Behrendt H, Schmiedel R, Auerbach K. berblick ber die Leistungen des Rettungsdienstes in der Bundesrepublik Deutschland im Zeitraum 2004/05. Video-based error analysis. Minimum 6 months of recent relevant experience. Severe pain or other life-threatening conditions require prompt and accurate medical treatment. In one pilot study, conducted in the EMS of the central state of Hessen, an EMS physician delegated by phone the administration of morphine by paramedics in 172 patients with limb trauma; this resulted in no life-threatening AEs and their pain was significantly reduced [25]. Additionally, the paramedics decide on their own whether they require a physically present EMS physician on scene. Long-term effects of specialized stroke care with telemedicine support in community hospitals on behalf of the Telemedical Project for Integrative Stroke Care (TEMPiS). A further safety measure is the support of the tele-EMS physicians by the software-based checklists. Client Name: North Cumbria Integrated Care NHS Foundation TrustRole: Locum Consultant Microbiologist Rates: 100 115 per hour (PAYE)Shifts: Full time, Monday to Friday + On Medacs Healthcare is currently recruiting for a Locum Consultant in Haematology role for a large NHS Trust based in North West England.Salary package: Medacs Healthcare is currently recruiting for a Locum Consultant in Stroke Medicine position based in North West England. This system holds the potential to improve patient safety by giving the paramedics online medical control. Last month the Department of Health and Social Care gave the lucrative contract to Medacs Healthcare plc. 12+ Weeks. Gateshead, Tyne and Wear, GBR. 1 and subsection 2 No. DEGRO Deutsche Gessellschaft fr Radioonkologie [German Radio-Oncological Society], Deutsche Gesellschaft fr Angiologie [German Angiological Society], Deutsche Gesellschaft fr Geriatrie [German Society for Haematology and Oncology], Deutsche Gesellschaft fr Medizinische Informatik, Biometrie und Epidemiologie (GMDS) e.V. Before the initiation of this study there will be one or more monitoring visits to check and clarify the prerequisites. Ive been a contracting mental health nurse for several years and worked with various agencies. The TemRas project showed that an EMS teleconsultation system with a transregional teleconsultation center is feasible, can be operated without any complications, and that its requirements are in demand for daily use [7, 24]. The routine informed consent procedure for teleconsultation is defined as follows: If the patient is legally competent and there is no emergency situation, the patient must be verbally informed and verbal consent for the telemedical procedure must be obtained. Prospective observational study on implementation in emergency medicine. Until now, the primary dispatching of the tele-EMS physician directly by the dispatching centerhas been waived. As usual in the present routine, the patients in the tele-EMS-physician group will be verbally informed about the use of a tele-EMS physician and the teleconsultation system. Blinding of the dispatching personnel, the paramedics on scene, patients and the physicians is not possible for practical reasons. All paramedics are educated and trained in advanced life support. All non-life-threatening emergency calls, which do not obligatory require an EMS physician on scene and which do not solely require an ambulance staffed by paramedics, will be included in this study. Move to Canada in 2 Weeks Under the Global Skills Strategy Program, 6 Relaxing and Easy Countries to Travel to Abroad for First-Timers, 7 Must-Know Tips for International Travel. Results of the Stroke Angel initiative within the BMBF project PerCoMed. Sebastian Bergrath, Email: ed.nehcaaku@htargrebs. I found the staff atMedacsvery helpful, and they were truly accommodating to my needs and preferences. The expected total sample size under the alternative is 2531.7. Weather conditions can be closely tied with health-related pains and outdoor activities. Effect on treatment delay of prehospital teletransmission of 12-lead electrocardiogram to a cardiologist for immediate triage and direct referral of patients with ST-segment elevation acute myocardial infarction to primary percutaneous coronary intervention. Seeking for a motivated & enthusiastic (Registered Nurse) to join our team at (Surgical Ward), if this is you, click Apply! Bergrath S, Rrtgen D, Skorning M, Fischermann H, Beckers SK, Mutscher C, et al. Stroke team remote evaluation using a digital observation camera in Arizona: the initial Mayo Clinic Experience trial. Registered Midwife Apply $70,000 - $90,000 per Annum Permanent Brisbane, Queensland, Australia Medacs Healthcare are assisting multiple health services across Australia find Registered Nurses across multiple locations offering sponsorship and beginning immediately Furthermore, there will not be an additional burden for the medical personnel and any acquisition and storage of sensitive and confidential patient data, as all data will be entered pseudonymized into the CRF. Additionally, the monitor will sign and date the verified paper printout. 