Key advice when ramped

Posted on
February 15, 2022

Ramping is NOT a ‘normal ambulance activity’

We continue seeking improvements on hospital offload delays because we totally disagree that ramping is a ‘normal ambulance activity’ and believe we all should object to attempts to normalise it.
Our key advice when ramped is:

  • You are not required to take your patient to different parts of the hospital. In-hospital care, treatments, explorations, and interventions should be done by hospital staff, preferably after a patient handover.
  • You are not responsible for cleaning the hospital environment, this is a role for hospital staff.
  • You are not required to push hospital beds to or from the ED or to other ramping locations.
  • You should not allow care, interventions and treatments outside your scope or clinical knowledge.
  • You do not have to accept more than one patient when ramped. This is a decision for you to make and bullying about saying no should not be tolerated.
  • You are not responsible for the collection, removal or transfer of rubbish or linen bags when in the hospital setting.
  • Interns and people undertaking TASO or RTW should not accept unsupervised practice if supervised practice is needed, including looking after ramped patients.
  • You should clean surfaces that your patients or their support people touch.
  • You are entitled to meal and hydration breaks even when ramped.
  • You need to negotiate with your Operations Supervisor (DM), not hospital staff, if you need assistance when ramped, except for time-critical safety or critical clinical issues.
  • If you have any concerns about safety, clinical events or operational issues please submit an SRLS.

For more information about this or any other industrial matter, members should contact HACSUassist on 1300 880 032 or email or complete our online contact form