Nicholas David Best
Paramedic Practitioner / Trainee Advanced Clinical Practitioner
Sturry,KEN
Summary
Highly motivated professional driven by a strong desire to achieve personal and professional goals. Committed to pursuing excellence in all aspects of work, whether as a clinician or leader. Striving to continuously improve while fostering a team of like-minded individuals who share the same commitment to delivering the highest standards of practice and providing exceptional quality care. Utilizing evidence-based practices and leveraging experiential knowledge to ensure optimal outcomes.
Overview
32
32
years of professional experience
Work History
Event Paramedic Practitioner
Medevent Medical Services
- Assessing and managing a range of minor and major illness and injury presentations
- Events include festivals, concerts, and large public events
- Hospital avoidance and appropriate referral
- Clinical Support and immediate supervision role for support staff and other professional clinicians
Clinical Lead / Lead Emergency Practitioner
Herne Bay Integrated Care Centre
07.2017 - Current
- Company Overview: Minor Injuries Unit
- Working in conjunction with Organisational stakeholders to develop a new service unit, linked to Herne Bay GP practices
- Set up prior to unit opening – attendance and participation in multidisciplinary team meetings / CCG and Key Stakeholders
- Development of clinical and operational policies and procedures
- CQC compliance policy and protocol development
- Patient recording documentation and implementation
- Equipment selection and purchasing
- Staff recruitment, organisation of induction and ongoing development of clinical and non clinical staff
- Day to day management of Clinical unit
- Liaison with CCG / CQC / Hospital management teams and multidisciplinary teams within working environments
- Development of referral pathways and criteria
- Clinical operational duties as Emergency Practitioner
- Updates and inputs to central CCG monitoring mechanisms – Re performance, attendance numbers, Investigations and formulations of development action plans
- Minor Injuries Unit
Practitioner in Primary Care
Greensands Health Centre
04.2016 - 07.2017
- Primary Care Practitioner working autonomously alongside GPs Practice nurses and Administration staff
- Responsibility for telephone triage, face to face clinical consultations
- Decisions regarding most appropriate medications to be prescribed
- Ordering and interpreting investigations following patient consultations
- Home visits to patients who are unable to attend GP practice
- Minor Injury Walk in patient and pre-booked interventions
- Wound Closure (suturing / Gluing / Dressings)
- Referral for Investigations MRI/USS/CT/ X-ray
- Speciality Referrals – both acute and chronic presentations
- Liaison and referral to Community Teams
- District Nurses
- Home treatment teams etc
- ECG acquisition and interpretation
- Staff Training on Statutory and Mandatory Skills
- Chronic / Long Term wound management in the absence of Practice Nurses
- Immunisations (Flu Vaccination Programme) 2016
- Telephone Triage and patient prioritisation
- Duty Clinician role – seeing on the day acute presentations
Clinical Team Leader / Operational Paramedic Practitioner (Bank Clinical Tutor)
South East Coast Ambulance Service
07.2014 - 04.2016
- Company Overview: (Learning and Development Department) Paramedic Practitioner Education Team
- Operational Clinical manager, leading team of clinical staff, responsibility for mentorship, clinical supervision and all aspects of clinical team leadership
- Investigations, action planning in relation to identified clinical and professional needs of staff
- Development of Clinical CPD events and lead on clinical peer reviews due to clinical development and investigation outcomes
- Clinical role: operational senior clinician role / Paramedic Practitioner
- Management of patients presenting with major and minor illness and injury
- Management of patients and appropriate referral as required
- Use of Patient Group Directions in treatment of patients with minor injury and illness
- Duty Paramedic Practitioner role at Hospital, ensuring appropriateness of patients being bought to ED by ambulance crews, reassessment at hospital and where appropriate management and discharge, combined with multidisciplinary team working (OOH, Community care teams etc.)
- Lead on implementation and delivery of 2014/2015 Key skills programme to approx
- 300 frontline operational staff
- Clinically focused Statutory and Mandatory education programme
- Operational lead and clinician in development and implementation of pilot programme to integrate Paramedic Practitioners into out of hours GP cooperative in Medway Towns
- (Learning and Development Department) Paramedic Practitioner Education Team
- MEDDOC: December 2014 – April 2015 6 Months Pilot Project
- Undertaking Clinical Shifts seeing, treating referring and discharging as appropriate both base and home visits
Clinical Education Manager / Learning and Development Lead (Clinical Tutor)
South East Coast Ambulance Service
09.2007 - 07.2014
- Company Overview: (Learning and Development Department) Paramedic Practitioner Education Team
- Qualified IHCD Tutor
- Lead Tutor / Course Director on ECSW Courses
- Clinical Tutor – IHCD Ambulance Technician Courses
- Design and Delivery of in-house CPD Content
- Design and delivery of 2013/2014 operational Statutory and Mandatory Key Skills updates
- Advanced Medical Life Support and Pre-Hospital Trauma Life Support organisational coordinator
- AMLS and PHTLS faculty instructor
- Mental Health First Aid Instructor
- Clinical Education Manager responsible for development of Paramedic Practitioners within SECamb
- Mentorship, Clinical Supervision, Clinical Sign off of competency documents
