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Tom Pullen

@TomTheParamedic

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Practice Development Lead @SECAmbulance | Advanced Clinical Practitioner (Paramedic) @nhs_scft Urgent Community Response | Student @BrightonACP

South East, England
Joined January 2014
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@TomTheParamedic
Tom Pullen
2 years
Brighton Pride 🌈 We’re ready for you! 🤗
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@TomTheParamedic
Tom Pullen
2 years
As y’all loved the morning trip to work in blue… here’s a sunny start to the week in green ☀️ 😎
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@TomTheParamedic
Tom Pullen
2 years
Picking up an overtime shift in local Minor Injury Unit, means refreshing walk to work in the sun ☀️ Have a great day y’all 😎
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@TomTheParamedic
Tom Pullen
3 years
I am a paramedic working in the NHS I want the world to be a better place I will have the #COVID19 vaccine Will you? No Yes Yes 👇 👇 👇
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@TomTheParamedic
Tom Pullen
3 years
12 hours working with the other half. This could one of two ways! 😬
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@TomTheParamedic
Tom Pullen
7 years
That awkward moment when your crewmate gets into the wrong truck outside A&E 😂
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@TomTheParamedic
Tom Pullen
1 year
Time for a bit of change. Beginning of a 12-month secondment as a Practice Development Lead, supporting the development of urgent care, specialist and advanced practice, through leadership and supervision of our @SECAmb_PP teams. Looking forward to new and exciting challenges 🙂
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@TomTheParamedic
Tom Pullen
2 years
Clearly showing the importance of staff networks and how much more work there is to do 🏳️‍🌈
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@TomTheParamedic
Tom Pullen
1 year
Fantastic assessment centre day, getting to meet the future #teamSECAmb Emergency Care Support Workers and Newly Qualified Paramedics 🚑
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@TomTheParamedic
Tom Pullen
5 years
Whilst in town grabbing food, my phone sounds with a #GoodSam alert.... Me: “that’s mapping outside the restaurant” 🤔 I look out the window to see members of the public doing chest compressions in the street! On scene time 30-seconds 🏃🏻‍♂️💨 #ChainOfSurvival
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@TomTheParamedic
Tom Pullen
5 years
Today marks 13 years in the ambulance service. What a journey it’s been 😊
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@TomTheParamedic
Tom Pullen
2 years
As #teamSECAmb continue to work hard through an ongoing Business Continuity Incident, I’m proud to have been today’s on-duty Tactical Commander for our amazing #EmergencyOperationsCentre (999) clinicians & #NHS111 service. All safely handed over to our fantastic night-shift teams
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@TomTheParamedic
Tom Pullen
3 years
Survived 12-hours with the wife 🚑
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@TomTheParamedic
Tom Pullen
4 years
On-call over NYE and NYD. Currently off to our Emergency Operations Centre where I’ll be seeing 2020 in with my green family. Whatever you’re up to tonight play safe, look after friends and most importantly, HAVE FUN! 🥳
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@TomTheParamedic
Tom Pullen
7 years
Today we saved a life! 😵 Witnessed Arrest 📞 999 💙 CPR 🏃🏻‍♂️ CFR 💔 VF ⚡️ Shock 💗 ROSC 🚨 STEMI 🏥 pPCI 👍🏻 #teamSECAmb #RightCare #RightTime #RightPlace
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@TomTheParamedic
Tom Pullen
2 years
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@TomTheParamedic
Tom Pullen
2 years
Stand down Your Majesty, your duty is done 🤍
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@TomTheParamedic
Tom Pullen
4 years
Pride in office = pride in work 💦🚑✨👌🏻
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@TomTheParamedic
Tom Pullen
3 years
Duty tactical commander for @SECAmbulance 999 emergency operations centre tonight. It’s going to be a busy one, so please be patient and bear with us if you need to call. Our teams are working hard to get patients the most appropriate and timely help 🚑 ☎️ #ItsComingHome
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@TomTheParamedic
Tom Pullen
5 months
Great day spent in A&E supporting the Admission Prevention Team. A joint venture between @nhs_scft , @BrightonHoveCC & @UHSussex . Based within front door ambulance triage, supporting same-day signposting of patients back into the community for assessment, care & treatment 🏥➡️🏠
