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02 SPRING 2011<br />

Injured flight<br />

paramedic rebuilds life<br />

• National register critical for public safety<br />

• community paramedic model flawed


WANT YOUR<br />

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Regulars<br />

From the President 05<br />

Profile 10<br />

States of Activity 12<br />

<strong>Active</strong> Places: Community<br />

Paramedic Model Flawed 24<br />

<strong>Active</strong> Women: Mums<br />

returning to work –<br />

what are the options?<br />

27<br />

In Brief 29<br />

Contacts 35<br />

Volume 1 Issue 2 SPRING 2011<br />

<strong>Ambulance</strong> <strong>Active</strong><br />

Official Publication of National<br />

Council of <strong>Ambulance</strong> Unions<br />

publisher<br />

<strong>Ambulance</strong> <strong>Active</strong> is published by <strong>Countrywide</strong> <strong>Austral</strong>. <strong>Countrywide</strong> <strong>Austral</strong> adheres to<br />

stringent ethical advertising practices and any advertising inquiries should be directed to:<br />

editorial<br />

Editor: Kristi High<br />

Send articles for inclusion to:<br />

countrywide.media@gmail.com<br />

Level 2, 673 Bourke Street, Melbourne • GPO Box 2466, Melbourne 3001<br />

Ph: (03) 9937 0200 Fax: (03) 9937 0201 • Email: admin@cwaustral.com.au


18<br />

FEATURES<br />

06<br />

16<br />

18<br />

29<br />

National Registration<br />

of Paramedics<br />

Putting the genie put back<br />

in the bottle<br />

The fight to build a new life<br />

WA’s mining boom<br />

30 Photos<br />

33<br />

36<br />

Welcoming NT’s new<br />

paramedic educator<br />

Caption this<br />

Jamie Jackway rebuilds his life after a tragic helicopter<br />

accident, which left him a paraplegic.<br />

06<br />

NCAU continues its fight for professional registration<br />

of paramedics, nationally.<br />

Disclaimer: <strong>Countrywide</strong> <strong>Austral</strong> (“Publisher”) advises that the contents of this publication are at the sole discretion of the National Council of <strong>Ambulance</strong> Unions<br />

and the publication is offered for background information purposes only. The publication has been formulated in good faith and the Publisher believes its contents<br />

to be accurate, however, the contents do not amount to a recommendation (either expressly or by implication) and should not be relied upon in lieu of specific<br />

professional advice. The Publisher disclaims all responsibility for any loss or damage which may be incurred by any reader relying upon the information contained in<br />

the publication whether that loss or damage is caused by any fault or negligence on the part of the publisher, its directors and employees.<br />

Copyright: All advertisements appearing in this publication are subject to copyright and may not be reproduced except with the consent of the owner of<br />

the copyright.<br />

Advertising: Advertisements in this journal are solicited from organisations and businesses on the understanding that no special considerations other than those<br />

normally accepted in respect of commercial dealings, will be given to any advertiser.


president HEADER<br />

STEVE McGhie, President, NCAU<br />

the PRESIdent<br />

Welcome to the second edition<br />

of <strong>Ambulance</strong> <strong>Active</strong>. The first issue,<br />

which was published in July, received<br />

an excellent response from members.<br />

I encourage you all to participate in<br />

sharing information among the ambulance<br />

community through the journal, or through<br />

the website which was launched in August.<br />

As with most websites, there were some<br />

technical glitches with registration at the<br />

start. These have now been sorted out and<br />

the membership of the site is growing each<br />

day. These are two new communication<br />

avenues the NCAU has put in place to<br />

provide better two-way communication<br />

between the unions around the country<br />

and the members.<br />

A more traditional means of<br />

communication, our annual convention,<br />

was held in September. About 50 people<br />

travelled to Melbourne for the two day<br />

conference. It was very pleasing to see<br />

each state represented and I congratulate<br />

all of the unions for their participation in<br />

the NCAU 2011 Convention. In addition<br />

to a round-up of activities from each state,<br />

and robust discussion about the big issues,<br />

we were fortunate to have a number of<br />

guest speakers. Thanks to Ray Bange,<br />

the national Policy Advisor to Paramedics<br />

<strong>Austral</strong>asia. His presentation about current<br />

“ Thank you to all of the states for participating<br />

in the NCAU over the past 12 months and to all<br />

union members, thank you for your support.”<br />

developments on registration provided<br />

excellent insight into the potential<br />

landscape of paramedic practice under<br />

a registration model similar to other<br />

health professionals. Jim Arneman also<br />

presented on this topic from a more<br />

localised perspective. Jim has also penned<br />

an excellent article on the subject of<br />

national registration in this current issue of<br />

<strong>Ambulance</strong> <strong>Active</strong>. Other issues identified<br />

during the conference included national<br />

education and competency standards,<br />

ramping up at hospitals, workload and<br />

resources. Working groups are now<br />

being established to research these<br />

issues individually in order to reach a<br />

consensus on lobbying tactics that are<br />

consistent nationwide.<br />

Enterprise bargaining is a long and hard<br />

task but is a critical part of our work for<br />

our members. Congratulations to Western<br />

<strong>Austral</strong>ia, Northern Territory, New South<br />

Wales and Queensland for mounting<br />

successful wage outcomes. South<br />

<strong>Austral</strong>ia and <strong>Austral</strong>ian Capital Territory<br />

