Quick recap of roles in Nee Naw Control for those who don’t work here, in “career ladder” order (note: not necessarily order of importance):
Call Taker (takes 999 and doctor’s calls. Sits downstairs in “the pit”.)
Telephone Dispatcher (takes calls from ambulance crews, deals with queries, takes orders from radio op and allocator)
Radio Operator (speaks to crews on radio, deals with queries, takes orders from allocator, assists allocator when busy)
Allocator (decides which ambulances go where, makes all the important decisions, generally rules the desk)
Management (give out late reports, talk about statistics)
Due to reshufflement of our desk and people going on holiday or leaving for bigger and better things, the time has come for me to move on to allocating. Actually, most people who started when I did (3 years ago) have already started allocating, but I’ve been quite comfortable with the first three roles and we’ve had plenty of allocators on our desk so I’ve not really put myself forward for it. (I still think call taking is the most important and most interesting role in the room, but it’s too stressful to be doing all the time.) So last week, the sector controller turned to me without any warning and said “let’s swap seats!” Of course I panicked. “I can’t sit THERE,” I said, “that’s the scary seat.”
Then I realised it was 8am on Sunday morning and nothing was happening.
“This is simple!” I said, like a kid on a bike taking his hands of the handlebars. “I can do this! Look, blank screen!”
A call flashed up. Aargh! A call! What do I do with that? Oh yes, the same thing that has been done with every call over the last three years. Someone’s having a stroke in Ilford? Oh dear! Ring Ilford ambulance station. Hello Ilford, there’s a call for you. Send it down. Write on the paperwork. There, I did it. Simple. Ooh, another call. Heart attack in Walthamstow? Ring Whipps Cross. Fallen down the stairs in Enfield? Ring Chase Farm. There, I’m an old hand. Pass me a big sign with ALLOCATOR written on it.
By midday, allocating starts to get more difficult. All the vehicles are out and I’m having to make decisions. I don’t like decisions. I’ve got two Cat As and one ambulance. One call has been waiting longer, but the other is closer to the ambulance. I look at the diagnoses. One is an 80 year old with breathing problems. The other is a 30 year old with a sore neck and throat and fever… tonsillitis or meningitis? I send to the old lady and get the radio operator to broadcast the other one. No ambulance offers up. I start to panic at the red call sitting on the screen. It appears to be angrily glaring at me, turning redder by the minute. I alert my sector controller.
“Help, I’m holding a red call! It might be meningitis! I’m going to kill someone!”
“It’s fine. Someone will come up in a minute. You’ve only been holding it 30 seconds. This happens every day, remember?”
“Not on MY screen it doesn’t!”
“Look, there’s J319 come up at the hospital. Send them the call!”
I breath a sigh of relief as the screen goes blank again. J319 get to the call within the required 8 minutes and do not blue in the patient, so it seems it was tonsillitis after all.
By the end of the day, I find I am juggling several calls, holding some for Telephone Advice and Green Trucks and ringing people to advise a delay and shouting over to other desks to borrow their ambulances and putting crews on breaks (sorry!) and giving instructions and all without making a total idiot of myself or having a mental breakdown. The allocator’s phone rings and the man from the HART team asks to speak to the senior on the North East. I am about to pass it to my sector controller, when I remember and say “Yes, that’s me.”
(Of course, I still have to check with the real sector controller before I answer his question!)
So far, so good, I think. It’s not so scary after all. Hopefully I’ll be able to continue my allocator training once my latest dispatch trainee is signed off. Then all the ambulances will be ruled by my iron fist! Any North East crews reading should comment and say how much they like my blog and in return I will get sloppy with my meal breaks and avoid sending them on any bodily fluid related calls. (Management, if reading: that was a joke.)
August 14th, 2007 at 3:51 pm
You top dogs are all alike. Barking power-mad.
August 14th, 2007 at 4:02 pm
Yeah, give it a week and I’ll be sending Tolworth vehicles to Hornchurch, just because I can.
August 14th, 2007 at 5:14 pm
[...] West Nile Virus Contact the Webmaster Link to Article meningitis Allocating! » Posted at Nee Naw - Blog of a Dispatcher in the London Ambulance Service’s Control Room on Tuesday, August 14, 2007 Quick recap of roles in Nee Naw Control for those who don’t work here, in “career ladder” order (note: not necessarily order of importance): Call Taker (takes 999 and doctor’s calls. Sits downstairs in “the pit”.) Telephone Dispatcher (takes calls from ambulance crews, deals with queries, takes orders from radio op and allocator) View Original Article » [...]
August 14th, 2007 at 6:35 pm
Hello mark,
Great blog you have going, I have been reading it for some time and have decided to set up my own one, would you be able to link it to your page?
The address is http://gwasdispatcher.wordpress.com/
Many thanks.
August 14th, 2007 at 6:43 pm
Done
August 14th, 2007 at 9:03 pm
Many thanks
August 15th, 2007 at 12:26 am
Would be interesting to see how the various Controls are structured.
My patch of the country is a far stretch from London, but we have two large urban areas (one 20 miles wide by 10miles) large expanses of rural areas, a summer tourist industry that swells population and a record for nasty RTC’s due to deceptive country roads.
