Job responsibilities
To practice as part of Channel Health services working as a paramedic or nurse within
the home visiting service. The role is to be part of a team that completes home
visits for primary care practices across the south Kent coast. Providing on the
day assessment and up to 72 hours follow up for patients to prevent hospital
admission. The role is to provide care for patients with a variety of
illnesses, completing clinical assessment and formulating diagnosis which is
discussed with the GP to formulate a treatment plan. The post holder will work
collaboratively within the team and complete referrals to relevant
organisations to support patient care.
The post holder will support the delivery of high-quality care and
will support service development and improvement of the local unscheduled care
system, working within the team, across practices and with partners where
appropriate. Committed to the development of innovative practice and expanding
evidence-based care which will contribute to the enhancement of the paramedic
role. The Post Holder will:
Provide and maintain a high standard of clinical assessment,
treatment of patients presenting with undifferentiated and undiagnosed
conditions and patient management for ongoing conditions.
Provide support to the GPs and other members of the Health and
Social Care services.
Deliver care within
the boundaries of their role and competence. Use advanced clinical skills to provide education to patients,
promoting self-care and empower them to make informed choices about their
treatment.
Contribute to service development, transformation and
improvement:
o
Proactively attend
MDT meetings when within general practice to discuss frequent service users in
order to put comprehensive care packages in place that lead to more optimal use
of services
o
Mentorship and
supervision of junior colleagues and peers
o
Contribute to
peer reviews, group work and case reviews to improve individual practice and
care provided to patients.
o
Be open to
learning from other professionals, to expand the scope of your own practice and
holistic care.
Clinical Responsibilities
Use appropriate skills as defined within the Mandatory
and Essential to role training matrix.
To provide high quality holistic patient care and
treatment
Supply medications as appropriate following scope of
practice, policy, patient group directives and local pathways.
To advise and support junior members of the team in
the care, treatment and anticipatory care planning for patients.
Participate in
setting standards for care and auditing clinical outcomes.
Identify and complete necessary interventions, within
scope of practice and following guidance from existing policy and procedures.
When necessary refer to facilitate further advanced
assessment and guidance from the wider team.
Work closely with other care providers and agencies to
ensure quality and safety.
Refer any safeguarding concerns, using established
safeguarding referral pathways.
Accurately and professionally document all patient
contacts, following all relevant organisational policy and procedure.
Know own limits in relation to scope of practice and
recognise when a requirement exists to refer to or seek advice from a more
senior clinician.
Ensure compliance with organisational policy and
procedure in relation to information sharing, patient confidentiality and other
relevant policies.
Provide care in the patients home by holistic
assessment, implementation and evaluation of programmes of care as appropriate.
Participate in setting and monitoring standards to
ensure effective care and delivery of evidence-based practice.
Involvement in team discussions to ensure best
practice.
Ensure that professional standards are maintained and
within the guidance by the Department of Health, the Health and Care
Professions Council (HCPC) .
Use
appropriate physical and clinical examination skills to undertake the assessment
of individuals with health care needs and those presenting with illnesses,
using a range of evidence-based assessment tools and consultation models to
enable accurate diagnostic decision making and recognition of other potential
differential diagnoses.
Assess, diagnose, plan, implement and
evaluate treatment/interventions and care for patients
To provide high quality holistic patient
care and treatment including physiological and psychological perspectives and
plan clinical care accordingly
Comply with set standards, policies
and procedures, contributing to audit of clinical outcomes.
Proactively identify, diagnose and
manage treatment plans for patients at risk of developing a long-term condition
and refer to the GP to consider further interventions where appropriate.
Advise and guide patients to support
compliance with and adherence to prescribed treatments
Provide information and advice on
prescribed or over-the-counter medication on medication regimens, side-effects
and interactions
Prioritise health problems and
intervene appropriately to assist the patient in urgent or emergency situations,
including initiation of effective urgent care
Support patients to adopt health
promotion strategies that promote healthy lifestyles, and apply principles of
self-care
Identify and refer or signpost patients
presenting with mental health needs as appropriate
Provide
information, advice and support to patients face to face Demonstrate the use of
a variety of techniques to elicit the history of an event/illness, including
past medical and drug history. Including patients with communication
impairments
- To evaluate clinical information from examination and history
taking and discuss appropriate treatment and referral back to patients
own GP.
- To interpret clinical diagnostics
and take appropriate action to manage patient care, whilst distinguishing
between abnormal and normal findings in order to relate them to a possible
diagnosis.
- To use broad clinical guidelines
(NICE etc) relating them to individual cases, aiding and feedback to the
organisation and others on how these should be interpreted.
- To signpost appropriately to other
services in the identified healthcare pathway as appropriate
- To discharge or treat, as
appropriate and within the scope of practice.
- To maintain accurate and systematic
documentation of patient interactions and clinical care provided,
including adverse events.
