ADHSU members are professionals and are authorised to exempt any individual patient from the below actions to avoid undue suffering or an adverse outcome.

Five days of nuisance industrial action (from end of the stop work meeting on 25 May to first day shift Wednesday 31 May)

On road members (make sure that you voice on the radio that you are participating in the HSU action for the shift)

• No shift movements unless overtime has been exhausted at the destination station (has to be advertised on Teams for at least an hour). Explainer here.
• No pressing off stretcher, crews will not update MDT when off stretcher until they are complete and ready to make themselves available.
• eMR use encouraged however no KPIs are to be reported (explainer here) – if prefer to use PHCR then no KPIs are to be reported.

Ongoing (indefinite) industrial action

Members in Education

• Education members will continue to defer teaching upskilling components of MCPD and Inservice, as continuing to take on more skills without recognition cannot continue.

Ongoing continuous (indefinite) protest action – non industrial action

Members on Road

• No P5s: all patients are to be transported to hospital. This one is not industrial action because NSW paramedics are not getting paid for the required medical reasoning to safely P5 a patient.

Members completing MCPD, Inservice, or online skills upgrades - the below are banned:

• Decompression of Tension Pneumothorax
• Corpuls - members will continue to use the current LifePak 15 to ensure patient safety
• PEEP
• CPAP
• Preceptorship
• Capnography
• End tidal CO2
• Fentanyl IV preparation upgrade
• Any Janison modules associated with the above learning

DOM Members

• ADHSU DOMs have agreed to liquid chalk their vehicles and support on-road paramedics in continuing their chalk campaign

Members on Road

• Chalking continues

Members in Control

• Voice support for HSU action at the start of each shift (see scripts in campaign resources page)

All paramedic members

No participation in the PDP process (it’s a bit rude to use the word ‘professional’ until professional pay flows)

Big Wednesday Action (together with PTOs and HSU hospital-based health workers) from first day shift 31 May to first day shift 1 June (24 hours)

Ban on discharges

Included in bans

• Any patient who has been discharged from hospital to return to home or a Residential Aged Care Facility (RACF)

Excluded from bans

• Dialysis patients.

• End of life and palliative care patients will continue to be discharged to home or RACF. 

• Any hot swap within the last hour of the shift or when the patient’s condition warrants it.

Availability Action

If a crew has been at hospital for 30 minutes and hospital triage is complete, Paramedics will offload some patients that they have transported to Emergency Departments into the care of the hospital, then make themselves available to respond to the next case.

The patients who are to be off-loaded:

• At least 30 mins at hospital and hospital triage is complete
• Adult walking self-care patients
• Must fit the safety criteria outlined in the off-load procedure
• All actions outlined in the off-load procedure are completed.

Paramedics in training support protest

Where practical, all paramedics in training phases will be part of a 3-person team. An additional P1 or above paramedic will work as the “third up” on the car containing a trainee to help support them during that shift. Trainee members are the primary focus of this action. ADHSU members want to enhance training and allow direct one on one mentoring.

• Paramedics in training will form the part of the primary team undertaking the role they would normally do in their training program.
• The paramedic in training will be able to focus on learning while the additional P1+ officer will offer the usual team clinical function and support.
• ADHSU members who are part of a training team will announce via the radio at the commencement of shift that the crew is taking part in the protest and request an additional paramedic be added to the team. Script for announcement here.
• Control members will pass that message to NSWA management. The additional resourcing is the responsibility of NSWA not the Control Centres.
• If you are unable to form a 3-person crew, members should voice the request over the radio, respond, but no transport will take place until at least two P1 or above paramedics are on the car with the paramedic in training or the patient’s condition deems otherwise. 5T trainees will require at least 1 ICP and a P1 and above.

Snap stop work

If a member or delegate is unduly harassed about any of the above – a snap stop work will be held the next morning and very aggressive action will be put in place until the manager is stood down or apologises.

(Updated 0921, 25/05/23)