We arrive to A&E with our slightly ill patient (really was only slightly ill) & notice that it is all boarded up & workmen are walking around doing their usual thing (one digging & four watching), I get a little confused because I could have sworn that four months ago this Hospital had an A&E so I drove our truck around the Hospital site & found nothing so drove back to where I originally thought it to be... I parked up got out & spoke with the builder & asked "where's the A&E" he promptly replied in a broad Irish accent "I don't know where its gone, I've just come back from break" I replied slightly sarcastically "what did they pack it all in within an hour" I walked away leaving him looking rather confused. We finally find A&E which is now on a whole new road & wheel our patient in & got Triaged (1) was then moved to area two & triaged (2) was then asked to take our patient to Traige (3) confused? we were!
My crewmate & I both haven't been to this particular A&E for about four months & didn't realise that they had packed up, closed shop & moved, they've got themselves & really nice if somewhat maze type A&E. But of-course communication being what it is we were not to know.
Mainly run of the mill, bread & butter type jobs today, but one stands out....
Green1 Allocation 87 YO Male shaking, sweating, pale, back pain... at a social services centre
We arrive to find an Asian gentleman sitting in the communal room with other elderly people, one of whom randomly starts shouting at me & calling me George & complaining that I didn't deliver her milk... The elderly fella was alert & talking, unfortunately he was telling fibbs when he asked the staff to call an ambulance, he had been playing down his pain & saying that he only had leg pain, when in reality he had chest pain... We did a quick set of Obs - pulse rate was erratic between 103-148, BP 97/48 & PALLOR BM 16.2. As we were only around the corner from Royal Free (which is handy because once diagnosed by A&E he could then be transfered to their CathLab) we decided to load & go rather than wait for another crew.. I'm sure we did the right thing.. Maybe one day they will include ECG's to our scope of practice....
The rest of the day was Health Care Professional Admissions that weren't really that bad. But we still had a good day... Between jobs we managed to get Free Sausage & Chips with mushy pea's & a coke from this lovely Chip Shop in the west end... We then wen't to buy an icecream & the man refused our shekels and insisted we had them for nout... Then we popped into the Hilton to check up on a Patient we had a couple of months back who works there & we ended up having a really posh Cappuccino in a really posh coffee bar in the Hilton on park lane.... wow and still managed ten jobs..... Kings of the road..
Oh and in-between all that we had to bandage up our back door of our Mini-Merc because the lock started playing up.......
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