Paramedics work autonomously within the community using their enhanced clinical assessment and treatment skills, to provide first point of contact for patients presenting with undifferentiated, undiagnosed problems relating to minor illness or injury, abdominal pains, chest pains and headaches. They are health professionals who have the capability to make sound judgements in the absence of full information and to manage varying degrees of risk when there are complex, competing or ambiguous information or uncertainty. Key duties and responsibilities 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 team 2.
Advise patients on general healthcare and promote self-management where appropriate, including signposting patients to other community or voluntary services. 3.be able to: a.perform specialist health checks and reviews b.perform and interpret ECGs; alongside other results as appropriate c.perform investigatory procedures as required d.undertake the collection of pathological specimens including intravenous blood samples, swabs, etc. e.perform investigatory procedures needed by patients and those requested by GPs and the wider PCN 4. Support the delivery of anticipatory care plans and lead certain community services (e.g.
monitoring blood pressure and diabetes risk of elderly patients living in sheltered housing) 5. 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 organizations, ensuring effective, patient-centred service 7. Communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required 8.
Collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care 9. Maintain accurate and contemporaneous health records appropriate to the consultation, ensuring accurate completion of all necessary documentation associated with patient health care and registration with the practice 10. 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 11.
Work with patients in order to support compliance with and adherence to prescribed treatments 12. Provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions 13. Assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs 14. Clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly 15.
Prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care 16. Diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan 17. Support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Quality Requirements 18. 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 19.
Be verified against the paramedic primary care roadmap 20. Recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics 21. Assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation 22. 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 23.
In partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate in partnership with other clinical teams, collaborate on improving the quality of health care responding to local and national policies and initiatives as appropriate Administrative requirements 24. Produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures 25. Be aware of data protection (GDPR) and confidentiality issues particularly within a PCN 26. Use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information 27.
Review and process data using accurate read codes in order to ensure easy and accurate information retrieval for monitoring and audit processes. Supervision 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.