Role Summary
To assess, diagnose, treat, refer or signpost patients and service users who attend the surgery with undifferentiated or undiagnosed conditions relating to minor illness or minor injury. To coordinate telephone triage, taking clinical responsibility for all patients who have requested an urgent appointment. The role will provide a specialist Paramedic resource for health care professionals and service users, working in collaboration with other members of the Multidisciplinary Team. To work within practices as an autonomous, accountable Paramedic, in the provision of a holistic approach for individuals including assessment, diagnosis and treatment to deliver quality patient services. The post holder will use advanced clinical skills to provide education to patients and service users, promoting self‑care and empowering them to make informed choices about their treatment. To perform any other clinical and clinical administrative duties where trained and determined safe to do so by the partners. This may include assisting with medical reports, safeguarding, and clinic support. Authority: The Paramedic is authorised to undertake treatments and procedures as directed by the GPs for which they are trained in, and which are within the College of Paramedic Guidelines and in line with the HCPC standards framework.
Job Responsibilities
* You will act as an autonomous clinician, with the support and guidance from the GPs.
* Assess, diagnose, plan, implement and evaluate interventions and treatments for patients with complex needs.
* Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long‑term condition (as appropriate).
* Diagnose and manage both acute and chronic conditions, integrating both drug and non‑drug based treatment methods into a management plan.
* Prescribe and review medication for therapeutic effectiveness, appropriate to patient needs and in accordance with evidence‑based practice and national and practice protocols, and within scope of practice.
* Manage caseload of housebound chronic disease management patients.
* Work with patients in order to support compliance with and adherence to prescribed treatments.
* Provide information and advice on prescribed or over‑the‑counter medication on medication regimens, side‑effects and interactions.
* Telephone triage as appropriate for clinics and home visits and provide access to GPs as necessary.
* Take part in clinics if and when needed and appropriate.
* Undertake home visits, manage referrals and admit patients when required.
* Take an active part in QOF management.
* Prioritise health problems and intervene appropriately to assess the patient in complex, urgent or emergency situations, including initiation of effective emergency care.
* Support patients to adopt health promotion strategies that promote healthy lifestyles and apply principles of self‑care.
* Give advice on Health Promotion and Health Education.
* Undertake Audits, Appraisals, Health Promotions and Teaching/Mentoring Staff.
* Implement and participate in vaccination programme as appropriate.
* Be able to:
o Perform specialist health checks and reviews within the scope of practice and in line with local and national guidance.
o Perform and interpret ECGs.
o Perform investigatory procedures as required.
o Undertake the collection of pathological specimens including IV blood samples, swabs, and other samples within the scope of practice, and compliant with local and national guidance.
o 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).
Confidentiality
The post-holder may have access to confidential information relating to patients, their carers, practice staff and other healthcare workers. All such information is regarded as strictly confidential and may only be divulged to authorised persons in accordance with Practice policies and procedures relating to confidentiality and the protection of personal and sensitive data.
Health & Safety
The post-holder will assist in promoting and maintaining their own and others’ health, safety and security as defined in the Practice Health & Safety Policy, including using personal security systems, identifying and managing risks, employing infection control procedures, maintaining tidy and safe work areas, and reporting potential risks and incidents.
Incident Reporting
The post-holder will assist the partners with investigating untoward incidents or near misses in accordance with the internal Significant Events policy and procedure.
Training and Personal Development
Training requirements are monitored by yearly appraisal and in accordance with PCN requirements. Personal development will be encouraged and supported by the practice. The individual is responsible for remaining up to date with recent developments, participating in the education and training of students of all disciplines, and maintaining a Continuous Professional Development record and Personal Learning Plan. If the role expands to include additional responsibilities, full training will be provided.
Equality and Diversity
The post-holder will support the equality, diversity and rights of patients, carers and colleagues, including recognising the importance of their rights, interpreting them consistently with Practice policies and current legislation, respecting privacy, dignity, needs and beliefs, and behaving in a welcoming, non‑judgmental manner that respects their circumstances.
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