# Paramedic/ Health Care The Scenario: You are transporting Ja

Paramedic/ Health Care The Scenario: You are transporting James a…  Paramedic/ Health CareThe Scenario:You are transporting James a 76-year old gentleman who is a low acuity patient and is quite frail. You are taking him unaccompanied from his aged care residential facility to his hearing appointment at the audiologist. His journey is from one inner city suburb to another and the distance is 15kms. James usually uses a wheel chair for ambulation, but he can transfer to a passenger seat in the car. During the vehicle check you identify that the seat belt buckle (clasp) does not always engage. It only engaged 3 out of the 5 times you tried. You begin the journey with James to the scheduled appointment and you find that the traffic is quite heavy and slow, and heavy rain starting. A few minutes later you notice a police officer redirecting cars via a detour, as there has been an accident at the intersection in front of you. You now believe you will be approximately 20 minutes late to James’ appointment. As the journey length increases, James begins to feel a little anxious and uncomfortable. You notice in the rear-view mirror that he is looking a little pale so you ask James how he is going and he complains of some chest pain and shortness of breath. You check the GPS and you notice that a major public hospital is only 8kms from your location currently, but it is hard to estimate how long it will take to get there. Fortunately, the police officer directing the detours sees your vehicle and comes over to investigate your circumstance. He then calls an ambulance for James. Shortly after, the ambulance arrives and the ambulance officer asks you what has happened.  1. Justify why is it important to maintain the vehicle in accordance with established organisational policies, procedures and guidelines.2. Identify the risks that are associated with a vehicles faulty buckle/clasp? Develop a risk analysis and decide what course of action to take as a result of this fault. Issue/Risk Risk Analysis/Level Action x23.  Identify and describe what options are available if you decide not to use the buckle/clasp for James4.  Identify and describe three (3) principles that you would use to load James into the vehicle James safely.5. Evaluate the weather and traffic conditions and describe the changes you will make to your driving style.6.  With regard to confirming a detour route, identify what communications process you will be required to undertake. Discuss what you need to communicate and to whom.7.  Identify and explain three (3) actions or measures you can apply to how you drive the vehicle to ensure James remains comfortable.8.  Document below your handover report on the situation to an ambulance officer using the mnemonic IMIST-AMBO.  Health Science Science Nursing HEALTH 1000

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