are currently in negotiations and we wish<br />

them support and good luck. Victoria and<br />

Tasmania will commence their negotiations<br />

in 2012.<br />

The NCAU has appointed former<br />

NCAU National Secretary Jim Arneman<br />

to the position of executive officer. Jim<br />

will assist us in communicating and<br />

liaising with members, and will drive the<br />

professional registration issue along with<br />

other duties.<br />

I would like to express my thanks to the<br />

executive of the NCAU for all of their hard<br />

work this year – Tim Jacobson, Steve<br />

Mitchell, Phil Palmer, Wayne Carty and<br />

Greg Bruce. Thank you to all of the states<br />

for participating in the NCAU over the<br />

past 12 months and to all union members,<br />

thank you for your support. On behalf of<br />

the executive, I wish you all a safe and<br />

happy holiday season.<br />

AMBULANCE ACTIVE SPRING 2011<br />

05


national registration<br />

National<br />

Registration<br />

of Paramedics<br />

NCAU working hard to move forward to a<br />

national registration for all paramedics in<br />

<strong>Austral</strong>ia. Photo: Anthony Woodcock.<br />

Jim Arneman<br />

The National Council of<br />

<strong>Ambulance</strong> Unions (NCAU) was conceived<br />

to advance the interests of members of<br />

affiliated unions. It provides a national<br />

voice on those issues that transcend<br />

state and territory boundaries. National<br />

registration of paramedics is clearly<br />

such an issue. It has been identified and<br />

confirmed as the priority issue for the<br />

NCAU at our last three annual conferences.<br />

The debate around national registration is<br />

complicated. It is intertwined with professional<br />

recognition and educational accreditation.<br />

It is made more difficult because, unlike<br />

nursing, medicine and many allied health<br />

disciplines, there are no current state or<br />

territory paramedic registration models.<br />

It is new territory for <strong>Austral</strong>ian paramedics.<br />

For some, it is seen as a precursor to<br />

professional recognition. For others, it is<br />

a further layer of bureaucracy, cost and<br />

compliance. Is there a need for registration?<br />

What form will it take? What will it involve?<br />

What Is National Registration<br />

and AccrediTATion?<br />

The Council of <strong>Austral</strong>ian Government’s<br />

(COAG) National Registration and<br />

Accreditation Scheme for health professions is<br />

premised on dealing with workforce shortages<br />

and pressures faced by the <strong>Austral</strong>ian health<br />

workforce in the face of escalating demand.<br />

It is a key component of the Federal<br />

Government’s National Health Reform agenda.<br />

Initially, the scheme concentrated on 10<br />

health professions with existing state and<br />

territory based registration schemes in place.<br />

These schemes limited health professionals<br />

to practising in a single jurisdiction. 1<br />

National Registration Boards, established<br />

by the <strong>Austral</strong>ian Health Practitioner<br />

Regulation Agency (AHPRA), develop<br />

registration standards, codes and guidelines;<br />

maintain databases of registered practitioners<br />

that are available to the public; are<br />

responsible for accreditation of educational<br />

standards and approved programs of study;<br />

oversee investigations into professional<br />

conduct, performance or health/impairment<br />

issues affecting health professionals; and<br />

ensure appropriate organisations investigate<br />

community concerns about individually<br />

registered health practitioners. They may<br />

also credential overseas health professional<br />

applications for <strong>Austral</strong>ian registration.<br />

A single national registration and<br />

accreditation system enables health<br />

professionals to practice around the country<br />

more easily. Stand-alone registration<br />

reduces red tape by negating the need for<br />

health professionals to be registered in each<br />

state or territory. It also provides greater<br />

safeguards for the public, and is designed<br />

to promote a more flexible, responsive and<br />

sustainable health workforce. 2<br />

Where is the process at?<br />

National registration for the original 10<br />

professions commenced in 2010. A further<br />

four professions are expected to achieve<br />

national registration in mid 2012.<br />

In February 2010, the <strong>Austral</strong>ian Health<br />

Workforce Ministerial Council received<br />

a proposal from the Western <strong>Austral</strong>ian<br />

government to add paramedics to the<br />

National Registration and Accreditation<br />

Scheme prior to July 2014. In principle,<br />

agreement has since been given to advance<br />

this proposal. The Western <strong>Austral</strong>ian<br />

Department of Health has been designated as<br />

the lead agency in the Paramedic Registration<br />

Project, which is expected to commence<br />

consulting on a potential national paramedic<br />

registration proposal in the near future.<br />

06 AMBULANCE ACTIVE SPRING 2011


national registration<br />

Why has NCAU<br />

prioritised this as an<br />

issue for unions?<br />

While pay and conditions will always be<br />

the primary focus for unions representing<br />

paramedics, increasingly we have<br />

become involved in issues affecting the<br />

professional practice of our members.<br />

Union engagement, with the introduction<br />

of various certificates to practice models<br />

in different states and territories, is a good<br />

recent example where active involvement<br />

has protected and enhanced members’<br />

access to CTP leave, paid training and<br />

professional development in a number<br />

of jurisdictions. National Registration<br />

will potentially throw up a multitude of<br />

professional practice considerations that<br />

will impact on union members.<br />

The introduction of a single national<br />

registration scheme to paramedics provides<br />

opportunities for portability of qualifications<br />

between jurisdictions, offshore recognition<br />

and career development. It will require a<br />

single national set of agreed competencies,<br />

specifying the qualifications required for<br />

different levels of practice. Educational<br />

programs will have to be accredited in line<br />

with these standards. Many complaints,<br />

and fitness to practice concerns, will be<br />

managed by registration boards. There<br />

will be increased responsibility and<br />

accountability for registered professionals.<br />

AMBULANCE ACTIVE SPRING 2011<br />

There will be a cost for initial registration<br />

and annual certification. It is likely that not<br />

all current practitioners will make the cut,<br />

necessitating grandfathering arrangements.<br />

Unions have a role in ensuring the<br />

interests of members are at the forefront of<br />

all the above considerations.<br />

What are NCAU’s registration<br />

objectives?<br />

NCAU’s initial goals were to<br />

• Achieve national registration of<br />

paramedics<br />

• Formulate a formal submission to<br />

AHMC/COAG seeking Regulated Status<br />

for paramedics<br />

• Achieve<br />

representation<br />

on both state and<br />

national pre-hospital<br />

Registration Boards.<br />

Clearly, NCAU’s role as a<br />

peak representative body for<br />

paramedic unions means it is<br />

uniquely positioned to represent<br />

the industrial/professional interests<br />

of members as the registration process<br />

unfolds. NCAU’s rationale for becoming<br />

involved in the registration process are<br />

centred on the following considerations:<br />

Public safety - to ensure consistent<br />

standards of care to protect the community<br />

A flexible and responsive paramedic<br />

workforce - A cohesive framework to allow<br />

a national standard with an underpinning<br />

set of geographical and regional service<br />

delivery models (based on the needs<br />

of individual states, territories and<br />

communities). This is an important facet of<br />

COAG’s national health agenda<br />

Portability of qualifications - a simple,<br />

nationally recognised, framework to<br />

allow straight forward transfers between<br />

jurisdictions would be a considerable<br />

benefit for paramedics wishing to move<br />

around <strong>Austral</strong>ia<br />

Brand protection - protection of the<br />

name paramedic or registered paramedic<br />

would ensure consistent professional and<br />

07


national registration<br />

“ In an era of increasing private involvement in ambulance work, and<br />

a multiplicity of employers, (a national register) is a critical component<br />

of ensuring standards and protecting public safety.”<br />

clinical standards nationally. It would also<br />

potentially enable industrial organisations<br />

to protect against influxes of nonaccredited/registered<br />

pre-hospital care<br />

providers into the workplace by controlling<br />

access to registration<br />

Red tape reduction - to ensure scarce<br />

funding and resources are maximised<br />

in terms of delivering high-quality prehospital<br />

care to the community and not<br />

wasted on unnecessary duplication and<br />

administration across jurisdictions<br />

National register - would allow the public<br />

to identify paramedics that have achieved<br />

registration by making it unlawful for a<br />

person who is not on the list of registered<br />

paramedics to hold themselves out as one.<br />

In an era of increasing private involvement<br />

in ambulance work, and a multiplicity of<br />

employers, this is a critical component<br />

of ensuring standards and protecting<br />

public safety<br />

Role overlap - The face of the national<br />

health workforce is changing. A system<br />

in which silo professions are becoming<br />

obsolete and there is an impediment<br />

to provide holistic patient care. There is<br />

growing emphasis on multi-disciplinary<br />

teamwork and role overlap, where some of<br />

the work of one profession overlaps that<br />

of other. A national registration scheme<br />

should allow allied health professionals,<br />

nurses and paramedics, to perform some<br />

roles or tasks that have traditionally been<br />

those of medical practitioners. While some<br />

might see this as a threat, it can also be<br />

a significant opportunity to enhance our<br />

members’ professional development<br />

Conclusion<br />

In addition to national registration of<br />

health practitioners, the <strong>Austral</strong>ian Health<br />

Ministers Advisory Council notes that<br />

accreditation of service providers to ensure<br />

national consistency of interventions,<br />

competencies, accountability, transparent<br />

reporting and equitable treatment of<br />

the workforce in both the public and<br />

private domains, should also be a<br />

priority. At present, state, territory and<br />

private employers of paramedics are<br />

not accredited and there are significant<br />

variations to clinical practice scopes<br />

and standards across jurisdictions. Many<br />

prominent commentators have observed<br />

that employer-led accreditation of<br />

paramedic practice has failed in <strong>Austral</strong>ia.<br />

National registration would go some way<br />

to addressing this failure.<br />

Finally, there has been extensive criticism<br />

by unions over time of individual services<br />

being the judge and jury on matters of<br />

clinical practice and professional conduct.<br />

A number of parliamentary and Auditor<br />

General enquiries have highlighted the<br />

potential for these disciplinary proceedings<br />

to be used in a punitive fashion. Allegations<br />

of bullying and harassment by managers<br />

have been raised. An independent and<br />

transparent process for handling complaints<br />

would perhaps be<br />

the major benefit of<br />

a unified National<br />

Registration scheme<br />

for paramedics. The<br />

public interest would<br />

be better served,<br />

and principles of<br />

natural justice more<br />

readily protected<br />

for union members.<br />

It is generally<br />

agreed that<br />

national registration<br />

of paramedics will<br />

progress at some<br />

stage. NCAU is<br />

committed to<br />

engaging in this<br />

process, both to<br />

take advantages of<br />

any opportunities<br />

for members<br />

and as well as<br />

defending their<br />

industrial interests.<br />

For information on paramedic registration schemes already<br />

in operation overseas visit:<br />

College of Paramedics, Alberta, Canada<br />

www.collegeofparamedics.org<br />

Health Professions Council United Kingdom<br />

www.hpc-uk.org<br />

About the author:<br />

Jim Arneman worked as an Advanced<br />

Life Support qualified paramedic for the<br />

<strong>Ambulance</strong> Service of NSW for more than<br />

22 years, including nearly 10 years as the<br />

staff elected Director on the <strong>Ambulance</strong><br />

Board. He worked for three years as a<br />

union organiser and served two terms as<br />

the Secretary of NCAU. He maintains a<br />

strong interest in clinical governance and<br />

professional paramedic practice issues.<br />

He will shortly commence employment<br />

with the ACT <strong>Ambulance</strong> Service. Contact<br />

at jarneman@ceinternet.com.au<br />

Footnotes<br />

1 Full details can be found at the<br />

<strong>Austral</strong>ian Health Practitioner<br />

Regulation Agency website<br />

http://www.ahpra.gov.au<br />

2 <strong>Austral</strong>ian Health Workforce Online<br />

http://www.nhwt.gov.au/natreg.asp<br />

Regis Group<br />

* 45 Aged Care Facilities<br />

across <strong>Austral</strong>ia<br />

* Specialist low, high, dementia<br />

and respite care<br />

Proudly supporting ambulance<br />

professionals across the country<br />

Regis is living, with support<br />

1300 998 100<br />

www.regis.com.au<br />

08 AMBULANCE ACTIVE SPRING 2011


PROFILE HEADER<br />

<strong>Ambulance</strong> Employees Association WA<br />

Vice President<br />

Donelle Carver<br />

Experienced WA<br />

paramedic Donelle<br />

Carver has held the<br />

position of <strong>Ambulance</strong><br />

Employees<br />

Association WA<br />

(AEAWA) Vice<br />

President since 2009,<br />

a position once<br />

dominated by men<br />

in an industry where<br />

she believes work<br />

place issues are still<br />

centred around male<br />

employees.<br />

Donelle’s interest in unions, and industrial issues, stems from<br />

her childhood. Raised in Manly, NSW, Donelle’s father was the<br />

Plumbers Union Shop Steward at Jervois Bay, where she spent<br />

many days watching her father resolve, and sometimes create,<br />

issues – depending on what was happening.<br />

Before moving to WA, Donelle worked as a hairdresser in the<br />

leafy Sydney suburb of Mosman where she dealt with the bayside<br />

elite. A trip west was an ideal time to explore the world and what<br />

else it had to offer.<br />

On arrival in the capital city, she stumbled across an<br />

advertisement for non-emergency transport officers with the<br />

<strong>Ambulance</strong> Service WA. Her application was successful and<br />

the new job opened her eyes to the world of a paramedic,<br />

and emergency care. It was a career she became determined<br />

to pursue.<br />

Donelle was accepted into the Paramedic Science Degree at<br />

Edith Cowan University. In addition to studying and raising two<br />

young children, she continued working weekends as a transport<br />

officer. She described entering university as a mature aged<br />

student and mother being made somewhat easier through union<br />

activity, where advocators had successfully negotiated generous<br />

maternity and paternity leave options that enabled her to do it all.<br />

In January 2006, Donelle entered the <strong>Ambulance</strong> Service<br />

Induction School and was on-road in May of that year.<br />

Shortly after commencing, she was rostered with John Thomas,<br />

the current President of the AEAWA and a 30 year veteran of<br />

the industry. “It was unbelievable the knowledge and input that<br />

John had in the day-to-day operations of the service,” she said.<br />

“For a period of time I thought I was his personal assistant there<br />

were that many calls coming to the station and the vehicle,<br />

it was endless.”<br />

It was this interaction that sparked Donelle’s interest in the<br />

union. After three years working alongside John, Donelle decided<br />

it was time to step-up, get involved and take control of the<br />

direction of her future.<br />

Following her graduation from Edith Cowan University, Donelle<br />

was invited to become involved with future development of<br />

the Bachelor course. She was also asked to sit on the Flinders<br />

Steering group, which reviews all university based courses<br />

associated with the industry.<br />

Since being elected Vice President of the AEAWA, she has<br />

become an activist for female conditions in the service, Enterprise<br />

Agreement negotiator, and representative for transport officers.<br />

Donelle has received many accolades for her involvement in the<br />

industry and recently won a Bravery Award for a call, which at her<br />

own initiative, orchestrated the rescue and retrieval of a critical<br />

young man from a well.<br />

Donelle recently travelled to Kununurra, in the far north of WA<br />

as a relief rural remote paramedic to examine the role and see the<br />

problems or positives associated with this role. A report has been<br />

forwarded to management with a range of recommendations for<br />

change.<br />

Donelle has also become involved with the National Council<br />

of <strong>Ambulance</strong> Unions through her association with the AEAWA<br />

