CAJE REF: 2017/0029 CYM/2017/W0007 WELSH AMBULANCE SERVICES NHS TRUST JOB DESCRIPTION JOB DETAILS: Job Title Emergency Medical Technician 3 Pay Band Band 5 Hours of Work and Nature of Contract Division/Directorate Department Base To be completed on recruitment Medical Director/ Heads of Operations Operations Directorate As per present contract ORGANISATIONAL ARRANGEMENTS: Managerially Accountable to: Reports to: Name Line Manager Professionally Responsible to: Area Operational Manager Clinical Team Leader Regional Clinical Lead 1
Job Summary/Job Purpose: To act as an urgent and emergency responder in unpredictable and hazardous environments within the pre-hospital and urgent care setting. Treating patients that access the 999, primary and secondary care systems, who present with a wide and varied range of conditions from serious emergency life threats and in line with current organisational policies and best practice guidelines. Also, engaging in patient care by accessing a variety of pathways, to offer appropriate treatment option in line with Prudent Health Care and the patients best interests. To provide a patient focused delivery of care, treatment and safe transport for emergency and non-emergency patients in a clinically safe and professional environment, utilising skills and best practise when required to do so, adhering at all times to the policies and standards inherent within the Welsh Ambulance Services NHS Trust (WAST). DUTIES/RESPONSIBILITIES: Undertakes advanced emergency driving to calls promptly taking the quickest and safest route. Deal with patients, relatives and the public in a calm and professional manner ensuring that the dignity of the individual is respected even in hostile or difficult circumstances. To manage, reduce and prevent clinical risk to self and others. To comply with all road safety regulations exercising the safe use of road traffic exemptions in emergency driving and adherence to the road traffic act (1984). To take responsibility for the security of patients property during transportation as well as the safe handling of patients possessions including hand over to the appropriate agency. Undertake emergency driving duties on all types of vehicles operated by the Trust, if appropriately qualified and licensed. To ensure that all equipment provided is kept to the highest standard and any defects or losses are reported immediately. To ensure that the vehicle provided is cleaned daily and check that the vehicle is roadworthy, including fuel; water and oil. Report any defects on the appropriate forms. 2
To maintain the workplace to a high standard of tidiness and cleanliness at all times. Also, to ensure station and vehicle security. To communicate, report and document the patients history, condition and treatment to colleagues and other healthcare providers either on route to or on arrival at definitive care. To nurture a culture that improves quality, incorporates and embeds clinical governance. All employees are subject to the requirements of the data protection act and must maintain strict confidentiality in respect of patients and staff records. To ensure that accurate documentation and records of patient care are kept in line with information governance. All employees have a responsibility under the trusts health and safety policy, to be aware, conform and promote the policy, ensuring all health and safety rules are adhered to and ensuring that all accidents, incidents, near misses, damages and irregularities are documented and reported to the appropriate person in accordance with trust policies. Assess and intervenes to assist the patient in emergency situations. Rapidly and continuously evaluates the patients changing condition, in line with patient care and optimal patient outcomes. Provide prehospital life support to those patients who are critically ill or traumatised, always acting within the individual s scope of practice. To ensure that the individuals personal development review is carried out in a timely manner. When required sharing your skills knowledge and experience, offering reflective practice to newly qualified staff. To use professional judgement in managing patient care events ensuring appropriate closure at the point of contact. To ensure when accompanied by less qualified or less experienced staff that they, effectively communicate and supervise any task you have asked them to carry out, taking responsibility where necessary. To exercise and be responsible for the complete duty of care to the patient and relatives until such time as a safe transfer of duty of care. To adhere to and understand the All Wales Delegation of Authority. To identify, assess and report all incidents where Child Protection are concerned. 3
To identify, assess and report all incidents where Vulnerable Adults are concerned. To communicate in highly emotive and or distressing situations where the need for consent, informed consent is essential. To effectively assess and decide a person s mental capacity. To convey distressing, contentious and complex news and manage the consequences. To understand and work within the individuals own scope of practice To develop and maintain effective communication with all staff within WAST and the Local Health Board Areas. To be competent and proficient in the use of the trust IT systems and to only use them as appropriate ie: Mobile Data Terminal, Hand Held Radio, Digi Pen, Global Rostering System, DATIX, Incident and Near Miss reporting system (this list is not exhaustive). To treat and transport emergency and urgent cases in accordance with WAST and JRCALC guidelines. To maintain a professional level of service to the Patient in line with the contracted performance