A Deloitte study on General Practices in 2019 predicted an increase in unmet medical needs and a decrease in the medical workforce. The study discussed new models of care with interdisciplinary team care including nurse practitioners and community paramedics. Australian Health Journal spoke with the Australasian College of Paramedicine on the role paramedics can play aside from delivering emergency care in transit.
John Bruning is the CEO of the Australasian College of Paramedicine, which has been representing the paramedicine profession in Australia and New Zealand for more than 50 years. According to John, there have been exciting developments in the paramedicine and health fields the past year.
The scope of practice review, as well as the Federal Government’s efforts to improve patient outcomes through multidisciplinary team care, have been particularly noteworthy. While paramedics have traditionally been associated with emergency response and ambulance services, the review has highlighted the potential for them to play a significant role in supporting the healthcare of local communities.
Bruning points out paramedics have the opportunity to play a key role in supporting healthcare and improving patient outcomes. Paramedics should be utilised more widely in urgent care clinics to improve patient outcomes as they are experts in urgent, acute, unplanned care.
Despite being seen primarily as emergency responders, paramedics have long been providing care in the primary care space. As such, their increased involvement in primary and urgent care is a natural progression that can lead to improved health outcomes for communities. Urgent care clinics, which treat non-life-threatening injuries and illnesses, have been a recent introduction. However, when these clinics were initially proposed, paramedics were left out of the opportunity, despite being experts in urgent, acute, unplanned, and unscheduled care. They work in these types of situations every day in the ambulance service and should be utilised in these clinics to improve patient outcomes. Working as part of multidisciplinary teams with doctors and nurses can further enhance the outcomes for local communities.
Discussing with Australian Health Journal, Michelle Murphy, the Advocacy and Government Relations Lead for the Australasian College of Paramedicine, says that having a sustainable health workforce is essential for improving access to healthcare. Paramedicine is currently the fastest-growing health workforce, growing at 9% per annum for the last four years. Urgent care clinics are filling the gap between family or primary care and tertiary or hospital-based care and reducing the pressure on emergency departments and ambulances. Paramedics are well-placed to work in these clinics, delivering ad hoc unplanned clinical care when it is urgent but not an emergency. Multidisciplinary teams improve access to care by enabling communities to think about the health providers they need and bringing together different providers to work together to deliver care in communities.
Murphy references a study involving Associate Professor John Adie at the University of the Sunshine Coast. As Assoc Professor of Urgent Care, Prof Adie talks about the workforce of General Practitioners at the time predicted to decrease by 25% from 2019 to 2023, while the unmet need was expected to increase by 38%. Some countries are adopting new models that involve nurse practitioners and community paramedics as part of the workforce. These practitioners will be able to assist GPs in seeing patients with non-life-threatening urgent conditions.
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Values in Workplace Culture
Professor Sabe Sabesan, is the Clinical Dean of the Townsville Regional Medical Training network incorporating the Townsville Hospital and Health Services and the Townsville Clinical School of the James Cook University and the director of the department of Medical oncology at the Townsville Cancer Centre, Townsville Hospital.
The Professor recently wrote, “Workforce wellness and engagement have become buzzwords in healthcare settings since there is an intimate relationship between staff wellbeing and performance of the healthcare system. Wellness initiatives such as wellness champions and wellness committees have been set up in response to emerging workforce mental health issues. These are largely reactive rather than being proactive in addressing or preventing the root cause of mental health issues.”
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Nurse led micro-suction earwax removal service continues success
At the 2024 Telstra Best of Business Awards in February, Earworx was recognised as the National Championing Health Award winner. Lisa Hellwege, the Clinical Director and Founder of Earworx, expressed her gratitude to the entire team and their patients for their trust and support. Earworx specialises in providing professional earwax removal services led by trained nurses using a procedure called microsuction.
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Role of the Chief Nursing Officer
Professor Alison McMillan PSM spoke with Australian Health Journal about the role of Chief Nursing and Midwifery Officer at the Australian Government Department of Health and Aged Care.
Alison was appointed as our Chief Nursing and Midwifery Officer in November 2019.
In June 2021 Alison was awarded a Public Service Medal for outstanding public service to driving the Government’s national health response priorities during the COVID-19 pandemic, particularly to infection prevention measures.