Our Control has EMD-Call Takers answering 999, GP urgents, and a couple of other 24hr services to local health authorities. Then we have the EMD-Dispatchers allocating vehicles, moving resources, radio work, phone work, crew queries, passing on pt reports, allocating CFRs and HEMS, liaising with Police,Fire,Coastguard,mechanics and stores….then the Control Officer who overlooks the whole thing, makes the big decisions and does all the long winded things that the Dispatchers don’t have time to do.
We’d be too small to divide it up as LAS seems to, but I’d find it odd not watching over all the things going on and just doing one aspect.
August 15th, 2007 at 10:18 am
erk! deep-end training! glad it went okay
August 15th, 2007 at 3:44 pm
I could feel the panic in your writing today .I would of said to your coworker is NO THANKS!By the way you are why I started a blog in NYC.
August 15th, 2007 at 7:54 pm
So what is a sector controller? Management? Or between Management and allocator?
August 15th, 2007 at 10:27 pm
Sorry, it’s a bit confusing. Sector Controller is a job title, like mine is EMD. They usually perform the role of allocator, and they are middle management. An allocator is not necessarily a sector controller, EMDs like me can allocate too. Did that make sense?
August 17th, 2007 at 4:14 am
“Should have”, not “should of”. Greatest tradgedy of the civil war - yankee english
August 17th, 2007 at 10:09 am
Wow! Deep end training! Sounds like you did fine, though - within a month you’ll be doing it with your eyes closed!
August 17th, 2007 at 9:14 pm
Mark - when you get a chance, please would you update the linking url for The Paramedic’s Diary? He’s moved to http://theparamedicsdiary.blogspot.com
(I’m being lazy as I can never remember it and always end up in the wroing place!!) Thanks.
August 20th, 2007 at 9:10 pm
[...] Moving into the home straight, Grumpy Old Bookman bewails the gelatine backbones of British publishers compared to the Americans, prompted by our libel laws. Philobiblon writes about the degrading quality of the soil and its effects in a fascinating post. Ambulance Man gives an account of how allocation of emergency vehicles works from the inside. And Trick Cycling for Beginners covers how non-smoking enforcement in the NHS has moved into Carry-On territory with spies in the flower beds - in other words, they are spending your drugs money on electronic nagging machines. [...]
August 21st, 2007 at 11:59 am
[...] Moving into the home straight, Grumpy Old Bookman bewails the gelatine backbones of British publishers compared to the Americans, prompted by our libel laws. Philobiblon writes about the degrading quality of the soil and its effects in a fascinating post. Ambulance Man gives an account of how allocation of emergency vehicles works from the inside. And Trick Cycling for Beginners covers how non-smoking enforcement in the NHS has moved into Carry-On territory with spies in the flower beds - in other words, they are spending your drugs money on electronic nagging machines. [...]
August 22nd, 2007 at 10:48 am
Hope we still get all the juicy bits when you become a permanent allocator, and that new job comes with a FAT pay rise.
All the best.
The Driving instructor
August 22nd, 2007 at 12:06 pm
Mark,
The one rule for field units. Don’t piss off the dispatcher….or you are taking reports for the rest of the shift!!!
I am a PD dispatcher in California. I enjoy reading your blog. Very well done. Here in our center the radio dispatcher does their own allocation. We see what is up for dispatch, and determine who gets to go (or has to go!)
August 22nd, 2007 at 1:28 pm
I have a really silly question…
I know that calls are divided into categories depending on how urgent they are (A for not breathing etc…)
However, do the categories get divided up as well? As in your example given above, where you have someone with difficulty breathing, and someone else with possible meningitis symptoms, would the breathing difficulties get the ambulance every time? Or if you had two patients with similar symptoms (e.g. two people with a heart attack), is there a division (e.g. age; nearness to hospital/ambulance), or is it on a first come, first served basis?
Or is it one of those snap judgments that you have to make each time?
August 24th, 2007 at 4:01 pm
That’s not a silly question - in fact, the answer to the question is what you have to get your head around to be a good allocator! So I’m not quite there yet, but I’ll try and answer the question in my next post!
September 1st, 2007 at 11:33 pm
County Criminal Justice Center
I couldn’t understand some parts of this article, but it sounds interesting
September 5th, 2007 at 6:40 pm
Ahhhhhhhhhhhhhhhhhhhhh you look after my hometown hornchurch and upminster!!!!! Ahhhhhhhhhhh
I feel so much safer…
Just out of interest do you get mobile 999s from (Great Warley)Brentwood?? I know its East of Engs patch but mobile phone wise as its so close to Upminster?
September 5th, 2007 at 6:46 pm
Very occasionally. If that happens, we just call up Essex or East of England or whatever they’re called these days. If it happens to be a particularly urgent call, we might start a nearby ambulance or FRU running and cancel it down if Essex are closer.
November 4th, 2007 at 11:36 am
Walthamstow and Whipps Cross Hospital, now that brings back memories. I used to live in Walthamstow Village (Eden Road). Life had a different pace back then!