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@TomTheParamedic
Tom Pullen
4 years
Manager... Leader... but foremost... a clinician. I don’t think I’ll ever stop feeling proud to put this jacket on. Even if it’s one of those unexpected off duty “Oh 😯 there’s a car on its roof” moments #aJobLikeNoOther
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@TomTheParamedic
Tom Pullen
1 year
Enjoying time on secondment with the Virtual Ward programme, but felt great to pop back and spend a clinical shift with my Urgent Treatment Centre team. Working as streaming clinician… triaging patients to ensure they get timely care, by the right person, to meet their needs 🏥
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@TomTheParamedic
Tom Pullen
3 years
Having spent 15 years working for 🚑 service, I’m partially hanging up greens to work for @nhs_scft as trainee ACP in an Urgent Treatment Centre. Continuing part time w/ @SECAmbulance (111 & 999) clinical team, just right time to focus on next stage of professional development 😊
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@TomTheParamedic
Tom Pullen
3 months
Sooo… this happened! 😬✍🏻💊 #RxNinja
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@TomTheParamedic
Tom Pullen
4 years
What... a... week! So amazingly proud of #teamSECAmb and our green family. Finally home time and off to prepare for a weekend of on-call. Stay safe everyone and look after each other 😊
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@TomTheParamedic
Tom Pullen
3 months
It doesn’t take a major incident to remind me how impressed and proud I am of our emergency services, but you’ve got to love when a plan comes together 👌🏻 It’s a team effort, that includes a LOT more people than just police, fire & ambulance. Too many to thank for tonight, but 👏🏻
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@TomTheParamedic
Tom Pullen
6 years
Dear A&E colleague, I am very open to having my practice questioned & will always warmly welcome a professional peer-to-peer discussion However please do not attempt to belittle my clinical decision making in the middle of the department Kind Regards Tom, Specialist Paramedic
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@TomTheParamedic
Tom Pullen
5 years
Happy Brighton Pride. Have a fun and safe day everyone 😘 #teamSECAmb #SECAmbPride 🏳️‍🌈🌈🏳️‍🌈🌈
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@TomTheParamedic
Tom Pullen
4 years
Thank you @NestleUKI for your kind gift of Easter Eggs for each of our ambulance staff working in the 999 Emergency Operations Centre today 🐣 The sight of so much chocolate has created a lot of happy faces in the control room 😃🍫
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@TomTheParamedic
Tom Pullen
5 years
Would you apply to work in an Emergency Operations Centre if we published the ‘real’ job description? #MentalHealthMatters #MentalWellbeing #NALGBT19
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@TomTheParamedic
Tom Pullen
1 year
When you’re at work, practicing your uni presentation, to an imaginary audience 😆 #AdvancedClinicalPractice #WorkBasedLearning #PracticeMakesPerfect
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@TomTheParamedic
Tom Pullen
3 years
When the ‘simple’ task of getting into the station and booking on the vehicle turns into an episode of the crystal maze! 🗝🔒🔑
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@TomTheParamedic
Tom Pullen
2 years
Warm welcome (literally 🥵) to our dear friends @NWAmbulance who came to visit our @SECAmbulance integrated urgent & emergency care team. Great continued collaboration to share learning and support each other’s developments across 111 & 999. Thanks #teamNWAS 😘
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@TomTheParamedic
Tom Pullen
8 months
Revealing my slight OCD for the pouch lovers asking #WhatsInTheKit : ☑️ Obs equipment ☑️ PPE ☑️ Sample collection ☑️ Bloods ☑️ SC catheter & giving set ☑️ Dressings ☑️ Tape measure ☑️ Needles & syringes ☑️ Pocket mask & OPAs #UrgentCommunityResponse
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@TomTheParamedic
Tom Pullen
7 years
To all my colleagues finishing 'another night shift' I wish you some well earned sleep. To those just starting... Do us proud 🚓🚒🚑 #999family
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@TomTheParamedic
Tom Pullen
5 years
Working with my mate Danny who I’ve known for over 15-years and went to school with. Danny’s just transferred to SECAmb this week after training as a paramedic with East of England. Showing the new kid how we do standby on the sunshine coast 🚑 ☀️
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@TomTheParamedic
Tom Pullen
9 years
Please retweet to help my campaign to get my pregnant paramedic colleague to call her baby Tom 👍 http://t.co/LQH81bjMPS