and continues to be involved with issues that affect paramedics<br />

on a national basis.<br />

Read Donelle’s article about her posting in Kununurra on<br />

page 24.<br />

10<br />

AMBULANCE ACTIVE SPRING 2011


<strong>Austral</strong>ian<br />

owned and<br />

operated


NCAU ACTIVE<br />

Queensland<br />

Determination outcomes and<br />

Enterprise Bargaining 2012<br />

The current Queensland Industrial Relations<br />

Commission (QIRC) Determination has<br />

seen ambulance officers receive wage<br />

increases, added classification levels and<br />

higher pay points, as well as improved<br />

conditions such as increased sick leave<br />

and retention of entitlements that the<br />

Queensland <strong>Ambulance</strong> Service (QAS)<br />

sought to remove.<br />

The final wage increase was applied in<br />

October 2011. Compared to the rates paid<br />

at the end of the 2005 agreement, this<br />

saw all ambulance officers receive wage<br />

increases between 17.5 and 21.5 percent.<br />

These increases represent a significant<br />

milestone in the ongoing campaign for<br />

better wages and conditions for Queensland<br />

ambulance members. However, there are<br />

no further increases applicable in the current<br />

Determination, which expires in September<br />

2012. Any further pay rises will need to<br />

be sought in a new agreement between<br />

United Voice and QAS.<br />

As we move towards the next round of<br />

negotiations, we have to recognise that<br />

even though the overall outcome was a win,<br />

the last round did not deliver everything<br />

members wanted. In order to be ready<br />

for what will certainly be another intense<br />

campaign, we must ensure that we have the<br />

strength and resources to work together<br />

for a better reward, and recognition.<br />

United Voice (QLD) State Council met<br />

recently to begin preliminary preparation<br />

for the Enterprise Bargaining negotiations.<br />

Discussions focused on the process<br />

leading up to bargaining and preparations<br />

for the Log of Claims.<br />

Recent Industrial wins<br />

United Voice has been successful in a<br />

number of applications to the QIRC, which<br />

have resulted in increases for Queensland<br />

ambulance officers. These include increases<br />

to the Broken Meal Allowance as well as<br />

the Community Education Allowance.<br />

We also appeared, along with the<br />

Queensland Council of Unions, in the 2011<br />

State Wage Case. The concluding decision<br />

raised minimum award rates by 3.4 percent<br />

and increased allowances for mine skills,<br />

on-site and aerial ambulance.<br />

An application made by United Voice<br />

to amend the <strong>Ambulance</strong> Services Award<br />

was also successful in achieving greater<br />

outcomes for members. The award now<br />

includes the new classification structure,<br />

relativities, additional pay points and the<br />

July 2010 pay rates. The new minimum rates<br />

include previous Enterprise Bargaining<br />

increases, two interim determination<br />

increases, translational increases from the<br />

new structure, and the additional increase<br />

from the State Wage Case.<br />

These amendments have increased<br />

the minimum award rates by a significant<br />

amount and became operative on 1<br />

October 2011.<br />

EMD National Medal<br />

Congratulations to all involved in the recent<br />

recognition, by the Department of Prime<br />

Minister and Cabinet, of the amendments<br />

to the eligibility criteria for the national<br />

medal to include emergency medical<br />

despatchers (EMD). Collective action by<br />

officers from across all sectors of QAS<br />

highlighted the need for recognition of<br />

the role of EMDs and their highly deserved<br />

eligibility for this award.<br />

Tasmania<br />

Tasmanian paramedics are<br />

looking at facing even more pressure over<br />

the next three years following the Tasmanian<br />

State Government’s announcement to slash<br />

$100.2 m from the health budget. Cuts,<br />

which are unprecedented in the Tasmanian<br />

health system, are likely to have a serious<br />

effect on ambulance officers already<br />

feeling the pressure under rising demand.<br />

<strong>Ambulance</strong> Tasmania had previously<br />

been promised increased funding under<br />

the Government’s forward estimates to deal<br />

with increased caseload (foreshadowed to<br />

increase this year by 6 percent) but now<br />

<strong>Ambulance</strong> Tasmania is faced with a $2.5<br />

million cut from its current expenditure.<br />

It is likely further cuts will be announced<br />

in the next budget in the Government’s<br />

attempt to bring the state into surplus.<br />

At this stage, the $2.5 million budget cut<br />

has been made in non-operational areas,<br />

however paramedics remain concerned<br />

about the future and the increased pressure<br />

associated with rising demand.<br />

Tasmanian unions are campaigning<br />

against the cuts, given that the most<br />

severe are across the Department of<br />

Health and Human Services. Major<br />

community rallies occurred between the<br />

end of October and early November.<br />

Tasmanian paramedics are continuing to<br />

maintain a strong workplace presence with<br />

regard to a multitude of industrial matters<br />

before them.<br />

Health and Community Services Union<br />

(HACSU) has recently advised <strong>Ambulance</strong><br />

Tasmania that it believes their Paramedic<br />

Specialist Classification proposal for flight<br />

and helicopter paramedics has no merit,<br />

following significant negotiations and<br />

Industrial Commission hearings regarding the<br />

possible establishment of such an allowance.<br />

While HACSU and paramedic members<br />

have been seeking for the establishment<br />

of a specialist classification, it was rejected,<br />

as the detail did not address the concerns<br />

of our members.<br />

Bullying and harassment remains an<br />

area of concern for members. HACSU and<br />

<strong>Ambulance</strong> Tasmania have signed a joint<br />

statement regarding this issue. More work<br />

is required to address this issue and stamp<br />

out bullying and harassment.<br />

Removing on road crews to fulfil<br />

commercial contacts (horse racing,<br />

car racing and commercially oriented<br />

community events) is a practice that<br />

<strong>Ambulance</strong> Tasmania continues to support.<br />

Over a recent weekend, three crews were<br />

dispatched from their local stations to cover<br />

events. This is unacceptable, particularly<br />

at a time where demand is increasing and<br />

funding is decreasing. The union continues<br />

to advise the community via media channels<br />

where crews are utilised for this purpose.<br />

Lack of resources remains the most<br />

significant factor affecting HACSU<br />

<strong>Ambulance</strong> Employees Sub Branch (AESB)<br />

members. HACSU is continuing to lobby<br />

all sides of politics to have this matter<br />

addressed once and for all. In such a<br />

challenging economic environment, this is a<br />

difficult task but we continue to use all means<br />

available to have the matter addressed.<br />

Finally, the AESB is continuing to work on<br />

the development of its Professional Rates/<br />

12<br />

AMBULANCE ACTIVE SPRING 2011


NCAU ACTIVE<br />

Work Value case. To date, significant time has<br />

been allocated to developing and accessing<br />

a range of resources required to implement<br />

the best possible case for members. AESB<br />

executive members have contributed<br />

many hours comparing the Clinical Practice<br />

Guidelines, education standards and other<br />

matters that existed when the last work<br />

value case was handed down. HACSU is<br />

continuing to brief its barrister and seek<br />

further advice on case development.<br />

Western<br />

<strong>Austral</strong>ia<br />

2011-2014 Certified Agreement<br />

for ambulance personnel is almost<br />

complete with the drafting stage taking<br />

longer than anticipated prior to going to<br />

ballot of all members.<br />

This has been a subdued negotiation<br />

in comparison to past campaigns and the<br />

union believes it has delivered a decent<br />

wage and conditions outcome without any<br />

loss of existing working conditions.<br />

This campaign saw a different approach<br />

from the union bargaining team in that,<br />

historically, all sections of ambulance workers<br />

have been negotiated at the one time this<br />

often led to protracted debate in relation to<br />

each section. The agreement was negotiated<br />

individually with members from each section<br />

and the union executive, which we believe<br />

delivered a more streamlined and relevant<br />

claim resulting in an accelerated outcome.<br />

The following table is a condensed version<br />

of the claim with what was asked and what<br />

was accepted (to be endorsed by members)<br />

Paramedics/ambulance Officers<br />

• 6 percent wage increase per annum<br />

for three year agreement. Offered<br />

5 percent per annum on wages and<br />

allowances. (Agreed)<br />

• Increased personal leave from 96 hours<br />

to 120 hours per annum. (Agreed)<br />

• Increased flexibility in annual leave<br />

AMBULANCE ACTIVE SPRING 2011<br />

allocation. (Agreed)<br />

• Increase time off in lieu to 96 hours per<br />

session. (Agreed)<br />

• Formulation of policy and procedure<br />

