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.
Operational
Maintain Paramedic
State Registration and appropriate Continuing Professional Development (CPD)
Undertake operational duties in EOC or at any
MERIT base as required.
Accept a flexible
working practice, including flexible shift patterns and times to meet
operational needs.
Presentation of a smart
appearance incorporating current regulations relating to the wearing of
uniforms and personal protective equipment in line with current WMAS policy.
Adherence to the code
of conduct, operational instructions, quality procedures, dignity at work and
other verbal or written instructions promulgated by West Midlands Ambulance
Service NHS Foundation Trust, currently or in the future.
The accurate
maintenance of all records as required by WMAS, being mindful of and abiding by
GDPR regulations.
Maintenance, general
care and cleaning of specialist medical equipment, monitoring and PPE used in
clinical operations.
Daily, weekly and
monthly checks of equipment, drugs and monitoring in accordance with agreed
team checklists and standard operating procedures.
General care, cleaning,
fuelling and daily checks of the land vehicle(s) in accordance with local
procedures.
Maintenance of accurate
stock record in terms of consumables and drugs.
