Job responsibilities
Job Summary
To practice as a
Primary Care Paramedic / Advanced Practitioner, working across the five
practices* that make up the network, with a patient population of 42,000.
To support
practices providing an on the day emergency home visiting service for patients
and working within the Practices. This role will
involve the assessment, diagnosis, treatment or referral of patients presenting
with undifferentiated and undiagnosed conditions.
The post holder would
work closely with the GPs receiving clinical support but allowing for
professional independence. The postholder will work within the
Advanced/Emergency Care Practitioners level of competency.
*Quarter Jack Surgery, Orchid House Surgery, Pennys Hill Practice,
Walford Mill Medical Centre and Old Dispensary.
This role would be working alongside our current
Paramedics, Ageing Well Team and the East Dorset Hub.
The successful candidate should be able to travel
within the areas of Wimborne and Ferndown and have a keen interest in elderly
care / chronic disease.
KEY RESPONSIBILITIES
Clinical
To provide assessment,
diagnosis and treatment at first point of contact by attending to patients
according to patients needs in patients home, care home or practice base.
To support and continue
the development of an on the day emergency home visiting service for the
network.
Assessment and
management of care home patients, with consideration to acute and chronic
health needs.
Discussion with and
involvement of patients, relatives and carers for advanced care planning.
To accurately triage
and prioritise patients, including in emergency situations, demonstrating the
use of a variety of techniques to elicit the history of an event/illness,
including past medical and drug history.
To evaluate clinical
information from examination, history taking and initiate appropriate treatment
and/or referral.
To undertake and
interpret diagnostics and take appropriate action to manage patient care,
whilst distinguishing between abnormal and normal findings in order to relate
them to a possible diagnosis. To use broad clinical guidelines (NICE etc.)
relating them to individual cases, providing assistance and feedback to the
organisation and others on how these should be interpreted.
To signpost
appropriately to other services in the identified healthcare pathway.
To refer patients to
appropriate care settings, within locally agreed healthcare pathways.
To discharge or treat,
as appropriate and within the scope of practice.
To maintain accurate
and systematic documentation of patient interactions and clinical care
provided, including adverse events.
To advise and support
members of the public 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 multi-professional 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 service provision.
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
To assist in
maintaining accurate data collection.
Professional
To utilise and input information into the SystmOne clinical information
system.
To work collaboratively
with other members of the health care team such as the District Nursing Team,
Mental Health Services, staff in Care Homes, Ambulance Service, Secondary Care
etc.
To ensure that the
wellbeing of patients and staff is maintained in accordance with Practice and
network policies.
To undertake
clinical audits in line with the organisation clinical audit plan, and to
participate as required in equipment testing and other research.
To
contribute to the analysis of information to inform future development of the service.
To
participate and contribute to clinical meetings, particularly the regular care
home MDT.
To identify
risks to service provision and highlight them to the Clinical Lead.
To work
within the requirements of Data Protection legislation as it applies to patient
records.
To maintain current
professional registration.
To act at all times in
such a manner as to promote confidence and public trust and to uphold the
reputation of Wimborne &Ferndown PCN, the practices represented by the Network
and their own profession.
Organisational
To operate as an
effective member of the Network team.
To maintain accurate
and systematic documentation of patient interactions and clinical care
provided, including any adverse events, child protection issues or other
notifiable matters.
To provide information
to inform the evaluation and efficiency of the role and for performance
management purposes as requested.
To engage in self
appraisal and utilise reflective practice to enhance and develop personal and
organisational practice.
To assist in marketing
and promoting the role and organisation within the health community both
locally and nationally.
Managerial
To ensure effective
time management and prioritisation of workload.
To ensure the security,
safe storage and maintenance of any allocated equipment and goods.
To ensure practice is
within good clinical governance and based on sound up-to- date clinical
evidence. Where appropriate, to identify and assess any risks associated with
patient care or to oneself and communicate these risks to the appropriate
clinical manager.