A izimo eziphuthumayo kubizwa ngezigameko ezihlukahlukene ezingabandakanya iziguli ezingashadile neziguli eziningi, izindawo ezifana nokuhlala kwesiguli emigwaqeni nasezindaweni zokubuthanela umphakathi ezifana nemigoqo, amatiyetha, izindawo zokudlela, njll

Njengawo wonke ama-paramedics, awukwazi ukuthi yini oyothola nokuthi uzoyiphendula. Ngeshwa, ukuhlaselwa kwezimo eziphuthumayo kuqhubeka usuku nosuku.

Indaba yethu namuhla isitshela isipiliyoni sabahlinzeki bezimo eziphuthumayo abaneminyaka engama-35 yokuhlangenwe nakho ku-ALS (Advanced Life Support), insizakalo enabasebenzi abangama-26 abathutha ama-ambulensi anekhono nezimoto ezi-3 zokuphendula emini nama-ambulensi ayi-16 angenazo izimoto zokuphendula ebusuku.

I-ambulensi ngayinye inabasebenzi bosizo lwe-ALS ababili futhi iphendula izimoto zisebenza nge-parameter ye-1 ALS. Ngaphezu kwalokho, kukhona abaphathi ababili be-ALS emsebenzini emsebenzini wonke ubusuku obukwazi ukuphendula kodwa ngokuvamile uzokwenza kuphela uma inombolo ye-ambulensi etholakalayo ingaphansi kwe-3 amayunithi atholakalayo.

Umphakathi lapho i-protagonist ihlala khona futhi isebenza ngumasipala ohlanganisa imizi ye-7 ne-1 idolobha elinabantu abahlangene bezakhamuzi ze-609,000. Umphakathi unomkhakha othile kodwa ikakhulukazi emphakathini wegumbi elinenani elikhulu labahlali abaya ezindaweni ezisentshonalanga.

ISINGENISO - Ngezo zonke izingcingo, unikezwa ngolwazi oluyisisekelo lesiguli okungavumelekile ngolwazi lwesimo esincane. Isiqinisekiso kuphela onakho ukuthi empeleni siqinisekisa ukuthi uhamba ungena efonini yakho eyimpumputhe kulokho okulindelwe ngempela ngakolunye uhlangothi lomnyango.

Ngokusekelwe kwesicelo sokuphendula ungaphendula nomlingani wakho kuphela, nezinhlangano ezihlangene ezifana ne- service umlilo kanye namaphoyisa noma ngokungeziwe amaphoyisa amaphoyisa ngesicelo sokuya esiteji. Uma uceliwe ukuba ufike esiteji, uyalulekwa ukuba uphendule ucingo kodwa uhlale emuva kuze kube yilapho amaphoyisa elulekisa indawo ukuthi iphephile futhi ephephile ukuba ungene.

Nakuba izimoto ezivela emisebenzini ngayinye ehlangene zibukeka zihluke ngokuphelele, eminyakeni embalwa edlule bonke abaphenduli babheka imifenifomu efanayo, emnyama kanye ne-shoulder crew kuphela eyeluleka ukuthi umphenduli uyini. Ngenxa yezigameko ezimbalwa, izimo eziphuthumayo manje sigqoke amahembe amakhulu okubonakala (ophuzi okhanyayo) ngenkathi amaphoyisa ehlala ne-blues emnyama.

Nakuba i-uniforms manje ibonakala ihlukile, sisathola endaweni enzima, abaphenduli baphathwa njengamaphoyisa (umuntu oyigqoke ngendlela egunyaziwe) futhi silinde isiko labagulayo / ababheki, ukucwaswa kwabo ekhaya kungasetshenziswa kalula.

