Advanced Paramedic Practitioners in Urgent Care (APPUC) with Nikki and Andrew

In this session Caroline Philips interviews two of the advanced
paramedics in urgent care. The conversation includes; their role
on a day to day basis, this structure of the scheme and how there
time is spent. They also examine how previous pre-hospital roles
(such as clinical advise, team leader/manager roles) have helped
with the senior clinical role as an APPUC. Nikki and Andrew also
catalogue the variety of patients that they see and the in-depth
patient focussed history taking and nuanced risk/benefit analysis
undertaken. They also discuss some of the skills that the scheme
supports such as wound care assessment and closure methods, point
of care tests, additional medications and utilisation of
alternative referral pathways. Nikki and Andrew also denote the
adjunctive education and skills that have been fostered within
the APPUC scheme.


As the prevailing percentage of demand within pre-hospital care
are medical pathologies, this scheme has had bilateral benefit of
supporting frontline paramedics and managing patients in the
community and avoiding the transfer through to the emergency
department where possible. They also denote the change in
communication skills that Nikki and Andrew have both witnessed
within their practice. 


Please enjoy this fantastic episode with two insightful
practitioners.