Ambulance Services in Northeast Dublin


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Ambulance Services in Northeast Dublin

  1. 1. Presentation on North East Ambulance Service from Oliver Reilly, Asst Chief Ambulance Officer to Regional Health Forum – Dublin North East 26 th April 2010
  2. 2. Role & Purpose The role and purpose of the Health Service Executive National Ambulance Service is to provide a clinically appropriate and timely pre-hospital care and transportation service
  3. 3. Key Operational Roles <ul><li>Provide Pre-Hospital Emergency Medical Services </li></ul><ul><li>Provide routine non-ambulant patient transport within the health care sector </li></ul><ul><li>Operate the Ambulance Command & Control Centre </li></ul><ul><li>To participate with internal and external organisations in the areas of Major Emergency Management </li></ul>
  4. 4. Area of Operation <ul><li>Louth, Meath, Cavan, Monaghan </li></ul><ul><li>Area - 6,500 sq. KM </li></ul><ul><li>Population - 360,000 </li></ul><ul><li>10,000 kms of road network - N1,M1,N2,N3,N4 </li></ul><ul><li>Daily bus services to/from Dublin as well as transit traffic </li></ul><ul><li>Enterprise rail services daily between Dublin and Belfast - 200-500 passengers </li></ul><ul><li>Local train services - circa 4,000 passengers daily </li></ul>
  5. 5. Command & Control Centre <ul><li>Located in Navan </li></ul><ul><li>Deals with all emergency, urgent and routine ambulance and patient transport requests </li></ul><ul><li>Computer Aided Dispatch system </li></ul><ul><li>Automatic Vehicle Location System </li></ul><ul><li>Ordnance Survey Mapping </li></ul><ul><li>An Post Gazetteer </li></ul><ul><li>Links to neighbouring centres </li></ul>
  6. 6. Call Categories Emergency – Immediate response usually via 999/112 emergency centres Urgent – Within one hour or as agreed with GP Routine – Pre-Planned calls no time limit (transfers, OPD clinics)
  7. 7. Activity 2009 1,717,652 37,763 13,799 6,621 17,343 Total Mileage Total Calls Non Urgent Calls GP Urgent Admissions Emergency Calls
  8. 8. Ambulance Stations & Resources <ul><li>Cavan; 2 crews x day, 1 x night </li></ul><ul><li>Virginia; 1 crew x day, 1x night </li></ul><ul><li>Navan; 3 crews x day, 2x night </li></ul><ul><li>Dunshaughlin; 2 crews x day, 1 x night </li></ul><ul><li>Drogheda; 2 crews x day, 1 x night </li></ul><ul><li>Ardee; 1 crew x day, 1 x night </li></ul><ul><li>Castleblayney; 1 crew x day, 1 x night </li></ul><ul><li>Dundalk; 3 crews x day, 2 x night </li></ul><ul><li>Monaghan; 2 crews x day, 2 x night </li></ul><ul><li> 1 RRV 24/7 </li></ul>
  9. 9. Training Developments <ul><li>1967 First Basic Ambulance Aid Course (6 weeks) </li></ul><ul><li>1986 National Ambulance Training School Established </li></ul><ul><li>1988 Ambulance Aid Refresher Course (2 weeks) </li></ul><ul><li>1997 Emergency Medical Technician (Conversion) Course in conjunction with UCD (6 weeks) </li></ul><ul><li>2006 Advanced Paramedic Training Programme (12 months) </li></ul><ul><li>2008 Paramedic Training Programme (24 months) </li></ul>
  10. 10. Staff 1 1 Training Officer Emergency Management Officer 3 1 Operations Officer Control & Communications Officer 1 1 Chief Ambulance Officer Asst Chief Ambulance Officer Number Title
  11. 11. Staff cont’d……… 171 Total 9 6 Patient Transport Service Administration 21 20 94 Leading Paramedic Advanced Paramedic Paramedic 4 9 Emergency Medical Controller-Team Leader Emergency Medical Controller
  12. 12. Advanced Paramedic <ul><li>Experienced Paramedic </li></ul><ul><li>Course duration: 35 weeks (16 distance learning, 12 weeks clinical taught/placements, 7 weeks internship) UCD delivered </li></ul><ul><li>12 months Post Grad Internship </li></ul><ul><li>Advanced airway procedures </li></ul><ul><li>Cardiac drugs </li></ul><ul><li>Intravenous infusions </li></ul>
  13. 13. Paramedic <ul><li>Registered Practitioner </li></ul><ul><li>9 weeks college based </li></ul><ul><li>19 weeks internship </li></ul><ul><li>12 months Post Grad Internship </li></ul><ul><li>IM medications including Glucagon and Adrenaline 1:1000 </li></ul><ul><li>Airway procedures including LMA </li></ul><ul><li>12 lead ECG interpretation </li></ul>
  14. 14. Fleet Emergency Ambulance Patient Transport Vehicle Officer Transport Vehicle Rapid Response Vehicle Special/Major Incident Vehicles
  15. 15. Transformation & Reconfiguration <ul><li>Castleblayney Ambulance Station opened July 2009 </li></ul><ul><li>Rapid Response Vehicle deployed in Monaghan </li></ul><ul><li>Additional Patient Transport Service capacity </li></ul><ul><li>Additional resources for Louth/Meath reconfiguration </li></ul><ul><li>Development of Direct Access Angioplasty Project </li></ul><ul><li>Staff compliment will increase by approximately 29% </li></ul><ul><li>Advanced Paramedic training ongoing </li></ul><ul><li>Ambulance Service key stakeholder </li></ul>
  16. 16. Future Developments <ul><li>Further development of National Ambulance Service </li></ul><ul><li>Advanced Paramedic training to recommended 25% of staff </li></ul><ul><li>Direct access Angioplasty Project </li></ul><ul><li>TETRA Digital Radio System </li></ul><ul><li>National Communications infrastructure </li></ul>
  17. 17. Questions?