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Paramedic Roles and Career 
development –
The remote industrial paramedic
Dr James Ross
Medical 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 assessment
 Accident investigation/root cause analysis
 Occupational health and safety
 Presentation skills
 Management skills
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
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 Nutrition
Health Communication
Contemporary Health Development
Multiple Perspectives in Healthcare
Program Planning and Evaluation  
Public Relations Strategy
Mental Health Assessment and Intervention
Pathophysiology of Critical Illness 
Managing Change and Innovation
For more information and to 
register your interest in the course visit: 
aspenmedical.com.au/gcrih

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