Job responsibilities
The post
holder is an experienced Specialist/Advanced Paramedic, who acting within
their competence, will provide care for the presenting patient from initial
history taking, clinical assessment, diagnosis, treatment and evaluation of
their care. They will demonstrate safe clinical decision-making and expert
care for patients within primary care. There is a requirement to see
emergency patients and this may be either in a practice or in the patients
home. The practitioner will need to prioritise and triage the needs of
patients accordingly making any necessary referrals for investigations in the
appropriate manner.
Job responsibilities:
Diagnosing
and treating patients presenting with undifferentiated primary care demand:
Triage and treat patients wishing to see a
health care professional making any necessary referrals to other members of
the primary health care team
Ensure clinical practice is safe and effective
and remains within boundaries of competence and acknowledges limitations
Make professionally autonomous decisions for
which he/she is accountable
Provide first point of contact within the
service for patients presenting with undiagnosed problems, making use of
skills in history taking, physical examination, problem-solving and clinical
decision-making to establish a diagnosis and management plan
Provide health education / health promotion to
patients, relatives and carers.
Refer patients to other members of the primary
and secondary health care team as necessary
ECG (Lead II interpretation)
Minor injuries including wound care
Admission
Avoidance Work
Accept referrals from other Health Care
Professionals, providing telephone/face to face support and assisting with
clinical management.
Follow up phone calls and consultations with
patients, relatives and other Health Care Professionals regarding a patients
care.
Creation of patient specific care plans to
reduce avoidable hospital admissions, especially out of hours.
Intercept 999 calls by utilising the SECAmb
IBIS system, either performing telephone triage call / visit to reduce
avoidable hospital admissions.
Pathological
specimens and investigatory procedures
Undertake the collection of pathological
specimens.
Perform investigatory procedures either
clinically indicated or requested by other members of the primary health care
team.
Administration
and professional responsibilities
Maintain their professional registration in
line with HCPC standards.
Maintain a high personal standard of
professionalism.
Participate in the administrative and
professional responsibilities of the Paramedic Practitioner team.
Ensure accurate and legible notes of all
consultations, treatments and referrals are recorded in the patients electronic
notes.
Ensure the clinical computer system is kept up
to date with accurate details recorded and amended when required.
Ensure expense claims are made accurately,
reporting any problems to the Office Manager.
Ensure collection and maintenance of
statistical information required for regular and ad hoc reports and audit.
Attend and participate in meetings as
required.
Restocking and maintenance of clinical areas
and administrative rooms used.
Supplies and
equipment
Maintenance of equipment and stock relating to
patient care.
Training and
personal development
Training requirements will be monitored by
yearly appraisal and will be in accordance with team/locality requirements.
Personal development will be encouraged and supported by the organisation. It
is the individuals responsibility to remain up to date with recent
developments.
Participate in the education and training of
students of all disciplines and the introduction of all members of staff
where appropriate.
Maintain continued education by attendance at
courses and study days as deemed useful or necessary for professional
development ensuring HCPC requirements are met.
If it is necessary to expand the role to
include additional responsibilities, full training will be given.
Develop and maintain a Personal Learning Plan.
Completion of annual mandatory online and
basic life support training.
Liaison and
Communication
Work with multi-disciplinary practice teams
within the locality Practices
Work with the wider multi-disciplinary
community integrated teams working with the Locality
As well as the nursing teams there is a need
to work closely with reception and office staff to ensure the smooth running
of the practices, reporting any problems encountered to the relevant
person.
There is also the need to establish and
maintain good liaison with other surgeries and agencies including secondary
care.
The post-holder will establish and maintain
effective communication pathways with colleagues, patients and their carers,
recognising the need for flexibility to overcome different levels of
understanding and cultural backgrounds.
Confidentiality:
Maintain confidentiality in accord with HCPC
and local organisation and practice confidentiality policies.
Health &
safety:
The post-holder will implement and lead on a
full range of promotion and management their own and others health and
safety and infection control as defined in the organisation Health &
Safety policy.
Correct usage of Personal Protective Equipment
(PPE).
Identifying the risks involved in work
activities and undertaking such activities in a way that manages those risks
across clinical and patient process
Safe management of clinical waste and sharps
procedures including use, storage and disposal
Using appropriate infection control
procedures, maintaining work areas in a tidy, clean and sterile, and safe
way, free from hazards. Initiation of remedial / corrective action where
needed or escalation to responsible management
Actively identifying, reporting, and
correction of health and safety hazards and infection hazards immediately
when recognised
Keeping own work areas and general / patient
areas generally clean, sterile, identifying issues and hazards / risks in
relation to other work areas within the business.
Spillage control procedures and
management
Decontamination control procedures, management
and equipment maintenance
Equality and
diversity: The post-holder will
support the equality, diversity and rights of patients, carers and colleagues,
to include:
Acting in a way that recognizes the importance
of peoples rights, interpreting them in a way that is consistent with organisation
procedures and policies, and current legislation
Respecting the privacy, dignity, needs and
beliefs of patients, carers and colleagues
Behaving in a manner which is welcoming to and
of the individual, is non-judgmental and respects their circumstances,
feelings priorities and rights.
Quality:
The
post-holder will strive to maintain quality within the locality and
organisation, by:
Contribute to the practice achieving its
quality targets to sustain the high standards of patient care and service
delivery
Alert other team members to issues of quality
and risk
Assess own performance and take accountability
for own actions, either directly or under supervision
Contribute to the effectiveness of the team by
reflecting on own and team activities and making suggestions on ways to
improve and enhance the teams performance
Work effectively with individuals in other
agencies to meet patients needs
Effectively manage own time, workload and
resources
If an
Independent Prescriber (with HCPC registration annotation), the following
also apply:
Generate EPS and FP10 prescriptions within
scope of practice, considering local and national guidelines including but
not limited to:
o
South Central Antimicrobial Network Guidelines
o
Frimley ICB Medicines Management Team
updates/prescribing
o
NICE guidelines
o
Royal Pharmacological Society Prescribing
Competency Framework
Prescriptions outside of scope of practice
will be valid in the following circumstances:
o
Life threatening emergencies
o
Clinical Management Plan (prescribing as a
supplementary prescriber)
Maintain accurate EMIS records of
prescriptions issued / generated.
Maintain up to date with prescribing by
undertaking continued professional development including but not limited to:
o
Attending Prescribing Forums
o
Discussing cases routinely with General
Practitioners / Non-Medical Prescribers
o
Reviewing updated guidance
Be part of the regular review of the prescribing scope of practice.
Provide support and guidance to other
Paramedic Prescribers.
When required, act in role of Duty Paramedic
Practitioner for the Rapid Home Visiting Service.
