Pre-hospital Registrar

Responsibilities of the role As one of our CEMS Doctors, you will be responsible for triaging, assessing, investigating and treating patients with illness and injuries across the whole spectrum of acuity and age. You will be dispatched to jobs in our modern fleet of blue-light response vehicles equipped with the latest ultrasound and point of care technology. Working in conjunction with a colleague, and supported by the senior clinical leadership team, you will manage a high percentage of our patients in the community by delivering care beyond the scope of the typical ambulance, primary care or urgent care provider. CEMS Doctors will be encouraged to utilise and develop pathways into primary and secondary care services, and where needed develop additional clinical skills and extend their scope of practice.

Where patients need to be referred into other parts of the NHS, we aim to direct patients to the right speciality first time and enhance their pre-hospital management by the interventions we perform. We are looking for experienced doctors with relevant clinical experience including recent exposure to emergency or urgent care. Prior pre-hospital care experience is an advantage but not essential as we can provide pre-hospital training relevant to the role. CEMS is a unique role incorporating clinicians from a variety of backgrounds.

We understand that its unusual for clinicians to have the full range of experience relevant to the role so well provide training and support to the right applicants to address any skills gaps. MAIN DUTIES & RESPONSIBILITIES Pre-Operational Training Undertake required training and sign-off for role Clinical Practice / Operational Response Attend ambulance service emergencies identified by the CEMS team or Emergency Operations Centre Act as the lead clinician for of a two-person team Assess patients in accordance with under and postgraduate training, LIVES and national guidelines Use diagnostic equipment including multi-parameter monitoring and point-of-care ultrasound and blood testing equipment as part of patient assessment Provide emergency treatment in accordance with LIVES and national guidelines Formulate an ongoing management plan, taking into account the wishes of the patient, which may include transfer to an Emergency Department, referral to an alternative hospital or community pathway, or discharge at scene Supply prescriptions or medications where appropriate Document care episodes using the appropriate systems Where appropriate initiate end-of-life care or planning Provide clinical advice via telephone, video-call or face-to-face discussion to ambulance service and other LIVES team members Undertake regular checks and restocking of medical and operational equipment and medicines Use on-board communication and technology equipment Driving and Vehicle Checks Conduct vehicle checks in line with CEMS Standard Operating Procedures, ensuring the vehicle is re-fuelled, re-stocked and operationally ready to respond Conduct vehicle and equipment inspections at the start and end of clinical shifts, ensuring all defects, accidental damage or loss is reported in accordance to CEMS Standard Operating Procedures and the inspection is logged Drive LIVES vehicles in accordance with the Highway Code, road traffic legislation and LIVES driving policy, under emergency driving conditions where appropriately trained Education, Development and Research Maintain compliance with statutory and mandatory training Maintain requirements of professional registration Maintain required clinical skills currencies as prescribed by LIVES Engage in the appraisal process for LIVES as well as the designated body if this is not LIVES Undertake initial training and sign-off processes Undertake ongoing training in accordance with the individual training plan Maintain a portfolio of evidence against an appropriate Faculty of Pre-Hospital Care curriculum or syllabus Undertake an appropriate faculty of pre-hospital care examination (e.g. Diploma in Urgent Medical Care or Diploma in Immediate Medical Care) in accordance with individual training plan Support new team members and clinicians in training with their educational requirements Support undergraduate and postgraduate students on clinical placement with the team Support internal and external observers on placement with the team Participate in clinical audit Participate in research opportunities Assist in the idenfitication and development of pre-hospital pathways Undertake teaching and training within CEMS, LIVES and externally according to training, experience and personal interest Management, Leadership and Clinical Governance Support the leadership team in development of the service Doctors with appropriate seniority and experience may be asked to act as duty senior clinician Report incidents, near misses and good practice using the Learning Events system in line with LIVES policies and co-operate with any investigation processes Regularly attend clin