to decrease fatigue issues in the<br />

workplace. (Agreed)<br />

• Examine the night shift hours to<br />

reduce shift to bring into line with<br />

other shift lengths without reduction<br />

of entitlements. (Agreed)<br />

There are also a number of subtle changes<br />

in other areas including rostering, which<br />

will not impact on the current conditions.<br />

NO TRADE OFFS<br />

Transport officers<br />

• 6 percent wage increase per annum<br />

for three year agreement. Offered<br />

5 percent per annum on wages and<br />

allowances. (Agreed)<br />

• Increase personal leave from 96 hours<br />

to 120 hours per annum. (Agreed)<br />

• Increased flexibility in annual leave<br />

allocation. (Agreed)<br />

• Increase time off in lieu to 76 hours<br />

per session. (Agreed)<br />

• Examine the skills set of current<br />

transport and call rollout. (Agreed)<br />

• Develop a pathway for officers to<br />

paramedic. (Agreed)<br />

NO TRADE OFFS<br />

Communications officers<br />

• 10 percent wage increase per annum<br />

for three year agreement. Offered 10<br />

percent plus 5 percent plus 5 percent<br />

on wages and allowances.(Agreed)<br />

• An allowance for radio operators.<br />

Offered $5 per hour. (Agreed)<br />

• 10 minute break every hour from computer<br />

screen duties. Offered 10 minute breaks<br />

excluding first and last hour and the<br />

hour during meal break. (Agreed)<br />

• Increased flexibility in annual leave<br />

allocation. (Agreed)<br />

• Introduction of alternative shift<br />

patterns to be family friendly.<br />

(Agreed subject to staffing/<br />

recruitment/retention)<br />

• Minimum staffing levels within centre.<br />

(Agreed)<br />

There are a number of other issues in<br />

relation to ergonomic requests within the<br />

centre, which are being examined outside<br />

of the agreement.<br />

NO TRADE OFFS<br />

The offer was backdated to 1 July 2011.<br />

The previous Certified Agreement<br />

negotiations had been quite protracted<br />

due to industrial action to achieve what<br />

was seen as substantial gains in wages. It<br />

is believed that due to the Government’s<br />

investment, and ambulance expansion<br />

programmes, minimal disruption was<br />

anticipated to achieve the benchmarks set<br />

by the state in improving response times<br />

and enticing recruitment.<br />

The <strong>Ambulance</strong> Employees Association<br />

WA believes the offer, which should be<br />

completed to go to membership shortly,<br />

will be endorsed.<br />

I would like to thank the officers who<br />

spent many hours researching and<br />

negotiating these conditions, many of<br />

them in their own time.<br />

ACT<br />

Delegate Training<br />

Transport Workers Union (TWU)<br />

delegates recently undertook a twoday<br />

training course conducted by the<br />

ACTU, with a focus on negotiation skills.<br />

Delegates received instruction on a<br />

number of strategies on winning in the<br />

workplace, including insightful training on<br />

emotional intelligence.<br />

Service Growth<br />

The fruits of sustained campaigning by<br />

the TWU to increase frontline staff are<br />

coming to bear, with new staff employed<br />

in communications and operations. The<br />

ACT Government has responded to TWU<br />

representations to increase the ACT<br />

<strong>Ambulance</strong> Services (ACTAS) budget. The<br />

TWU will continue to monitor resourcing<br />

and workload demands, and will maintain<br />

vigilance to ensure that with increased<br />

staffing across the ACTAS, that member’s<br />

access to leave is improved.<br />

NSW<br />

HSUeast is leading a number of<br />

major campaigns along with attending<br />

to individual issues including member<br />

underpayments and representing<br />

members involved in disciplinary matters.<br />

A statewide campaign commenced in<br />

September with the aim of addressing the<br />

need for the NSW Government to increase<br />

the number of paramedics. The HSUeast<br />

13


NCAU ACTIVE<br />

has been in dispute with the <strong>Ambulance</strong><br />

Service of NSW (ASNSW) over its treatment<br />

of officers experiencing difficulties with the<br />

introduction of a new qualification, Certificate<br />

IV Level, for all frontline supervisors. A number<br />

of members in rural NSW have not been able<br />

to complete the course work due to heavy<br />

workloads and have been threatened with<br />

demotion. A dispute with the ASNSW over<br />

increasing incidences of single officer crewing<br />

and responses has highlighted the need to<br />

increase staff to minimise the incidence of<br />

single officer crewing and response.<br />

Other issues include:<br />

• Rostering dispute in metropolitan Sydney<br />

• HSUeast has pursued the <strong>Ambulance</strong><br />

Service of NSW in the NSW Industrial<br />

Relations Commission (IRC) following its<br />

introduction of three afternoon shifts in<br />

Sydney without consultation.<br />

• Response time dispute<br />

• HSUeast has been highlighting the effects<br />

of poor ambulance response times that<br />

have resulted from new guidelines used by<br />

the Controls (Communications) Division.<br />

• Attempted introduction of critical care<br />

classification<br />

In September the Services Aero<br />

Medical Division attempted to introduce<br />

a component of critical care training for<br />

Intensive Care Paramedics working on<br />

ASNSW helicopters. HSUeast is opposing<br />

this introduction of programs. The matter<br />

will be pursued in the NSW IRC if current<br />

negotiations do not resolve the matter.<br />

Victoria<br />

On 4 October 2011, the <strong>Ambulance</strong><br />

Employees <strong>Austral</strong>ia (AEAVIC) and<br />

<strong>Ambulance</strong> Victoria circulated a detailed<br />

document, as a joint bulletin, about how<br />

fixed term reliever appointments would<br />

work in rural branches throughout Victoria.<br />

In the following weeks, the union attended<br />

13 meetings around Victoria at rural branch<br />

locations. The attitude to the proposal was<br />

mixed, and there was not a clear mandate<br />

to proceed. As a consequence, the union<br />

conducted an online vote on the proposal.<br />

The result was 30.8 percent in favour, and<br />

69.2 percent against. Members pointed<br />

out that where branch rosters had an on<br />

call component, employees forced into the<br />

reliever position were likely to be financially<br />

disadvantaged by not working their on call<br />

shifts. It was also highlighted that at some<br />

branches, the number of employees eligible<br />

to be rotated into the reliever position<br />

was very small. This meant that some<br />

employees would be doing relieving work<br />

for the most part of the year. The union<br />

and <strong>Ambulance</strong> Victoria will resume their<br />

positions as applied before the issue went<br />

to Fair Work <strong>Austral</strong>ia. AEA VIC believes<br />

a reserve system of rostering cannot be<br />

introduced in rural Victoria. In line with<br />

current practice, if you are rostered to a<br />

‘spare line’ and asked to move to another<br />

location, this should occur within the shift<br />

and with the use of a service vehicle. Return<br />

to your normal branch to complete the shift<br />

at the rostered finish time, unless otherwise<br />

agreed between yourself and management.<br />

AEAVIC is calling on members to look<br />

after their own health and safety after it<br />

was brought to the attention of the union<br />

that a paramedic had responded to a call<br />

as a single officer, they were then forced<br />

to transport the patient to hospital by<br />

themselves. Members should be aware that<br />

when responding to any case as a single<br />

officer, Occupational Health and Safety<br />

issues should be remembered, including:<br />

• Only respond in a code 2 capacity (not<br />

lights and sirens)<br />

• Request immediate back up<br />

• Do not enter a scene if in doubt about<br />

your own safety<br />

• Transport patients only when attended<br />

by a two person crew<br />

Do not be pressured into transporting<br />

a patient by yourself.<br />

South <strong>Austral</strong>ia<br />

State Government Budget<br />

The 2010 State Budget held some nasty<br />

surprises for public sector workers, which<br />

of course includes ambulance service<br />

staff. The ALP Government legislated to<br />

remove award and Enterprise Bargaining<br />

conditions. It removed leave loading from<br />

all non-shift workers, and the additional six<br />

days per annum accrual of Long Service<br />

Leave for all employees with 15 or more<br />

years’ service. The <strong>Ambulance</strong> Employees<br />

Association SA, in conjunction with its<br />

state union colleagues, mounted a spirited<br />

challenge to the decision. The campaign<br />

included mass rallies, and a battle for the<br />

hearts and mind of the SA public. We called<br />

for the restoration of the lost conditions,<br />

the restoration of real labour values in the<br />

Government, and for a change in leadership.<br />

We have since won the leave loading<br />

back and the political demise of former<br />

SA Premier Mike Rann and senior Minister<br />

Kevin Foley (both resigned in October 2011),<br />

and we are continuing to negotiate the<br />

recouping of long service leave entitlements,<br />

