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ESCO occupation

paramedic in emergency responses

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Paramedics in emergency responses provide emergency care to sick, injured, and vulnerable persons in emergency medical situations, before and during transport to a medical facility. They implement and oversee the transfer of the patient in connection with transport. They provide assistance in acute situations, implement life-saving emergency measures, and monitor the performance of the transportation process. As allowed by national law they may also provide oxygen, certain drugs, the puncture of peripheral veins and infusion of crystalloid solutions and perform endotracheal intubation if needed for the immediate prevention of threats for the life or health of an emergency patient.

3258.2 ISCO 3258 ESCO source
Competences
83
Groups
4
Essential
74
Optional
9

Competences and skills

83 ESCO relations
Essential knowledge 23 competences

Occupation specific

5 competences
defibrillation

The use of semiautomatic defibrillators and the cases where it applies.

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intravenous infusion

The vein access and infusion, the hygienic aspects and potential complications.

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intubation

The artificial respiration and intubation and the potential complications.

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sociology applied to paramedical science

The fundamental role of sociology for paramedics in developing and maintaining effective relationships, psychological and social factors that influence an individual in health and illness.

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stages of normal development

The main sequential stages of normal development, the cognitive, emotional and social measures of maturation through the human lifespan.

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Sector-specific

8 competences
clinical science

The research and development of the techniques and equipment used by medical staff to prevent, diagnose and treat illness.

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disorders of vital functions

The characteristics and disorders of vital functions, consciousness and unconsciousness, respiratory and circulatory system, bleeding, shocks, artificial respiration.

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emergency medicine

Emergency medicine is a medical specialty mentioned in the EU Directive 2005/36/EC.

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medical dispatch

The concepts of a medical dispatch system and its use which consists in performing criteria based medical dispatch, answering emergency calls, and operating computer aided dispatch systems.

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physical science applied to paramedical practice

The principles and theories of physics, biomechanics, electronics and ergonomics that can be applied to paramedic practice.

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principles of paramedic practice

The theories and science that underpin the theory and principles of paramedic practice.

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sanitary technology

The characteristics and usage of medicinal products and sanitary technical equipment.

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transportation methods

Knowledge of principles and methods for moving people or goods by air, rail, sea, or road, including the relative costs and optimal work strategies.

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Cross-sector

10 competences
behavioural science

The investigation and analysis of subject behaviour through regulated and lifelike observations and disciplined scientific experiments.

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emergency cases

The emergency cases with different disease patterns and syndromes, the special emergency cases and their appropriate interventions.

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first aid

The emergency treatment given to a sick or injured person in the case of circulatory and/or respiratory failure, unconsciousness, wounds, bleeding, shock or poisoning.

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health care system

The structure and function of health care services.

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human anatomy

The dynamic relationship of human structure and function and the muscosceletal, cardiovascular, respiratory, digestive, endocrine, urinary, reproductive, integumentary and nervous systems; normal and altered anatomy and physiology throughout the human lifespan.

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hygiene in a health care setting

The procedures related to maintaining a hygienic environment within a health care setting such as hospitals and clinics. It can range from hand washing to cleaning and disinfection of medical equipment used and infection control methods.

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medical devices

Equipment and devices used in the diagnosis, prevention, and treatment of medical issues. Medical devices cover a wide range of products, ranging from syringes and protheses to MRI machinery and hearing aids.

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operational tactics for emergency responses

The characteristics and proceedings of operational tactics for emergency responses especially at major incidents and catastrophes.

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pathogenic microorganisms

The main classes of pathogenic microorganisms, the spread of infection and the use of universal precautions.

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pharmacology

Pharmacology is a medical specialty mentioned in the EU Directive 2005/36/EC.

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Essential skills and competences 51 competences

Occupation specific

4 competences
administer medication in emergency

Administer medications in an emergency, as prescribed by a monitoring physician.

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brief hospital staff

Brief hospital staff at arrival with a patient, giving an accurate report of the patient`s condition, circumstances of the accident, illness or injury and treatment given.

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manage patients with acute illnesses

Manage patients of all age groups with acute and urgent illnesses or injuries such as episodic undifferentiated physical and behavioural symptoms or disorders.

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transfer patients to and from ambulance vehicles

Transfer patients safely to and from ambulance vehicles by making use of appropriate equipment and manual handling skills that prevent harming the patient during transportation.

