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Good evening. Uh, good evening. Iran is joining this evening. I'm so sorry about all off the troubles. We've been having a few technical difficulties tonight. Just I got something told that you can't see this either. Like, you know. See that? That should be live. Yeah, you can see. Uh, yeah. Good. That I was a massive gray square on my screen. I'm doing it the normal way. This is a drug. Uh huh. It's working. Okay, fine. Sorry. We were having technical difficulties tonight, which I'm surprised we haven't had more in the past, but hello. Good evening. We're just waiting for our presenter to arrive. Now. She's coming straight from a shift. So when she is here, get going. Talking about actual paramedic side. Um, so I'll do the opening on. Then we will wait from normal. So hello and welcome to our once month series evening with a paramedic. This lovely lady is normal will be our paramedic when she gets home from work, which should be any minute now. Nor is permitted London Ambulance service as well as with such an ambulance. And she's going to be a bit about being a paramedic to know This is a slide. I've Can you hear me? Sorry. Would because of the technical difficulties, I've got my flatmate looking at it with me on this other screen, which is not seeing anything. Yes. Is it working? Okay, Sorry. Three thing seems to be just having problems tonight. Sex might, uh, this slides bit about making the most sessions. I'm going to put this on all of our sessions in the future. Just some ideas on what you can do to just get the most you can out of atrial sessions. B'more applicable to only doing our anatomy and academic style teaching sessions, but they were still applicably to the rest of our stuff. Any queries? Please do email me Freddie Kruger. You okay? Oh, Oh, yeah. Also follows on instagram or Facebook, please. Um, trying my best to make These is good, uh, pages. We can, but they are. I'm not good with such a media. Also, I'm not good with anything. Tack. It would seem tonight. Other than that, this is what's reclaiming in the once month series. We've had our personal statements for healthcare session. Tonight is an evening with the paramedic. We then we're gonna have case discussion next month, which will be held by Josh. It was finally a medical student who's gonna be talking about some anonymous cases that he's come across just to give you a bit of an idea about application of medical knowledge. Then it will be in December dying and palliative care session With that have you Trish in in January and another set of case discussion in February. Any queries or sessions you you'd like to see in the future in this Siris? Please just let me know. That's my technical difficulty slide. I should have had that on from the beginning, so we'll hold off on that for a second while I just see where the North has arrived yet. I don't think she has them drop or a text quickly and see how she's doing. One second there's IV watching. I'm sorry for the delay. I'm nor is on her way. She's just work over ran, and I'm just trying to fix technical difficulties to make sure we don't have any more when she just arrived. So I'm sorry. The whole delaying hold on just two minutes and we'll hopefully get started. Sorry, there again goes some reason like screen was showing is a gray square. So hopefully this screen is a bit mawr. Yeah, that seems to be looking a bit better, but should be looking at that. That's that's otherwise. No, it's that that that's not working. Okay, right? That works. All right, We're just still waiting on know on the frights to get a couple of minutes. I'm sorry about this guy's updates, nor is here. She's just trying to join, but it's having problems. Oh, that looks like she's joined. I right. I wasn't saying issues. Yes, we had tickets. She's good Lord, I could see you. All right, let me I'm in my car because I'm just finished work, and I haven't had time to go home. All right? Everyone can see. Look, it's a no. Hi, guys. Uh, I believe her own concede that. Can they know it's a dating? I only send it again. I've got Charlotte's I laptop next to me so I could see what my screens meant to look like Her doesn't have updated to be you, which is weird. There we go. Sweet. It might be a bit crap because I'm straining or four g so Okay, guys know Seems alright so far. Yeah, sure. So I mean, I can't see anything. Is that what I'm supposed to see? Let's really be able to see is yourself at the moment. Yeah. So Yeah. Thank you for having me becoming long As I said, everyone Sorry for many, many technical difficulties this evening. It's been one problem for another. Hence, why I'm locked in is David. So I'm not actually David. Uh, and nor is actually no, I think. Yeah. Yeah. So you know, I think you first. Now I think he froze it. Or vice versa Life or is it always knew? All frozen, right. Okay. Sorry. Text, Although go. I could see if my psa geun I can't hear you, but I can see I could see normally having I can't hear her speaking can hear me that Yes, that's right. Kicked me off the cool. Oh, this is Yeah. Okay. Well, yeah. Try and say try and see. Okay. Um, did you have any idea how you want to go about tonight, or, um, I didn't make well, I say at presentation is just primarily got pictures in it. I got to talk to you guys about my experience, Really? And then open up to questions from the floor unless anyone's got any other ideas that that sounds good to me. Feel free to put questions in the chat. Anyone who's got any? Yeah. Yeah, I'm happy to do them as we go along or at the end. I don't mind. So just shut them out whenever I'll keep it. I'll chance. Yeah. Um I don't know if I can. She uh Okay, so the night hold on, that's lost Me. I'm just trying to, um, see if I can share my power point. So if you know, you could send over to me and I'll share It happens. Let me guys. Now, that mean I can you saying what can you say I can like that on? Do that. There we go. And you see, I could see that I can't see anything. So let me know if you can. If you no longer can see nothing so right the apologize for being late for starters. But it's a good picture of what reality is like left the paramedic. He never gonna finish on time. I was supposed to finish at six and I don't know about the station to a half past six. So here we go. It's been a long day. It's been 12 hours worth of a day. So how many people are talking to about it? I haven't been watching Theater Nd's number seems to be varying a lot, but it's somewhere in the tens. Okay, you know, if I'm sucking eggs for anyone, let me know kind of roughly know it's pitch this, But it's been a while since, you know, it's and you guys the shoes. But for those that don't know me how my name is normal. Paramedic, um, so little bit about me. I started out in Sun John ADET in 2010. Um, I joined in Hammersmith at Homicide, um, and stayed. So how mismatch? Um, which point? I've been up to university, and I kind of drains links of the university of part for chair, um, and then came back since coming back of a few things are running the cadet unit there for those that you know, me and those who don't. Um, and I also, um, remember that Marty, um, in my spare time, when I can find suspect on to you and do some events there. Um, yeah. I went to the investigate part for chair for my undergraduate, so I did my paramedic degree there. Um, and I've gone back there to do some more studying in case I didn't do enough to start with, um, a full time employee of the ambulance service. So I worked for the London Ambulance service. So my experience is a rub. It skewed, um, to the l A s, um, on my workout fill. Um, so primarily in the west, Um, and in my spare time, when I have nothing bad to do, I sometimes go down to anger Russki University to do some associated Teran to help out with the students there. So that's my my life. And I'm not sure, really. Give or take a little bit. Um, so I mean, I'm gonna talk a little bit about the university experience. Um, it's a bit generic, but I'll try and kind of related more to the paramedics side of it. Placements and things, but just a disclaimer. It's been a long time since I went to university. It's been six years since I graduated on day, eight years since I started university. So things have trains just a little bit since then. Um, Onda, um, I went to a London ambulance service partner university. So your experience may differ depending on which service the university partners with. So, um yes. But that said, I have mental students from other universities, so I have a little bit of knowledge. Of what case on there Eso I can give ah, slightly different perspective to other universities. Well, they're not quite a lived on. So what? To expect some partying, if that's your cup of tea. Um, some exercising, if that's your cup of tea. Um, since in Aria is if you're lucky