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The Future Role and Education of Paramedic Ambulance Service Personnel (Emerging Concepts)
Publications > The future role... > Categories of Professionals...
7. Categories of Professionals and Employment
Possibilities
7.1 We should anticipate
that most of those trained as PEC's will wish to work for most of their
time in pre-hospital emergency care, with some mandatory rotations into
hospitals. But such employment will not suit all, and over time
preferences and physical capacity may call for change. Opportunities may
well exist in primary care. Moreover there will be many openings within
the community for professional health care workers whose interests have
been directed to emergency care. Such scope would provide a degree of
flexibility in employment not available for those in the ambulance
service.
7.2 The introduction of
PEC's would provide a new tier of expertise, but would not be intended to
replace the Paramedic. We envisage they would share the new professional
status and registration system of existing ambulance paramedics, but be
regarded as advanced practitioners within the discipline. A modern
emergency medical system requires that all professionals responsible for
emergency care be highly trained. Every service would need a smaller
number of PEC's who may not necessarily serve as regular crew of
ambulances but would be deployed for higher category calls, and serious
emergencies. Of at least equal importance they should be of special value
for triage and to calls that are unlikely to need a full ambulance
response. The favourable resource implications of such a system should not
be overlooked.
7.3 For the foreseeable
future, paramedics who are not PEC's would be expected to have much the
same level of skill as now, perhaps with the exception of some procedures
such as cricothyrotomy which are rarely practiced. Existing paramedics
with the necessary aptitudes should be encouraged to progress to PEC
status and conversion courses would therefore be required. In the same way
as the introduction of paramedics raised the standard of the whole service
by virtue of on-site training and shred experience, so the PEC would be
expected to enhance the skills of all manning emergency vehicles.
Experience and altering requirements in the longer term will doubtless
dictate the need for changes - local and national - in the ratio of PEC's
to conventional paramedics.
7.4 We anticipate that the
new development will provide an opportunity for other health professionals
to move into the pre-hospital sector as PEC's, taking advantage of APL and
the proposed core training arrangements. Equally we hope that these
arrangements will facilitate the movement of PEC's in other directions as
a reciprocal arrangement.
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