or of some agreeable alternative. The<br />

AEASA is not affiliated with any political<br />

party, but is proudly affiliated with the union<br />

movement, and proud of our united and<br />

successful attack on out-of-touch politicians.<br />

Enterprise Bargaining<br />

We have probably broken some record in<br />

the time it has taken to negotiate the latest<br />

deal. Discussions commenced in January<br />

2010, and at the time of writing the deal is<br />

still not finalised.<br />

The delay has become somewhat of an<br />

advantage however, as in the middle of<br />

our discussions earlier this year, the Police<br />

Union struck a 10 p ercent over three years<br />

deal, after all other public sector workers<br />

had accepted 7.5 percent. The police deal<br />

became our mantra from that time on.<br />

The deal is still not finalised, but very close.<br />

Resourcing – Road<br />

and CommuniCATions<br />

The AEASA and SA <strong>Ambulance</strong> Service<br />

(SASS) have been resourcing issues in<br />

earnest all year. Statistics suggest that<br />

a significant aspect of the problem is<br />

insufficient Patient Transport Services<br />

resources to meet elective workload<br />

demand, which pushes that work up to the<br />

second tier, the Emergency Support Service.<br />

SAAS are obviously hoping that putting<br />

on more resources at patient transport<br />

services level will relieve the pressure for<br />

more paramedics.<br />

We do not believe they will get away<br />

without increasing resources at all three levels.<br />

Overpayment of professional<br />

rATES back-PAy<br />

As a result of the AEASA’s successful<br />

professional rates case, members received<br />

significant amounts of back pay – there<br />

were many instances of $30,000 and some<br />

much higher.<br />

Unfortunately, for about 200 of our<br />

members, the Whole of Government pay<br />

office (Shared Services) bungled their<br />

back-pay calculations and overpaid them,<br />

once again for some members these were<br />

significant amounts (tens of thousands).<br />

The AEASA has negotiated a reasonable<br />

repayment deal, where no member has<br />

to pay more than 3.88 percent of their<br />

fortnightly pay. It was our preference that<br />

all overpayments be written off, but this<br />

was not legally achievable.<br />

FOR MORE DETAILS ABOUT WHAT'S<br />

HAPPENING AROUND THE COUNTRY, GO TO<br />

www.ambulanceactive.com.au and choose your<br />

state on the right hand side.<br />

14<br />

AMBULANCE ACTIVE SPRING 2011


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HEADER<br />

Putting the<br />

genie put back<br />

in the bottle<br />

Phil Palmer, AEASA Secretary<br />

SA’s zero<br />

tolerance<br />

to ramping<br />

The SA <strong>Ambulance</strong> Service (SAAS)<br />

suffers most of the same maladies as those<br />

facing ambulance workers all over <strong>Austral</strong>ia<br />

– lack of resources both on the road and<br />

in communications, manifesting in terrible<br />

crib performance (broken and late), and<br />

an over-reliance on overtime to keep the<br />

service running.<br />

While SA does not have the same<br />

issue with ramping as other states we<br />

have not allowed it to gain momentum.<br />

There was an attempt to start the<br />

practice here, despite promises by the<br />

Labor Government during a recent<br />

election campaign.<br />

About this time last year, one of our<br />

major tertiary hospitals, Flinders Medical<br />

Centre, commenced ramping in another<br />

guise. They had ambulances lined up<br />

in the emergency department corridor<br />

attending to patients while waiting for<br />

a more definitive handover than triage<br />

provided. The excuse the hospital<br />

used was that they were having major<br />

renovations in the emergency department,<br />

which required some tolerance from all<br />

parties - although most of the tolerance<br />

seemed to be required of the ambos stuck<br />

in emergency doing the work of nurses<br />

while being prevented from covering the<br />

community. I suppose it could be called<br />

corridoring instead of ramping, but in<br />

the end they are both a symptom of the<br />

same thing - bed block in the emergency<br />

department, which arises from bed block<br />

elsewhere in the hospital.<br />

The <strong>Ambulance</strong> Employees Association<br />

SA (AEASA) commenced campaigning to<br />

resist the practice by using the media and<br />

revenue bans to embarrass Flinders Medical<br />

Centre, and the Government, into fixing<br />

the issue. The SA Industrial Commission<br />

issued the following directions:<br />

1. The AEASA agrees to suspend all<br />

industrial bans including case cards<br />

and Cat C transfers<br />

2. The previous agreement negotiated by<br />

the parties be reinstated<br />

3. Flinders Medical Centre management<br />

to immediately put in place additional<br />

capacity in the Emergency Department –<br />

a concept known as Arrivals Model of Care<br />

4. SA <strong>Ambulance</strong> management to place<br />

an appropriate operational officer at<br />

the Emergency Department whose job<br />

it will be to liase with the Emergency<br />

Department and the SAAS State Duty<br />

manager and ambulance crews in<br />

an endeavour to mitigate avoidable<br />

congestion at the Flinders Medical Centre.<br />

5. Flinders Medical Centre management<br />

to liaise with NHS management to<br />

ensure that the movement of patients<br />

between NHS and Flinders Medical<br />

Centre takes into account issues of<br />

congestion at Flinders Medical Centre.<br />

6. Flinders Medical Centre management<br />

to place notices in clear view of all<br />

staff at the Emergency Department,<br />

which provides appropriate information<br />

to avoid ramping or congestion<br />

of ambulances in the Emergency<br />

Department. The notices will be<br />

authorised by senior management<br />

at Flinders Medical Centre.<br />

16<br />

AMBULANCE ACTIVE SPRING 2011


HEADER<br />

Corridoring at Flinders Medical Centre.<br />

This was a good outcome. However, as<br />

nothing is straightforward in industrial<br />

relations, our dispute went through many<br />

phases including literal ramping rearing<br />

its ugly head.<br />

For a time following the initial public<br />

fuss the problem settled, only to reemerge<br />

as the peak season progressed<br />

worse than ever. Although, it never got<br />

to the magnitude of other states. We<br />

finally got to the point where we needed<br />

to once again do some ramping of<br />

our own. We put together a package<br />

of horror stories highlighting some<br />

critical incidents to tug at the heart<br />

strings of the public and to put the wind<br />

up the Government. This made front<br />

page news and got the desired result<br />

- Health Department officials working<br />

feverishly to clear beds elsewhere in the<br />

hospital system to create extra capacity<br />

to deal with patient surges. In excess of<br />

100 beds were found. Post-acute patients,<br />

who could in fact be elsewhere - aged<br />

care, rural hospital, and convalescence/<br />

rehabilitation, were occupying these<br />

beds. The Health Department has<br />

committed to an ongoing process<br />

of improving patient flow through the<br />

whole hospital system.<br />

While we were happy with these<br />

beds becoming available, it is clear<br />

that a more sustainable solution to<br />

ramping is increasing capacity systemwide<br />

so that demand can be met<br />

within the hospital without involving<br />

ambulance. The AEASA is advocating<br />

this position to all the Local Health<br />

Networks in Adelaide, and gaining<br />

some traction.<br />

The genie is indeed back in the<br />

bottle, but there are isolated incidents<br />

where a single crew is held on the ramp<br />

for 25 to 35 minutes, and occasionally<br />

up to an hour. While this may seem<br />

like a short time to other states, it is<br />

not consistent with our zero tolerance<br />

to ramping policy. We will continue to<br />

take it up to them until there are no<br />

incidents at all.<br />

About the SA<br />

<strong>Ambulance</strong> Union<br />

The <strong>Ambulance</strong> Employees<br />

Association of South <strong>Austral</strong>ia<br />

(AEASA) is a small, stand-alone<br />

union that covers only ambulance<br />

staff. It has a membership of about<br />

1,200 and covers 99.5 percent of all<br />

operational staff in the state. The<br />

AEASA is not affiliated with any<br />

political party, nor is it part of any<br />

large national union.<br />

The AEASA came into existence<br />

in 1981 to fight for a professional<br />

ambulance service in SA, a goal<br />

achieved in 1989. It then went on to<br />

continuously improve members’ pay<br />

and conditions and was successful<br />

in winning professional recognition<br />

and pay for paramedics dating from<br />

1 January 2007. AEASA Secretary<br />

Phil Palmer was elected in 1987 and<br />

remains in that position today.<br />

AMBULANCE ACTIVE SPRING 2011<br />

17


Cover story<br />

The fight to<br />

build a new life<br />

A flight paramedic’s story<br />

(L-R) Bob Glenister, Richard Galeano, Jamie Jackway and Aaron<br />

Harper at Jamie’s home under construction, October 2011.<br />

18 AMBULANCE ACTIVE SPRING 2011


cover story<br />

To follow Jamie Jackway’s progress and to donate to the <strong>Austral</strong>ian<br />