enough on dumb graduation, Um, so I did the foundation degree back when it existed. It's no longer a degree that you can do anymore since that HCP see just required. Or paramedics to, um, become degree registered. Um, so my degree consisted of a two year course. Um Onda. I did 3 to 4 placements a year with the ambulance service. Um, yeah. So what to expect? Really? So I was lucky enough to live in West London despite going to university and heart for chair. So I was able to kind of come back home for commuting to placement. So it wasn't very far for me. Some of my other colleagues, all my other fellow students, weren't so lucky, really. On they had Teo kind of commute Too different Teo. Different areas to do their placement. Um, so I would definitely say, You know, if you can get a car, it would make life easier. It's doable without a car, but it will be a lot of early mornings and tough starts in terms of the university experience. You know, you might speak to some of your other friends. They were going to do some or Artie degrees or some less, um, kind of patient, heavy degrees. They might, you know, say they're only in the university 2 to 3 times a week. Or, you know, I would say you're easily in university three from 3 to 5 times a week, if not more. Really. Um, yeah. So, typically, you know, you do, um, a day where you did learn the anatomy and physiology of the medical problems that you're going to learn about, and then you'd spend the afternoon or the next day doing scenarios about what you've learned. Put in it awesome trauma days in terms of placement, then little specific to the ambulance service. So you know, you kind of go out and do different things to different. Different universities will do the placements different. The HCP See which of the governing body that you register with expect you to do a certain number of hours a year placement. Some of them will be done, for example, in mortality, just to give you an experience of that side of things. Some people, some universities with some of their students to urgent care centers toe any given. One is often when you go into theaters, which is where you know people have surgery done. So you learn how to do things that airway management. So are you know, if you know things that intubation ally gels, you know the advanced airway skills. It's where you learn how to do cannulation them so that you should do IV drugs and things that's tends to be talkin fit what first you learn about in university. Then you set some exams to make sure you can do it constantly. You then go into theaters to practice on then you come out on the road and what I say. I'm ready to come out on the ambulances and then you put those skills into practice. Um, yeah, I don't know if there's any other questions about university experience at this point, and I think I'm up. Anyone want to know anything specific? No one's asked any at the moment. But if anyone does think of any but later on is to feel to come back. It's important to remember. I think university is. Office is quite large chunk of life. It's a really important chunk of life you learn so much, not just from what you're talking, but also just life experiences when you're there. But also those three is are just three years. What you do afterwards lost much, much longer. So those who don't necessarily get into their first choice of university and things like this I think it it is still a brilliant career and all that. Yeah, absolutely. Yeah, I applied for quite a few London universities. I've got offered a place it's in Georgia is on a place that the University of Heart, the chair I firm since George's. But I missed the grade in one subject that I picked up a great and another and they categorically said they didn't not may. Um, But heart future said what have you despite me, mr The grade they wanted me to get, um and actually, I'm really glad I went there because I had the time in my life and I made a really good friends, and I really enjoyed the campus. And I loved everything about the experience. So, you know, I know that you sometimes get your heart set on something, but regardless of where you go, you should get a good experience with the course and stuff, and you should enjoy it. But then that said, going to university is not the only way to become a paramedic. So if you feel like university is not necessarily for you, then you don't have to go down that route. But what I would say is that you will have to do do a degree at some point in order to become a paramedic and often the easiest way to do it, especially when you are quite young. So excuse me, is just to go straight to university and get it over and done with and study when you're so focused studying. So yeah, that's what I would say, Um, in terms of if anyone's curious as to which university is thie l. A s of the amyloid London omelets of its partners with it. If you want to stay local, um, we work with some Georgia's. We worked with Greenwich. We work with Anglia Ruskin. We work with a University of Hartford chair, and I believe that's it. And I think that Is that a thing? Yeah, that's it. Um, very mind. To the University of Heart. Future also offers students placements with east of England. Um, as does the anger as there's nothing there, uh, skin on gum. The University of Greenwich also have a cecum course, which is south east coast. Um, so those I don't really know much about it. Obviously, I don't come into contact with those students, but I know that those courses exist. Um, a different different. You know, a different tablets trusts will do things ever so slightly differently. Yeah, So, um, yeah, if anyone's more interested in, like, the placement side of things, feel free to ask me, because I have had quite a few students, so I can give you a bit more of a So if you've got any questions, couple of questions there about what a lot of us did you do. What did I do? Okay, fine. So initially, right. IC biology, chemistry on Do physics on history and actually, believe it or not, I didn't I didn't do well in my biology. All my physics and I ended up having to drop those two subjects. Um, I was able to continue if chemistry and physics, chemistry and history. Um and luckily, I spoke a native language, so I spoke Arabic. So I did on a level in those three in the end, Um, so I did a levels back when you did A s and a two, and they were two separate grades. Um, and you've got a combined grade as opposed to one overall grade, which I think it is what it is now. So if that's not very helpful, um, and then the end on my fat foundation degree, they only wanted me to get a C in chemistry for heart for chair. Um, and I miss that Sienna got a D, and they still let me in on I think Georgia's or Grenada. George's wanted me to get BBC, I think, and I got B B. D. I think you have better levels in May. But it was a while ago. Yeah, they say you also probably not far off mine, but 12 2013, 14, 13, 14. Yeah. So no close. It's the questions about job, about more about the job itself. But I imagine you were going to cover them in a second. Let's go forward. And then, if I don't know what, you can ask them, and it could bring us into our next slide. Your was a night about a day in the life is a paramedic and the other one is a favorite and least favorite part of the job. Okay, that's a good one. Fine. So let me quickly briefly talk to you about shift work. I'll tell you what. Let me tell you about a life a day in the life of the paramedic, and then we can come back. So typical shift eso. This morning I started working 6. 30 um, and we do the r D 12 hour shifts. Mostly, um, occasionally I do some 10 hour or some eight hour shifts. Um ah, yeah, I have a lot of work with and wonderful shift. So either do 6. 30 in the morning or 6. 