The changing face of prehospital care in New Zealand: the role of extended care paramedics

The key features of this model are: * The appointment of Extended Care Paramedics (ECPs) to assess and treat patients in their homes and local communities * Improved patient experience, especially for the elderly and those with mobility problems * Avoidance of unnecessary transfer to hospital4,5 as...

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Bibliographic Details
Published inNew Zealand medical journal Vol. 123; no. 1309; pp. 11 - 14
Main Authors Swain, Andrew H, Hoyle, Sarah R, Long, Andrew W
Format Journal Article
LanguageEnglish
Published New Zealand Pasifika Medical Association Group (PMAG) 19.02.2010
Subjects
Allied Health Personnel - education
Ambulance services
Community
Departments
Emergency medical care
Emergency Medical Services - organization & administration
Emergency Service, Hospital - utilization
Hospitals
Humans
Initiatives
New Zealand
Nurses
Older people
Paramedics
Patient satisfaction
Referral and Consultation
Role
Transportation of Patients
New Zealand
United Kingdom > UK
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Summary:The key features of this model are: * The appointment of Extended Care Paramedics (ECPs) to assess and treat patients in their homes and local communities * Improved patient experience, especially for the elderly and those with mobility problems * Avoidance of unnecessary transfer to hospital4,5 as well as a reduction in the numbers of patients with minor conditions having to wait longer for treatment in the ED * More effective allocation of emergency ambulances and improved response times for potentially life-threatening conditions To assist in achieving their goals, ECPs require ready access to appropriate local care pathways. Sarah R Hoyle, Executive Manager Clinical Services, Wellington Free Ambulance, Wellington; Andrew W Long, Executive Manager Strategic Development and Improvement, Wellington Free Ambulance, Wellington Acknowledgement: The authors and Wellington Free ambulance acknowledge the financial support given by Capital & Coast DHB to enable this pilot project to be established and wish to thank clinical staff in Kapiti District and Wellington Hospital ED for their kind support.
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ISSN:1175-8716