35,000 - 37,000 per Annum. A copy of the Informed Consent Form will be provided to the patients, Scenario: for nonlegally competent patients (e.g., shock, severe pain or impaired consciousness) the consent will be justified under the presumed consent principle, after individual assessment of the entire situation during phase C. Afterwards, the patients (after regaining legal competency) or the legal representative will be personally informed about the study and the consent will be obtained by the subinvestigator as in the first scenario (phase D), {"type":"clinical-trial","attrs":{"text":"NCT02617875","term_id":"NCT02617875"}}, Prehospital, Emergency medical system, Telemedicine, Teleconsultation, Remote treatment, Tele-emergency physician. All collected data from a subject during the course of this trial must be filled and/or entered in the respective patient study Case Report Form (CRF). Exc $$$, Western suburbs of Melbourne. As usual the Data Safety Monitoring Committee (DSMC) will not be blinded due to safety reasons. If adverse events (AEs) occur, the tele-EMS physician can give advice to prevent further possible patient harm. A healthcare company ultimately controlled by leading Tory donor and former party chairman, Lord Ashcroft, has received a 350m contract as part of the governments COVID-19 vaccination roll-out, openDemocracy has learned. Czaplik M, Bergrath S, Rossaint R, Thelen S, Brodziak T, Valentin B, et al. Written informed consent for study participation will be obtained as soon as possible during this phase until discharge from hospital. Perhaps unsurprisingly, the time delay until the arrival of the EMS physician is more pronounced in rural than in urban areas and can jeopardize patients care by the omission of essential physician-dependent treatments. Nursing - Psych, Forensic & Correctional Health. Rettungsdienstbedarfsplan 2014 der Stadt Aachen. (DOC 123 kb) Permanent Hospital Pharmacists. However, in mid-December, Medacs was still recruiting staff to fulfil numerous important roles, including immunisers, nurses, GPs and paramedics as well as volunteers from any background. All authors declare that they have no nonfinancial competing interests. Concurrently, the obligatory indications for dispatching of conventional EMS physicians have been restricted since March 2015, as a tele-EMS physician is available for secondary medical and organizational advice at any time. Among his recent donations was 100,000 towards Shaun Baileys bid to become the next mayor of London. But if the analysis of the AEs indicates the need for an interim analysis, this will be conducted immediately. Stefan Kurt Beckers, ed.nehcaaku@srekcebs. All authors agree to be accountable for all aspects of the work. Comprehensive analyses of the documented AEs will be performed on a monthly basis. This principle refers also to legally competent patients, in urgent cases with the aim to prevent serious patient harm. This implies the evaluation of emergency call severity and exclusion of the life-threatening cases listed in a written procedure instruction. Furthermore, additional qualifications such as European Resuscitation Council Provider and Pre-Hospital Trauma Life Support are required. National Library of Medicine the contents by NLM or the National Institutes of Health. To apply for this job please visit findajob.dwp.gov.uk. You can read more about our cookies before you decide. We've felt supported. Luiz T, van Lengen RH, Wickenkamp A, Kranz T, Madler C. Operational availability of ground-based emergency medical services in Rheinland-Palatinate: state-wide web-based system for collation, display and analysis. and transmitted securely. Thus, the teleconsultation system in Aachen protects patients from delayed physician-dependent treatments and provides a high-quality medical therapy by using software-based, guideline-conforming treatment. To stay logged in either move your mouse or click 'Continue'. We hypothesize that the use of a tele-EMS physician is noninferior regarding the occurrence of system-induced patient adverse events and superior regarding secondary outcome parameters, such as the quality of guideline-conforming treatment and documentation, when compared to conventional EMS-physician treatment. Michael Czaplik, ed.nehcaaku@kilpazcm. Whilst other agencies were not following up on my emails after an initial response, Hayley from Medacs Healthcare was responsive, attentive and individualised in her approach, finding me interviews to answering and confirming details, which was very reassuring, given the distance and current climate. Inclusion in an NLM database does not imply endorsement of, or agreement with, Im a client ofMedacsworking withourconsultanton placing Remote Area Nurses into our WA Clinics. Hans-Knll-Institut (HKI) [Hans Knoll Institute, Jena Leibniz Institute for Natural Substances Research and Infection Biology] In 2010, the medac research