Bank CEMS Practitioner (Nurse/Paramedic)

Posting date:	12 August 2025
Salary:	Not specified
Additional salary information:	Negotiable
Hours:	Full time
Closing date:	18 August 2025
Location:	Horncastle, LN9 6SB
Company:	NHS Jobs
Job type:	Contract
Job reference:	B0086-25-0006

Summary

Responsibilities of the role As one of our CEMS Paramedics or Nurses, you will provide valuable clinical and driving skills to primarily support the Doctor or ACP across a range of taskings. Driving our modern fleet of blue-light response vehicles and working closely as part of a two person team, you will become a valued and respected member of the CEMS medical team. You will independently, and collaboratively assist in the delivery of advanced clinical assessment and enhanced medical care in the pre-hospital setting. CEMS Paramedics and Nurses will undertake the management of patients across all ages and all levels of acuity, often involving complex presentations, either independently or more commonly as part of a two person team. A large percentage of these patients will be managed in the community by delivering care beyond the scope of a typical ambulance or primary care response. CEMS Paramedics and Nurses will be empowered to undertake referrals to hospital and community services, acquire additional clinical skills and extend their scope of practice. Working closely alongside colleagues, CEMS Paramedics and Nurses will have the opportunity to expand their clinical skills and medical knowledge whilst delivering first class patient care. All CEMS Paramedics and Nurses will have already acquired a broad experience of pre-hospital care and emergency driving, both essential in supporting Doctor and ACP colleagues who may come from a diverse primary and emergency care background. Where patients need to be referred into other parts of the NHS, we aim to direct patients to the right speciality first time and enhance their pre-hospital management by the interventions we perform. You will play a key role in ensuring clinicians arrive safely at incidents, and provide skilled pre-hospital care to patients across Lincolnshire. To undertake this role, you will be an experienced registered Paramedic or Nurse, with demonstratable NHS front-line experience relevant to the role, and enthusiasm for working in new ways of healthcare delivery. You will have no restrictions on your practice in the UK. Additional experience gained from working in primary care, emergency medicine, palliative care, in leadership roles or instructing/assessing on pre-hospital care courses is desirable. We feel recruiting Paramedics and Nurses into the CEMS role is an exciting opportunity for the organisation, as well as providing a career opportunity for experienced health professionals seeking a new challenge. Your commitment will be rewarded by access to clinical mentorship, in-house and external training as well as a comprehensive sign off process. As one of our CEMS Paramedics or Nurses, you must be able to demonstrate you are comfortable working as an equal in the multi-disciplinary team, meet the essential criteria and ensure you understand, and are able to apply the principles of effective crew-resource management (CRM). MAIN DUTIES & RESPONSIBILITIES Operational Clinical Response - Patient Care Undertake the full range of standard clinical skills and competencies within either a NMC Scope of Practice for Registered Nurses, or HCPC Registered Paramedic, practicing independently and collaboratively as part of an enhanced pre-hospital emergency care team. Undertake the clinical assessment, investigation and treatment of patients experiencing illness and injury across the spectrum of acuity and across all ages, either independently or alongside senior clinicians. Perform clinical duties in accordance with LIVES and CEMS Standard Operating Procedures and clinical guidelines, recognising own limitations and scope of practice. Respond by road to patients who have been identified as being suitable for a CEMS response by either the senior CEMS Clinician in ambulance control, or dedicated EMAS LIVES Dispatchers. Provide skilled pre-hospital knowledge and guidance at complex incidents, demonstrating the ability to organise and manage the scene until more skilled assistance arrives. This may involve organising and managing patients, bystanders or liaising with other emergency services e.g., Fire and Rescue, Police and Coastguard. Support other healthcare professionals requesting advice from CEMS medical team by providing telephone, or video consultations according to scope of practice. Participate in holistic and comprehensive patient assessment, encouraging patients to exercise choice over their healthcare needs and treatments. Utilise appropriate and relevant information to assist patients, carers and advocates to make informed health choices