Job responsibilities
The role of and advanced paramedic
practitioner is to deliver a high standard of patient care using advanced
autonomous clinical skills working with the support and guidance from the GPs and
other independent clinicians working within Affinity Care.
Manage a
clinical caseload and deal with presenting patients needs including assessment
and triage patients as first point of contact, alongside the duty doctor,
including same day triage, for patients presenting with undifferentiated,
undiagnosed problems, making use of skills in history taking, physical
examination, problem-solving and clinical decision-making to establish a
diagnosis and management plan
Advise
patients on general healthcare and promote self-management where appropriate,
including signposting patients to other community or voluntary services and to
self-care.
Clinical
Role
Make professionally autonomous decisions for which he/she is accountable
Provide a first point of contact within the service for patients
presenting with undifferentiated, undiagnosed problems, making use of skills in
history taking, physical examination, problem-solving and clinical
decision-making, to establish a diagnosis and management plan
Undertake home visits as a contributing member of the Affinity Care home
visiting teams
Instigate necessary invasive and non-invasive diagnostic tests or
investigations and interpret findings/reports
To prescribe safe, effective and appropriate medication as defined by
current legislative framework
Provide safe, evidence-based, cost-effective, individualised patient
care
Offer a holistic service to patients and their families, developing
where appropriate an on-going plan of care/support, with an emphasis on
prevention and self-care
Promote health and well-being through the use of health promotion, health
education, screening and therapeutic communication skills
Refer patients directly to other services/agencies as appropriate
Contribute to the delivery of specialist primary care services, such as
long term disease management (diabetes, asthma, chronic obstructive pulmonary
disease, coronary heart disease and hypertension) and sexual health
Work with clinical colleagues to ensure
that National Service Frameworks (e.g. Coronary Heart Disease/Older People/
Diabetes /Mental Health) are being delivered
Work with multi-disciplinary team within the Practice and across the
wider Primary health and social care community to promote integrated and
seamless pathways of care
Contribute to the practice achieving its quality targets to sustain the
high standards of patient care and service delivery
Work across locality sites if required
Instigate necessary invasive and non-invasive
diagnostic tests or investigations and interpret findings/reports
Support the delivery of anticipatory care and
end of life care plans and engage with community services (e.g. cancer care
reviews, monitoring BPs, diabetes risk of elderly patients etc.)
To contribute to public health campaigns (e.g.
flu clinics)
Engage with clinical audit with a focus on improving
quality of care to patients
To undertake all mandatory training and
induction programmes. And to contribute to and embrace the spectrum of clinical
governance
To ensure that professional standards are
maintained and within guidance provided by the Department of Health, the Health
and Care Professions Council (HCPC) and the College of Paramedics (COP)
To engage in a supportive annual appraisal
process
To develop yourself and the role as
appropriate and as opportunities arise, with support, through participation in
training and service redesign activities
Provide clinical advice concerning care within
specialist area
Respond to requests for clinical reports,
undertake audits that may impact beyond own area
Participate in identification of community health needs and develop
patient/family-centred strategies to address them
Promote health and well-being through health education, patient
engagement that impacts on the wider
Affinity Care patient population
Help develop and set up new patient services and participate in
initiatives to improve existing patient services
Be aware of and contribute to planning and delivery of practice-based
commissioning
Participate in research and development in order
to identify innovative ways of working to improve the quality of healthcare
Assess effectiveness of care delivery through self and
peer review, benchmarking and formal evaluation.
Utilise the audit cycle as a means of evaluating the
quality of work, implementing improvements where required.
Participate in quality improvement initiatives,
including Significant Event Analysis, peer review and the review of patient complaints
Identify and manage care risks on a continuing basis
Participate regularly in the weekly MDT
Support and work towards the achievement of national
standards (e.g. Quality and Outcomes Framework), local NHS/CCG standards and
Practice standards, delivery care to these frameworks
Encourage
innovation, leading by example to provide safe, high quality care
Contribute to service development with the focus
on improving patient care and service delivery
Professional
Role
Promote evidence-based practice through the use of the latest
research-based guidelines and the development of practice-based research
Monitor the effectiveness of their own clinical practice through the
quality assurance strategies such as the use of audit and peer review
Maintain their professional registration
Participate in continuing professional development opportunities to
ensure that up-to-date evidence-based knowledge and competence in all aspects
of the role is maintained, and undertake regular performance appraisals
Work within the latest HCPC Professional Standards
Record accurate consultation data in patients records in accordance
with the latest HCPC guidance and other pertinent standards
Keep up to date with relevant health-related policy and work with the
practice team to consider the impact and strategies for implementation
Work collaboratively with colleagues within and external to the practice
Contribute positively to leadership and demonstrate exemplary practice
Pro-actively promote the role of the Paramedic Practitioner within the
service and externally to key stakeholders and agencies
Encourage and develop teamwork within the practice
Responsibility for Information Resources
Review, enter and process data using accurate Read
codes and good record structure in order to ensure easy and accurate
information retrieval for monitoring, financial and audit processes.
Facilitate the use of
up to date information technology in order to collate accurate and timely
information as and when required by the practice and CCG
Understand and follow the requirements of
confidentiality (including the Data Protection Act) and the Freedom of
Information Act and to refer on any queries as appropriate.
Follow Practice policy regarding the use of email,
SystmOne and computer tasks as the main internal method of non-verbal
communication and the use of the intranet and the internet as the main source
of internal and external information, including the retrieval of relevant
information for patients on their condition.
Equality and diversity
Act in ways that recognise the
importance of peoples rights, interpreting them in a way that is consistent
with procedures.
Respect the privacy, dignity and
beliefs of patients, carers, visitors and co-workers. They must be treated
equally, irrespective of sex, race, age, disability, sexual orientation,
religion and belief, marriage/partnership, gender reassignment, pregnancy &
maternity
Follow the Practice Chaperoning policy
Be aware of statutory procedures, local
guidance and referral criteria regarding protection of children and vulnerable
adults, including Practice policies. Follow the guidance and policies and take
action in an appropriate manner.
Health, safety and security
Apply infection-control measures
according to local and national guidelines
Use the personal security systems
within the workplace according to Practice guidelines.
Assess risk within the areas of
responsibility, ensuring adequate measures are in place to protect staff and
patients.
Follow Health and Safety Policies and
guidelines, including fire procedures and those pertaining to clinical areas of
risk. Use safe working procedures and report incidents using the incident
reporting system.
Monitor work areas and practices to
ensure they are safe and free from hazards and conform to health, safety and
security legislation, policies, procedures and guidelines.
Respect for patient confidentiality
The post-holder should respect patient confidentiality at all times and
not divulge patient information unless sanctioned by the requirements of the
role.
Teamwork
Work as an effective and responsible team member,
supporting other members of clinical and non-clinical staff in a flexible and
approachable manner.
Understand own role and scope within the organisation
and identify how this may develop over time.
Participate in team activities that create
opportunities to improve patient care.
Ensure clear understanding and utilisation of services
and referral mechanisms and policies to meet patient need.
Participate in and support local projects or areas of
work as agreed with the management team, taking the lead as requested.
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