Pembroke Medical Group are excited to offer therole of Paramedic Practitioner to an enthusiastic and experienced paramedic,who is passionate about primary care and wanting to join a friendly and dynamicmultidisciplinary team. The successful candidate will play a pivotal role inthe co-ordination and delivery of acute and unplanned care to our community.
Advanced Paramedic Practitioner / Emergency Care Practitioner
Providing urgent same-day care to patients in their own homes
To assess and manage patients independently, with the support of the GPson the Acute Day Team
To contribute to the development of the Acute Day Service at the Practice
If you are interested in this opportunity and would like any furtherinformation about the Practice or the role, please telephone Yvonne Chadwickour Lead ANP on 01803 553558. Informal visits by appointment are alsoencouraged.
Main duties of the job
You will work autonomously and within the competency level of anAdvanced Paramedic Practitioner / Emergency Care Practitioner. You will bebased within the Practice at Pembroke House working alongside and supported bya team of GPs and AHPs as part of the Acute Day Team, providing urgent same-daycare.
The role will involve the assessment, diagnosis, treatment, and / or onwardreferral of patients presenting with undifferentiated and undiagnosedconditions. Please note the role will predominately involve assessing andtreating patients in their own homes. In time, there may be the opportunityto progress to providing clinics within the Practice, depending on theindividuals skills and experience and our operational requirements.
About us
Pembroke Medical Group is a dynamic and exceptionally well-run practiceof 27,000 patients. We have a hard working, friendly and collegiate team ofclinicians and are looking to add to our growing number of Allied HealthcareProfessionals, with the aim of providing the best possible care to ourpatients.
Pembroke Medical Group is part of the Baywide Primary Care Network,which includes Compass House Medical Centre in Brixham and Chilcote Surgery inTorquay. Together we serve a population of 50,000 patients. The expectation isthat the successful candidate will collaborate with GPs, Nurse Practitioners,Mental Health Practitioners, Pharmacists, Practice Nurses, as well as ourcolleagues in Community Nursing, Physiotherapy, Occupational Therapy, SocialCare and at SWAST.
Job responsibilities
Clinical
* To provide assessment, diagnosis, and treatment of patients at first point of contact, predominately in their own homes.
* To accurately triage and prioritise patients, including in emergency situations.
* To apply the necessary skills and techniques to elicit a clear history of events / episode of illness, including the relevant background medical, medications and social histories.
* To evaluate clinical information from history taking and examination to arrive at differential diagnoses, and to initiate an appropriate treatment and /or referral.
* To undertake and interpret diagnostics and take appropriate action to manage patient care. To distinguishing between abnormal and normal findings and to relate these findings to a working diagnosis. To use broad clinical guidelines (NICE etc.), relating them to individual cases and feeding back to colleagues on how these should be interpreted.
* To appropriately signpost patients to other services for their identified healthcare needs.
* To refer patients to appropriate care settings.
* To treat patients as appropriate within scope of practice, and to ask for support when unsure.
* To maintain accurate and systematic documentation of all patient interactions and clinical care provided, including adverse events.
* To advise and support patients on healthy lifestyles, health promotion and disease prevention.
* To provide clinical advice to other members of the team where appropriate.
Communication
* To liaise and interact with multidisciplinary teams across organisational boundaries, including primary care, social services and secondary care providers, according to patient needs and appropriate care pathways.
* To maintain communication with all healthcare professionals and outside agencies to ensure seamless, patient-centred care.
* To ensure effective communication so that the patient receives the appropriate level of care and wherever possible avoid unnecessary hospital admission.
* To take an active role in maintaining expert communication with all patients, carers and relatives, which meets their individual needs.
* To deal with complaints in a calm and courteous manner, ensuring that, wherever possible, complaints are dealt with efficiently and satisfactorily on a local level.
* To communicate effectively in demanding and challenging situations, where there may also be hostility.
Professional
* To input to and extract information from the Practices clinical IT system, EMIS.