Ngenhlonipho ku ukuphepha, izimo eziphuthumayo futhi abacimi bomlilo ukuthola ukuqeqeshwa okubanzi ngokukhethekile kwabo kodwa ukuqeqeshwa okulinganiselwe ngokuphathelene nokuphepha. Ngaphezu kwalokho, ungase usebenze nomlingani onokuhlangenwe nakho kwezinyanga ezingaphansi kwe-6 futhi angathuthukisi amakhono omgwaqo okwamanje. Njengamanje, sisebenza ngenqubomgomo evumela ukusetshenziswa kwisiteji (Ukufaka isiteji kuhlanganisa ukungena endaweni yesehlakalo kungakhathaliseki ukuthi kwenzekani ngesiguli) uma sizizwa ukuthi indawo yingozi, kodwa ukufaka isiteji kuhilela ukuthi sikwazi ukubona indawo yesehlakalo futhi sihlole ukushintsha kokukhathazeka kokuphepha. Uma lesi senzakalo singaphandle, umsebenzi ulula kunokuba uma ucingo lusendaweni yokuhlala.

Emphakathini wethu sinenhlanhla yokuthi ayikho impi ehlomile phakathi kwamazwe, kodwa abalingani bezokwelapha baye basabhekana nobudlova obuningi obungabandakanya izibhamu, imimese, ukuhlaselwa, amadivaysi aqhumayo, ukuzibulala ngokudlwengula nokuchayeka kwamakhemikhali, impi yamakhemikhali, ukudakwa utshwala / izidakamizwa, izingozi zezimoto kanye nokuziphatha komuntu okuzungezile kuzungeze noma yimuphi umcimbi othize.

Eminyakeni emibili eyedlule mina nozakwethu sibhekene nazo ukudakwa kokubili ngu utshwala futhi ayivumelekile izidakamizwa, izikhali ezifana nezibhamu nemivese, izinsongo zomlomo zokunakekela ezinikezwayo noma ezinganikezwa. Isibonelo sokunakekelwa okungeke sinikezwe sizobhekisela kwezinye iziguli ezifuna izidakamizwa zokuphathwa kobuhlungu futhi uma zingasetshenziselwa ngokusekelwe eziqondisweni zezokwelapha eziphuthumayo isiguli siyabacasula ngempela.

ISICELO - Phakathi kwazo zonke izingcingo zethu i-ambulensi service uphendula futhi, uhlobo olulodwa lubhekwa njengesembozo esivela eceleni kwesabelo noma "ukuma" okusho ukuthi umphakathi oseduze nawe awusayikukhathalela ngenxa yevolumu yocingo futhi kudingeke ukuba uye kulowo mkhakha ukuze uthole ukukhokhelwa. Ulwazi olungeziwe, ngaphakathi kwesevisi yethu sonke nakuba mina nomlingani wami siqeqeshwe ezingeni elifanayo sijikeleza imisebenzi emva kokushayela konke okuvela kumsizi kumshayeli futhi ngalesi senzakalo, ngangishayela.

Isigameko sami senzeke ku-02: i-00 ngoMgqibelo kusihlwa ngo-Julayi lapho ukubhalwa kwezemidlalo kunciphile esifundeni kodwa isibalo sabantu sikhula okwesikhashana ezindaweni zokuzijabulisa ezifana nemishayo / nightclub ezivela kubahlali bomphakathi omkhulu lapho sisondela emphakathini wethu njengezindawo zokuzijabulisa akuzona njengomatasa.

Mina nomngane wami sasiphendule ucingo lokubekwe eceleni lapho sithola ukuthi simile ekukhanyeni okubomvu kumbuthano omkhulu edolobheni. Ekhoneni elingasenyakatho-ntshonalanga ibha, ikhoneni lasenyakatho-ntshonalanga yiMcDonalds (yokudla okusheshayo yokudla), ekhoneni eliseningizimu-mpumalanga enye enye yokudlela / ibha kanye nekhoneni eliseningizimu-ntshonalanga yisiteshi segesi.

Ngesikhathi ehlezi esiteshini sokulinda ukukhanya ukuguqula kube luhlaza, umsakazo wethu ususelwa esikhungweni sethu sokuxhumana ubiza inombolo yethu yeloli. Bacele ukuba sihlanganyele ucingo oluphuthumayo ngoba ukulwa okuqhubekayo endaweni yokupaka ibha nokuthi amaphoyisa namlilo bazobe behamba nabo. Inkinga enzima yayiwukuthi ibha yayisekhoneni elisenyakatho-ntshonalanga kakhulu lapho sasikhona khona futhi sabona indawo yokupaka eyayiseduze kwabantu abangu-200 futhi akukho nezinye izinhlaka ezungeze.

