The growth of paramedic roles and the urgent need for national standards ross

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Paramedic Roles and Career development –

The remote industrial paramedic

Dr James RossMedical Director

‘Traditional’ Paramedic

• Diversion programs to reduce hospital demand• Sheffield, Oxford UK• Adelaide, Wellington• Triage system to identify potential callers for 

ECP• Responds with a non‐patient transport vehicle• Determines if needs

– Transfer to A&E– Referral to GP– Referral to other health services– Advice and follow up

Extended Care Paramedic

Remote Industrial paramedic?

Paramedic, preferably Intensive Care

Operates  Remotely

Substantially independently

On industrial sites or for commercial clients

Extended scope of practice

Extended Scope of Duties

Manage health facility Procurement Client interface Basic primary care Occupational health and safety Incident investigation Training Return to work coordination Emergency response coordination Emergency health care

Not registered No minimum standards regulated Many with no tertiary qualifications Anyone can claim to be a paramedic Standards set by employer No acceptance as yet for registration  Move by ACAP to get registration, perhaps in 2014

Based on the old paradigm of ambulance based practice

Paramedic

Aspen Paramedic

Advanced paramedic Intensive Care Paramedic AME paramedic Adoption of the Ambulance Victoria CPGs

Assessment of paramedics against the CPGs

Where outside scope of practice, and where controlled drugs to be administered, must only function under the direction of a medical practitioner

Clinical scope of practice

Career Progression

Cert IV in workplace training and assessmentAccident investigation/root cause analysisOccupational health and safety Presentation skillsManagement skills

Career Progression

MIMMS BOSIET and HUETGraduate Certificate / Diploma in Emergency Health (Emergency preparedness and disaster health stream)

Aeromedical EvacuationGraduate Certificate in Remote Industrial Health

Skills maintenance

Attachments to ambulance service

Refresher courses

Sessions in hospital

Assessments

New Course

Graduate Certificate in Remote Industrial Health Delivered online Commencing in Semester 1 2011 Targeting medics and nurses

Subjects

Core Subjects

Clinical aspects of remote work

Administrative aspects of remote work

Subjects

Elective Subjects

Community and Public Health NutritionHealth CommunicationContemporary Health DevelopmentMultiple Perspectives in HealthcareProgram Planning and Evaluation  Public Relations StrategyMental Health Assessment and InterventionPathophysiology of Critical Illness Managing Change and Innovation

For more information and to register your interest in the course visit: 

aspenmedical.com.au/gcrih