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Paramedic with East Kennet Primary Care Network in Ramsbury, Wiltshire
This role is being advertised to grow our paramedic team, working for the PCN, at Kennet & Avon Medical Partnership in Marlborough and Pewsey. There is a well-established duty team with paramedics, nurse practitioners and GP's, this role will work within this team and will be required to treat patients on the same day medically urgent list. There will also be a requirement to carry out some home visits. Paramedics work autonomously within the practice 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. There will be a requirement to work a full day every Friday. About us 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 e. perform investigatory procedures needed by patients and those requested by GPs 4. provide an alternative model to urgent and same day home visits for the PCN and undertake clinical audits 5. communicate at all levels across PCNs and other organizations, ensuring effective, patient-centred service 6. communicate proactively and effectively with all colleagues across the multi-disciplinary team, attending and contributing to meetings as required 7. collaborate with other members of the PCN including doctors, nurses and other AHPs, accepting referrals and referring to them for specialist care 8. 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 9. 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 10. work with patients in order to support compliance with and adherence to prescribed treatments 11. provide information and advice on prescribed or over-the-counter medication on medication regimens, side-effects and interactions 12. assess, diagnose, plan, implement and evaluate treatment/interventions and care for patients presenting with an undifferentiated diagnosis, and patients with complex needs 13. clinically examine and assess patient needs from a physiological and psychological perspective, and plan clinical care accordingly 14. prioritise health problems and intervene appropriately to assist the patient in complex, urgent or emergency situations, including initiation of effective emergency care 15. diagnose and manage both acute and chronic conditions, integrating both drug- and non-drug-based treatment methods into a management plan 16. support patients to adopt health promotion strategies that promote healthy lifestyles, and apply principles of self-care Personal attributes 1. 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 2. be verified against the paramedic primary care roadmap 3. recognise and work within own competence and professional code of conduct as regulated by the HCPC and College of Paramedics 4. assess effectiveness of care delivery through self and peer review, benchmarking and formal evaluation 5. 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 Administrative requirements 1. produce accurate, contemporaneous and complete records of patient consultation, consistent with legislation, policies and procedures 2. be aware of data protection (GDPR) and confidentiality issues particularly within a PCN 3. use technology and appropriate software as an aid to management in planning, implementation and monitoring of care, presenting and communicating information 4. 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.