Paramedic/ANP

To provide assessment, diagnosis and treatment at first point of contact from a triage list and act as an autonomous clinician, with the support and guidance from the GPs and Prescribing Paramedic. It would be desirable to have the skills to assess children as well as adults. Proactively identify, diagnose and manage treatment plans for patients at risk of developing a long-term condition (as appropriate). Diagnose and manage both acute and chronic conditions, integrating both drug and non-drug-based treatment methods into a management plan. 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. As required, to provide assessment, diagnosis and treatment for those patients who need to be seen in their place of residence. To evaluate clinical information from examination and history taking and initiate appropriate treatment and / or referral, including admission to hospital if required. To signpost appropriately to other services in the identified healthcare pathway and to refer patients to appropriate care settings, within locally agreed healthcare pathways. 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. Ability to support GP administrative workload (pathology results and Docman) with suitable training and support 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 in accordance with local protocols. To communicate effectively in demanding and challenging situations, where there may also be hostility. Professional To input to and extract information from clinical IT 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, and Secondary Care etc. To ensure that the wellbeing of patients and staff is maintained in accordance with Practice policies. To undertake clinical audits in line with the organisations 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 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 and indemnity. Organisational To operate as an effective member of the Practice 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. 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

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