30 in the evening for a night shift. I I have some short shift, sometimes where I work from 7 30 to about 4 30 or do some like 12 hour late shift. So, for example, 12 12, 1 till 12 till two or 32 or three. Remember it said that there's cover different times and we don't want go home at the same time. So they've still got, um, a resource to kind of give a typical shift. There is no typical shift, Believe it or not, um, the ambulance service is primarily very busy. Unfortunately, we are not waiting for jobs, and people primarily are waiting for us to be available to come and see them, which can be a bit challenging. Sometimes people get sometimes frustrated for waiting so long to see us, but you know it's given the wider any chest pressures that we are very busy. Um, march Typical day could consist of so many different things. So today I went to quite a few sick people, different kind of illnesses. Um, so, you know, quote quite often we go to elderly people who have fallen over on the floor, who have no one's picked them up or who are injured. We go to people of chest pain, obviously with coverted. We were going to a lot of covert people, but that's kind of settled down a little bit. Now. We go to people with colds, people with strokes having heart attacks, and we do see trauma. I'm in today. I went to somebody who got involved in an incident with road rage and got knocked off their bike by a vehicle driver. Um, but I would say if you're coming into the drug for the trauma, some people attract more trauma than others. But on average is a service. Only 10% of our work load is trauma. Um, so I don't think Yeah, this is exactly what I want to do. I want to do trauma because you know that that's not what the job is. Often the job is, you know, reassuring people that things were okay, So a lot of the time people panic, and the first thing they do is, call 999 because it's a number that everybody knows. And so often you might go to what you perceive is not an emergency, but actually for that person at the time. When they picked up the phone and they called 999, it was an emergency. Um, so on by the time you get to them that they have normally calm down and they're actually quite grateful and a lot of them just needed some advice on we go to a lot of people that get referred to us from 111. So they call it one more month for advice on the clinician or the cool taker that they speak to thinks that they need a more thorough a face to face assessment. Um, so we get sent out to do face to face assessments. Um, yeah. I spend a lot of my time going to all be personally, I see a lot of old people on the floor and then, um, a lot of chest pain, a lot of breathing difficulties. Occasionally we go two Children. Um, I went to a baby today. You had a seizure because I talked to was too hard. Um, sometimes we deliver babies. I mean, the last baby identify. It was before the pandemic started. Um, so that was a while ago. Um, but yeah. Um, what else? What other questions? That was there. Another question. In terms of job, typical job is Aziz favorites and least favorite parts. Favorite part of the job, I would say, is, um, kind of what people would call, You know, the slower job. So I like going to old people were helping them up off the floor, like having a conversation with people. I like being able to kind of reassure people cause often, you know, people are just panicked, and they don't really know what to do. And it feels nice to be able to offer them advice on them, take onboard the advice and, you know, feel better for it or being able to treat people because, yeah, I mean, no, it's not very often that we can actually see you often actually get to treat somebody and see the train to them immediately. Um, so I mean, there's few conditions whether it does happen. Um, but yeah, so you can't really rely on that, But often it's just being able to give someone a clinical opinion. That's what they really want. Um, eh, It's also a very warm, rewarding. So, for example, sometimes you've got trauma patients or patients who are quite unwell on D. C. Seeing your actions treat them and they be 10 times better when you get the hospital with them. Then when you pick them up on the street or, you know, in the house or whatever, that's quite a nice feeling. I do quite enjoy delivering babies. It's quite a nice feeling to be able to hold a newborn baby. Um, the worst parts of my dad. And I guess sometimes you get ungrateful customers patients. Um, you don't really want your help. Um, and it it does take a while to kind of back knowledge that know everybody wants help on. That's a hard thing to deal with, But that's quite a challenging thing. Sometimes the mental health aspect could be quite challenging. Could be 12 correct taxing. I I think I don't know if you guys have heard the term band out, but a lot of people are suffering with it at the moment, you know, feeling that they're just you know, works a little bit overwhelming because we've done nothing but care for people in the pandemic and careful quite a lot off on, well, people. I mean, it's important to be empathetic to people. But you know, it's also important to maintain that distance where you don't always take on other people's problems because that could be quite tough and quite emotionally draining. Um, I think it's always tough when you go to know, you know, lonely old people at home that's always challenging. Or, you know, when you get people who are a bit more aggressive or don't really want your help, Um, that's also challenging. Um, and then obviously you got your job is like your cardiac arrests and stuff. But I would say that, you know, as scary as they are, always challenging as they can be there the jobs that you trade for the most, so you kind of get, but it gets a bit easier dealing with them. But I said, it's never easy to break bad news to people you know, telling them that their loved ones died and things like that. That could be a bit tough, but I'd say it's quite important to have a life sort of colleagues around you, um, to kind of just hold your hands for and let you know they know what you're going through. So it's just quite a unique feeling, I would say, Um, yeah, very multi faceted, I think is what you describe your job. That's a question here. Which is how grave should a problem the for the alarm to go off in the ambulance, which I've been clarified on, they meant lights and sirens, okay to use blues and two when we used to use. That's a good question. So if we believe that somebody needs immediate treatment at hospital, I'm so nine times out of 10 when you get hospital, you still have to be triage, regardless, if you been brought in by ambulance or you made your own way in. So if we go to somebody and they're quite poorly and we think they can't wait to be triage, they need to be treated immediately or they need immediate treatment at hospital, and we don't want to wait to hand the hand over and speak to a doctor will speak to a nurse. We tend to go on please and twos. But if the patient is stable and there's no time critical element and they can, you know it doesn't matter whether they get there in 10 minutes or half an hour or an hour, then we probably don't really use the blue lights. Remember about the danger of blue lights. Yeah, it's definitely not without its own risks. Driving on Blue lights a Z you guys have seen. People don't always react very well to lights and sirens. You get people that just walk out in front of vehicles unexpectedly. So that's also another hazard. But so, for example, I think today we went to eight patients of which to we put our lights and sirens on four. Um, one patient was somebody who is quite unwell with diabetes. Um, and the other person was having quite severe breathing problems. Um, so, yeah, both sound quite valid. Yeah. Um, there's a question here about colds. You receive it. It's Do you receive many calls that related to pains or heart chest pains or heart palpitations, which actually anxiety rather than a heart attack? Yes, the majority of them, I would say, Really good statistic. Collagen I/O of my head, I'd say after they tend what ones who go to anxiety related, I'd say so, yeah or not a heart attack. So a statistic we would give it statistically got given a universe. I'm on my cardiology block. The moment on what the consult cardiologists said that roughly 10% of patients who go to a any have chest pain off whom 7% are having heart attack, nor point north 7% of patients going to a any having heart attack. That doesn't quite make it. But I mean, ultimately, they have to be in pretty bad chest pain to call on ambulance in the first place. So I guess you probably see the more severe side of those. Yeah, and it's also worth remembering that, you know, sometimes I don't know if anybody here suffers with the anxiety, but it taken. It can be really scary, especially if it's the first time it's happened on. If you get yourself into a state where you're quite panics and hyperventilating, you can have quite severe chest pains. Eso Often it's difficult for people to distinguish, so quite often we will go to people the first or second time they've had a panic attack or they're suffering of anxiety. When it becomes a more frequent issue, we tend to go to them a bit less because they have kind of settled, and they're not experiencing it as much anymore. Um, yeah. I don't know about you, but I'm never not happy to see someone who turns out to be less sick. Yeah. Yeah. If someone comes in with chest pain and it turns out they're just having a panic, that's that brilliant because it means they're know at risk of dying. And I'm a massively happier because of it. I mean, I would say I've lost count of the amount of heart attacks I've been to, but it's not more than 50 in my sick, if that's fast. Yeah, as question. I put two at the end, but that's more about the university and competitive. How competitive is to get on you. But yeah, I was back to day. Think back to my daddy. Um, so, yeah, so