Njengomkhuba ojwayelekile, mina nomngane wami sasixwayise ukuthi sisesesithombeni kodwa silinde amaphoyisa ngenxa yevolumu yabantu endaweni yokupaka. Ngaphezu kwalokho, lapho abantu besibona, baqala ukugijima kuzo zonke izinkomba ezahlukene. Ngemva kwesikhashana, umsakazo wethu uphinde waphinde wavuselela ngezibuyekezo ezaqala njengoba Umuntu we-1 ugwetshiwe, ukubuyekezwa okulandelayo kwakungaleso sikhathi I-2 igwetshiwe futhi engaziwa uma abahlaseli besesitelekeni bese kushaywa i-2 kanti omunye ushaywa yimoto.

Njengoba sithola izibuyekezo, kwakungekho ama-allied ejensi esiteshini futhi abantu baqala ukugijima emotweni yethu ekwazisa i-the ukulimala. Njengoba seluleka ukuthi silinde amaphoyisa ukuba afike futhi avikele lesi senzakalo, sasiziphendulele ngokuxubile kusuka ku abadlali okwakusuka ku-"Ah, ok" ku- "ukubandlulula kwakho ngokobuhlanga nokuwavumela ukuba afe ngezinhloso".

Mina nomngane wami sahlala emotweni yethu futhi sivuselela isikhungo sethu sokuxhumana. Cishe imizuzu engu-4 ngemuva kokuthunyelwa kokuqala, amakheli wamaphoyisa aqala ukufika futhi avikele indawo. Njengoba kufika amamaphoyisa amabili okuqala, saya endaweni yesehlakalo ukuze siqale ukuhlola nokunakekela iziguli. Sasiqondiswa kwesiguli sokuqala sokugwaza lapho umlingani wami eqala ukunakekelwa khona ngokusekelwe enkulumeni yesiguli ngenkathi ngihlola insalela yokupaka ezinye iziguli futhi ngifakazela ukuthi akekho olimale ebhasini.

Ingqikithi ngithole Iziguli ze-10 kuzo zonke, i-4 ehlaselwe ukulwa, i-1 ibanjwe imoto ngesivinini esiphansi kanye nokushaywa kwe-5 kusuka kwesilonda esincane sokuqothula kuze kube esifubeni, ukugoba amanxeba kuya esiswini kanye nokuvuthwa. Ngaphandle kweziguli ze-10, isiguli ngasinye sasinezixuku ze-2-4 ezizungezile futhi zisaseduze nabantu abangu-100 behamba endaweni yokupaka.

Ngakho-ke, njengesibuyekezo, iziguli ze-10 eziseduze nabangane abangamashumi amathathu abangama-hysterical abakuzungezile, abantu be-100 bazama ukuzama ukuphazamisa, amaphoyisa ase-4 kanye nezimo eziphuthumayo ezimbili. Njengoba i-ambulensi yesibili neyesithathu ifika ngiyayiqondisa ezigulini ezilandelayo eziphakeme kakhulu.

Ngaleso sikhathi, i abagibeli baqala ukucasuka ngoba babe nomuzwa wokuthi abantu abangalungile babenakekelwa kuqala nokuthi abangane babo / abanye kufanele babe ngaphezu kwazo zonke ezinye, kungakhathaliseki ukulimala. Njengoba isikhathi siqhubeka kule kholi, izinsizakalo zomlilo zafika futhi kwafika amanye amaphoyisa afaka phakathi izikhulu ezijikelezayo, amaphoyisa aseK9 kanye izikhulu zamasu.

Ukusebenza kwabasebenzi emphakathini wethu kufana nesikhungo samaphoyisa esinesipolisi esisodwa esiwumthwalo obalulekile ukuphepha kwesayithi, iyunithi yomlilo equkethe abacimi bomlilo be-4 (2 bayakwazi ukusiza ngokunakekelwa kwesiguli njengoba omunye evikela imoto yakhe kanti omunye uyisikhulu seloli) futhi angasiza ngokunakekelwa kwesineke ngesikhathi I-EMR level futhi izimo eziphuthumayo iyunithi enezimo eziphuthumayo ezimbili.

