Job Purpose

Paramedics are autonomous practitioners who are accountable for the assessment, treatment, diagnosis, management and referral of patients, including the supply and administration of medicines, in a range of urgent, emergency, critical and out of hospital settings. They have accountability to effectively plan, deliver and evaluate care for a group of patients with a range of conditions. 

This role operates across a range of clinical areas within Health and Care Jersey. Individuals at this level will be able to plan and deliver care for complex or high risk patients and provide effective clinical leadership, development and mentorship to operational personnel, including newly qualified paramedics, technicians and students to support the delivery of a high quality patient centred service. 

Contribute to the development of an integrated approach to the delivery of emergency and urgent unscheduled and out of hours care involving all relevant stakeholders including health and social care organisations and other allied health professionals. 

Statutory Responsibilities

Active engagement, participation and compliance with any other statutory responsibilities applicable to the role, as amended from time to time.

Job Specific Outcomes 1 of 2

Autonomously assess, diagnose, treat, and transport or refer a range of patients with a variety of conditions when responding to emergency medical calls, whilst ensuring, both personal safety and the safety of others. Where appropriate, convey patients according to the nature and severity of their condition to an appropriate receiving centre or following agreed alternative care pathways. Carry out paramedic duties in line with the post holders scope of practice and commensurate with national Joint Royal Colleges Ambulance Liaison Committee (JRCALC) clinical practice guidelines and States of Jersey Ambulance Service specific PGD’s and policy.

As appropriate, provide packages of care to patients at home or on route to a receiving centre, liaising with other allied health professionals. Provide guidance to patients if they are discharged on scene to ensure they have access to ongoing support if required. To continually evaluate and give advice to patients and others.

This will include:

• Handling and administering drugs and controlled drugs.
• Invasive procedures e.g. intravenous cannulation, intubation, needle thoracentesis, external jugular cannulation.
• Cardiac interventions – e.g. manual defibrillation, 12 Lead ECG recognition, interpretation and treatment including the diagnosis of myocardial infarction.

Demonstrate the ability to communicate complicated information when dealing with complex patients and their subsequent care, ensuring this is appropriately passed on to relevant parties in line with data protection requirements. Ensure that informed consent is obtained before undertaking assessment treatment or intervention. Participate/attend court, or other legal proceedings, as appropriate. Maintain timely communications with Control using appropriate information and communication equipment and procedures. Ensure that the Control Centre is aware of operational status and availability at all times.

Job Specific Outcomes 2 of 2

As first crew on scene at serious/major incidents, assume incident command on site, including deciding treatment priority of patients and liaising with officers from other emergency services, until relieved by the Leading Ambulance Paramedic or other Senior Ambulance Officer. Participate in regular major incident exercises and simulations in order to maintain and develop skills and record continuous professional development.

Utilise appropriate and relevant information to assist patients, patient advocates or carers to make informed health choices in line with national guidance and the health promotion and prevention agenda. Identify and report to the appropriate authority incidents of risk, neglect, abuse or endangerment to vulnerable adults and children, implementing safeguarding procedures when appropriate. Maintain accurate and legible contemporaneous records of patient information to provide continuum of medical care, in line with the Caldicott requirements. Documenting assessment, treatment and interventions for medical, legal and management purposes. Provide accurate handover to nursing and medical staff. Where appropriate, take the responsibility for the recognition of life extinct (ROLE) under JRCALC guidance and Trust guidelines and complete appropriate paperwork, liaise with police and appropriate persons.

Responsible for the condition and security of the emergency vehicle, ensuring that it is roadworthy under the Road Traffic laws and that it is properly equipped, maintained, fuelled and ready to respond to any medical emergency situation. Ensure strict adherence to departmental infection control policies for service vehicles and equipment. Drive emergency vehicles in line with current standards of emergency blue light driving.

Maintain a level of fitness in accordance with role and attend any medical assessments to enable the post holder to safely carry out the duties of the post.

Responsible for completing statutory and mandatory training and undertake CPD to maintain fitness to practice and adherence to the regulatory body, the Health and Care Professions Council (HCPC) standards. Identify developmental opportunities within the work context and take part in activities which lead to personal and professional development including undertaking reflective practice. Maintain professional registration as defined by current HCPC Standards of Proficiency for Paramedics. At all times exhibit and comply with the standards of personal and professional conduct and performance as required by HCPC Standards of Conduct, Performance and Ethics. 

Qualifications

Essential

• Qualified and Health and Care Professions Council Registered Paramedic with a Degree in Paramedic Science or equivalent qualification.
• Qualified in ambulance emergency response driving or equivalent.
• Safe handling qualification.
• Safeguarding awareness training. 

Desirable

• Local Registration will be required prior to practicing.

Knowledge

Essential

• An up to date knowledge of how the Ambulance Service works in practice.
• Knowledge of legislation, codes of practice in relation to clinical practice and operations.
• This includes the HCPC Standards for Proficiency and Standards of Conduct Performance and Ethics.
• Understanding of major incident procedures. 

Desirable

• A good knowledge of the local or equivalent health systems.
• A good understanding of the Jersey Mental Health law and capacity and selfdetermination law. 

Technical Work Based Skills

Essential

• Experience in the use of computers, as well as good keyboard skills.
• Familiarity with emergency and non-emergency medical services.
• Experienced and up to date in the technical aspects of paramedic practice.
• Full, clean Driving Licence with category C1. 

General skills / attributes

Essential

• The ability to maintain effective working relationships with Health Professionals and key stakeholders.
• Ability to use own initiative, respond promptly and decisively to a variety of incidents, and be able to assimilate and respond to information from a variety of sources.
• Ability to work under extreme pressure at emergency incidents, making decisions that could affect the health and safety and wellbeing of service users. 

Experience

Essential

• Demonstrate a record of ongoing training and professional development in clinical aspects of the post.

Desirable

• Knowledge of Health & Safety Issues / Dynamic risk assessment.

Personal Attributes

Appointees to this role will be required to adhere to and perform their duties in line with the standards identified in the States of Jersey tier 6 core accountabilities attributes and behaviour indicators.