your Personal Scope of Practice! Learning is a lifetime hobby”
This has stuck with me throughout my career & I will continue to do so!
My Top 5 Tips to perform a perfect ATMIST handover as a Student Paramedic on the Road.
1. Write your ATMIST prior to arrival.
2. Grab everyones full attention.
3. CLAP (clear, loud, as an order, with pauses).
4. You have 30sec of attention.
5. Ask if anyone has any questions.
Students would benefit more from learning and testing skills in these sorts of realistic simulations compared to an OSCE with a pt placed neatly in the middle of a quiet room with good lighting. AKA unrealistic!
NOTE SIMULATION VIDEO and nursing students video clip - note noise and lighting and expertise under these circumstances
@Nursing_BU
students and
@BU_ParaScience
@N4LTH
Would you apply a Pelvic Binder to a pt just in case?
I’ve had a slightly heated debate with a Paramedic.
I was told to apply a Pelvic Binding based on mechanism along.
I thought the guidelines were to apply if there is a ? Open booked # and who are hemodynamically unstable?
An experience I went through 4 years ago, which destroyed my confidence.
But the lessons I learnt that day will prepare me for my future as a Paramedic.
“The more you know the more you realise your don’t know”
Let me share my story with you 👇
🧵
Last nights shift was tough both mentally & physically.
It’s so difficult to sit on the back of a truck queuing with a patient for hours & hearing uncovered CAT1 calls on the radio.
I constantly think to myself “what if that was my family waiting”.
This can’t continue surely!
One of my Paramedic Mentors signed a few of my competencies off.
In doing so he said something that hit me hard & resonated with everything I believe in.
“The mentors that you look up too are also still figuring it out”
WOW!
That’s powerful!
Lifelong Learner right there.
The BEST piece of advice I was told by my Practice Educator when I started my Paramedic journey 2.5 years ago was:
“Your Scope of Learning is not limited to your Scope of Practice”
Become a lifelong learner of your trade & never let your role restrict your passion for knowledge
I started my Student Paramedic journey 2.5 years ago.
On the road is where I learnt the most!
If I had to start my course all over again, this is what I would do differently.
My Top 13 tips to get the most out of your time on the road.
🧵
This is my 13 Top Tips for Student Paramedics on how to get the most out of your Ambulance Placement.
Your going to feel excited & nervous but this is going to be your bread & butter for the next 3 years, so enjoy the journey.
Below are my top tips I hope will work for you. 🧵
I listened to a very interesting podcast with
@jasonkillens
talking about an exciting new approach the
@WelshAmbulance
are trialing.
This could completely change the way the ambulance service operates, working as 1 team.
Podcast link below! Well worth a listen.
University Lecturers!
There has got to be a better method for distributing information than death by PowerPoint!
It pains me to sit still for hours, listening to someone read off slides (that are usually not been created by that person).
There has got to be a better way.
🤦
Good Morning Students
“Remember you do not study to just pass an exam.
You study to prepare for the day when you are the only thing standing in between a patient and the grave”
Mark Reid
This quote is a reminder to me to always look at the bigger picture & stay disciplined.
Are you Struggling with Burnout as a Student or as a Paramedic?
I have burnt out once & I feel Im heading back in that same direction.
However, I took back control the first time using these simple tips 👇
Here are my Best 9 Anti-Burnout Tips for Students & Paramedics:
🧵
@AvilloKarl
The snowball effect!
By ticking off a number of the smaller tasks, it gives you the motivation to continue building that momentum to complete the other tasks set for that day or goal.
Tip: write a list of the tasks, priorities them in an order that works for you. Tackle 1 by 1.
Very excited this week!
Spending the next 5 days in theatres. Learning all things airways management and anaesthetics.
Hoping to get stuck in as much as possible.
Follow the patients journey
Watch a few surgical procedures along the way.
Going to be a good week!
An important lesson Ive learned as a final year student paramedic:
You don’t need to know all the answers & you don’t have to pretend that you do.
The Biggest skill that any new paramedic can do is learn to ask for help.