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Sector-specific

21 competences
accept own accountability

Accept accountability for one`s own professional activities and recognise the limits of one`s own scope of practice and competencies.

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adapt to emergency care environment

Adapt practice to ensure that needs of patients within the emergency and urgent care environment are met.

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advise on healthcare users' informed consent

Ensure patients/clients are fully informed about the risks and benefits of proposed treatments so they can give informed consent, engaging patients/clients in the process of their care and treatment.

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apply context specific clinical competences

Apply professional and evidence based assessment, goal setting, delivery of intervention and evaluation of clients, taking into account the developmental and contextual history of the clients, within one`s own scope of practice.

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comply with quality standards related to healthcare practice

Apply quality standards related to risk management, safety procedures, patients feedback, screening and medical devices in daily practice, as they are recognized by the national professional associations and authorities.

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conduct physical examination in emergency

Conduct a thorough and detailed physical examination of the patient in emergency situations, using assessment skills such as observation, palpation, and auscultation and formulating diagnoses across all age ranges, followed by the calling for specialist when available.

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contribute to continuity of health care

Contribute to the delivery of coordinated and continuous healthcare.

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delegate emergency care

Efficiently delegate care to other personnel in the emergency department, supervising others working in the clinical environment to ensure that patient needs are met.

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employ specific paramedic techniques in out-of-hospital care

Use appropriate techniques in paramedical practice such as IV therapy, drug administration, cardioversion, and emergency surgical techniques.

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ensure safety of healthcare users

Make sure that healthcare users are being treated professionally, effectively and safe from harm, adapting techniques and procedures according to the person's needs, abilities or the prevailing conditions.

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immobilise patients for emergency intervention

Immobilise the patient using a backboard or other spinal immobilisation device, preparing the patient for stretcher and ambulance transport.

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manage acute pain

Handle patients with acute pain and ease their pain accordingly.

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monitor basic patients signs

Monitor and analyse basic patient vital signs as vital signs of heart, respiration, and blood pressure. Take action by reporting them to the nurse.

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operate specialised equipment in emergency

Operate equipment such as external defibrillators and bag-valve mask resuscitators, spinal and traction splints and intravenous drips in advanced life-support environments, taking electrocardiograms when required.

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position patients undergoing interventions

Position or immobilise patients correctly for safe and effective interventions.

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prioritise emergencies

Determine the level of risk of an emergency situation and balance the dispatch of ambulances to emergency situations accordingly.'

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tolerate stress

Maintain a temperate mental state and effective performance under pressure or adverse circumstances.

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transfer patients

Use the most appropriate techniques to handle and move patients in and out of an ambulance, hospital bed, wheelchair, etc.

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use e-health and mobile health technologies

Use mobile health technologies and e-health (online applications and services) in order to enhance the provided healthcare.

digital
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work in multidisciplinary health teams

Participate in the delivery of multidisciplinary health care, and understand the rules and competences of other healthcare related professions.

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write reports on emergency cases

Record the patient`s condition or injury from the start of the takeover in the ambulance, the treatment provided, and reactions to drugs and treatment.

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Cross-sector

26 competences
address problems critically

Identify the strengths and weaknesses of various abstract, rational concepts, such as issues, opinions, and approaches related to a specific problematic situation in order to formulate solutions and alternative methods of tackling the situation.

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adhere to organisational guidelines

Adhere to organisational or department specific standards and guidelines. Understand the motives of the organisation and the common agreements and act accordingly.

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apply first response

Respond to medical or trauma emergencies and care for the patient in a manner compliant with health and safety regulations, assessing the legal and ethical issues of the situation, and provide proper pre-hospital care.

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apply organisational techniques

Employ a set of organisational techniques and procedures which facilitate the achievement of the set goals set such as detailed planning of personnel's schedules. Use these resources efficiently and sustainably, and show flexibility when required.

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assess nature of injury in emergency

Assess the nature and extent of injury or illness to establish and prioritise a plan for medical treatment.

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communicate in healthcare

Communicate effectively with patients, families and other caregivers, health care professionals, and community partners.

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comply with legislation related to health care

Comply with the regional and national health legislation which regulates relations between suppliers, payers, vendors of the healthcare industry and patients, and the delivery of healthcare services.

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cope with blood

Cope with blood, organs, and other internal parts without feeling distressed.

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deal with emergency care situations

Assess the signs and be well-prepared for a situation that poses an immediate threat to a person's health, security, property or environment.  