that was That's my day. I mean, it's very unpredictable. Some days you go to loads of sick people. Some days you go to people that are that you could leave at home that you just need to sign post to other treatment options. You know, just cause we go out to see people doesn't even take them to hospital. And I think that's a common misconception of, especially in this common day and age, by doing more and more home referrals or referrals toe what we call alternative care pathway So back to doctors, to district nurses, to community mental health teams to community response teams. Total different people. So, you know, gone on the days where you call for an absence, you get an ambulance. They turn up with a carry chair in a bottle of oxygen. They stick the option on you. They wrapped up in a blanket and they take you to the hospital. That doesn't really happen anymore. We're very much thought of is what we call autonomous clinicians. So you're talked to make clinical decisions for yourself on, you know, decide where people go and what happens to them. So, yeah, that's very much the future of being a paramedic. Talked about nights. Yes. Yeah, I'll go back to shift work. So I wasn't a writer. That was 50% nights, and it was very tough on. I did it for about five years and then I thought, I can't do so many of getting old So I'm I've since moved to a greater where I do bit left nights. Um, there's no two ways about it. Not it's a tough, um, they're tough for many different reasons. Obviously, your body is not designed to be awake. Um, eating could be a challenge. I mean, it sounds very trivial, but how you feel yourself when or not is very important, especially in the winter. A Z gets cold and you want a hearty meal and stuff. Um, and the only thing open is a 24 hour McDonalds. It becomes an issue, Um, so it can be challenging. So it's important to try and have ah well established, healthy diet on lifestyle. And, you know, remember to bring things in because unfortunately, we don't have in a 24 hour society and know every hospital will have a shopping area that's open 24 hours. I mean, I'm quite lucky that are local. Some of our local, because have a 24 hour test goes near by. But you know, having a meal deal every day is also not sustainable. Eso it can be challenging on gum in London. We don't always go back to station for our breaks of different services are different ways. We don't always go back. Um, so you know, you might not have access to a microwave and things like that to heat up your food, um, and things, But you can always request the brake sadly, and always guaranteed a break. But, you know, that's just one of those things that comes with service, I'm afraid. Um, well, uh, shift work. Yeah. So any other questions about night? Specifically? Not that they've raised as a question, but you just talk about how your shift pattern sort of works. So I random, um, I was gonna put in a picture of my right toe. It's hard to describe, but I tend to do like a like today this week, for example, last week I did four night shifts. Um, and then I had the weekend off. Um, and then this week, I'm working today up until Friday before day shifts, and I have some more time off on then. I'm working Monday, Tuesday, and then I have some more time off, and then I'm working the weekend nights that I have more time off and then I'm doing you can do is they try and study you. So you do like, a bit of days Better night's bit of days, but nights? Um, yeah. So that's kind of how you do it. Um, the shift pattern is completely random. It's kind of difference of different stations. I don't know about other services, but in the ambulance that l. A s different. Ambulance stations will have a different writer. So every couple of years in there, get a company in to review the demand. Um, so believe it or not, they can predict ambulance demand and where we needed and when they start historic data, um, don't ask me how they can predict when someone's gonna become a while that statistically, you're more likely to have a cardiac arrested on Monday morning. But, you know, this is one of those things on, so these people kind of create they they figure out what the demand is needed and then write has tend to be made around that demand to cover those periods. So, yeah, all the different stations have very slightly different writers on some of them will have multiple options where you do the maximum amount of on social hours s O. You know, anything over 25% is the maximum, but you know, you can do 50% nights, But in terms of getting the extra money for your own social hours, some writers will have less on social hours somewhat have 12 shift 12 hour shift. Some will be slightly shorter shifts on. Then there's also the option for flexible working s o something called annualized hours where you set a number of hours that you already know. You're way keep losing you. That I think your Internets no. Perfect. Okay, what was the last thing you had? A repeat. This is up here, Bit chunk ated you're talking about, I think 25%. Yeah, depending on I mean, not to get into pain or anything but the amount of unsocial hours you do determine how much you get paid for on be have different degrees of social on social. So some people do 25%. Some people do 20% so the amount of insulin shot hours you do will dictate what sort of rating you have primarily without getting to book down about it. And so some people might do less nights or less weekends. But yeah, it depends on what I am. Blessed station, you workout off more options they have for you. But if you don't like any of those options, there is the option to do what we call annualized hours. Um, which is where you choose how many hours you want to work a year, whether it's full time or part time, and then you kind of prose your own right around they say, Oh, yes, this works on Russell. I don't know, it doesn't. And then you just come in and fill in the gaps on the days that you've decided to work. Um, so that's an option as well for flexible working. I think you also still got staph back because well, haven't you? Yeah, So there is bank. I mean, I'm not quite sure how bank works within QP, so I don't know if anyone's familiar with this, but it's a new process. It's been around for the last three years that all new paramedics come out as an QP. So newly qualified paramedics it lasted two years. Basically that it's a mental shit, period. So when you first come out for the first six months, you can only work with what we call a band. Six. So someone who's a paramedic, for example, like me, who's paid a little bit more but has done their time and is really experienced just a safety net to allow you to find your feet for six months on. And then after that, you can only work with fairly qualified member of staffs, whether that be a technician or a paramedic on. And then once you complete your two years as a lanky pee, you go up a band of payscale paid great on. You can also work with anybody. So I think it's a bit challenging to be bank when you've got to do the set number of hours. Teo, pass through your ANC, you pee portfolio. Um, but I didn't get through that experience because they brought that in shortly after I joined, so I can't really comment too much about it. But I can also some specific questions from what I know from other people, and just to mention what bank is obviously for those who haven't really come across it. Staph bank is a bit like it's basically a pulled off staff, and they say, Right, we need the shift covered from this ambulance station. Does anyone want to do it? And people who have free time of the day off the week off? Whatever my offer, uppers? A. Yeah, I will do that shift and then you get paid extra for doing an extra shift that's quite called throughout the NHS. Whatever area you're working. Doctors called it something different, but everyone else's bank. Yeah, so, yeah, in the ambulance services, it's slightly different. I mean, I don't know how other services, but in London we advertise all the available shifts that advertised on a limiter. What's advertised there. You can see what shifts are available on an internal Web site, a database, however, on then. So bank people are improve. I ease of the Avalide service, but they're essentially on the zero. I was contract. I think they have a minimum amount they need to do each year to say that they've still done the requirement or the hours to work for for London. But you just basically pick and choose when you want to work and when the availability is and you you do that shift, Yes, you do get a little bit more money, but you lose what you The extra money is to lose out for the perks of having a job. For example, you don't really get sick pain when you're on bank, they have to take out of your own wages because, you know, I got sick pay. I believe you are still opted into a pension for, you