National Paramedic Support Foundation please visit www.jja2012im.com<br />

Jamie Jackway is a QAS Rescue helicopter paramedic.<br />

In 2009, while on a rescue mission, Jamie was involved in a<br />

tragic helicopter accident. After 12 months in hospital, and<br />

another year of continued rehabilitation at home, Jamie and<br />

wife Melinee have been overwhelmed by the rally of support<br />

from co-workers and friends. But, facing life as a quadriplegic,<br />

the challenges for this father of three, are not yet over.<br />

Aaron Harper, Intensive Care Paramedic<br />

Jamie Jackway, Thursday Island, June 2009.<br />

This is the story of an<br />

inspirational workmate and friend. To the<br />

many Queensland colleagues who know<br />

of, or have had the pleasure of meeting,<br />

Jamie Jackway, everyone would agree he<br />

is someone you cannot forget.<br />

Jamie was born and raised in<br />

Townsville and joined the Queensland<br />

<strong>Ambulance</strong> Service (QAS) in 2003, based at<br />

Townsville Station as a student paramedic.<br />

Jamie already came with a high level<br />

of training and professionalism after<br />

spending seven years as a Medic (Medical<br />

Corps) in the <strong>Austral</strong>ian Army. It was no<br />

surprise, given his friendly and outgoing<br />

nature that he fitted in well with his peers<br />

at Townsville Station. He was affectionately<br />

known as the Gentle Giant and the only<br />

real concern was whether he would<br />

actually fit into the ambulance. Standing<br />

tall, at 6ft 7inches, that was always going to<br />

be a challenge.<br />

Jamie came from a sporting background<br />

playing State League Basketball and<br />

volleyball. Admittedly, his height was<br />

always an advantage. He also played A<br />

Grade Rugby Union and League.<br />

In 1998, Jamie married Melinee and<br />

the couple are parents to three children<br />

- Noelani, aged 13, Kavakore, nine, and<br />

Tichalla is six years. Amazingly, but not<br />

surprisingly given the type of fellow he is,<br />

Jamie and Melinee also have fulltime care<br />

of 11 year old nephew Jeremiah.<br />

After qualifying as an Advanced Care<br />

Paramedic in 2006, Jamie’s wish was to<br />

transfer to Thursday Island, located in the<br />

Torres Strait, and was ultimately successful –<br />

transferring to QAS Thursday Island Station<br />

in April 2009. Part of Jamie’s job role was to<br />

perform flight paramedic duties on a certain<br />

number of shifts each fortnight. On average,<br />

each rostered day on the helicopter resulted<br />

in at least two patient retrievals around the<br />

Torres Strait. Jamie estimates he would have<br />

done approximately 60 retrievals during his<br />

time on the island.<br />

On 9 November 2009, Jamie had his first<br />

operational winch. The crew, flying a Bell 412<br />

helicopter, were tasked to retrieve a cardiac<br />

AMBULANCE ACTIVE SPRING 2011<br />

19


Cover story<br />

QAS colleagues visit Jamie in hospital.<br />

patient from the container ship Maersk<br />

Duffield, located at sea 132km west of Horn<br />

Island. Thankfully perhaps, Jamie cannot<br />

remember the particular events of this day.<br />

Unfortunately, Jamie and the rescue<br />

crewman suffered serious injuries during<br />

the winching operation when they fell<br />

approximately 10 meters to the ships’<br />

deck. Both were injured, Jamie’s injuries<br />

were critical. He suffered multiple fractures<br />

to his spine, ribs, both arms and pelvis. He<br />

also had bilateral haemopneumothoracies.<br />

Jamie was extricated via another<br />

helicopter and reports are, although<br />

initially knocked out, was telling his<br />

fellow rescuers how to treat him – in true<br />

paramedic fashion.<br />

Jamie was soon sedated, ventilated and<br />

airlifted via a Careflight jet to the Princess<br />

Alexandra Hospital in Brisbane – a place<br />

he would call home for the next 12 months.<br />

After spending the first three months<br />

overcoming his injuries, Jamie was finally<br />

released from the intensive care unit to<br />

the spinal ward for extensive rehabilitation.<br />

As a result of fractures to his cervical spine,<br />

and subsequent cord damage, Jamie was<br />

diagnosed a quadriplegic.<br />

Having endured many operations and<br />

much pain during his time in hospital,<br />

Jamie was not about to give up. He<br />

found the drive and determination to<br />

get out of hospital, eager to return home<br />

to Townsville. The move out of hospital<br />

required highly specialised equipment<br />

including a wheelchair and a modified<br />

Mercedes sprinter van. Melinee recalls<br />

Jamie’s back seat driving and a few<br />

funny stories involving Jamie not being<br />

strapped in. Her strength is amazing<br />

and Jamie’s sense of humour has<br />

never changed.<br />

20 AMBULANCE ACTIVE SPRING 2011


cover story<br />

“ From golf days to a Kokoda Trial walk,<br />

24‐hour marathons, kayaking, running,<br />

cycling right through to a cupcake<br />

challenge, if ambos think of it, it happens.”<br />

Jamie with United Voice officials.<br />

The cost of Jamie’s care and this<br />

specialised equipment was significant and<br />

the process of a Workcover claim began.<br />

Jamie and Melinee particularly acknowledge<br />

QAS Workplace Health and Safety<br />

Paramedic Rod Powell for the enormous<br />

amount of assistance he gave in this area.<br />

Jamie and Melinee also became very<br />

aware of how the ambulance family works<br />

together. Local ambos assisted with<br />

renovating Jamie’s two-story townhouse<br />

in preparation to be sold, enabling the<br />

Jackway’s to finance a purpose built, and<br />

wheelchair friendly, home.<br />

A concerted effort from staff from<br />

around Queensland was in full swing when<br />

then QAS Commissioner David Melville<br />

launched the Jamie Jackway Appeal.<br />

From golf days to a Kokoda Trial walk,<br />

24-hour marathons, kayaking, running,<br />

cycling right through to a cupcake<br />

challenge, if ambos think of it, it happens.<br />

The enormous effort of staff ultimately<br />

gained great community support. The<br />

donations and offers of help have been<br />

significant but more work is still to<br />

be done.<br />

Businesses right around Queensland<br />

have donated materials for the muchneeded<br />

construction of the new<br />

wheelchair friendly Jackway home<br />

in Townsville. Concrete, tapware,<br />

paint and painters, air conditioners,<br />

solar panels, roofing materials,<br />

cupboards, windows and doors, the list<br />

is extensive. With the majority of these<br />

items donated, the cost to build this new<br />

home for Jamie and Melinee has been<br />

greatly reduced.<br />

Pallet loads of donated materials from<br />

the southeast corner of Queensland were<br />

transported for free by Toll Transport –<br />

all organised by the Transport Workers<br />

Union. Jamie is a member of United Voice<br />

(Queensland <strong>Ambulance</strong> Section) and<br />

Hall Payne Lawyers are looking after his<br />

pending legal case.<br />

The house is currently 80 percent<br />

complete and the next major working bee<br />

will include landscaping and irrigation.<br />

Jamie hopes to be in the new family<br />

home before Christmas 2011.<br />

Jamie would like to particularly<br />

acknowledge the work of the QAS family<br />

during his time in hospital. Melinee and<br />

family were provided with a car and motel<br />

accommodation not far from the hospital.<br />

QAS Liaison Officers Tony King and Mike<br />

Day have provided enormous support<br />

and ensured Jamie and his family never<br />

went without.<br />

The Jamie Jackway QAS appeal wound up<br />

in May 2011 after raising $65,000. This was<br />

due specifically to the enormous amount of<br />

work done by fellow ambos Bob Glenister<br />

and Richard Galeano to form the Jamie<br />

Jackway 2012 Foundation and, more recently,<br />

the <strong>Austral</strong>ian National Paramedic Support<br />

Foundation (ANPSF).This foundation was<br />

formed due to the amount of work underway<br />

around the state and the need to co-ordinate<br />

the fine efforts and ensure the needs of<br />

Jamie and Melinee in the challenge to<br />

build their new home were met.<br />

The main aim is to ensure the ANPSF can<br />

continue to support the Jackway family and<br />

to ensure that any ambulance staff member<br />

who may need assistance in the future has<br />

an established foundation to support them.<br />

Hopefully this story demonstrates the<br />

ongoing need for paramedics, who face<br />

daily challenges right across our country,<br />

to continue looking out for one another, be<br />

safe in our workplaces, and know that our<br />

work mates can and will support each other<br />

in times of need. Above all, to hopefully<br />

ensure that we all come home safe from<br />

our shifts – wherever we may be located.<br />

Aaron Harper is a QAS ICP Flight<br />

Paramedic, based at the Townsville<br />

Emergency Management Queensland<br />

Airwing.Aaron wrote this article with<br />

the permission of his friends, Jamie and<br />

Melinee Jackway, who would like to extend<br />

their heartfelt thanks to everyone who has<br />

helped along their journey so far.<br />

More about Jamie Jackway’s<br />

amazing journey can be viewed at<br />

www.ambulanceactive.com.au<br />

About the ANPSF<br />

The <strong>Austral</strong>ian National Paramedic<br />

Support Foundation (ANPSF) was<br />

established as a result of QAS<br />

paramedic Jamie Jackway, who was<br />

tragically injured in a rescue chopper<br />

accident and now faces life as a<br />

quadriplegic. The foundation is an<br />

independent not-for-profit charity,<br />

operated by a voluntary Board<br />

of Directors and Advisory Board.<br />

It is a registered<br />

charity and all<br />

donations are<br />

tax deductible.<br />

AMBULANCE ACTIVE SPRING 2011<br />

21


active places<br />

Community Paramedic<br />

model flawed<br />

Donelle Carver, Vice President <strong>Ambulance</strong> Employees Association (WA)<br />

