Word limit: 1500 Words. APA referencing required for this assessment. PDF or word document accepted.
The role of a paramedic is multi-faceted and highly regulated. At times you will be called to very complex cases that require a solid knowledge of procedural as well as clinical policies and guidelines. This assessment covers a number of areas that require you to research appropriate policy and procedure to ensure accuracy of your submission. For the purpose of this assessment you will use Queensland legislation and policy.
Assessment Scenario Outline
You work in a rural community with your Officer-In-Charge (OIC). At 2000 hours on a rainy night you are dispatched Code 1 to a vehicle accident approx. 50 kms away from station, nearby a close-knit Aboriginal community. Your OIC is a long-serving officer who has little respect for the rules and regulations that the “brass in Brisbane” has imposed on paramedics.
En-route to the scene your partner drives at 140km/hr and above on a dirt road, saying there is no need to worry about speed limits in the bush – “There is no traffic out here” – and besides the ambulance service is exempt from the road rules. You notice that there is significant water on the road and the rain is getting heavier as you proceed to scene. The speed limit in this area is 100km/hr.
As you arrive on scene your partner parks on the road near the damaged vehicle, leaving the headlights on but dimmed. He also leaves all the emergency lights illuminated. Your partner tells you he knows these people really well and there is no need for any gloves or anything as these people don’t have any health problems.
As you approach the scene you find a vehicle (pictured) that has rolled leaving the vehicle with major damage. You see the car on the shoulder of the opposite side of the road, with 2 wheels on the road and 2 wheels on the dirt. You are waved down by a male person who directs you to a 15 year old indigenous female trapped in the badly damaged vehicle. She has obvious fractures to her legs and multiple abrasions. She is very upset and is hesitant to speak to you. The male person states that he was driving the vehicle when he lost control, and that it rolled multiple times, trapping the female in the vehicle. The male person is acting aggressively and smells strongly of alcoholic drinks.
As you are assessing the scene the patients’ Grandmother and Aunty arrive on scene. They are very anxious to speak with the female patient, and are upset that you are speaking with the patient on her own. The family members are questioning you whilst you attempt to treat the patient, and demand to be involved in the treatment of the patient and decisions to be made.
This task has four components that must be completed.
What cultural considerations should you to be aware of in this case when assessing the Indigenous patient and interacting with her family?
The male person on-scene is complaining of abdominal pain but refuses any treatment or transport against your advice. He has obvious bruising to his abdomen consistent with a seatbelt injury. Using Queensland Ambulance Service protocols as a guide, discuss what steps you would need to take to ensure that you have met your duty of care and that the patient is giving a valid refusal. What information should you document in your patient care records?
Referring to the image above, please identify at least 8 workplace health and safety issues present on this scene.
Regarding the violence risk of the aggressive male patient, discuss how you might eliminate or reduce the risk and what impact that may have on your patient treatment. Your plan should include new equipment/training that is NOT currently available to QAS paramedics. You must provide evidence of at least 3 current sources of research that support your idea.
What legislations and policies has the OIC breached and what are the possible risks and consequences of these breaches?
Students are reminded to attain a passing grade in this course you are required to attain a mark of at least 50% for each assessment item.