standards and operating within the trust Our shared Purpose, Vision and Behaviours programme. Handling and administering, non prescription, prescription and when under the supervision of a registered clinician, controlled medications. Post holder must maintain competence in line with scope of practice. Cardiac & CVA interventions e.g. decision making around need for Primary Percutaneous Coronary Intervention (PPCI), advanced ECG recognition, F.A.S.T. test for CVA, TIA and the diagnosis treatment and referral to specialist centres for a range of conditions when appropriate. To deliver and participate in the clinical care of patients. Administer a range of non-iv/io medicines. To take an active role in using referral through pathways when in the best interest of patient care. Maintain own clinical development by keeping abreast of new treatments and technologies. To undertake a proactive approach in keeping up to date with organisational communications, bulletins and newsletters. 4
To improve the quality of the patient s experience by identifying and meeting the individual clinical needs of patients. Recognition of life extinct. Maintain a professional image at all times. Will on occasions work as a lone worker following suitable training/suitable experience. To act as an advisory resource for patients and carers. Liaise and collaborate effectively with a wide range of health care professionals and other agencies using verbal and non-verbal methods ie: GPs, Hospital Consultants, Social Care Workers, Mental Health, Police, Fire, Macmillan Nurses, EMRTS, Coast Guard and Mountain Rescue (this list is not exhaustive). Frequently moving and handling patients with a variety of conditions utilising various specialist equipment ie: electric stretchers, wheel chairs, carry chairs, ramps, scoop stretchers, vacuum mattresses and manger elk (this list is not exhaustive). 5
PERSON SPECIFICATION The knowledge to be measured is the minimum needed to carry out the full duties of the job to the required standards. Qualifications should be used to provide an indicator of the level of knowledge required. Training and experience is also a means of acquiring the knowledge required for a job such as on-the-job training, short courses and experience to an equivalent level of knowledge which should be specified. NOTE: Please do not use the number of years experience as this is potentially discriminatory and these will be returned. It is essential that managers concentrate on the sorts of skills and qualities needed to fulfil the duties of the post. ATTRIBUTES ESSENTIAL DESIRABLE METHOD OF ASSESSMENT Qualifications and/or Knowledge IHCD Technicians who have completed the WAST AEMT qualification and competencies. WAST AEMTs will need to complete an approved WAST EMT3 training programme to operate within the EMT3 scope of practice. Staff do not need to be an IHCD Paramedic, or equivalent, but those staff who hold the IHCD Paramedic qualification, or equivalent and are stepping across into this new role will be required to work to the competencies for an EMT3 and should not need to undertake this internal programme. IHCD Advanced Driving Programme 11(D2) (BTEC Level 3 in Emergency Ambulance Driving). Application form and pre-employment checks Experience Extensive knowledge and experience across the range of work procedures and practices, significant Application form and interview 6
practical experience in the delivery of care. Knowledge of current clinical evidence based medicine. Knowledge and understanding of Clinical Governance. Aptitude and Abilities The ability to communicate sensitive, complex and difficult information to a broad spectrum of patients and relatives. The ability to work within a team and sometimes independently. Ability to speak Welsh Able to demonstrate competencies in a whole range of presentations. Interview Able to influence, inspire and effectively work with those around them. Ability to provide high quality care that is responsive to patient need. Competent to use all the required IMT systems. Ability to work across professional and organisational boundaries. Understanding of computer systems. Self-motivated. Flexible approach to working in practice. Ability to handle conflict and respect others values, religions and opinions Values Other To show sympathy, empathy, compassion and care in line with the organisations own beliefs and values Required to work during the unsocial hours period. Application Form Interview References Application form and interview To work effectively and 7
safely in any unpredictable environment. Able to travel. GENERAL REQUIREMENTS Include those relevant to the post requirements Behaviours: All employees of the Trust are required to demonstrate and embed the behaviour statements in order for them to become an integral part of the post holder s working life and to embed the principles into the culture of the organisation. Registered Health Professional: All employees who are required to register with a professional body, to enable them to practice within their profession, are required to comply with their code of conduct and requirements of their professional registration. Competence: At no time should the post holder work outside their defined level of competence. If there are concerns regarding this, the post holder should immediately discuss them with their Manager/Supervisor. Employees have a responsibility to inform their Manager/Supervisor if they doubt their own competence to perform a duty. Learning and Development: All staff must undertake induction/orientation programmes at Corporate and Departmental level and must ensure that any statutory/mandatory training requirements are current and up to date. Where