Kushaywe abezimo eziphuthumayo. Ukukhathazeka kwami ​​​​ngokuphepha kwafika lapho ngibuyekeza ukulinganisa ukuhlela nokunquma ukuthi ngineziguli ezingaki ezisele. Bengibuyekeza uhlelo lwami, ngisebenzisa i-hood ye-ambulensi njengedeski lami futhi ngifulathele isixuku njengoba ngizwa ukuthi indawo ivikelekile ngenxa yomthamo wabaphenduli endaweni yesigameko. Ngenkathi ngibuyekeza isikhungo sethu sokuxhumana ngabanjwa ngokushesha ngakhishwa emsebenzini wami ngumuntu othukuthele owayephakamise isibhakela wafuna ukuthi sinakekele umngane wakhe ngokushesha futhi siyeke ukunakekela abanye kuqala.

Ngenhlanhla ngisekhona isandla sami kumsakazo wami omsakazo futhi ngikwazi ukuhambisa isithupha sami ngokushesha futhi ngisebenzise i-alamu ephuthumayo emsakazweni. Uma i-alamu esevuliwe, konke ems radios endaweni yesehlakalo i-alamu ephuthumayo eyabangela bonke abasizo lwezokwelapha ukuba bayeke umsebenzi wabo futhi babheke ukubona ukuthi ubani osebenze i-alamu. Kwabonakala sengathi kunomphela kodwa ngaphambi kokuba ngikwazi ukusho noma yini emsakazweni, lo muntu ubanjwe phansi ngepolisa lamasu futhi wabeka ngaphansi kokuboshwa.

Ngemuva kwemizuzu embalwa ukususa imicabango yami, saqhubeka sinakekelwa futhi saqinisekisa ukuthi zonke iziguli zibhekwa ngokufanele nangomsebenzi, kungakhathaliseki ukuthi bekungabanamacala noma abahlaselayo.

ANALYSIS - Angizange ngilungele okwenzekile futhi ngaqala ukuzithoba ngesikhala lapho ngibuyela emuva endaweni yesehlakalo futhi ngigxile emsebenzini owenzile. Lesi sigameko senzeke masinya kangaka, kwakunzima ukucabangela noma yiziphi ezinye izenzo ngami noma kwabanye. Ukuphela kokunye kwaba ukuthi iminyaka yami yokuqeqeshwa nesipiliyoni yangivumela ukuba ngisebenzise i-alamu yokuphuthumayo ngaphandle kokuqagela okwesibili isidingo sokuqalisa noma ukukhathazeka "okuzocabangela abanye".

Njengoba lesi sigameko sanciphisa, ngiyakhumbula ukusebenzisa ulimi oluchazayo okungenzeka ukuthi alusebenzi futhi nomphakathi wanamuhla wokudlala ngevidiyo yonke futhi ukubeka kuma-social media ngeke ubonakalise kahle mina, i-ejensi yami noma umsebenzi wami.

Esikhathini sendawo, wonke umuntu wayematasa enza imisebenzi eseduze. Uma unethuba lokuhlala uphinde ucabange ngezinto, uyaqaphela ukuthi ukusebenza ngesiguli / isikhala ngekhanda lakho phansi i-99.9% yesikhathi siphephile futhi iyamukeleka, kepha ukuthi i-0.01% yesikhathi yilapho ingagcina yakho umsebenzi.

Ngemuva kokuthi lesi sigameko sigcwaliswe futhi zonke iziguli zaphathwa futhi zidluliselwa ithimba lethu labaphathi baphume Ithimba le-Critical Incident Stress (CIS) ukuqinisekisa ukuthi bonke abathintekayo bekunjalo. Akuyona into eyodwa kulesi sigameko kodwa kulesi sigameko sonke. Njengoba leli qembu likhulume, kwacaca ukuthi iqembu ngalinye labaphenduli babesebenza ngobumbulu balo futhi bengazi sonke indawo esazungezile.

Sithembela wonke umuntu ukuqinisekisa ukuthi sivikelekile kodwa akazange acabangele umehluko omkhulu phakathi kwezinombolo phakathi kwabaphendulayo nababheki. Ngokuphathelene nemingcele echazwe ngaphambilini yengozi eyamukelekayo, ngikholelwa ukuthi sonke sasikhona. Wonke umuntu obhekene nesandulela ngculazi uyazi izingozi futhi sisebenza kahle ngokuqinisekisa ukuthi siphephile.

