3. • 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
6. 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
7. 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
9. Career Progression
MIMMS
BOSIET and HUET
Graduate Certificate / Diploma in Emergency
Health (Emergency preparedness and
disaster health stream)
Aeromedical Evacuation
Graduate Certificate in Remote Industrial
Health