Scottish Ambulance Service

 

Job Description

 

 

1.  JOB IDENTIFICATION

 

Job Title: Paramedic

 

Department(s): Operations

 

Job Holder Reference: MLPR 005

 

No of Job Holders: Multiple

 

 

 

2.    JOB PURPOSE

 

The delivery of high quality patient assessment and treatment in a range of environments, including the provision of health advice, see and treat and transportation to appropriate medical facilities, generally in urgent and emergency situations.

 

 

3.      DIMENSIONS

 

Following Service approved clinical practice guidelines as appropriate for a Paramedic along with managing programmes of treatment.

 

Responsible for keeping abreast of all new developments within these guidelines and standards.

 

Responsible for providing life-preserving treatments.

 

Delivery of front-line, pre-hospital emergency care

 

Whilst on duty responsible for the vehicle and equipment

 

Provides supervision to trainees and others

 

 

 

  4.      ORGANISATIONAL POSITION

 

 

 

Head of service

 

Area Service Manager

Team Leader

Paramedic

 

 

5.      MAIN TASKS, DUTIES AND RESPONSIBILITIES

  1. Carry out daily inspection of vehicle and report any damage or defects immediately

  2. Check stock of patient care equipment and ensure that all equipment is safe, clean, in date and in good working order.

  3. Check stock of patient care consumables and ensure that all are in date and undamaged.

  4. Responsible for management and security of drug stock including controlled drugs and P.O.M. (Prescription Only Medicine)

  5. Ensure that working environment is ready to receive patients at all times.

  6. Assess the most appropriate method of conveying patients using the relevant equipment and moving and handling techniques as necessary.

  7. Assess and manage patients using appropriate urgent and emergency care techniques and referring patient to most appropriate pathway of care.

  8. Communicate relevant patient history, condition and treatment to receiving hospital staff.

  9. Maintain a high quality of patient centred care.

  10. Maintain patient confidentiality at all times.

  11. Fulfil appropriate roles at a major or significant incident, including Incident Commander.  

  12. Provide effective clinical leadership, development and mentoring to newly qualified staff and promote and ensure high quality out of hospital care is delivered by competent colleagues.

  13. Supporting the delivery of a flexible ambulance service by utilising professional to professional working relationships.

  14. Deliver evidence based clinical practice by utilising applied knowledge of clinical audit, critical appraisal of research, research methodology, ethical review and research governance.

  15. Record observations and findings appropriately including adverse incidents and child protection issues.

  16. At all times maintain standards and observe the code of conduct expected of a Paramedic.

  17. Drive Service vehicles in accordance with the approved methods or techniques of driving

  18. Comply with Infection Prevention and Control policy and procedures at all times and complete mandatory update education as required.

  19. Ensure that good Infection Prevention and Control practice to maintain a safe environment for patients, colleagues and members of the public is sustained and monitored.

  20. Participate in mandatory Infection Prevention and Control update education to ensure an informed approach.

  21. Complete and submit all relevant documentation to comply with Service requirements

  22. Ensure that the stations are kept clean and tidy at all times.

  23. Undertake training and education as required and responsible for keeping up to date with any new developments and changes to clinical practice.

  24. Treat everyone with dignity and respect and promote Equality & Diversity and a non discriminatory culture. Identify and take action when other people’s behaviour undermines principles of Equality and Diversity.

  25. Carry out dynamic risk assessment when appropriate and assist line manager(s) as required with risk assessment of tasks to ensure safe working practices are followed at all times in line with Service Policy and current legislation

  26. Participate in any mandatory Health and Safety recognised courses (IOSH) to ensure consistent management of health and safety within area.

  27. Take personal responsibility to act within the Service’s Health & Safety Policy to safeguard the health and well-being of patients, colleagues and members of the public.

 

 

6.    EQUIPMENT AND MACHINERY

 

  1. Use of radio equipment/mobile telephone

  2. Use of a variety of clinical equipment including those appropriate to a Paramedic in an emergency setting

  3. Carry out vehicle inspection at start of shift and report any damage or defects immediately.

  4. Check stock of patient care equipment and ensure that all equipment is safe, clean and in good working order. Ensuring all medical supplies are in date and sterile

  5. Use of moving and handling equipment

  6. Use of computer equipment to support clinical issues.

  7. Use of radio equipment/mobile telephone

  8. Use of Microsoft Office products e.g. Word and Outlook

 

 

 

 

7.     SYSTEMS

 

Completion of:

 

  1. Patient Report Forms using information generated by post holder.

  2. Forms relating to other aspects of work, e.g. cardiac report forms, controlled drugs register etc.

  3. Accident/incident reporting and near miss forms.

  4. Forms in relation to hours worked, absence, self appraisal etc.

  5. eksf

 

 

8.       DECISIONS AND JUDGEMENTS

 

  1. The post holder will be required to autonomously make decisions on patient care through assessment and evaluation of evidence allowing facilitation of choice between different approaches.  Some of this may involve complex patient conditions and/or situations in discussion with other professionals.

  2. Standards will be determined by Service approved clinical practice guidelines.

  1. Recognition of Life Extinct and cessation of resuscitation.

  2. Recognition and declaration of a major incident or major incident standby.

  3. When working on operational A&E duties, work is allocated by ACC through the despatching system for emergency calls and other duties will be allocated via the line manager.

  4. Routinely, whilst on calls, paramedics work without line manager presence, although advice and support are readily available.

  5. Calculation and administration of medicines.

 

 

  1.  COMMUNICATIONS AND RELATIONSHIPS

 

  1. Required to deal with extremely sensitive situations professionally, assertively and tactfully.

  2. Required to respect religious beliefs and cultural differences

  3. Required to communicate effectively and concisely with other emergency and health service employees.

  4. Communicate with patients, carers, bystanders, other Health Care Professions, other emergency services, ACC and line manager.

 

 

  10.     PHYSICAL, MENTAL AND EMOTIONAL DEMANDS OF THE JOB

 

 

  1. Must have a high level of hand eye co-ordination skills in order to carry out advanced clinical interventions e.g. intubation and intravenous access.

  2. Required to, using appropriate aids, move and handle patients

  3. Responds to emergency calls and situations that require concentration as well as being distressing and sometimes traumatic, for example road traffic accidents

  4. Exposure to, and contact with, body fluids.

  5. Dealing with death, this is especially distressing in cases of infant mortality, etc

  6. Dealing with relatives and members of the public in difficult circumstances, e.g. sudden death

  7. Contact with aggressive patients requiring use of management of aggression skills

  8. Care of patients with varying disabilities

  9. Responding and attending to emergency calls in all kinds of weather

 

 

      11.  MOST CHALLENGING/DIFFICULT PARTS OF THE JOB

 

Making decisions in relation to patient assessment from a wide range of options, in a variety of differing circumstances and working in an uncertain environment.

Coping with emotional impact of exposure to traumatic and distressing incidents and make clear decisions in these circumstances.

 

 

 

 

 

 

        12.  KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB

 

Qualified to Diploma in Higher Education in Paramedic Practice level or equivalent qualification/experience.

 

Health and Care Professions Council Registered Paramedic

 

Post holder must successfully complete relevant ongoing training and education for the post.

 

Excellent verbal and written communication skills.

 

Self-disciplined and able to work on own initiative.

 

Good reasoning and decision-making skills.

 

C1 drivers licence and completed section 19 approved emergency driving qualification (ambulance specific)

 

 

 

             13.  JOB DESCRIPTION AGREEMENT

 

 

 

 Job Holder’s Signature:

 

 Head of Department Signature:

        

 

      

 

 

 

 

 

 

Date:

 

Date:

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