considered appropriate, staff are required to demonstrate evidence of continuing professional development. Performance Appraisal: We are committed to developing our staff and you are responsible for participating in an Annual Performance Development Review of the post. Health & Safety: All employees of the organisation have a statutory duty of care for their own personal safety and that of others who may be affected by their acts or omissions. The post holder is required to co-operate with management to enable the organisation to meet its own legal duties and to report any hazardous situations or defective equipment. The post holder must adhere to the organisation s Risk Management, Health and Safety and associate policies. Risk Management: It is a standard element of the role and responsibility of all staff of the organisation that they fulfil a proactive role towards the management of risk in all of their actions. This entails the risk assessment of all situations, the taking of appropriate actions and reporting of all incidents, near misses and hazards. Welsh Language: All employees must perform their duties in strict compliance with the requirements of their organisation s Welsh Language Scheme and take every opportunity to promote the Welsh language in their dealings with the public. Information Governance: The post holder must at all times be aware of the importance of maintaining confidentiality and security of information gained during the course of their duties. This will in many cases include access to personal information relating to service users. Data Protection Act 1998: The post holder must treat all information, whether 8
corporate, staff or patient information, in a discreet and confidential manner in accordance with the provisions of the Data Protection Act 1998 and Organisational Policy. Any breach of such confidentiality is considered a serious disciplinary offence, which is liable to dismissal and / or prosecution under current statutory legislation (Data Protection Act) and the Trust Disciplinary Policy. Records Management: As an employee of this organisation, the post holder is legally responsible for all records that they gather, create or use as part of their work within the organisation (including patient health, staff health or injury, financial, personal and administrative), whether paper based or on computer. All such records are considered public records and the post holder has a legal duty of confidence to service users (even after an employee has left the organisation). The post holder should consult their manager if they have any doubt as to the correct management of records with which they work. Equality and Human Rights: The Public-Sector Equality Duty in Wales places a positive duty on the Trust to promote equality for people with protected characteristics, both as an employer and as a provider of public services. There are nine protected characteristics: age; disability; gender reassignment; marriage and civil partnership; pregnancy and maternity; race; religion or belief; sex and sexual orientation. The Trust is committed to ensuring that no job applicant or employee receives less favourable treatment of any of the above grounds. To this end, the organisation has an Equality Policy and it is for each employee to contribute to its success. Dignity at Work: The organisation condemns all forms of bullying and harassment and is actively seeking to promote a workplace where employees are treated fairly and with dignity and respect. All staff are requested to report and form of bullying and harassment to their Line Manager or to any Director of the organisation. Any inappropriate behaviour inside the workplace will not be tolerated and will be treated as a serious matter under the Trust Disciplinary Policy. DBS Disclosure Check: In this role, you will have direct contact with patients/service users/ children/vulnerable adults in the course of your normal duties. You will therefore be required to apply for a Criminal Record Bureau Enhanced Disclosure Check as part of the Trust s pre-employment check procedure. Safeguarding Children and Adults at Risk: The organisation is committed to safeguarding children and adults at risk. All staff must therefore attend Safeguarding Children & Adult training and be aware of their responsibilities under the All Wales Procedures. Infection Control: The organisation is committed to meet its obligations to minimise infections. All staff are responsible for protecting and safeguarding patients, service users, visitors and employees against the risk of acquiring healthcare associated infections. This responsibility includes being aware of the content of and consistently observing Trust Infection Prevention & Control Policies and Procedures. No Smoking: To give all patients, visitors and staff the best chance to be healthy, all Trust sites, including buildings and grounds, are smoke free. Flexibility Statement: The duties of the post are outlined in this Job Description and Person Specification and may be changed by mutual agreement from time to time. 9
APPENDIX 1 Job Title: Emergency Medical Technician 3 Organisational Chart The Organisational Chart must highlight the post to which this job description applies showing relationship to positions on the same level and, if appropriate, two levels above and below. Complete, add or delete as appropriate the text boxes below showing the organisational relationships. Accountable to Head of Operations (Managerially) and to Regional Clinical Lead (Professionally) Head of Operations Locality Managers Clinical Team Leaders B5 EMT3 - This post B6 Paramedic Not This Post EMT 10
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