Levels of Service and Facilities

The level of service and associated facilities that ScoutMed can provide will, wherever possible, be matched to the predicted demand on an event by event basis. Using clinical audit we look at various event types that we have covered in the past to analyse the demand by hour of day, and day of week, that a particular type of event is likely to generate. We also look at the types of clinical conditions that we will most likely to encounter. This enables us to identify staffing levels and equipment requirements.

Typically at small events we will usually provide a single treatment tent equipped to deal with minor injuries and illness and have emergency equipment available, including oxygen and a defibrillator, to deal with patients who need resuscitation.
Typically at a large event (Jamboree size for example) we will provide:

• A mobile trailer that serves as a reception and admin centre that can double up as a treatment area during times of high demand.

• A treatment tent that is laid out as a three or four bay treatment area for minor illness and injuries

• An examination area that is totally private for patients.

• A "clean area" that is used when aseptic techniques are used (e.g. suturing).

• A resuscitation area where the more seriously ill patient can be assessed and given emergency treatment.

• A comprehensive range of emergency equipment including emergency drugs to deal with medical and traumatic emergencies.

• A comprehensive range of consumables for the treatment of minor injuries.

• A "response team" that is mobile and equipped to deal with serious emergencies around a site when a patient needs treating at the scene of an incident.

• Consulting area for a GP clinic.

• A "chill out area" for leaders and site staff.

• Liaison with the local NHS health care providers and emergency services.

• A multi disciplinary health care team some of whom are registered health care profeionals within the NHS.

• Secure the services of local GPs as and when required.

• Advice on health and safety, major incident preparedness and event safety.

• Advice on medications, medical conditions and health promotion.

We usually ask the event organisers to provide us with power and running water but we do have backup facilities if this is not possible or if supplies fail.

We normally ask to be included in any central catering during large events but do ask for patience and forbearance in this regard. It is often not possible to sit down at regular meal times as patients do not run to a time table as a rule - or perhaps on scout camp they do! Mealtimes are often the time when a scout faced with the prospect of cooking/washing up suddenly remembers that twisted ankle, or the tummy ache etc, and a visit to ScoutMed becomes the most urgent thing in the world, so we often have to eat at irregular times.

Over the years the "chill out area" has proved to be very popular with leaders and event staff alike. Most ScoutMed members are or were leaders in various scouting sections and can appreciate the stresses and strains that leaders, and event staff, can be under during a long busy camp. If you need time away from the youngsters, or colleagues for that matter, then you know where to come. We are not counsellors but we do provide the metaphorical brick wall to bang your head against.

We are sometimes asked why we do not provide transport to hospital. The answer is simple: we cannot afford to lose staff off site. A ScoutMed member can see a large number of patients on site in the time it takes to convey one patient to hospital, thus meaning that patients on site wait longer for assessment and treatment, and this could be detrimental to their condition. In addition, in the event of an unexpected large scale medical incident each ScoutMed member will have a role and responsibility to fulfil. This clearly they cannot do if they are off site.

The upside to having trained and skilled advanced first aid and health care providers on site is that we usually only have to send approximately 1% of the patients that we see to hospital. In a busy year ScoutMed will see and treat approximately 1500 patients and to date there have been no adverse clinical incidents. This is a remarkable achievement and testament to the commitment and dedication of our team.

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