Trainee CCP

Job description

Job responsibilities

Regional Trauma Desk (RTD)

Working in the Emergency Operations Centre (EOC) in liaison with the Enhanced Care Desk (ECD) and Incident Command Desk (ICD), use the live CAD system to identify cases that may require assistance from an enhanced care asset.

Autonomously prioritise and manage emergency trauma and acute medical calls utilising recognised dispatch criteria, clinical knowledge, expertise and the information available, stepping outside of guidelines if necessary.

Dispatch and co-ordinate the deployment of appropriate assets to trauma scenes and acute medical cases.

Work in collaboration with the Enhanced Care Desk and ensure appropriate utilisation of air assets based on the clinical information available.

Liaise with EOC staff, road crews, helicopter crews, and hospital staff to ensure the optimum patient pathway for all patients within the region and ensure co-ordination and communication throughout each incident.

Responsible for passing ATMIST alert details to receiving hospitals.

Arrange telephone conference calls between advanced medical assets and hospitals dealing with specific medical or trauma patients, some of whom may be suffering with complex and time critical conditions or injuries.

Facilitate telephone conference calls between LEHs/TUs and MTCs, advise on logistical and clinical aspects where appropriate and arrange retrieval and transfer of hyper acute trauma cases. Lead, direct and influence calls to ensure implementation of the Midlands Trauma Network of the right patient, right place, right time.

Work alongside ECD and ICD to ensure the co-ordination and deployment of assets required at significant incidents.

Any clinician treating a patient who triggers the major trauma tool within the West Midlands Region must contact the RTD for advice and approval of hospital destination and will frequently require remote advice on clinical management/care. Therefore, the RTD must provide highly specialist clinical management advice and support all staff within the organisation in the management of a wide range of patients including major trauma and critical illness. The RTD CCP has a responsibility for ensuring the appropriate destination of all major trauma patients within the region based on the guidance of the trauma networks pre-hospital trauma triage tool and their clinical knowledge and understanding, to achieve this the RTD CCP is expected to and will often provide advice on clinical assessment, management and treatment of patients. The RTD CCP will also be required to provide remote advice to clinicians managing medical patients, particularly those that are critically ill, using their own knowledge and experience.

The role requires effective and professional communication skills developed through an extended period of practice and experience. This may include the requirement of giving advice to health professionals in extremely stressful and highly emotional situations, such as when and how to conduct resuscitation and triage of multiple patients at significant incidents.

Responsible for the inputting of relevant data onto the CAD system, ORBIT or any other database as required.

Ensure relevant patient data is collected in line with current policy for use within the Regional Trauma Network.

Liaise with treatment centres to obtain patient outcome information as required.

Performing the role of the CCP in the EOC environment frequently requires prolonged periods of intense concentration and thought, to ensure that all of the above are performed. This may be due to situations where multiple complex responsibilities may need to be performed. For example, there may be times whereby the RTD is expected to manage and allocate resources to multiple incidents, provide an ATMIST to a hospital, provide advice to crews and monitor incoming cases simultaneously. They must also add case notes into CAD system.

Clinical Response

Respond immediately by road to emergency medical or trauma calls as identified by the ECD, RTD or ICD.

Because of advanced nature of the speciality covered by this role the post holder requires highly developed specialist knowledge acquired through a combination of in-depth experience and post registration qualifications which are obtained through Masters level study and supporting experience.

Provide specialist knowledge of medical and trauma cases, underpinned by theoretical and practical experience gained from completion of the CCP portfolio processes, supplemented by regular completion and attendance of short courses, study days, training courses and academic study at MSc level.

To autonomously provide safe and effective highly specialised knowledge and skills, underpinned by theory to instigate and evaluate pathways of care.

To work autonomously at an advanced level, appropriate to clinical competence and within the scope of professional practice. Whilst responding undertake the role of clinical leader at any incident, providing advice to members of police, fire and ambulance staff, managers and EOC on appropriate treatment, management and conveyance of patients.