You don’t need to be the smartest person on an ambulance
When Practice Educators openly share their own errors, it's a powerful teaching moment.
It shows leadership isn't just about directing.
It’s about connecting and learning together, showing that even PEd’s are on a learning journey just like everyone else.
Learnt a very valuable lesson!
If you need to cannulate a dementia patient to administer life saving treatment.
Please remember to protect it with your life by bandaging it up.
Because I tell you what, they are going to rip that bad boy out as soon as it goes in.
🤦
@AvilloKarl
This was the biggest change I made to my own learning system.
Instead of hitting the books straight away, I would brain dump what I knew, identify gaps, ask questions that will help me fill these gaps.
Then start reading, but this time I’m reading with purpose.
@AvilloKarl
@cajunkoi
Starting sooner and study little and often.
You can 10x your study session & retain a lot more information when you commit to 2-3hrs every day over a longer period of time.
Avoid cramming last minute. It doesn’t work!
The power of the compounding effect is amazing.
3rd manning today and yes I am in the back. 🤦
However, I actually agreed to this as I’ve got some portfolio work to finalise.
Multitasking 999 style!
Booked onto a 0900-1800 working with a brilliant mentor and an experienced ECA.
Everyday is a learning day!
Multi casualty handover for
#CMERt
.
@TrevorJain
showing us how it’s done: less than a minute, pointy-talky, ID all injuries, all critical interventions, documentation.
“Performance falls to the level of your training!”
Pre-hospital clinicians need to put aside time to train, to study & to reflect.
If we can’t do this within the organisation then we must do it off our own back.
We have a responsibility to our profession and to our pts.
@AvilloKarl
Are you an over-thinker?
I used to overthink problems all the time.
Best tip I used that helped me solve this:
- Write down the problem
- Cross out what’s out of your control
- Write an action plan on what’s left
Focusing on what you can control is a lot easier to achieve.
Are you a student struggling with confidence on the road?
Are you an Practice Educator whose finding it difficult to get their student out of their shell.
This is the solution for you!
🧵
A study shows Student Paramedics are practicing less than 50% of their learnt skills whilst out on the road.
This begs the question, should Practice Educators be offering more opportunities to practice these less common skills.
Or is the profession changing, we don’t need them?
How I smashed my OSCE exams!
Here is my step by step process that I use to enter an OSCE with confidence.
1. Understand the theory behind it.
2. Watch a perfect example.
3. Carry out Mental rehearsals.
4. Practice 1-2 times Max per day.
5. Self Reflect
6. Go & Smash it.
@AvilloKarl
The compounding effect is where the real wins happen.
Instead of cramming everything over 3 days prior to an exam.
Play the long game.
Little & often
You will benefit more by doing 2-3 hours of work consistently over a many weeks.
A healthier & balanced approach to learning.
@AvilloKarl
There is a great quote I’ve heard, can’t think who said it but backs up your statement
@AvilloKarl
“Don’t be upset by the results you didn’t get from the work you didn’t do”
If you want something special, then go out and bloody work hard to get it.
As a Frontline Paramedic you can influence in an organisation’s culture.
If you are not happy with the way things are, start by thinking what could I do to improve this!
People will see this & replicate it!
This is called influence!
Lead by example, make positive changes.
@rebelEducator
Because those parents believe in a individualised, curiosity focused, evidence based learning that gives the skills and experiences required to for a young people to thrive in life.
Paramedics and student Paramedic what has been the best BOOK that has helped you in your career so far?
What would you recommend to others?
Comment below with your recommendations. 👇
Biggest tip I’ve learnt today as a
#studentparamedic
, when you cannulate a pt having a severe hypo make sure you bandage it and protect it with your life because once that pt starts coming back round they just want to rip that thing straight out!!! 😳😳😳
Big thanks to
@EMASNHSTrust
for the bursary support for my Tech to Para apprenticeship. Money used to purchase essential reading material.
@NTUParamedic
Had an interesting chat with a very experienced Paramedic.
and he said 1 thing that hit me hard, made me think.
