and instead, respond with the stand alone oxygen carry bag instead. BUT, the onus is on the member of staff who removes the oxygen cylinder from the grab bag, to replace it at the end of the shift. This is also not being complied with, and as a result it is slowing down the VDI of the oncoming crew who are left to locate and replace the missing oxygen.

Instead of being rigidly prescriptive, the Trust has agreed to members of staff adapting the carrying configuration on their own assigned vehicle, one shift at a time, but it appears that the flexible approach is being abused by the few to the detriment of the many.

Additionally, it has come to light that for whatever reason, not all crews that are assigned to RRVs for their shifts, were aware that the central button on the rear stowage tray is there to allow the tray to be slid outwards from the vehicle, to facilitate the removal and re-stowing of equipment, which otherwise would necessitate the crew person leaning inwards in a bad posture. Every person who is assigned to work on an ambulance or an RRV must know where all the controls are and what they are for.

I have recently encountered numerous members of staff who did not know:

• The tail lift must be deployed as part of the vehicle daily inspection (VDI).
• What action to take if the tail lift failed to work or where the manual pump was located.
• How to slide the RRV rear shelf outwards and why the tray is designed to slide outwards

This should not be happening; but it is. If you do not know how to use a bit of kit: ASK someone.

Jeff Pittman

East of England Ambulance Service

Unison 20106

Branch Health & Safety Officer

22 January 2017