award was awarded here. As immediate life-threatening emergency cases (as described in the Exclusion criteria) are excluded from this study, no specific risk is expected with either with conventional treatment or with telemedical treatment. A study staff authorization log will be maintained. Rolf Rossaint, Email: ed.nehcaaku@tniassorr. I cannot thank Hayley Newell and Medacs Healthcare enough for guiding me through this opportunity. A conventional EMS physician will be dispatched immediately. Bergrath S, Skorning M, Rrtgen D, Beckers SK, Brokmann JC, Mutscher C, et al. shock, severe pain or impaired consciousness, the consent is justified under the presumed consent principle. [German Rheumatoid League Federal Assocation], Deutsche Vereinigung zur Bekmpfung von Viruskrankheiten (DVV) [German Alliance for Combatting Viral Diseases], Nord-Ostdeutsche Gesellschaft fr Gynkologische Onkologie [North German Society for Gynaecological Oncology], Norddeutschen Bronchialkarzinom Arbeitsgruppe e.V. Call 02 9506 7000 to discuss further. These data will be collected from the conventional EMS-physician protocols and the hospital database, The standardized routinely created EMS files on scene (during both the conventional physician as well as the tele-EMS-physician operation), The additional EMS documentation files created in the teleconsultation center (including the transmitted patient vital data, e.g., ECG and blood pressure measurements), The routinely conducted EMS operation time recording in the dispatching center, Data from the admission hospital database: diagnoses according to the, The clinical follow-up data, such as death after 24h, or 30 and 90days, respectively; the ICU and hospital length of stay and the hospital discharge diagnosis which are already collected for quality assurance reasons, based on the Law on Rescue Services of the state of North Rhine-Westphalia (RettG NRW, version of 18 March 2015); and the hospital discharge destination, will be collected from the hospital database, Adherence to the study protocol, the ICH-GCP principles, the Declaration of Helsinki, and the regulatory authority requirements, Integrity of the source data and the e-CRF entries, Accuracy of the documentation and report of AEs and serious adverse events (SAEs) within the required time periods, Patient identification, screening and enrollment log, study staff log and the monitoring log, Accuracy and completeness of the Trial Master File, Causal relationship to the treatment (suspected/not suspected), Required treatment of AE and action taken with trial drug, Results in persistent or significant disability/incapacity, Requires or prolongs patient hospitalization, Results in a congenital anomaly/birth defect, May jeopardize the patient and may require medical or surgical intervention to prevent one of the aforementioned outcomes (for example, intensive treatment in an emergency room without hospitalization), Scenario: the legally competent patient will be informed about the study and the pseudonymized analysis of his data. Permanent. We expect an increase in patient safety with the support of a tele-EMS physician in emergency cases. Client Name: NHS Greater Glasgow & ClydeRole: Locum Consultant Clinical Oncologist. This committee will decide whether the AEs are intervention-related or not. Deutsche Dermatologische Gesellschaft e.V. The investigators will collect all nonanonymized source data (e.g., the EMS Forms and the hospital database) and enter them pseudonymized manually in the e-CRF database. All SAEs will be summarized in the sponsors Annual Safety Report. A subgroup analysis will be performed according to the level of medical education/experience of the involved physicians in each group. Subsequently, the dispatching software will automatically randomize all patients with eligible suspected diagnoses into the two intervention groups and then the dispatching center personnel will assign the patients according to this proposal. Increasing numbers of emergency calls, prolonged emergency response times by EMS physicians, and shortages of EMS physicians are having a big impact on the German EMS system. I work with a lot of agencies that promise the world and deliver very little. One to two months prior to the main study, we will assess the same outcomes as in the main study. The TEMS trial is designed as a single-center, prospective, randomized, interventional, open-label, two-arm, parallel-group, sequential noninferiority trial (Fig. Please note due to the volume of applications we receive, we are only able to contact those that are suitable. Medacs was criticised in 2019 when a Care Quality Commission report on a homecare service run by the firm was rated "inadequate". Rheumatologist Jobs Employers Hire Staff Temporary Staffing Managed Services International Recruitment Clinical Insourcing Staff Bank Occupational Health Homecare RPO Workforce Consulting Case Studies Framework Awards Careers with Medacs Allied Health Professionals Doctors Health Assessment Services Homecare