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@TomTheParamedic
Tom Pullen
4 years
Spot of Sunday overtime in our NHS 111 Clinical Assessment Service. The CAS is made up of a multidisciplinary team of nurses, paramedics, mental health clinicians, dental nurses, pharmacists, midwives and urgent care practitioners 📞 #IntegratedUrgentCare
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@TomTheParamedic
Tom Pullen
5 months
With so much public media constantly pushing “don’t call 999” and “ambulance services are busy” … I think it’s important to promote that the emergency services ARE there for you and when you SHOULD call for help 👍🏻 #999forEmergencies
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@TomTheParamedic
Tom Pullen
8 months
Very busy shift in Urgent Community Response, with FOUR referrals from @SECAmbulance : 💻 Fall on-floor ‘picked’ from C3 validation stack 📞 Post fall, likely infection 📞 Medically unwell & frail 📲 P1 fall, from @SECAmb_IBIS All received 2-4 hour #AdmissionAvoidance response👌🏻
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@TomTheParamedic
Tom Pullen
2 years
Especially for @EEAST_UrgCare 🚑 At your request 📸
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@TomTheParamedic
Tom Pullen
3 years
Proud to be joining our @SECAmbulance team of COVID-19 vaccinators, as we start to vaccinate our staff from our mobile (HQ car park) centre TOMORROW! 😀 We’ve already provided over 1,700 of our team with the Pfizer vaccine. Bring on AstraZeneca! 💉💪🏻 #teamSECAmb
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@TomTheParamedic
Tom Pullen
2 years
Spending today’s shift with my ANP supervisor to get some physical assessment skills signed off 🩺✔️ #AdvancedClinicalPractice #UrgentCare #ACP @scft_anp @BrightonACP
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@TomTheParamedic
Tom Pullen
1 year
T-minus 20 hours… Means Sunday revision in the park 📝📚💊
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@TomTheParamedic
Tom Pullen
6 years
Whilst travelling around the region with work last week, at two separate GP surgeries I saw examples of Paramedics being used as valued and integral members of the Primary Care clinical team 😁 #notallparamedicsweargreen
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@TomTheParamedic
Tom Pullen
2 months
Humbled by the opportunity to work with an incredible medical team at #BrightonMarathon this weekend. Great collaborative efforts, including the use of cold water immersion therapy for exersional heatstroke cases. Grateful to be part of such impactful work #MedicalTeam #Teamwork
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@TomTheParamedic
Tom Pullen
6 years
2008, my first #BrightonPride . Standing proud in green. Tomorrow, ten years later, me and @Will_Bellamy will be joining colleagues from across the UK at @PrideBrighton ’18 to show our unified support for equality, diversity and inclusion 🚑 🌈 #ColourMyWorld #LoveIsLove
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@TomTheParamedic
Tom Pullen
1 year
Never a dull moment 🤪
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@TomTheParamedic
Tom Pullen
4 years
Duty Tactical Commander for SECAmb Emergency Operations Centres, on-call until 8am tomorrow 📟 Particularly looking forward to 00:01 tonight 😬 Please think sensibly, be responsible and look out for others (Tom would like to have a nice night sleep)
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@TomTheParamedic
Tom Pullen
3 years
Working in Urgent Treatment Centre alongside: ☑️ GPs ☑️ Nurse & Paramedic Practitioners ☑️ Advanced Clinical Practitioners ☑️ Healthcare Assistants Ready to see illnesses & injuries that don’t immediately require A&E. Go to for an initial assessment 🏥
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@TomTheParamedic
Tom Pullen
1 year
Absolutely loved this when I logged in at work this morning 🤩 Well done @nhs_scft and thank you for starting my shift with a smile 😃 #LGBTHM23 #teamSCFT 🏳️‍🌈
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@TomTheParamedic
Tom Pullen
3 years
Well bank holiday Monday, you didn’t disappoint! A whirlwind 12-hours of lumps, bumps, broken bones, head injuries, bites, burns, chest pains, earaches, rashes, foreign bodies, wounds and infections. Two words... Great team! ☺️ #UrgentTreatmentCentre #EmergencyCarePractitioner
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@TomTheParamedic
Tom Pullen
7 years
12 years ago I started my journey with the ambulance service. 8 years ago today I became proud to call myself a Paramedic. I have loved every minute in green 😊
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@TomTheParamedic
Tom Pullen
1 year
With less than 24-hours to go, it’s final preparations for #teamSCFT in the #VirtualWards Control & Coordination Centre. This time tomorrow we should have our first patient onboarded with remote monitoring equipment 🤩 #VirtualCare #AdmissionAvoidance #HospitalAtHome #futureNHS