A few months ago I temporarily<br />

left Perth to board a plane for Kununurra,<br />

to take up a position as relief for the<br />

Remote Community Paramedic - a program<br />

being introduced to support volunteers in<br />

remote and rural areas in Western <strong>Austral</strong>ia.<br />

Being someone who grew up in the<br />

beach side suburb of Manly in Sydney,<br />

and living in the WA capital since the early<br />

1990s, the word remote took on another<br />

meaning to that of the device that opens<br />

your garage door.<br />

My core role was to encourage, train,<br />

mentor and support volunteers to<br />

perform the everyday ambulance calls and<br />

intervene when Advance Life Support skills<br />

were required.<br />

Kununurra is located in the centre of the<br />

Kimberley region with picturesque scenery<br />

and world-renowned attractions like the<br />

Bungle Bungle Ranges, El Questro Station<br />

and the Gibb River Road, which attract<br />

thousands of tourists to the region each year.<br />

During my time there, we received<br />

several calls to gorges along the Gibb<br />

River Road, which required multiple<br />

agency responses due to the remoteness,<br />

and often prolonged periods to attend and<br />

retrieve patients due to no aerial assistance.<br />

On three occasions I was called to areas<br />

for rescue and spent on average between<br />

12 and 15 hours, and travelled up to 600<br />

kilometres on a round trip attending these<br />

“ I am of the opinion that the Community Remote<br />

Paramedic model is flawed and does not work<br />

well in extremely remote areas like the Kimberley<br />

region of Western <strong>Austral</strong>ia.”<br />

calls, with volunteers who donate their<br />

time to the community.<br />

One call, which is prominent in my mind,<br />

was a vehicle rollover on the Gibb River<br />

Road some 300 kilometres south-south-west<br />

of Kununurra. A volunteer crew responded<br />

in the Mercedes van, while I was in the<br />

personnel carrier alongside a volunteer<br />

officer. The police followed shortly after.<br />

The call was late in the afternoon and by<br />

dusk we arrived to cross the Pentecost<br />

River. The ambulance became stranded<br />

and as night fell, police officers were on the<br />

bonnet of their vehicle with firearms keeping<br />

the inquisitive crocodiles at bay while we<br />

winched the ambulance out of the river.<br />

We finally reached the scene and<br />

discovered a female with a spinal<br />

fracture and others with simple fractures<br />

and bruising. Attempts were made to<br />

evacuate by the Flying Doctor but no<br />

suitable airstrip was nearby. A lengthy<br />

road trip back to Kununurra was the only<br />

option, arriving at 1 am the next morning.<br />

The injured woman was flown out of<br />

Kununurra with a C2 spine fracture.<br />

After nine weeks, and virtually attending<br />

calls as a single responder, I am of the<br />

opinion that the Community Remote<br />

Paramedic model is flawed and does not<br />

work well in extremely remote areas like<br />

the Kimberley region of Western <strong>Austral</strong>ia.<br />

The expectations of the organisation<br />

and the community are that, as the only<br />

paramedic within the community and<br />

region, you are expected to be available<br />

24/7 while attempting to take adequate<br />

down time to battle fatigue.<br />

I believe that it is a greater expectation<br />

to rely on volunteer staffing and support to<br />

provide a frontline paramedical service in<br />

an area as remote as the Kimberley region,<br />

knowing that many calls are high acuity<br />

and potentially time consuming.<br />

I can say that the experience I gained, the<br />

sights I saw, and the types of calls I attended,<br />

would be hard matched by any officer at<br />

any station at any location in the country.<br />

Postcards<br />

from<br />

Kununurra<br />

24<br />

AMBULANCE ACTIVE SPRING 2011


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<strong>Active</strong> Women<br />

Mums returning to work –<br />

what are the options?<br />

Donelle Carver, Paramedic Bsc, Vice President AEAWA<br />

Photo: St John <strong>Ambulance</strong> (WA)<br />

Many female paramedics are facing leaving the ambulance industry as un-family friendly rosters continue to disadvantage women returning to work after having a baby.<br />

“So, I’ve had my baby and I want to come back to work<br />

but I can’t work full time. What options are available to me?”<br />

I’d like a dollar for every time<br />

a member raises that question, as there<br />

is a growing number for nursing mothers<br />

wanting to return to work.<br />

It has also become problematic for most<br />

ambulance authorities finding positions for<br />

employees in a suitable situation for both<br />

employee and employer.<br />

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in staff as part of the State Government’s<br />

funding towards ambulance services has<br />

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female officers joining the service.<br />

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male/female officers throughout the service<br />

with approximately 60 percent of the<br />

female workforce expected to take some<br />

form of maternity leave in the coming years.<br />

The <strong>Ambulance</strong> Employees Association<br />

WA prepared for the introduction of part<br />

time work in previous agreements with<br />

employers in the form of job share and<br />

casual position being made available. In the<br />

last agreement, we introduced part time but<br />

to this day management has discouraged<br />

this, preferring to corral officers into a job<br />

share arrangement or casual.<br />

This is basically to preserve the current<br />

format of the 224 and 4x4 roster patterns,<br />

and also simplify the rolled-in-rate<br />

agreement for pay.<br />

Many officers returning to work are not<br />

suited by the rotating roster pattern of<br />

full time or job share, and casual work is<br />

intermittent to say the least.<br />

With the current expansion of vehicles<br />

programmed in the current financial<br />

year, officers who are not returning from<br />

maternity leave are being denied job share<br />

positions, which are being reserved for<br />

mothers, but this has officers who have<br />

family responsibilities up in arms.<br />

Management and union are both<br />

seeking a fair and equitable resolution<br />

to this increasing problem and acknowledge<br />

that experienced and qualified paramedics<br />

are leaving the service due to the inability<br />

to work within a family friendly roster.<br />

The organisation is attempting to fast<br />

track paramedics with many direct entrants<br />

coming from other countries and interstate<br />

services, however this is a process<br />

that will take some years to keep the<br />

metropolitan and country fleet expanding<br />

at a manageable rate and accommodate<br />

officers wishing to continue in their<br />

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It is fair to say the challenge is ahead<br />

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We are actively working to keep WA<br />

members satisfied and the expansion so<br />

desperately needed moving forward.<br />

AMBULANCE ACTIVE SPRING 2011<br />

27


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HEADER<br />

WA’s mining boom<br />

Consuming the workforce and paramedics<br />

John Thomas, President <strong>Ambulance</strong> Employees Association (WA), Paramedic BSc ASM<br />

Every time you turn on the<br />

television there is some form of advertising<br />

for the mining industry, and nowhere is<br />

more prevalent than in Western <strong>Austral</strong>ia’s<br />

booming north-west region.<br />

With the current environment attracting<br />

more than 50 paramedics a year out of<br />

the workforce for industrial contracts,<br />

and the prediction that this number will<br />

almost double over the next few years, the<br />

ambulance service is facing a dilemma.<br />

A State Government announcement<br />

about the upcoming Wheatstone Project,<br />

located off the Pilbara coast, is rumoured<br />

to attract a further 26 paramedics.<br />

Paramedic resources in the metropolitan<br />

region are often strained by commitments<br />

to the mining sector, which are currently<br />

addressed through overtime coverage<br />

and crew shortages. This most likely will<br />

be compounded by the mining industry’s<br />

unquenchable thirst for onsite paramedics.<br />

The <strong>Ambulance</strong> Service WA has begun<br />

looking to supplement its obligation to<br />

the mining sector by offering positions to<br />

suitably qualified paramedics from other<br />

services within <strong>Austral</strong>ia.<br />

The WA mining boom is causing strain on metropolitan paramedic resources.<br />

This has been a necessary option due to<br />

the expansion commitment given for rural<br />

and remote Western <strong>Austral</strong>ia to increase<br />

the current paramedics by almost 50<br />

officers into rural and remote areas over the<br />

next three years.<br />

It is a challenge that both management<br />

and union face to enable the current service<br />

to grow to meet increasing workloads<br />

and also service the mining industry that<br />

enables our members to diversify their work<br />

and lifestyle for a rewarding remuneration.<br />

The unknown quantity is the expansion<br />

rumoured in the mining industry alone<br />

within Western <strong>Austral</strong>ia will surely see the<br />

current commitment double in the next<br />

five years, along with rural townships that<br />

will also require increased resources.<br />

The challenge will surely be to produce<br />

enough paramedics in the coming years<br />

to supplement the increasing ambulance<br />

requirement and also satisfy an everexpanding<br />

mining industry that has an<br />

endless thirst for paramedics.<br />

In Brief<br />

Fatigue Risk<br />

Management Policy<br />

Queensland<br />

<strong>Ambulance</strong> Service<br />

(QAS) is preparing<br />

a Fatigue Risk<br />

Management Policy<br />

in consultation with<br />

United Voice (QLD).<br />

Management of fatigue is paramount<br />

to the welfare of United Voice members,<br />

and to the safe delivery of services to the<br />

community. The policy is a significant move<br />

forward and United Voice has endorsed the<br />

process and the implementation of a trial.<br />

The development of a policy was<br />

directed by the Queensland Industrial<br />

Relations Committee, and is due for<br />

completion by July 2012. Members are<br />

encouraged to raise any areas of concern<br />

to enable United Voice to effectively review<br />

and amend the policy.<br />

Communications<br />

Centre roster<br />

Health And Community Services Union<br />

Tasmania (HACSU) is proposing changes<br />

to the communications centre roster<br />

that would see the introduction of a 4x5<br />

roster rather that the standard 4x4 service<br />

roster. The proposal also includes a new<br />

classification structure with new roles.<br />

Members have recently rejected this<br />

management proposal, partially because<br />

the information provided by <strong>Ambulance</strong><br />

Tasmania was incomplete and because of<br />

the significant work/life balance that would<br />

affect members who were subject to a<br />

significant roster<br />

change. Members<br />

stand to lose<br />

significant salary<br />

as a result of the<br />

change to the<br />

proposed roster.<br />

TWU Survey<br />

The Trade<br />

Workers Union<br />

(TWU) ACT has<br />

completed the<br />

2011 <strong>Ambulance</strong> Members Survey, ahead<br />

of negotiations for the new Enterprise<br />

Agreement. Members were surveyed<br />

on all aspects of working in the ACT<br />

<strong>Ambulance</strong> Service, from conditions and<br />

entitlements to job satisfaction, challenges<br />

and opportunities, organisation structure<br />

and strategic direction.<br />

The survey was deliberately broad<br />

and holistic in approach, and will not<br />

only be used to inform key objectives<br />

in the upcoming Enterprise Agreement<br />

negotiations, but will be a useful tool to<br />

assist the TWU to respond to members<br />

concerns, in particular to improve work/life<br />

balance issues. More than 80 percent of<br />

front-line officers responded to the survey.<br />

AMBULANCE ACTIVE SPRING 2011<br />

29


flashback<br />

Events that helped<br />

shape history<br />

ACTAS ICPs Karen Yanik, Ben Lynch, Commissioner Deegan and TWU<br />

Counsel, Barrister Adam Hatcher.<br />

ACTAS ICPs demonstrate CBR equipment.<br />

After years of determination, the Transport<br />

Workers Union (TWU) Work Value case of 2010, which was<br />

independently arbitrated in the office of Fair Work <strong>Austral</strong>ia,<br />

represented the most significant Work Value decision in recent<br />

history. The TWU ran a successful public campaign over several<br />

years while preparing its case, which successfully delivered<br />

professional recognition for ACT Intensive Care Paramedics.<br />

This recognition set the benchmark for salaries paid to <strong>Ambulance</strong><br />

