The ambulance services are always at the thick of it. We are the linking factor between hospitals, GPs, midwives, you name it! In healthcare, you never work alone. We quickly connect with our partners, working together to ensure that our patients get the best care.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Fire service First Responder
The Fire Service First Responder (BFR) is more or less an extended arm of the ambulance service. In the event that cardio-pulmonary resuscitation (CPR) is required, we can alert 27 stations in our region. The unit first on the scene (ambulance, police, volunteer first aid responder, or fire department) starts with CPR. As a result we save time and increase the patient’s chance of a positive outcome. We train the Fire Service BFRs.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Police
We commonly work with the police, who provide support for us when we suspect there may be an increased risk of violence or aggression. In these situations, the police protect the ambulance crew. The police also assist with entering a property when a patient is unable to independently open the door, so that we can provide the requested assistance. In addition, the police provide us with an escort to some urgent call-outs. In this event, the police make traffic intersections freely accessible, so that the ambulance transport can be smooth and uninterrupted.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Hospitals
We naturally work closely with the hospitals in our region every day. We also work closely with Trauma Centre West. This is a collaboration of the LUMC, the Haga Hospital and Haaglanden Medical Centre.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Volunteer first aid responders
For cardio-pulmonary resuscitation (CPR), for every minute earlier that CPR is administered there is 10% increase in the chance of survival. When resuscitation is required, volunteer first aid responders, Police, or Fire Service First Responders can perform CPR and thus make a difference. If there are enough professional emergency workers available, the volunteer responders can hand over the resuscitation to the professionals. Professional healthcare providers are asked to act as coordinators in an instructive and respectful manner.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> General Practitioners
Our work with GPs is broad and intensive. Some times our tasks overlap, and we meet regularly at patients’ homes. We constantly rely on each other’s assistance.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Mental Health Services (GGZ)
Caring for people who exhibit confused behaviour does not necessarily require ambulance services. The Mental Health Services (GGZ) therefore takes the lead in dealing with mental health issues. We offer support if medical care or monitoring of vital functions is required during transport.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Obstetricians
Obstetrics is also a specialism we provide in the ambulance. In our training programmes, we draw on each other’s expertise, providing CPR and childbirth training to each other. After all, when it’s required, every second counts!
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Regional Coordinated Medical Emergency Disaster Response (GHOR)
We second our employees, trained to the level of Duty Officer, to the Regional Coordinated Medical Emergency Disaster Response (GHOR). GHOR provides assistance and pre-hospital medical care during major incidents and disasters, working closely with the fire, police and municipality officers.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Municipal Health Service (GGD)
Our work with the Municipal Health Service (GGD) includes providing advice on exceptional situations involving infections or contamination. We also contact the GGD when we suspect domestic violence, child abuse, or neglect. We take this role very seriously. We realize that we are uniquely positioned to see someone ‘behind closed doors’ and to offer help. This gives us a unique position in the healthcare chain.
Together with the GGD and GHOR we share a common parent organization: the Regional Department of Public Health Central Holland.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Urban Search And Rescue (USAR)
Urban Search and Rescue (USAR) is used in disaster areas at home and abroad. Along with a number of other ambulance services, we detach our employees to the Dutch USAR organization.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Medevac
The Mobile Medical Team (MMT) can be called on by the emergency dispatch centre or at the request of the ambulance crew to provide additional expert assistance for a patient, for example, when a patient is trapped or to resuscitate a child.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Sea Rescue (KNRM) and rescue teams
Together with the rescue teams in Katwijk and Noordwijk, the Royal Netherlands Sea Rescue Institution (KNRM) offers emergency support along the coast. For example, they are equipped with vehicles that are suitable for use on the beach and have boats when there is a need to access the water. As an ambulance service in the coastal region, this collaboration is very important to us. Some of our employees are also KNRM volunteers.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Fire department
The fire department assists us on average 500 times a year in cases where a patient must be lifted out of a house horizontally (‘lifting’ a patient). We also work together during major emergency deployments. In these cases, the fire service frees the patients or creates a safe working area for the ambulance crews. In return, we provide medical assistance to fire fighters when, for example, divers are deployed by the fire service. We are on stand-by during these deployments and provide medical care when necessary.
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Neighbouring Ambulance Services
Good neighbours help each other out. In cases of need, we can draw on each other’s services. We also use each other’s specialist knowledge and resources. For example, neighbouring ambulance services use one of our ambulances that is suitable for transporting obese patients and we have used our neighbour’s bicycle paramedic teams.
Collaboration on policy
HOLLANDS MIDDEN REGIONAL AMBULANCE SERVICE <> Client Advisory Board
The client advisory board is a consultative body that meets three times a year, and in which patient representatives are informed about and think along with the ambulance service. The client advisory board protects the interests of the patient. The South Holland Patient Organization (Zorgbelang Zuid-Holland) coordinates the advisory board. If you have questions, comments or want to be part of the discussion, please e-mail firstname.lastname@example.org.
RAVHM <> Netherlands Ambulance Service
The Hollands Midden Regional Ambulance Service is affiliated with the trade association of Netherlands Ambulance Service (AZN). Combining 24 other ambulance services in the Netherlands, the AZN sets out the course to even better patient care. Employees of the Hollands Midden Regional Ambulance Service are involved in many subjects on the national agenda. For example, protocol development, quality assurance, finance, and personnel. Find out more on www.ambulancezorg.nl.