* To work collaboratively and collegiately with other members of the healthcare team such as the Community Nursing Team, Community Mental Health Team, care home staff, the acute ambulance and hospital trusts etc.
* To execute mandatory reporting duties, with particular regards to child and adult safeguarding.
* To participate and contribute to clinical meetings.
* To identify clinical and medicolegal risks within personal practice and organisational service provision, and to highlight these to the Partners.
* To work within the requirements of Data Protection legislation as it applies to patient records.
* To engage in self-appraisal and utilise reflective practice to enhance and develop personal practice.
* To maintain Continued Professional Development to a high standard.
* To maintain current professional registration.
* To maintain all mandatory training requirements with the necessary deadlines.
* To act at all times in such a manner as to promote confidence and public trust, and to uphold the reputation of Pembroke Medical Group and the individuals profession.
Organisational
* To operate as an effective member of the Practice team
* To provide information for the evaluation the role and for performance management purposes as requested.
* To assist in clinical audits in-line with the Practices clinical audit plan, and to participate as research as requested.
* To support the development of the Acute Day Team at the Practice.
* To contribute to the analysis of information to inform future development of the service.
* To assist in marketing and promoting the role and organisation within the health community both locally and nationally as required.
This is not meant to be an exhaustive list of duties. The successful candidate will need to agree that a level of flexibility is needed. The role may require other related duties to be carried out upon reasonable request, which are within the employee's skills and capabilities.
Person Specification
Experience
* Experience of the Advanced Paramedic Practitioner / ECP role within Primary or Secondary Care.
* Excellent organisational skills.
* Ability to manage and prioritise workload.
* Basic IT skills in word processing and e-mail.
* Experience in using electronic documentation and patient record systems.
* Proven ability to work autonomously and as part of a team.
* Able to work autonomously, using own clinical judgment to form a diagnosis.
* Skills for managing minor injuries.
* Skills of multi-system assessment.
* Knowledge of medical model of documentation.
* Able to give appropriate telephone advice.
* Understanding of health education/promotion.
* Able to give relevant safety-netting advice.
* Experience of following referral pathways.
* Experience of triage / initial assessment.
* Current knowledge of government targets and initiatives and N.I.C.E. guidelines and their impact on clinical practice.
* Understanding of the HCPC Code of Professional Conduct.
* Knowledge of child and adult safeguarding procedures.
* Understanding of good clinical governance and its significance and impact upon practice.
* Able to professionally challenge differing opinions as a patient advocate where appropriate.
* Evidence of experience / competency in the form of a professional portfolio.
* Experience as a practitioner in an Emergency Department or Urgent Care Centre / Minor Injuries Unit.
* Qualified as a non-medical prescriber.
* Able to record and interpret an electrocardiogram.
* Experience of performing a social assessment.
* Experience of performing brief cognitive assessments.
* Experience of clinical audit.
* Experience of research projects.
* Evidence of leadership skills.
Personal
* Able to work cooperatively with the multi-disciplinary team.
* Able and willing to develop professionally.
* Able to use own initiative.
* Able to act as a role model.
* Able to deal with violence, aggression, and extreme situations.
* Vaccine and immunity status in accordance with current NHS England guidelines
* Able to deal with sensitive issues including bereavement, child abuse, domestic violence and forensic history.
* Able to adjust and respond in rapidly changing environments.
* Able to work in a calm and organised manner in situations of intense workload.
* Able to undertake home visits.
* Hold a current driving licence with business insurance.
* Enhanced DBS disclosure.
* Able to lead and motivate other team members.
* Able to promote and contribute to a learning environment.
Qualifications
* Relevant BSc or MSc
* Currently registered as a Paramedic (HCPC) or Nurse (NMC)
* Evidence of continued professional development.
* ECP / ENP Minor Injuries and Minor Illness Course
* Completed X-ray/IRMER course.
* Teaching and assessing qualification.
* Completed an NHS Clinical Leadership Programme or equivalent
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.
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