Paramedic

7 months ago

West Moors, United Kingdom West Moors Village Surgery Full time

**JOB PURPOSE**: To act as an autonomous Paramedic working independently and in conjunction with other health care professionals to assess, diagnose and treat the conditions of patients attending within primary care initiating direct referrals as appropriate. Provide expert professional advice to patients, carers and colleagues and ensure the maintenance of clinical excellence, either by telephone assessment, face to face or home visit. Requirement to travel between different locations e.g. branch surgery which is in close proximity to the main surgery.

PRIMARY DUTIES AND AREAS OF RESPONSIBILITIES PARAMEDIC PRACTICE The Paramedic will work autonomously and is accountable for own professional actions. Works at an advanced level using expert knowledge and clinical skills to deliver holistic care to people accessing primary health care services. Assesses diagnoses and treats patients attending primary health care services with a range of acute, non-acute and chronic medical conditions. Assesses diagnoses and treats patients in surgery or own home who require acute medical attention and refer to appropriate agency.

Directly admits patients to secondary care hospital in acute medical need. Refers patients to other medical specialities for assessment if deemed appropriate. Refers patients as appropriate to other members of the multidisciplinary team, secondary care and to other statutory and voluntary organisations including referral for x-ray. Makes critical clinical judgements to satisfy the expectations and demands of the job e.g.

first contact with patients presenting acutely and manages care in the presence and absence of protocols. Advises and supports others where standard protocols do not apply. Works within professional guidelines and codes of conduct. Works within all relevant practice policies and procedural guidelines e.g.

infection control, chaperoning, risk management.. CARE AND PROGRAMME MANAGEMENT Develops and manages specialised programmes of care and care packages and provides specialised advice concerning care normally beyond the scope of normal Nursing practice e.g. establishes differential diagnoses, management/treatment plans and makes referrals as appropriate.

Communicates sensitive condition related information to patients, relatives and carers. Initiates the process of diagnosis with patients suspected to have a chronic disease e.g. Diabetes, COPD, asthma, IHD referring to other clinical staff as appropriate. Contribute to practice targets both local and national within the disease management agenda e.g.

QOF, prescribing incentive scheme. Contributes to disease registers. Audits outcomes of care against standards and initiate changes as necessary. Undertakes annual review of patients understanding and ability to self-manage and medication reviews.

Refers to other members of the extended primary health care team as appropriate e.g. podiatrist/chiropodist, dietician, specialist Nurses. STRATEGIC DEVELOPMENT OF PRIMARY CARE SERVICES Contributes to the strategic development of primary care to meet patient and population needs within the practice. Works/liaises across multi-professional and agency boundaries.

Works at the forefront of practice innovation. Determines how to deal with ambiguous or unique problems to develop and advance primary care services for the benefit of patients, carers and communities. HEALTH IMPROVEMENT Initiates and carries out programmes of health screening and ensures other team members are aware of health agendas and screening programmes. Introduces innovation in practice to meet on going health need demands of the practice.

Works to introduce new developments that will improve health outcomes for patients and is able to demonstrate through written and presentation these developments i.e. Sexual Health agenda. Shares innovation and new learning with others. Represents individuals and families interests when they are not able to do so themselves.

Makes referrals to statutory and voluntary agencies as appropriate. COMMUNICATION Provides and uses complex, sensitive or contentious information to deal with situations which may sometimes be hostile or emotive. Uses developed communication, negotiation, conflict management skills which require empathy, reassurance and persuasive skills where there can be significant barriers to acceptance which need to be overcome. Regularly communicates service related information to Partners, Practice Manager, Salaried GPs, Advanced Nurse Practitioner, Nursing and Administrative staff, patients, relatives and carers.

Makes operational judgements, manages conflicting views and reconciles inter and intra professional differences of opinion. Builds and communicates therapeutic working relationships with a wide array of statutory and voluntary organisations for the benefit of patient care and facilitates good working relationships. MANAGE/LEAD SELF/OTHERS Encouraged to develop a special interest (dependent on experience) within the

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