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@TomTheParamedic
Tom Pullen
6 years
Happy Pride from #teamSECAmb 🌈🚑
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@TomTheParamedic
Tom Pullen
4 years
A surprise gift delivered to our Emergency Operations Centre which is likely to keep our control room staff awake through this entire pandemic!!! 🤩 (this is around one third of the stash)
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@TomTheParamedic
Tom Pullen
6 years
What a day! I’m extremely proud of all my SECAmb colleagues who have worked their socks off today to provide the best patient care possible during a time of extreme demand. From call handlers, resource dispatchers, frontline clinicians, team leaders and managers... true teamwork
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@TomTheParamedic
Tom Pullen
11 months
This is why I love my job. Call to 999 for elderly fall. Daily touchpoint call between @SECAmbulance and UCR teams across @NHS_Sussex . Case signposted to #UrgentCommunityResponse for ACP + HCA attendance within 40 mins. Checked for injuries, assisted off floor (1/2) cont.
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@TomTheParamedic
Tom Pullen
4 months
When you mention at work that you’ve hurt your back, and get ‘sympathy’ from your colleagues 🤦🏻‍♂️ #UrgentCommunityResponse
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@TomTheParamedic
Tom Pullen
5 years
The ‘reply all’ function should be removed from all staff and only those who have gone through a strict vetting process can have it enabled
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@TomTheParamedic
Tom Pullen
1 year
And just like that, my time on secondment to the #VirtualWard programme has come to an end. I’ve learnt a LOT and worked with an AMAZING bunch of people. Off I head back to urgent community services, taking with me great experiences to drive further #QualityImprovement 😊
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@TomTheParamedic
Tom Pullen
2 years
Interested to hear (open and non-judgemental) thoughts from ambulance colleagues. How would you feel about attending a patient who was “too unwell” or “not safe” to stay at home. How would you feel about admitting them to a #VirtualWard for ‘hospital’ care at home? 🤔 🚑 🤷🏻‍♂️
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@TomTheParamedic
Tom Pullen
3 years
That Friday feeling 😷 Hope you’ve all had a great week and big-up to all those working over the weekend 😊
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@TomTheParamedic
Tom Pullen
8 months
Nice little APP referral from an attending ambulance crew, where I was able to supply the patient with a course of medication (using PGD) and send a clinical summary their GP using @SECAmb_IBIS to inform of follow-up arrangements 👌🏻 #AdmissionAvoidance #RightCareRightTime
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@TomTheParamedic
Tom Pullen
4 years
Surprised @ParamedicMurray with this cheeky little handmade birthday present made from his old @NEAmbulance fleece 💚
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@TomTheParamedic
Tom Pullen
4 years
For the last couple of weeks @SECAmbulance have been checking the temperature of anyone entering our contact centres for early identification of possible illness. This morning I had mine checked by one of our amazing @SECambulanceCFR ’s when I arrived at EOC 🤒👍🏻 #teamSECAmb
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@TomTheParamedic
Tom Pullen
6 years
As an NHS clinician I get amazing privalidges, such as being able to hold a gentleman’s hand and talk to him whilst he takes his final breaths. It’s days like today that remind me how proud I am to wear this blue badge on my chest 😊 #NHS70
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@TomTheParamedic
Tom Pullen
3 years
As it’s #InternationalControlRoomWeek I’m spending Friday evening in @SECAmbulance 999 Emergency Operations Centre on the Clinical Support Desk, assessing patients over the phone to help them get the best care. Pictured with Zoe & Laura, our wonderful Clinical Safety Navigators
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@TomTheParamedic
Tom Pullen
2 years
I can’t be the only one who gets frustrated with this 😡 #TidyMindTidyPractice
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@TomTheParamedic
Tom Pullen
7 years
As most run away from danger, there are others heading in the opposite direction, towards the unknown 🚓🚒🚑 #999family #justanothershift
@darrylmorris
Darryl Morris 🇺🇦
7 years
Ambulance crews make their way to Manchester Arena after major incident. Several injuries being treated and police cordon in place.