Kodwa ukucindezela kontanga nokulindela okubonakalayo kunendlela embi yokubamba uma unabaphenduli abanolwazi oluhlukahlukene. Okuhlangenwe nakho kwami ​​kungangivumela ukuhluka okubanzi ukunakekela nokuhlola indawo uma kuqhathaniswa nomuntu oye wahlala isikhashana nje.

Esinye sezimpikiswano ezinciphisa ukuthi sinakho ukungalungi kolwazi lokuphendula kwethu. Ngaphakathi komphakathi wami, inhlangano eyodwa ilawula isikhungo sokuxhumana, ngenkathi inhlangano yesibili ilawula ingxenye yempendulo. Kule minyaka esiyisebenzise eqinisweni isikhungo sethu sokuxhumana asikaze sinikeza yonke imininingwane ngokunembile futhi kunzima ukulawula ukuhluka okungekho ebhokisini ngenkathi kwenzeka isigameko.

Ngiyaqonda ukuthi banqunyelwe ukuthi yiluphi ulwazi abanikezwayo futhi umthetho / i-SOG ivimbela ukuba bacabange ngaphandle kwebhokisi. Ngokubhekisele kulolu kholi, babecabanga ukuthi sineziguli ezintathu kuphela futhi sinzima ukubhekana nesimo sesiguli manje sesiguli ngaphezu kokuphatha ezinye izingcingo ngaphakathi esifundeni.
Uma ucabanga ngezigameko zangaphambilini, nje nje ngonyaka odlule, inqwaba yokupaka efanayo, inkinga efanayo, isikhathi esifanayo sosuku. Ukuhluka okuwukuphela kokulwa kwaba nemiphumela Ukudubula wabantu ababili futhi ulwazi lwafika njengokudubula kunokuba nje ukulwa.

Njengoba ngibheka lesi sigameko kanye nabanye ukuthi othandana nabo baphendule nabo, into eyodwa ebonakala ngokucacile kwakuyigagasi lokunganaki sonke esikukhuthazayo. Isigameko senzeka futhi izinzwa zakho zanda futhi indlela olawula ngayo wonke amakholi ngemva kwalezi zinguquko. Njengoba isikhathi sidlula futhi akukho zigameko ezenzeka ngaphakathi komsebenzi wakho, izinzwa zakho ziyancipha futhi ubuyela emuva endaweni ekhononda ngayo ukuphathwa kwesikhala nokunakekelwa kwesineke.

Ingabe ukubambezeleka kwethu ekunakekeleni kokugula kwesiguli kuyisici kulekholi? Nginomuzwa wokuthi kwakwandisa ukukhathazeka kwababemi kanye neziguli futhi abaningi bafika esahlulelweni esicacile. Yize nginesiqiniseko sokuthi ukubambezeleka kwengezwe ezinkathazweni, ngeke ngiqiniseke ukuthi ngingakuphikisa kanjani ukubambezeleka njengoba ukuphepha komhlinzeki kuthatha kuqala ngaphezu kwakho konke okunye.

Ingabe ukuqeqeshwa kwethu kusilungiselela, yebo futhi cha? Ngokucacile endaweni yethu, siqeqesha kahle kumakholi angashadile aneziguli ezinamandla kodwa ungaqeqeshi kahle ngesiguli / ummeli amaningi, izingcingo ezinamandla kakhulu. Esikhathini esedlule, siye sacela Ukubuyekezwa Kwesehlakalo Sokuthunyelwe (PIR) esiteshini esibandakanya iziguli eziningi futhi esikhathini esidlule, ithimba lethu lokuphatha liphendule ngokuthi "Asikho isidingo. Akukho okufana nalokhu kuzokwenzeka futhi ". Njengabaphathi abadala nabaqashi abasha nabahlala phansi, ngithemba ukuthi bonke bazoguqula kulezi zingcingo ezinamandla njengoba sisebenza kahle kakhulu kodwa sizodinga ukuqhuba ngendlela engavamile futhi ngaphambi kokuba kube ngumphumela wokuya kumuntu osebenza naye.