know, annual even things that that don't really apply to you. Holidays and things don't apply on your bank. Hence the extra money. Um, so it's worth bearing in mind, um, in that sense. And that's the same for most health care professions. For anyone interesting other ones like nurses, for example, health care assistance. All that stuff bank is a quite common. And then if you do medicine, they replace it with a locum, which I don't really get Why we don't call it bank, I think just cause doctors like to be special. Um, but yeah, it's the same concept. Basically, um, yeah, uh, thinks everything about shifts like a cold. So what does it feel old. So let me talk a little bit more about how to become a paramedic, not for the ambulance service. And then we can go from there So you don't have, like I said early, that have to go to university to become a paramedic. Um, so you can join the ambulance service. They have different roles. They have different names for the roles in different services, but primarily it's as an ambulance technician, which is a slightly less qualified individuals. So you're not able to give the same amount of drugs, is a paramedic and you're not allowed to carry out airway management. And some of your skills and clinical learning is different in L. A s. We'll call them weeks emergency ambulance crew a little bit confusing because obviously, said John, there have the emergency ambulance crews. But I think since John of brought in and learn to match with the L. A s possibly, I'm to make it easier when they do that event work and things, or when they kind of cover from 9999 work. Eso Yeah, To do that, I believe you need to have held a driving license for it. least 12 months, Um, and have a C one provisional. Um, I think some services are paying for you to do the C one because it's obviously it's quite expensive. And when I did it cost about 1000 lbs at a time. Well, that was paid for by the ambulance service back then. Um, and that's what in titers you, Teo, draw the larger vehicles. Um, so you know, anybody who held held the license, which I believe is an interview before 1998? I think it is. We'll have it on their license anyway. Anybody who's after that, we'll have to do an additional qualification in order to enable them to drive any of the heavy of vehicle on be the double axle. So it's referred to as a C one license. Um, that's what you need. I think you just need some GCSE use, and then they will train you up through an inhouse course. They will put you through your blue like driving, regardless of whether you become a paramedic and come in for the university, or have you become a technician and then you go out on the road on do you do some time as your skill level on. Then eventually you have the option to up skill in house, which primarily means that the ambulance service will train you to become a paramedic on that's normally affiliated with the university. Um, so you can do a degree so you can get your degree of the end so the training will primarily be done. Other service or they'll release you for a little bit of time. Um, to go to university for certain days a week to do the learning, and then you come back and you kind of put it into practice, and eventually you could become accommodate. Um, there are some parks to that. Obviously you get paid on the job. Are you being paid from from the get go? Really? But obviously, I think it does take longer, um, to do ever so slightly just cause the courses are always available, and sometimes you have to wait. A bit of time for the course is to become available, especially at the moment, with the whole change to degree level. A lot of services of know they put it on the back burner any because they have to get their course is really credited Teo Meat approval to get registration status, but also with Covad. The universities haven't really been up. The services haven't been in the position, Teo, to kind of take that time to allow United to allow people time off to do the course of things. Um, yeah, Any questions about that? That's true. And drop them in if they come up later. Um, no one's raised one of the moment. Yeah. I mean, that's normally a good one for people that decide later on in life that they want to become a paramedic when they've already embarked on other careers or decided you want to join the ambulance service and don't know what else to do. Um, you often find, you know, but there are some young people that join through that route, so you know there's no right or wrong answer. Um, in terms of how you join in terms of the future eso the future in the absence service, there are many different things you can do. Um, but the future for paramedics is not just down to the ambulance service. Um, the world is your waist, er in some respects. So I'll talk about in the ambulance service first, and then I'll talk about alternative jobs that you can do. I was I've popped some of the things that you can do. So you can do, um, your car training in London. So different services do this differently. Some of them will train you to go on the car when you train to do your ambulance driving and primary. That means your responders a solo paramedic. Um, but again, the different services have different models for this. So in London, they save the cards for the sickest people. Um, what? I need someone there quickly from the traffic to provide lot of, you know, immediately immediately. Life saving interventions. Some of the services will send the cards to people that I think could be left at home. Because then it's not a waste of a conveying resource in the conveying resource. We'll go to people that that might need convenient the hospital. Um, you could work on the helicopters in London called hems, um, as an advanced form of harmonic. Um, you kind of need it least five years practice to get to that stage. I would say I think it's in the requirements um, you need to to know your stuff and be really confident in your job before you go there, because they see some really sick people. But you normally work alongside to doctors and a pilot. Um, and at night time you drive. Um, and during the daytime, you fly to places. If the weather permits on, yeah, they We have two helicopters, but one team pound London, and they just go to the sickest people to go give them a day, and sometimes they will fly their patients to hospitals. But little the hospitals in London have helipads is quite rare, actually, but most of the trauma units do so if they're, you know, if it's closer, they will fly them. Um, but not so much in the West. Um, we've got advanced paramedics in London, which is a new role that's been around for the last four years. I would say, um, and the advanced paramedics, um, do there are two types that you could be a surgeon care advanced paramedic. So you they will put you through a master's degree to go to university to learn how to deal with suture ng wound closure, how to deal with, like, chest infections. How to prescribe? Well, I just don't think they do prescribing but medication medications to give people that you leave at home Antibiotics and things. Do you know Mork lyrical assessment stuff? And they will go to the urgent care thing. So primarily think, bringing the urgent care center to the patient. And we also have critical care paramedics or critical care a pee pees, as we call them in London on they primarily go to the trauma eso they are able to sedate patients. They go to the sicker ones when the helicopters not available as an alternative resource. Um, you know, stabbings, the car accidents, the people that have taken drugs and are quite unwell and need some medication to help us extricate them from the house safely. Jobs like that. Yeah. Um, you can also go into the control room. Um, so you can go and be a clinical advisor in the control room. Um, so you call back people that phone for a Nampula and your clinical assessment. Um, so you can sign post that So there. There's different reasons for this. So when a person calls my 99, they get put free to a cool taker. Primarily, the call taker will follow some sort of script andan algorithm on a computer, which will come out with a problem. We can then in the cool control room screen for these calls and see people who we think are quite unwell that haven't necessarily triggered a higher priority. We can phone the back. We can get some more information on upgrade the course so they get an ambulance sooner. Or, for example, we can phone back people who we think might not need an ambulance and coding and see their doctor or go and see a GP or can be told to make their own way to hospital. And we will phone those people back and try and give them clinically advice over the telephone, Um, and tell them where else to go. Really? Um, in amongst other jobs, there are so many other jobs that you can go to a Z Well, you can if you want to be. If you're interested