“The mentors that you look up too are also still trying to figuring it out!
This is a game of constant learning & sharing.
And you will take over one day!”
The NHS Long Term Workforce Plan wants to increase Paramedic workforce by 14,200 - 15,600 over the next 15 yrs.
But with poor retention of current paramedics & Practice Educators already at full capacity I don’t know how this mammoth task will be achieved.
Quantity or Quality?
The 2 question I ALWAYS ask myself before I do any clinical assessment or intervention:
1. WHY am I doing this?
2. WHAT am I looking for?
By asking these 2 questions I have a justifiable reason for doing it & know what I’m looking for.
Move away from that robotic approach!
So trusts are slowly removing ETI from the paramedic scope of practice.
What are paramedics thoughts on the idea of removal?
Are we slowly degrading skills or should we focus on training and skill development.
#studentparamedic
#paramedic
#nhs
#prehospital
#FOAMed
#ETI
I’m currently a Student Paramedic but once I have qualified I will then become a Student of Paramedicine.
This journey doesn’t end after university but instead leads me on a path of further education, development and curiosity.
A lifelong learner!
#Paramedics
and
#StudentParamedic
what has been the best YouTube that has helped you in your career so far?
What would you recommend to others?
Clinical & non clinical?
Comment below with your recommendations.
When I started my Paramedic degree all I kept saying was how long was this going to take?
Now that I’ve finished and I’ve seen what is out there for the profession, I now say to myself, how far can I go?
The path I’m on is just the beginning, it’s only me standing in the way.
This is spot on!
Frontline staff are the solutions to many of your ambulance service’s problems.
They see it first hand & many have practical logical solutions to those problems.
Take the time to listen to staff. The answer is closer than you think.
@AvilloKarl
“Burnout doesn’t happen because you work too hard. Burnout happens because you’ve lost control”
If this is you. 🫵
Stop!
Take a step back! Construct a life audit! Identify the problem! Priorities what’s important and then Execute.
Only YOU can take back control of YOUR life!
You can certainly learn something from everyone you work with on the road.
Not just your Paramedic Mentors.
Some of the best advice I’ve received are from very experienced ECAs & Technicians that I’ve worked alongside.
Be open minded, humble and listen to all that wisdom.
Even after 5 years working for the Ambulance Service I still have those butterfly in my stomach feeling and the sense of adrenaline when driving to a C1 job.
Finished listening to
@GenBroadCAST
podcast on Paediatric Fever.
So many learning points but I wanted to:
- Reflect on what I have learnt
- Relate it back to my own practice
- Make changes to my clinical practice
I thought I'd share my 10 thoughts & action plan with you.
🧵
@AvilloKarl
Put your ego to one side and remember we were all once a student, learning how it all works.
Support and encourage inquiry based learning. Allow the student to go on a journey of curiosity.
@AvilloKarl
Embrace this discomfort. This discomfort is a good thing for you.
This is where we are actually learning and building that cognitive tolerance, which over time will make us smarter.
This feeling is not anxiety but excitement, the symptoms are the same.
Enjoy the journey.
Being a Practice Educator is a privilege not a necessity.
You should want to educate and mentor new staff, not have to do it because of Band 6 pay.
There has got to be a desire to continue developing yourself and be top in your game of current evidence based practice.
Unpopular opinion: Making ALL paramedics (NQP2->B6) into practice eds/mentors is manifestly one of the worst things we’ve done to paramedic education.
Mentoring is not a passive skill, and it’s not for everyone, esp in the current landscape.
Do paramedics ‘eat their young’?
Now I understood the meaning of direct pressure when it comes to an uncontrollable bleed & how successful it is.
When confronted with a varicose vein that’s burst and gushing blood from a small hole, can literally a finger tip direct pressure make such a difference.
Wow!
There are 360 people booked onto tonight
@cpdme
presentation.
This is amazing I’m so excited to be talking to you.
I will not disappoint you, there will be plenty of take home points to implement into your own study schedule to make you an effective learner.