Pre-Hospital Registrar - Community Emergency Medicine

Job responsibilities

Responsibilities of the role

As one of our CEMS Doctors, you will be responsible for triaging, assessing, investigating and treating patients with illness and injuries across the whole spectrum of acuity and age. You will be dispatched to jobs in our modern fleet of blue-light response vehicles equipped with the latest ultrasound and point of care technology. Working in conjunction with a colleague, and supported by the senior clinical leadership team, you will manage a high percentage of our patients in the community by delivering care beyond the scope of the typical ambulance, primary care or urgent care provider.

CEMS Doctors will be encouraged to utilise and develop pathways into primary and secondary care services, and where needed develop additional clinical skills and extend their scope of practice. Where patients need to be referred into other parts of the NHS, we aim to direct patients to the right speciality first time and enhance their pre-hospital management by the interventions we perform.

We are looking for experienced doctors with relevant clinical experience including recent exposure to emergency or urgent care. Prior pre-hospital care experience is an advantage but not essential as we can provide pre-hospital training relevant to the role. CEMS is a unique role incorporating clinicians from a variety of backgrounds. We understand that its unusual for clinicians to have the full range of experience relevant to the role so well provide training and support to the right applicants to address any skills gaps.

MAIN DUTIES & RESPONSIBILITIES

Pre-Operational Training

Undertake required training and sign-off for role

Clinical Practice / Operational Response

• Attend ambulance service emergencies identified by the CEMS team or Emergency Operations Centre

• Act as the lead clinician for of a two-person team

• Assess patients in accordance with under and postgraduate training, LIVES and national guidelines

• Use diagnostic equipment including multi-parameter monitoring and point-of-care ultrasound and blood testing equipment as part of patient assessment

• Provide emergency treatment in accordance with LIVES and national guidelines

• Formulate an ongoing management plan, taking into account the wishes of the patient, which may include transfer to an Emergency Department, referral to an alternative hospital or community pathway, or discharge at scene

• Supply prescriptions or medications where appropriate

• Document care episodes using the appropriate systems

• Where appropriate initiate end-of-life care or planning

• Provide clinical advice via telephone, video-call or face-to-face discussion to ambulance service and other LIVES team members

• Undertake regular checks and restocking of medical and operational equipment and medicines

• Use on-board communication and technology equipment

Driving and Vehicle Checks

• Conduct vehicle checks in line with CEMS Standard Operating Procedures, ensuring the vehicle is re-fuelled, re-stocked and operationally ready to respond

• Conduct vehicle and equipment inspections at the start and end of clinical shifts, ensuring all defects, accidental damage or loss is reported in accordance to CEMS Standard Operating Procedures and the inspection is logged

• Drive LIVES vehicles in accordance with the Highway Code, road traffic legislation and LIVES driving policy, under emergency driving conditions where appropriately trained

Education, Development and Research

• Maintain compliance with statutory and mandatory training

• Maintain requirements of professional registration

• Maintain required clinical skills currencies as prescribed by LIVES

• Engage in the appraisal process for LIVES as well as the designated body if this is not LIVES

• Undertake initial training and sign-off processes

• Undertake ongoing training in accordance with the individual training plan

• Maintain a portfolio of evidence against an appropriate Faculty of Pre-Hospital Care curriculum or syllabus

• Undertake an appropriate faculty of pre-hospital care examination (e.g. Diploma in Urgent Medical Care or Diploma in Immediate Medical Care) in accordance with individual training plan

• Support new team members and clinicians in training with their educational requirements

• Support undergraduate and postgraduate students on clinical placement with the team

• Support internal and external observers on placement with the team

• Participate in clinical audit

• Participate in research opportunities

• Assist in the idenfitication and development of pre-hospital pathways

• Undertake teaching and training within CEMS, LIVES and externally according to training, experience and personal interest

Management, Leadership and Clinical Governance

• Support the leadership team in development of the service

• Doctors with appropriate seniority and experience may be asked to act as duty senior clinician

• Report incidents, near misses and good practice using the Learning Events system in line with LIVES policies and co-operate with any investigation processes

• Regularly attend clinical governance meetings as per currency requirements

• Engage with clinical governance processes and activities within LIVES

Infection Prevention and Control

• Undertake and maintain mandatory training in Infection Prevention and Control

• Comply with LIVES policies and procedures regarding Infection Prevention and Control

• Comply with LIVES policies and procedures regarding use of Personal Protective Equipment

Health and Safety

• All team members are required to make every effort to maintain a safe working environment in accordance with LIVES Standard Operating Procedures and the Health and Safety at Work Act (1974).

• Comply with LIVES policies and procedures regarding Health and Safety

• Undertake dynamic risk assessment at incident scenes

• Use Personal Protective Equipment where required and in accordance with training and safe systems of work

• Undertake and maintain mandatory training on Health & Safety

Fundraising and Public Relations

• Participate in public relations activities where required

• Deal with offers of donations or support in an appropriate manner in line with LIVES fundraising policy.

• Represent LIVES and CEMS by acting professionally at all times and complying with LIVES communications policy.

Confidentiality & Data Protection

• Maintain professional standards regarding confidentiality in accordance with GMC guidance, Caldicott principles and LIVES policies and procedures

• Undertake and maintain mandatory training on information governance

• Comply with policy and legislation around data protection

• Store paper records in accordance with LIVES policies

• Comply with IT access policies and procedures

• Report any Information Governance breaches according to policy

Success in the Role

• Continued appointment to the role is subject to annual performance reviews, completion of initial training and sign-off for which appropriate training and support will be given

Experience

Essential

• 5 years post-registration clinical experience.
• Recent experience in independently managing undifferentiated acute presentations in all age groups.
• Recent experience in an emergency care setting or community setting with regular exposure to acute/urgent presentations
• Knowledge or experience of end-of-life care
• Experience of wound closure e.g., suturing, stapling, steri-strips.
• Evidence of career progression and continuous professional development.
• Knowledge of clinical governance systems.
• Good IT skills, including use of Office 365.
• Excellent communication skills
• Occupational health clearance
• Fit to perform pre-hospital care work

Desirable

• Experience of teaching/instructing on resuscitation, trauma care or emergency care courses.
• Completion of anaesthetic Initial Assessment of Competence
• Pre-hospital care experience
• Local knowledge of health care systems and geographical area.

Qualifications

Essential

• MBBS or equivalent.
• Adult and paediatric advanced life support training.

Desirable

• Relevant post-graduate qualification e.g., Royal College Examination and/or Membership such as MCRGP, MRCEM etc.
• Higher qualification in pre-hospital emergency medicine e.g., Diploma in Immediate Medical Care, Diploma in Urgent Medical Care, Diploma in Retrieval Transfer Medicine, Fellowship in Immediate Medical Care.
• Trauma management qualification.
• Emergency Ultrasound Training (e.g. RCEM Core, FUSIC, FICE).

Personal Attributes

Essential

• Commitment to uphold the LIVES values: Integrity, Community & Excellence
• Good written and verbal interpersonal communication skills.
• Ability to work as part of a team.
• Ability to lead a team.
• Ability to work in unpredictable pre-hospital settings.
• Ability to remain calm under pressure and during emotive situations.
• Demonstrates tact and diplomacy.
• Ability to develop effective working relationships with colleagues, patients and the public.
• Adaptable and flexible approach to work.
• Punctuality.
• Acts with honesty, integrity and professionalism.
• Caring attitude.
• Ability to self-motivate and motivate others.
• Promotes anti-discriminatory practice and equality and diversity.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).