in management, you can be a team leader. You could be what we call an incident response officer where you go and manage scenes when you know there are multiple ambulances on seen. Or, you know, if you need to liaise with the police on the fire brigade, um, or different organizations. Um, you can go up into the clinical director if you get really senior, and you're very interested in that, um, you can become, um, someone so you can become someone who directly talks to the the local teams that we refer people to, you know, organizes training and, you know, manages the criteria of referrals that we do. There's very many different jobs that you can do within the ambulance service. You can even go on be a clinical tutor, which is training people. I'm training in house recruits all, you know, delivering formal training to your fellow colleagues. Um, that has to be done in towns of outside the ambulance service. You're increasingly likely to see paramedics and GP surgeries now providing telephone consultations or going out to see patients. Um, we're seeing, um, paramedics going to hospitals into an easy to work in urgent care centers or to work on something called like a resuscitation officer to help manage resuscitation and hospital. Um, we're seeing permanent work in rapid response teams. Um, all sorts of different places. Honestly, you can be an events medic. You can. I had to cut it in next. I do it. I'll do that. Made. So I had to go and say Woop woop for that one. Yeah. Okay. Yeah. You can event medic cruise, you know, create ship medics things like that, eh? So that's another option of, um, job that you can do. There's so many things out there that the world is your Easter. You can work for the ambulance service privately, so you can work through a private provider on provide assistance to a, um, and NHS ambulance trust. That's also an option. If you don't want to work directly for a neck, just ambulance trust, as of July, you can now be ward managers and take the job. That tradition is very nursing roll, which is basically being in charge on award and that's now open to paramedics. You also, as of July, able to do aesthetics, which means you can go and do Botox injections and things like this if you want to go down that route, but that I think you need some Ultram. That's like a 400,000 lb course to do until the apartment degree? Yeah, Yeah. I mean, at the moment, I'm currently university doing your masters, um, in, you know, advanced practice to give me the skills to go and work in a nursing, care to feel more comfortable to work in an urgent care center, um, or trauma. More trauma things, you know, be able to read X rays and perform ultrasounds and just fancy a things that you don't necessarily get on the front line. Ambulance eso You can also go back into lateral at university eventually. If you want to go back and do that like I do sometimes governed. Teach people getting trained students, fellow students, you conglutinate cities in a social extra. Obviously, these are quite far later down the line when you have to have actually, I just remember the mental health car in London, Um, which, um, goes to mental health jobs. And you you as a band. Six paramedical work alongside a a mental health nurse going out to respond to patients. We have the circle responders who work, and he threw their work around central London. They respire they respond on a push bike. Um, trying to get around the road closures when traffics really heavy, um or, you know, down one more pedestrian streets, they will go to people. Um, I don't know if anyone's ever flown from Heathrow and seeing them cycling around the terminals. Um, they used to work out Kingston Now, President, instruct food. Um, we also have the multiple like response unit, um, who provide made by similar thing on motorbikes, primarily in central London again to assist with traffic on. Then we've got eso longer at the London and Services. The only service nationally, I believe who separate our heart team and r t r u team eso in other services or less urban. They tend to be one team and they do the same thing and it will be the hazardous area response team. But they exist in London and we primarily use them for difficult. Extrication is anything Well, anything that involves hazardous area, really. So water fires different extrication building sites, things that that they primarily will come to on do. Sometimes we do go to them, but they will primarily take the lead and assist us, um, train regularly with the fire brigade there. I think there are trains to use breathing breathing apparatus. If we go to chemical incidents or anything, cbrn it like the soles breathe or anything like that, they would take a leader because again, they've got the full suits where they can go in, and they they've trained to do that on. Then we've got the tactical response unit, which is more like they go to the armed incidents, the ballistic incidence, more stuff with the police. So, yeah, we're the only service in in nationally. I believe that has split the two. And they're not one big entity. Um, yeah. So that's another option that you can do in the ambulance service. But there's so many different things. So many places you can go. Um, you There's also the option to mental bands. So when you become a bound six, which is a senior qualified permanent, um, you got the option to mental new paramedics that come through the Yankees. People assess, um, so yeah, related from things on students as well looking at the studio paramedics. Yeah. Most of us will take out student, so you don't necessarily. So the the ambulance service will put you through a what we call a p pet qualification, which is a practice peer educator. Um, which basically made a fancy word for saying mental. And so that will put you on a course to teach you how to mental students. Onda. Soon as you've completed, there's different levels. But soon as you've completed the first level, you can start taking out students. Um, and normally, that happens about after when you're about 12 months in between eight and 12 months and you can start taking out students. Um, yeah, that's always an option. Uh, and then number one, I think the only one I think you missed was what you do it like football stadium? Yes. So that's just over time. That's just regular every time. Really, Uh, I just lost all my soul. You? Yeah. Yeah. The last refill was that pill, um, before they decided they don't want us anymore. Um, so yeah, so, um, a lot of stadium will request. So a lot of stadium will have the statin to requirements for the ambulance service to be present. If the crowd is over a set number, which is why you probably often see us that Chelsey your arsenal or we used to be president filling, but I guess films not recent John of them anymore. And we're tricking him. Um, normally, they will just put that out to Advair. To the paramedics of the locals. Ambulance station is over time. You don't really need any specific training to do that. You used to just be it need to be able to do with the major incident. So there's a major incident training that you have to do every couple of years. Um, but that's pretty much it. There's no real additional requirements other than to be a fairly qualified person. Like a band six, I believe, to be able to practice autonomously. Um, and then you can go out. I think some technicians Canasa Well, yeah. So you said that the new the old the older technicians are technically autonomous practitioners. A Z Well, they've got a slightly different criteria as to what they can leave it home. But they they are autonomous. Um, so, yeah, they are able to do it, um, don't know all of them. The new that anybody who is not completely qualified or not completely settled in there kind of start to true period s so It tends to be two years for a lanky pee and, you know, 18 months for a technician. I can't do things like that. But once you've completed that period, um, then you can covers everything I can think of. Yeah, of the film sets, that's the only have one is you could be a paramedic, Phillips that. Yeah, there's some really cool stuff. You can do that. Um, I've known some people that have done stuff on, like, film she, like, was it called photo shoots and stuff, But I don't know anyone that's done. Any film set work, but again, it comes down to event work. Yeah, that tends to come under the event. What bracket is just the more interesting side of it? Yeah, yeah. Um, but I think it's really competitive to do that. But I could be wrong. I think it's just who you know, I did a I began doing a postgraduate diploma and wilderness and of ed medicine That would nissen extreme medicine on Does talk by paramedics. You did all the top gear work. So anything talking we're doing, he would be sat there in the Land Rover watching them do all the driving or going off on their expeditions with him to