in line with national guidelines. Manage patients of all ages, with varying acuity and complexity, where required delivering emergency care interventions and resuscitation according to scope of practice. Delivery or advanced resuscitation, manual defibrillation and ALS drug therapies. Perform clinical procedures, including intravenous cannulation, venepuncture, urinary catheterisation and bladder scanning in pre-hospital care settings. Identify, prepare, and administer medicines by all routes correctly in accordance to scope of practice and organisational policy and procedures. Administer Controlled Drugs, either independently within JRCALC, upon direction of an independent prescriber, or through a Patient Group Direction. Assist in enhanced diagnostics and advanced treatments in the pre-hospital environment as part of the team in line with LIVES policies, procedures and operational guidelines. Perform duties in often unpredictable pre-hospital care settings where dynamic risk assessment is needed, and operate in often difficult, remote or challenging conditions with appropriate support and PPE (Personal Protective Equipment). Respond to major incidents as part of the pre-agreed major incident plans alongside other partner agencies. Liaise with ambulance control, relevant hospitals, community services and EMAS colleagues as required throughout the shift. Communicate effectively, demonstrating compassion and re-assurance, particularly when dealing with people who may have difficulty understanding e.g., children, people with learning disabilities, cognitive or mental impairment, and demonstrate ability to adapt and overcome barriers using interpersonal communication skills. Ensure informed consent is obtained wherever possible. Where consent cannot be given, CEMS Paramedics and Nurses will be empowered to act in the patients best interests according to the Mental Capacity Act and LIVES Standard Operating Procedures. Input data into clinical and administrative databases and systems. Utilise appropriate experience, knowledge and skills as part of a two person team in order to provide high quality patient focused care in the pre-hospital setting. Dynamically assess incident scenes and identify environmental and clinical risks to patients, self and colleagues, taking into appropriate action to minimise these wherever possible. Identify safeguarding concerns and ensure these are reported and documented accurately according to LIVES and CEMS clinical guidelines and Standard Operating Procedures. Complete timely, accurate, contemporaneous clinical records and documentation in accordance with Caldicott principles, current legislation, information governance and regulatory frameworks. Ensure any near misses, operational incidents (actual or potential) are recorded and reported in accordance with LIVES CEMS Standard Operating Procedures. Liaise with other agencies and participate in, and if required, lead a hot debrief. Carry out manual handling of patients in emergency situations following a dynamic risk assessment, and utilising ambulance moving and handling equipment as necessary. Identify and take action when other peoples behaviour undermines equality and diversity. Take responsibility for own health and wellbeing, to ensure you are able to perform your clinical role in a safe, effective and professional manner, whilst recognising any ongoing care of physical and mental wellbeing needs. Maintain high standards of care and service, treating everyone with dignity and respect whilst promoting patient choice and non-discriminatory practice. Take reasonable care and attention when handling and using expensive medical equipment and medicines, reporting defects or damage in accordance with Standard Operating Procedures. Maintenance of accurate stock records, consumables and drugs. Clinical Support Activities Handover information from shift to shift using CEMS internal systems. Maintain appropriate standards of cleanliness of vehicles, medical, monitoring and communications equipment. General care and cleaning of personal protective equipment used during clinical operations. Daily, weekly and monthly checks of equipment, drugs and monitoring equipment in accordance with agreed team checklists and standard operating procedures. Maintenance of accurate stock records of consumables and drugs. Share knowledge, skills and experience as part of the a close-knit team. Provide support and mentorship to internal and external learners, new starters, and students on placement. Controlled drug documentation in line with LIVES controlled drug procedures. Undergo training and induction to undertake shifts within the EOC (Emergency Operations Centre) at ambulance control, facilitating appropriate allocation and dispatch of LIVES assets and provide remote advice to LIVES, EMAS and other partner agencies and colleagues.