Utilising knowledge, understanding, training, experience and skills to safely and effectively work beyond the standard paramedic scope of practice. This includes autonomously making advanced decisions on terminating resuscitation by utilising the guidance in Termination of Resuscitation (TOR), providing sedation and analgesia, maintenance of anesthesia (paralysis), vasopressors and inotropes, external pacing, orogastric tube insertion, thoracostomies, surgical airways and other skills agreed by Intermediate Care Governance Group (ICGG). Full scope is outlined within the relevant portfolios of practice.

To respond alongside senior medical colleagues with pre-hospital emergency medicine specialty at Consultant level to provide the highest standards of care, as part of the Trusts MERIT response.

Responding as a CCP on the Trusts enhanced care platforms requires the post-holder to plan and organise clinical resources at the scene of an incident, always maintaining clinical responsibility for critically ill or injured patients. Incidents are frequently large and complex in nature, with resources from multiple agencies. As a clinical lead of an incident, the CCP (Alongside the MERIT Doctor if on scene) is required to allocate tasks and manage staff attending an incident. This is often a complex task requiring the formation of various treatment and management plans.

Assessment and diagnosis of patients conditions in order to provide effective use of equipment and medications supplied to offer treatment appropriate to the patients needs.

To communicate highly complex, and often distressing information to patients, relatives and other health professionals ensuring sensitivity and compassion. This may also include dealing with contentious information where the patient, their family or carers may disagree with the information presented, requiring the ability to manage any conflict through advanced negotiation and resolution skills.

Provide constructive feedback to crews in relation to medical and trauma cases in order to promote best practice, including frequent debriefing with clinical members of staff and the public as appropriate.

The lifting and carrying of patients, e.g. up and down stairs, in and out of their homes, from the scene of incidents, to and from the aircraft and the loading of patients in and out of the aircraft using appropriate lifting devices.

The transfer of patients from bed to stretcher, chair to chair or similar, both in and out of hospital.

Responsible for appropriate choice of destination treatment centre to provide definitive care for patients based on patient assessment and diagnosis.

The handing over of patients to appropriate staff on arrival at treatment centres, ensuring as far as practicable the safety, comfort and wellbeing of patients, acting in a courteous and sympathetic manner.

Apply and incorporate M/ETHANE and the principles of JESIP at significant/major incidents. Providing immediate health input to the initial assessment of the scene to meet the needs of the Ambulance and Health Services, including casualty confirmation, triage and management.

Act as a mentor with responsibility for supervision, training and development of Doctors going through PHEM (Pre-Hospital Emergency Medicine) accreditation, and trainee CCPs.

For full duties, please see attached job description & person specification

Person Specification

Skills and Knowledge

Essential

• Awareness of additional specialist knowledge and breadth of experience relevant to role
• Willing to work towards the CCP specific portfolios of competence in EOC and clinical practice
• Ability to mentor/train/support more junior and non-specialist members of staff
• Understanding of WMAS Policies and procedures
• Knowledge of the Major Trauma Network and regional areas covering the West Midlands
• Fully conversant with JRCALC guidelines.
• Excellent communication & interpersonal skills

Experience

Essential

• Registered Paramedic must have completed NQP portfolio & consolidation period with no restrictions (evidence will be required)
• Minimum of 3 years full time experience post HCPC Paramedic Registration
• Previous experience of working as a mentor

Qualifications

Essential

• HCPC Registered Paramedic must have completed NQP portfolio & consolidation period with no restrictions (evidence will be required)
• Appropriate Emergency Driving qualification
• Written evidence of relevant Continuing Professional Development in addition to Annual Mandatory Training over the last two years

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).

Employer details

Employer name

West Midlands Ambulance Service University NHS Foundation Trust

Address

Ambulance Headquarters

Waterfront Business Park

Brierley Hill

West Midlands

DY5 1LX

Employer's website

https://wmas.nhs.uk/careers-staff-room/ (Opens in a new tab)