make sure that none of them, yeah, you know, died or anything. And then he was also on the James Bond film, the recent one that came out. So he did a lot of covering all the drug because, yeah, it's quite cool. I mean, if you're interested, thickened and it just jobs and see what comes up so and paramedic things would come up, but also just stick it into, like, typing paramedic jobs, and you'll see you do get things for adventure medics. Every now and again, you do get TV shows asking for paramedics to come and help, um, and, you know, nine times out of 10, you get to do loads of fun things in exchange for lugging a bit of gear around and, you know, disappearing for a few months for a couple of 1000 lbs worth of work. You don't really have to pay for accommodation or food, so well, that, you know, sound like much is Kristy number. So, yeah, I saw an ad out earlier looking for a medic to go and be in charge of an old wooden ship that sailing from the UK to somewhere in the Caribbean. It's like it's like a two months sailing expedition, and you just get to be whoever's in charge on the ship. That's good if you're into sailing. Yeah, constantly. Questions about this area. There was a couple. Really? I just wanted to high lights. Yeah, I think, Um, do you need lots of experience to get onto paramedics and And what is the interview? Like? A good question. Um, I'll answer it. From what I remember, I didn't take. My advice is Bible because obviously I did this a long time ago. Um, so it's a bit different now, but, um, it's always good to. I mean, it's nice to have health care experience, but it's generally quite difficult to get healthcare experience under the age of 18. Just do the logistics as insurance purposes and things, so don't beat yourself up about it too much. I'd say you're rolling pretty good, stead being cadets already and having surgery ambulance experience, I would say, Be very careful about that, because there are there will be a lot of paramedics or people wanted to be permanent with that experience. Just be cautious about becoming coming across those arrogant. And when you talk about it and state, you know, talking about you know it'll because you you really don't know the nicest possible way. There's so much you don't know. You don't know what you don't know yet. Um, I would say a lot of the time. It's not always about the experience. It's about what you take away from the experience and what it's taught you on, what you've learned from it and how you can relate to it. So, you know, sometimes even just volunteering with older people or working in something that involves dealing with the public, I think or you know, is a good experience. So if you can, yeah, if you work in retail, it's something you're you're having counters where you've dealt with challenges. So the thing that they kind of want to know is that can you do of challenging situations? Can you talk to people? Can you relate to people? Are you able to think quite quickly on your feet? If someone was to become, um, well, they want to know that you kind of have leadership skills, So these are all different, um, things that you could kind of demonstrate in terms of the interview process. Um, I don't know if it's changed, so But quite a few years ago, when I went to George, is they had something they had. Mm, a. I think, um, like a mixed methods. Something assessment, All of them. I am amazed the beating people up. Yeah, that's it. Mixed methods interview. That's what it was. Was it on? So there was multiple different stations, and some of them were interviews like actually asked me, Why do you want to do the job? What? What makes you what makes you think you'd be a good paramedic? What skills you think of paramedic leads on down, other than other ones with scenarios where they, you know, ask you to deal with someone? So, for example, I think one of the people had it was the scenario they gave us was it was New Year's Eve on, um, a person. So this this person had missed the loss right out to go see their family, and they were now stranded, and we had to deal with that situation. Um, that's like, kind of the balloon game where they give you low two statements and you have to write them in order and kind of justify your, um, ordering. I think maybe there was a brief medical. I could be wrong. To be honest, it was a very long time ago that I will just say my my kind of is very competitive. I would say Obviously there's loads people wanting to be paramedics and things. It was a lot more competitive before, but I think now, obviously the government and the university's have recognized that we are in demand of paramedics, so they have increased the the placement or the amount of places they have certainly don't know me the amount of places that they have for the students, however, the bottom line is is that if they reduce it to march, then the quality of if they increase it to much, the quality of the course will will be diluted. There's only so much they can increase the number of places. But just let your character shine through. So, you know, like I said, try not to become come across this to you, arrogant or cocky. But be confident in your skills. Be able to explain why you think you could for the job and how your life experiences of related to making you good for the job. So what makes you a good leader? What makes you good at thinking on your feet? Um, you know, how would you be calm in this situation? Um, and really think hard about why you want to be a paramedic. Um, because I think it shows when you when you really know why you want to do the job as opposed to. I was interested in it, and I thought I'd give it a go. Um, I think it's, um, solid into your technique. Take that idea, is that Actually, I think that that one of confident but not cocky is very difficult balance to find. But if you find it and you nail that you come across beautifully and it really Caries, even if you don't necessarily know what you're on about. If you've got the right attitude when you answer, that tends to sort of mask other problems. Yeah, um, uh, I would also definitely say, do your research. Um, so try to love a little bit about the ambulance services, and you know, the demands and things and um, it obviously it's hard to do research when you don't know. But try and learn about the different alternative care pathways or you know that everything is trauma or, you know, do a little bit of research about the trust. And I think it's also a good a good interview. Techniques that I like to say is that when they ask you, do you have any questions? Always come up with a question because when you come up with a questionnaire shows that you've done some research. So you've got something, but also that you're passionate? Um, yeah, I think that's really good point. Always ask a question. If they ask you if you have any questions, it is them asking you a question and you've got to come up with some sort of, even if even if it's a simple fingers when you went, I mean, I didn't really tall ready of my emphasis before applied, but that's through my own fault, for whatever reasons. But even if it's a simple is Utah the campus or you do the University Open day and you've got some questions and you feel intimidated to ask them initially like out in a group you can awesome at that point. Because long times are times people interviewing you. Will you be associated? Oh, um, someone who's, um who's done a, um who who works for the ambulance service or someone who works at the university So they will have The answer is, um but, yeah, there's a lecture at my university calls the limp fish test, which the idea being basically, if they ask you a question or they get you to contribute in some way something outside of just answering questions, it sort of proves you're actually interested. And you're not just a limp fish. Yeah, so I think it's quite a good test and interview is like to use that as a marking point. Yeah, um, remembered, actually, when I used to work at Anglia Ruskin, they used to do you. They used to call it Super Saturdays, and they bring in a lot of candidates for a big group assessment on be different parts of the assessment. So, for example, there be an an interview. They'd have a matter a main into your panel with, like, two people from the board, but they'd have you any go around in in stages. They do a little bit where there's a written paper about why I say, like they give you a couple of blank pages of a four. They ask you why you want to be a paramedic, and you kind of just have to read it and essentially market to see what people's grandma's look like. Um, in their level of literacy and comprehension on Get a school For that, there's then a group interviewed where, um, they put lows of perspective students together and they pin out. They give out some questions or they make some statements and you burn it primarily