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@TomTheParamedic
Tom Pullen
6 years
Yes!!! We’re recruiting Mental Health clinicians into our East (Maidstone) and West (Crawley) Emergency Operations Centres. A huge step towards our vision of Integrated Urgent Care and a multi-professional Clinical Assessment Service 😃 @SECAmbRecruit 👉🏻
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@TomTheParamedic
Tom Pullen
2 years
Can’t really grumble about modern day university lectures ☀️😎
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@TomTheParamedic
Tom Pullen
4 years
A mixture of emotions and feelings from spending the last three evenings in our new NHS 111 Clinical Assessment Service. Most of all... overwhelming PRIDE! @SECAmbulance & @ic24uk working together to integrate patient access to urgent care 🤙🏻 #teamSECAmb #teamIC24 #NHS111 #IUC
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@TomTheParamedic
Tom Pullen
7 months
#UrgentCommunityResponse working collaboratively within an Integrated Care System 👉🏻 Patient fell > 9️⃣9️⃣9️⃣ called > #teamUCR notified by @SECAmb_IBIS 📲 > physio & therapy assistant response within 30 mins > assisted patient > escalated emergency 🚑 response #CodeRedSepsis ‼️
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@TomTheParamedic
Tom Pullen
3 years
Squeezed in a few hours after work at our SECAmb vaccination centre 😷 💉 EOC & 111 staff 💉 Front-line clinicians 💉 Community First Responders 💉 Student Paramedics Step-by-step we’re getting your NHS workforce fighting fit so they’re there to look after you 💪🏻 #FightingCOVID
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@TomTheParamedic
Tom Pullen
6 years
Massive thank you to our friends at North East Ambulance Service for sharing your amazing experience of Integrated Urgent & Emergency Care. It’s fair to say you have blown our minds! 🤩 Learnt a LOT to take back to South East Coast. Really excited about the future 😃
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@TomTheParamedic
Tom Pullen
10 months
Still a huge assumption that an older person who has fallen will automatically need a face-to-face ‘response’ (e.g. ambulance or community service) to get them off the floor. Very appropriate to consider suitability for coaching over the phone 📞💬 #EnablePatients #ReduceLongLie
@stable_program
The STAB:LE Program
2 years
Physios… teach your clients to get off the floor. Even if they’re 90. No, ESPECIALLY if they’re 90. This is Bill. Bill is 97. Be like Bill.
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@TomTheParamedic
Tom Pullen
2 years
Allow Paramedics to prescribe controlled drugs alongside fellow Nurse, Midwife & Pharmacist non-medical prescribers. At 10,000 signatures, government will respond to the petition. At 100,000 signatures, it will be considered for debate in Parliament ✍🏻
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@TomTheParamedic
Tom Pullen
1 year
It’s official when you have a sign! 😉 #TheFinalCountdown #GoLivePrep #VirtualWards #teamSCFT
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@TomTheParamedic
Tom Pullen
8 years
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@TomTheParamedic
Tom Pullen
2 years
One of my work colleagues found my temporary beacon (on the roof) so funny that she decided to add some backing music 🔉😂 #TheBill 🤦🏻‍♂️ 🚨
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@TomTheParamedic
Tom Pullen
7 years
If this tweet gets 20 likes, Inspector Harland will cook bacon sandwiches for the ENTIRE ambulance service 😜 #bringbacontoambulance 👮🏻🥓🥓🚑
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@TomTheParamedic
Tom Pullen
4 years
Diving into the week head first as Tactical on-call for the Emergency Operations Centre. I’m sure it won’t be tooooooo hectic 😉 #teamSECAmb
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@TomTheParamedic
Tom Pullen
7 years
Colleagues from across UK come together to show unified support for equality, diversity & inclusion 🚑 #AmbulanceFamily #LGBT @NatAmbLGBTUK
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@TomTheParamedic
Tom Pullen
4 years
