Pcn Paramedic

**Clinical Responsibilities**: Triage, assess and treat patients at home, or in the surgery when directed to do so. Make any necessary referrals in collaboration with the referring or duty clinician to other members of the primary health care team, community or hospital teams or social care team as appropriate. Assess, diagnose, plan, implement and evaluate treatment, interventions and care for patients presenting with an undifferentiated diagnosis on an acute basis within the boundaries of competence, seeking the advice of the referring or duty clinician if outside level of knowledge and scope of practice. Where appropriate, discuss with the referring or duty clinician doctor the needs of patients presenting with complex health needs or conditions requiring specific treatment, hospital admission or referral.

Clinically examine and assess patient needs from a physiological and psychological perspective, interpret test results and plan clinical care accordingly. Follow-up patients in the short term and post discharge / 999 call to ensure continuity of care and assist with reducing unnecessary hospital admission or re-admission. Ensure clinical practice is safe and effective and remains within the boundaries of competence, and to acknowledge limitations. Advise patients on general health care and minor ailments, with referral to other members of the primary and secondary health care team as necessary.

Formally and informally impart knowledge and skills to colleagues promoting peer review and best practice within the work environment, ensuring the delivery of a safe and effective service. Undertake the collection of pathological specimens including intravenous blood samples, swabs etc. Perform investigatory procedures requested by the GPs, only accepting to carry out procedures that you are appropriately trained to complete. Other Responsibilities: Maintain accurate, contemporaneous healthcare records appropriate to the consultation.

Assist with the development of local policies and procedures and participate in audits. Participate in PCN MDT where appropriate. Explore the potential for collaborative working and take opportunities to initiate and sustain such relationships. Liaise with other stakeholders as needed for the collective benefit of patients, including but not limited to; Patients and their representatives GP, nurses, AHPs and other practice staff Social prescribers, first contact physiotherapists, physician associates and pharmacists Community pharmacists and support staff End of life care teams Mental health teams PCN Clinical Directors and other PCN staff Practice managers Community nurses and other allied health professionals Hospital staff with responsibilities for prescribing and medicines optimisation