Officers, delivering an increase in base wage rates of over 21<br />

percent for ACT Paramedics. As part of its campaign, a clinical<br />

skills demonstration day was held in 2009, with the guest of<br />

honour being Fair Work <strong>Austral</strong>ia Commissioner Barbara Deegan.<br />

Fair Work <strong>Austral</strong>ia Commissioner Deegan and ACTAS General Manager<br />

Operations Matt Smith on board the SouthCare Helicopter.<br />

ACTAS Flight ICP Paul Hardie demonstrates a<br />

static winch.<br />

Ben Lynch and Karen Yanik run through a scenario.<br />

ACTAS Flight ICPs display retrieval packs: Counsel for the ACT Government Geofery Robinson (crouched)<br />

Geofery Wang, Commissioner Deegan, TWU Official Ben Sweaney, Counsel for the TWU Adam Hatcher.<br />

30<br />

AMBULANCE ACTIVE SPRING 2011


HEADER PHOTOS<br />

(L-R) Alan Colley and Danny Hill.<br />

NCAU 2011 Convention<br />

1-2 September 2011<br />

Melbourne, Victoria<br />

(L-R) Jenny Ayres and Richard Crosara from Police Credit Co-op.<br />

(L-R) Greg Bruce, Jim Arneman and Paul Wilkinson.<br />

Convention attendees pay attention to a presentation on Professional<br />

Registration by Jim Arneman.<br />

(L-R) Amanda Kaczmarek, Tony Davis and Ray Bange.<br />

(L-R) Greg Bruce, Steve McGhie, Wayne Carty and Steve Mitchell.<br />

AMBULANCE ACTIVE SPRING 2011<br />

31


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active HEADER people<br />

Welcoming NT’s new<br />

Paramedic Educator<br />

After almost two decades on the road,<br />

Victorian paramedic Olga Bartasek has<br />

travelled the long road to Darwin to<br />

embark on a new career.<br />

The former Team Manager at<br />

Romsey and two year old son Nathan<br />

moved from the family’s nine-acre property<br />

in Victoria’s Macedon Ranges region in<br />

November, in time to start work with St<br />

John <strong>Ambulance</strong> as a paramedic educator.<br />

Olga’s husband, Martin, who will<br />

also start an exciting new career as a<br />

commercial pilot with a local airline early<br />

next year, initially sparked the move.<br />

Martin and six year old Liam will make the<br />

move after the family spends Christmas<br />

together in Victoria.<br />

“While the move interstate was primarily<br />

for Martin’s work, I was also exploring<br />

different career options and teaching has<br />

always appealed to me,” she said.<br />

“After 19 years on the road, the last 10<br />

as team manager, I am looking forward to<br />

this new educator’s role,” Olga said.<br />

St John <strong>Ambulance</strong> will start a new<br />

paramedic recruitment program in 2012,<br />

different to many other states, where on<br />

the job training will be supplemented with<br />

a three-year degree from Perth-based<br />

tertiary institute Edith Cowan University.<br />

“The course in Darwin seems an ideal<br />

model – on the job training coupled with<br />

academic, studies,” Olga said. <br />

“There are advantages to both academic<br />

and time on ambulance models, but in<br />

Darwin, the combination means graduates<br />

have the theoretical knowledge in addition<br />

to getting to know the practical aspect<br />

of the job and learn to work closely in<br />

their community.”<br />

The new course starts next year and<br />

Olga will be teaching within the Associate<br />

Diploma course, registered with Edith<br />

Cowan University, while retaining her<br />

paramedic skill set and being available<br />

to go out on the road if required.<br />

“I’m expecting the on-road environment<br />

to be quite different to what I’ve been<br />

used to also,” Olga said.<br />

“In the Northern Territory, St John<br />

<strong>Ambulance</strong> still has two stretchers in their<br />

vehicles, and two passenger seats in the<br />

rear of the vehicle. I have been told it is<br />

not uncommon to have four patients in<br />

the ambulance at the one time.<br />

“The organisation still has a large<br />

number of volunteers they don’t have<br />

their own helicopters, they use a<br />

private company, whereas in Victoria<br />

we have had the choice of four owned<br />

and operated helicopters in different<br />

corners of the state. The other obvious<br />

difference, and challenge, will be the<br />

distances. Sometimes, we will be travelling<br />

200-400 kilometers away from the<br />

nearest hospital.”<br />

In addition to the career change<br />

opportunity, the paramedic educator<br />

position brings with it the family friendly<br />

hours that Olga requires for her family<br />

circumstances.<br />

“I can work Monday to Friday with no<br />

nights or weekend work,” she said.<br />

“Having Nathan on my own with<br />

no family or ready-made friends, and<br />

therefore needing childcare, means day<br />

time work was important to secure.”<br />

While Olga and her family were<br />

fortunate that the paramedic educator<br />

position was available, the ambulance<br />

industry too was lucky to not loose one<br />

if its most experienced professionals.<br />

Held in high esteem from colleagues<br />

around the country, Olga’s keen interest<br />

in Industrial Relations means she has<br />

played a key advocacy role on behalf<br />

of paramedics.<br />

“I have a strong passion for advocating<br />

for paramedics in the field, always striving<br />

to maintain equality and fairness in the<br />

“ I have a strong passion for advocating for<br />

paramedics in the field, always striving to maintain<br />

equality and fairness in the workplace in addition<br />

to upholding basic moral rights,” she said.<br />

workplace in addition to upholding basic<br />

moral rights,” she said.<br />

Olga has appeared at press conferences<br />

to highlight the shortage of paramedics<br />

and the effect it was having on existing<br />

resources. On this issue, she has also<br />

lobbied her local MPs over three major<br />

towns in the Macedon Ranges region<br />

having only one single officer on shift,<br />

effectively doing the job on their own. In<br />

collaboration with <strong>Ambulance</strong> Employees<br />

<strong>Austral</strong>ia (VIC), her efforts locally have<br />

resulted in Woodend now being staffed 24<br />

hours a day, and an increase in resources at<br />

the Gisborne and Kyneton station to two<br />

paramedics on shift.<br />

AMBULANCE ACTIVE SPRING 2011<br />

33


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CONTACTS<br />

<strong>Austral</strong>ian Capital Territory<br />

Steve Mitchell<br />

E: smitchell@homemail.com.au<br />

P: 0416 170 477<br />

New South Wales<br />

Greg Bruce<br />

E: GBruce@ambulance.nsw.gov.au<br />

P: 0408020609<br />

Northern Territory<br />

Peter Schultz<br />

E: pwnschultz@bigpond.com<br />

P: 0417 831 890<br />

Queensland<br />

Jeanette Temperley<br />

E: jeanette.temperley@unitedvoice.org.au<br />

P: 07 3291 4683<br />

South <strong>Austral</strong>ia<br />

Phil Palmer and Wayne Carty<br />

E: info@aeasa.com.au<br />

P: 08 83403511<br />

Tasmania<br />

Tim Jacobson<br />

E: tim@hacsutas.net.au<br />

P: 1300 88 00 32<br />

Victoria<br />

Steve McGhie<br />

E: steve.mcghie@unitedvoice.org.au<br />

P: 03 9235 7661<br />

Western <strong>Austral</strong>ia<br />

John Thomas<br />

E: tomo@iinet.net.au<br />

P: 0411 129797<br />

Editor <strong>Ambulance</strong> <strong>Active</strong> Journal and Website<br />

Kristi High<br />

E: Kristi@puffafish.com.au<br />

P: 0407 366 466<br />

AMBULANCE ACTIVE SPRING 2011<br />

35


competition<br />

Caption This<br />

For your chance to WIN Christmas cash<br />

Simply go to www.ambulanceactive.com.au and register your caption for this photo inside<br />

the Forum section on the website.<br />

Only members of the website can participate. Haven’t registered? It’s easy. Just choose a<br />

username and password and follow the prompts. Once you’re signed-up, you can enjoy all<br />

the benefits of a social networking site that is exclusively for <strong>Ambulance</strong> Union members<br />

around the country.<br />

The Editor will select the top three captions and ask the members to decide.<br />

Prizes:<br />

First: $100<br />

Second: $50<br />

Third: $25<br />

Winners will be announced on www.ambulanceactive.com.au on 16 December 2011.<br />

36<br />

AMBULANCE ACTIVE SPRING 2011


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Tel: 02 9516 0124<br />

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Email: Loreleym@bigpond.net.au

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