Huge thank you to @ecpdbart and the amazing team @sashnhs Emergency Department for making me feel so welcome these last two days. Very supportive. Learned a lot and looking forward to developing with the team 🙂 #EmergencyPractitioner #AdvancedClinicalPractice
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@TomTheParamedic
Tom Pullen
8 months
Who would pick up an overtime shift on Friday 13th 🤦🏻‍♂️ 😬 What’s the worse that could happen? 🤷🏻‍♂️ 🤔 @SECAmb_APP
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@TomTheParamedic
Tom Pullen
1 year
Another super busy day in @nhs_scft #VirtualWard control & coordination centre. Working hard to explore how we can support our #UrgentCommunityResponse teams with #AdmissionAvoidance & #SupportedDischarge 🏥📲 🏡 😊 👌 #VirtualHealth #ClincialLead #teamSCFT
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@TomTheParamedic
Tom Pullen
2 years
Demand in urgent care is definitely on the rise, with over 100 patient contacts either booked by NHS 111 or self-presenting walk-in… But it doesn’t feel busy when you’re working with such an awesome team to smoothly sail through the shift 👌🏻 #teamSCFT #UrgentTreatmentCentre
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@TomTheParamedic
Tom Pullen
5 years
Is it just me that gets bugged by this? 🤨
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@TomTheParamedic
Tom Pullen
6 years
Hive of activity today in SECAmb control room as the first three of our Rotational Paramedic Practitioners start their EOC mentoring. Emily, Ellie & Malcolm learning the ropes on the Incident Command Hub, providing clinical crew support 👋🏻 #SECAmbRPP #UrgentCare #PPdesk
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@TomTheParamedic
Tom Pullen
6 months
An interesting and important discussion, which can be difficult to articulate… What (non-clinical) skills do paramedics have that differentiate them from nurses and other allied health professionals? #ParamedicLeadership
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@TomTheParamedic
Tom Pullen
8 years
🚨 Elderly male collapsed Sudden Cardiac Arrest outside @SECAmbulance HQ! CPR & shocks within minutes. Patient now conscious & talking 👍🏻
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@TomTheParamedic
Tom Pullen
3 years
Busy day with lots of walk-in patients 🏥 Did you know… If you think you have an injury or illness that requires urgent care, call NHS 111 who will assess your problem and may be able to book you into an A&E or treatment centre to reduce waiting times #HelpUsToHelpYou
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@TomTheParamedic
Tom Pullen
6 years
Specialist remote clinical support provided by @SECAmb_CCP Critical Care Desk within minutes of arriving on scene to a serious RTC. An invaluable resource for improving patient outcomes 👍🏻 #ClinicalLeadership #SpecialistPractice #QualityCare
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@TomTheParamedic
Tom Pullen
7 years
They say never work with children, animals or your wife!! 😁 #DoubleCrewedAmbulance #BrightonMarathon
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@TomTheParamedic
Tom Pullen
3 years
Think our crews may be a little excited ⚽️ ➡️ 🏠 🚑
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@TomTheParamedic
Tom Pullen
6 years
Ok the cat’s out the bag. On 1st August I’m excited to start a new job as a Clinical Operations Manager for EOC 999 and 111. Extremely proud of my little team and all they’ve achieved with IBIS. Looking forward to the next chapter in our integrated urgent care journey 😁
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@TomTheParamedic
Tom Pullen
2 years
Huge thanks to @aandatraining and @SECAmbulance for a GRUELLINGLY ENJOYABLE couple of days! My brain literally feels like it’s about to explode 🤯 I’ve learned soooooo much and massively developed as an ALS leader 👌🏻
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@TomTheParamedic
Tom Pullen
2 years
How’s this for Integrated Care… Working for @SECAmbulance 1️⃣1️⃣1️⃣ Clinical Assessment Service. Telephone consultation with a patient who sustained a wrist injury. Referred to @nhs_scft Urgent Treatment Centre 🏥 to be seen tomorrow… BY ME… for face-to-face assessment! 😃
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