Nursing Social Care Contact us Furthermore the report noted that: medicines records were not kept up to date and CQC identified instances where medicines records showed a potential overdose. Stroud councillor Steve Dechan ran a small, loss-making firm distributing medical devices. Beside our main study, we will initially perform a 1.52-month run-in phase to optimize the study conduction processes. Leistungen des Rettungsdienstes 2012/2013. A healthcare company ultimately controlled by leading Tory donor and former party chairman, Lord Ashcroft, has received a 350m contract as part of the government's COVID-19 vaccination roll . Terkelsen CJ, Nrgaard BL, Lassen JF, Gerdes JC, Ankersen JP, Rmer F, et al. This will be performed by trained paramedics on scene (phase C) if the emergency condition allows it (e.g., no life-threatening situation, patient is legally competent). The regulator found that the care people received was not safe. Applicants from outside of the UK please note, Visa sponsorship is offered. Implementation phase of a multicentre prehospital telemedicine system to support paramedics: feasibility and possible limitations. 155, 52068 Aachen, Germany; Nils Lapp, Emergency Medical Service, Fire Department, Stolberger Str. My experience with Medacs Healthcare has been excellent and rewarding. Our clients provide full sponsorship for the Health and Care Worker visa and we offer plenty of advice and assistance throughout the application process. You've rejected analytics cookies. Effectiveness of prehospital wireless transmission of electrocardiograms to a cardiologist via hand-held device for patients with acute myocardial infarction (from the Timely Intervention in Myocardial Emergency, NorthEast Experience [TIME-NE]). The follow-up period in this study is maximum 90days. The service provider is Vimeo Inc. Press Esc to cancel. . Medacs Healthcare is a healthcare recruitment agency for Registered General Nurses (RGNs), Registered Mental Health Nurses (RMNs), and Healthcare Assistants (HCAs). To determine if the primary usage of a tele-EMS physician compared to a conventional EMS physician on scene, in non-life-threatening cases, is noninferior with regard to the occurrence of system-induced patient AEs. Telemedicine for safe and extended use of thrombolysis in stroke: the Telemedic Pilot Project for Integrative Stroke Care (TEMPiS) in Bavaria. medac is a member of the VDGH, the lobby group of diagnostics manufacturers. The reasons for missing data will be recorded. Our previous pilot studies have shown that the implementation of a holistic prehospital EMS teleconsultation system, between paramedics and experienced tele-EMS physicians, is safe and feasible in different emergency situations. This prospective single-center, randomized interventional, open-label, two-arm, parallel-group sequential trial will be conducted in the urban EMS in Aachen, Germany. Please contact us for details. A Clinical Endpoint Committee (CEC) will perform the endpoint adjudication by blinded evaluation and assignment of AEs into intervention-related AEs, according to predefined criteria. A high validity of the collected data can be assumed, as they are collected during the clinical routine and not specifically for the study. As a Registered Midwife within Maternity Services, will provide quality, professional and holistic care to all patients and staff to promote and support physical, mental and social wellbeing. 30, 52074 Aachen, Germany, 2Emergency Medical Service, Fire Department, Stolberger Str. AEs listed under primary outcome measures are expected in connection with the specific kind of EMS care (conventional/telemedical). They help arrange interviews, negotiating relocation and the salary with the DHB managers. A nationwide implementation of this teleconsultation EMS system in all dual EMS systems requires proof that it is not harmful and shows some advantages in cases where primarily a tele-EMS physician is required (excluding life-threatening emergency calls). subClassification: Recruitment - Internal, classification: Human Resources & Recruitment. In cases with low rates of data transfer and interruption of continuous patient monitoring, any delegation to the paramedics is not allowed according to the SOP if continuous monitoring is medically indicated. Medacs has previously worked with numerous councils across England but this appears to be the companys first major COVID contract. AEs will be assessed on specific forms. Medacs Healthcare is a leading staffing and services company providing temp, locum and contract recruitment expertise to public, private & commercial healthcare sector. The critical values, power and sample sizes for the group sequential design are given in Table1. Medacs Healthcare is committed to keeping the toolkit up to date and in line with the current RST/GMC guidelines. This key verifies the authenticity of incoming data in the teleconsultation center and only accurate data become presented.
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