need to debate them on. We look to assess for again confidence but know overpowering the group, making sure you given opinion. Um, and then you get scored based on your performance in a group interview, among some other challenges. And then your schools get added up on those who scores me. A threshold will get given a lot for a belief is how it used to work. Yeah, more more universities or finding their own way to interview to extent as well. So Anglo Ruskin like that sort of soup. Saturday I interviewed angular, asking for medicine, and they went for the most insane mm I've ever been in. They had actors and stuff. You were meant to cry in other blood in other stations to put you off in your station. The universe is like to get wild of interviews. So my best advice would be find someone that go to that university of someone that you know, or someone on the open day and asked them what it was like on what they had to do. Definitely soul advice there, Um, but also may be prepared that they might not just be questions you've got, you know, come across and genuinely appear to be interested in what you're going for after what they're after. His interest. More than anything else, they want a student who's gonna put the effort in. Um, so you've got to come across the interested in wanting to be there rather than Olympic. Don't care. They do care about your experiences, but well, what you're doing. But they care more about how you relate it and how you talk about it and how you learn from it. So, you know, make that you know, So don't panic too much if you feel like you can't get the necessary experience, obviously you need some, but I think you know you do more than enough. Instant, John. Hopefully you go out on duties and you've done You know, if you run training sessions, I presume you're quite active that you should be able to, you know, create a price personal statement based on the things you already do. Yeah, definitely. And like I said in a few sessions previously, there's a guy on my course doing medicine who got in with the only work experience he had was delivering pizzas. It's entirely about how you reflect on what you do, not necessarily what you have done. Um, if you can reflect on it and make applicable and say how many problems you've learned from and that you're a wonderful learner and you've got teamwork in communication skills and that sort of stuff, Yeah, flying, I'm It's every Friday just going, going. If I presume a lot of you go to schools and colleges which will start putting on potentially put in on interview practice for you as you come towards personal statements and university applications and things don't have a scarf it down. Even if the person's not, um, kind of versed in addict, they can still ask you questions on the more you practice interviewing, the better you come across and the better you will do. So whatever interview experience you get, take up regardless of whether it's relevant or not taking up. Because all experiences, good experience. Definitely. Again. Very good point. Um, there's one last question here that I think will be our last one. Probably given the time us. Do you always work with the same person? Yes, I do. Because I'm lucky You must like that person. I do. I've worked in my crew. Make Peter for over five years. You know, second night. I really don't know. Now. Very good team. Uh, 90% of the time I work with the same person, primarily because I'm lucky enough to have a line. Um, and I've been around long enough, and so I work with the same person. Unless, um, one of us has taken time off and we have to work with the other person or one of us is offset. Or sometimes they will split us for skill mix purposes. Um, they need me to work with another person of a certain school level or they need time to work with another person of a certain skill level. Um, or they need to send me up to the control room because they're short of people to take phone calls up there to do clinical ring backs. When you first start, you joined on relief, which kind of means that you just fill in the gaps. So you will work with everybody, essentially many different people on. Then, as you spend more time in and and the availability becomes comes available online, which is like the permanent people on the ambulance stations, you can apply for one of them. And then if you've got someone on the respective line, so normally they put a technician with a paramedic so both those vacancies or filled, then you should work with the same person all the time unless you don't get on, in which case one of you has to then move or you do something else about it. Yeah, so some people will work with the same person all the time. Other people will work with different people all the time and obviously don't think that off, senores, Had the same crew make for five years. You don't have to keep them for five years. You could work with someone for a year and a half and decide you just a bit bored or you want to try something else, you know? Yeah, Plenty of options out. Yeah. I mean, I got a bit board and what I was doing, and I felt like I needed a change. I needed a new challenge. And so I left my crewmates that eight months and I went up to the control room to do the clinical ring backs and then came back, um, my back together now, and every now and again I get a student. So that breaks it up a little bit of well and makes things different. I'm also car trains. Every now and again, I'll go to a shift of the car that will break things up a swell. So it has a different ways to, you know, break it up and keep it fresh. Yeah, but absolutely no. You means, Do you have to stay in the same place for 5.5 years? But also by no means that you have to keep chasing the next best thing. And actually, it's okay to decide that you want to be a paramedic. Can you just enjoy being a paramedic? And you're not in a rush to do anything else either. That's almost the better way to do it if you're rushing too quickly to get really far ahead of yourself. Actually, a lot of the time you you missed out on the experience and the the skills they should've picked up. Maybe not as good of the role as the next person pulls. And yeah, people tend to about themselves out when they do that on, then, Yeah, know, get a bit bored. But once you've done the next best thing or you constantly chasing next best thing and you've reached the top of the ladder if you you know, if you do it all in the 1st 10 years of your career, you suddenly hit the age of 30 35 you think God, what next? I can't possibly do this for longer. And I've done everything there is to do. Not everything there is to do in the ambulance service. But you know, I mean, so you use wasting port to pace yourself in some respects. Yeah, thank That's a very good point, but yet there any more questions? That's none of come up yet. If anyone has any more questions, please feel free to pop them in. Otherwise, I'll let your gilma getting home. No, just fighting a copy of all family. So I thought I was really good. Actually, thank you for your session. Covered a lot of good stuff. Get back to all right. I'm not seeing any more questions pop up, so I will let you disappear. I'll hang on for another minute or so in case anyone does come up with any, and I'll just ask you a bit later. There are many questions, and anybody's like, worried to ask them at in the chart, You can do one of many things you could pass them on to. Freddie. It's possible to me you could follow me all my social media if you're interested, or you can just email me nor dot So how now, Esther a a dog dot UK or at north? A handle on Twitter. If you want a message. Me, they're up to you. Whatever. Whatever you got. Thank you. so much know, I'll let you disappear. Thank you. Already do appreciate you take care. Uh, pop this screen back up to finish with, um So you're any more questions? Please do. Um, I'll keep going for another. Let's call it 30 seconds. If anyone's got any more questions or questions, Generally, I've put the feedback link in the chat. If you want it. You don't necessarily need to go and get the feedback if you don't want to. But you're welcome to do it if you want us to get attendance. Um, it's a good way of showing, you know that you've been keen and you've looked at lots of different things. Um, if that's something you need to evidence for anything, um, otherwise, if know, feel free to email may, uh, but we will see. Hopefully see well on. Ah, the start of our anatomy Siris, which I think is the 28th of this month. Let me just double check the date on that one, because I don't want to give you the wrong date. Uh, yes. 28th on that will be myself doing a cardiac anatomy and physiology session, which should be good, because I'm in the middle of my cardiac block the moment, so yeah. Otherwise, thank you, everyone. Uh, hope you'll have a good night. Thank you. Bye bye.