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develop a collaborative therapeutic relationship

Develop a mutually collaborative therapeutic relationship during treatment, fostering and gaining healthcare users' trust and cooperation.

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empathise with the healthcare user

Understand the background of clients` and patients’ symptoms, difficulties and behaviour. Be empathetic about their issues; showing respect and reinforcing their autonomy, self-esteem and independence. Demonstrate a concern for their welfare and handle according to the personal boundaries, sensitivities, cultural differences and preferences of the client and patient in mind.

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follow clinical guidelines

Follow agreed protocols and guidelines in support of healthcare practice which are provided by healthcare institutions, professional associations, or authorities and also scientific organisations.

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inform policy makers on health-related challenges

Provide useful information related to health care professions to ensure policy decisions are made in the benefit of communities.

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interact with healthcare users

Communicate with clients and their carer’s, with the patient’s permission, to keep them informed about the clients’ and patients’ progress and safeguarding confidentiality.

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listen actively

Give attention to what other people say, patiently understand points being made, asking questions as appropriate, and not interrupting at inappropriate times; able to listen carefully the needs of customers, clients, passengers, service users or others, and provide solutions accordingly.

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maintain order at scenes of accidents

Maintain order at emergency scenes dispersing crowds and keeping family and friends from touching the patient.

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manage healthcare users' data

Keep accurate client records which also satisfy legal and professional standards and ethical obligations in order to facilitate client management, ensuring that all clients' data (including verbal, written and electronic) are treated confidentially.

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manage major incidents

Take immediate action to respond to major incidents that affect the safety and security of individuals in private or public places such as road accidents.

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observe confidentiality

Observe the set of rules establishing the nondisclosure of information except to another authorised person.

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operate an emergency communication system

Efficiently operate common communication systems used in emergencies, such as base station mobile transmitters and receivers, portable transmitters and receivers, repeaters, cellular phones, pagers, automated vehicle locators, and satellite phones as required.

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promote inclusion

Promote and respect diversity, and advocate for equal treatment of genders, ethnicities and minority groups in organisations in order to prevent discrimination and ensure inclusion and a positive environment.

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provide first aid

Administer cardiopulmonary resuscitation or first aid in order to provide help to a sick or injured person until they receive more complete medical treatment.

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provide health education

Provide evidence based strategies to promote healthy living, disease prevention and management.

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respond to changing situations in health care

Cope with pressure and respond appropriately and in time to unexpected and rapidly changing situations in healthcare.

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select hazard control

Perform appropriate selection of hazard control measures and risk management

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work in a multicultural environment in health care

Interact, relate and communicate with individuals from a variety of different cultures, when working in a healthcare environment.

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Optional knowledge 2 competences

Occupation specific

1 competence
evaluation methodologies in paramedic practice

Methodologies which allow the combination of theory and empirical evidence to develop and carry out effective paramedic practice.

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Sector-specific

1 competence
dietetics

The human nutrition and dietary modification for optimising health in clinical or other environments. The role of nutrition in promoting health and preventing illness across the life spectrum.

Scope note
Should not be confused with nutritionists who apply knowledge of nutrition in community, industrial and research environments.
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Cross-sector

0 competences

No competences in this bucket.

Optional skills and competences 7 competences

Occupation specific

0 competences

No competences in this bucket.

Sector-specific

2 competences
decontaminate ambulance interior

Decontaminate the interior of the emergency vehicle following treatment of a patient with infectious disease.

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manage trauma through surgical means

Manage trauma such as musculoskeletal, hand, and head injuries, taking responsibility for all phases of care of the injured patient.

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Cross-sector

5 competences
communicate in foreign languages with health service providers

Apply foreign languages in communicating with health service providers such as doctors and nurses.

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educate on the prevention of illness

Offer evidence-based advice on how to avoid ill health, educate and advise individuals and their carers on how to prevent ill health and/or be able to advise how to improve their environment and health conditions. Provide advice on the identification of risks leading to ill health and help to increase the patients' resilience by targeting prevention and early intervention strategies.

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train employees

Lead and guide employees through a process in which they are taught the necessary skills for the perspective job. Organise activities aimed at introducing the work and systems or improving the performance of individuals and groups in organisational settings.

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use foreign languages for health-related research

Use foreign languages for conducting and collaborating in health-related research.

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use foreign languages in patient care

Communicate in foreign languages with healthcare users, their carers, or services providers. Use foreign languages to faciliate patient care according to the needs of the patient.

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