Paramedic

Scope and purpose of the role A Paramedic is authorised to undertake treatments and procedures for which they are trained, and which are within the College of Paramedic Guidelines in line with the Health Care Professions Council (HCPC) standards framework.

The postholder will have access to appropriate clinical supervision and an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis.

To deliver a high standard of patient care using advanced autonomous clinical skills with in-depth theoretical knowledge and evidence-based practice working with the support and guidance from the GPs and other Independent clinicians working within the PCN MDT.

To manage a clinical caseload and deal with presenting patients needs in both a PCN and general practice setting.

To provide clinical leadership where appropriate within the MDT, supporting other members of the team to develop and maintain clinical skills appropriate to your role and expertise.

Primary Duties and Areas of Responsibility 1.

Assess and triage patients, including same day triage, and as appropriate provide definitive treatment or make necessary referrals to other members of the PCN or practice team.

2.

Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services and to self-care

3 Be able to:
i. perform specialist health checks and reviews ii.

perform and interpret ECGs; alongside other results as appropriate iii. perform investigatory procedures as required iv. undertake the collection of pathological specimens including intravenous blood samples, swabs, etc. v.

perform investigatory procedures needed by patients and those requested by GPs and the wider PCN vi. perform a domicillary (home) visit 4. Support the delivery of anticipatory care and end of life care plans and lead certain community services (e.g. monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing).

• Provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits. 6. Communicate at all levels across PCNs and other organisations, ensuring effective, patient-centred service.
• Communicate proactively and effectively with all colleagues across the multidisciplinary team, attending and contributing to meetings as required and accepting referrals and referring to specialist services where appropriate. 8. Prescribe, issue and review medications as appropriate following policy, patient group directives, NICE (national) and local clinical guidelines and local care pathways.

This will be done in accordance with evidence-based practice and national and practice protocols, and within scope of practice N.B relevant if possesses prescribing qualification only.

9.

Assess, diagnose, plan, implement and evaluate treatment and or interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs within the clinical and domiciliary setting.

10.

Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly 11.

Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care.

12. Take an active part in achievement of contractual markers.

• Implement and participate in vaccination programmes as appropriate. Quality Requirements The post-holder will strive to maintain quality within the PCN, and will: 14. Enhance own performance through continuous professional development, keep up to date with current evidence-based practice, and impart own knowledge and skills to PCN colleagues to meet the needs of the service.
• Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics. 16. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation.
• Participate in research and utilise the audit cycle as a means of evaluating the quality of the work of self and the team, implementing improvements where required. 18. In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate.
• Alert other team members to issues of quality and risk. Administrative requirements 20. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures.
• Work in accordance with internal administrative systems relating to but not limited to the management of clinical data. 22. Send and receive written information on behalf of the patient, practice and PCN relating to the physical and social welfare of patients.
• Work closely with other members of the MDT in the setting up and or improving of systems for mon

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