- PGD Training, Operational support and Guidance, Clinical Placement facilitation
- Academic Support and Liaison with HEI and Universities
- Development of Policy and Procedure – specific to the Paramedic Practitioner role
- Organisation and delivery of In-house (St Georges University Satellite Modules {Clinical Reasoning in Physical Assessment, Minor Injuries Level 6 & Minor Health Level 6} Pre OSCE training, support and preparation training
- Responsibility for Clinical development of Emergency Nurse Practitioners employed by SECamb
- Maintaining operational ECP activities on a regular basis to retain skills and maintain effectiveness as a clinician
- Development of Paramedic Practitioner Revalidation OSCEs and AKTs with St Georges University Medical School
- Working as part of multidisciplinary / multi educational facility team to design and implement new Paramedic Practitioner Programme with HEKKS regional academic partners
- Sessional lecturer University of Canterbury Christchurch – BSc Paramedic Programme (Ad – Hoc)
- Regular operational paramedic and Paramedic Practitioner operational shift cover
- As single responder PP and as Ambulance crew
- (Learning and Development Department) Paramedic Practitioner Education Team
Bank Advanced Practitioner
Urgent Care Social Enterprise
01.2010 - 01.2014
- Mobile practitioner visiting patients on behalf of out of hours GP services
- Clinical Assessments / development of care plans in conjunction with multi-professional teams
- Use of patient group directives, in management of a wide range of medical conditions
Emergency Care Practitioner
Kent Ambulance Service / South East Coast Ambulance Service NHS Trust
01.2004 - 09.2007
- Emergency Care Practitioner member of first cohort in Kent, Surrey, Sussex partnership under Changing Workforce / Skills for Health Programme
- Total of one year combined full time academic study at Surrey University EIHMS and consolidation in clinical practice
- I worked as a member of a team of 3 ECPs in West Kent, providing A&E frontline response
- GP out of hour’s calls, and primary care management of patients who had sought help via the 999 system
- Involvement in multidisciplinary team working through a regular 1:3-week rotation in Maidstone Walk in Centre
- Minor Injury and Majors Practitioner Role
Paramedic Team Leader
Kent Ambulance Service
01.2002 - 01.2004
- Supervising, mentorship, management of both operational and non-operational staff
- Station management duties, administration and Acting up to position of Station Officer in absence of Station Officer
- Work based trainer and assessor
Kent HEMS Paramedic
Kent Air Ambulance
05.2000 - 01.2002
- HEMS Paramedic, pre-hospital air ambulance paramedic working alongside other pre-hospital care staff and Pilot
- Trauma experience and life threatening medical emergency management of critically ill patients with Medi-vac to appropriate receiving centres
- Responsibility for representing charity section of Air ambulance organisation- giving talks to the public and attending various public awareness functions as HEMS representative to promote role of Air Medics
- (Fixed Term Seconded Role)
Paramedic Team Leader
Kent Ambulance Service
11.1996 - 05.2000
- Supervising, mentorship, management of both operational and non-operational staff
- Station management duties, administration and Acting up to position of Station Officer in absence of Station Officer
- Work based trainer and assessor
Ambulance Paramedic
Kent Ambulance Service
05.1995 - 11.1996
- Trainee and qualified Ambulance Paramedic delivering patient care as a member of a frontline ambulance crew
- Skills: cannulation, Endotracheal Intubation, IV Drugs and Fluids
- Advanced airway management skills
- Kent Ambulance Service Paramedic Number KAT185
Ambulance Technician
Kent Ambulance Service
04.1993 - 05.1995
- A&E Technician working as part of frontline Ambulance crew delivering care to acute and chronic illness and injury patients
- Emergency and non-emergency duties
Education
Master of Arts - Education
University of Surrey
Guildford, Surrey 04.2004 - 07.2004
Master of Science - Advanced Clinical Practice - NMP Pathway
Canterbury Christ University
Canterbury And Medway Campus 04.2001 -
Timeline
Clinical Lead / Lead Emergency Practitioner
Herne Bay Integrated Care Centre
07.2017 - Current
Practitioner in Primary Care
Greensands Health Centre
04.2016 - 07.2017
Clinical Team Leader / Operational Paramedic Practitioner (Bank Clinical Tutor)
South East Coast Ambulance Service
07.2014 - 04.2016
Bank Advanced Practitioner
Urgent Care Social Enterprise
01.2010 - 01.2014
Clinical Education Manager / Learning and Development Lead (Clinical Tutor)
South East Coast Ambulance Service
09.2007 - 07.2014
Master of Arts - Education
University of Surrey
04.2004 - 07.2004
Emergency Care Practitioner
Kent Ambulance Service / South East Coast Ambulance Service NHS Trust
01.2004 - 09.2007
Paramedic Team Leader
Kent Ambulance Service
01.2002 - 01.2004
Master of Science - Advanced Clinical Practice - NMP Pathway
Canterbury Christ University
04.2001 -
Kent HEMS Paramedic
Kent Air Ambulance
05.2000 - 01.2002
Paramedic Team Leader
Kent Ambulance Service
11.1996 - 05.2000
Ambulance Paramedic
Kent Ambulance Service
05.1995 - 11.1996
Ambulance Technician
Kent Ambulance Service
04.1993 - 05.1995
Event Paramedic Practitioner
Medevent Medical Services
Securityclearance
DBS check – clear enhanced assessment
Personal Information
- Date of Birth: 02/11/68
- Nationality: British (English)
- Marital Status: Married
Professionalregistration
HPC Paramedic PA03287
Professionalmembership
Member of College of Paramedics
Securityclearance
DBS check – clear enhanced assessment
Personal Information
- Date of Birth: 02/11/68
- Nationality: British (English)
- Marital Status: Married
Professionalregistration
HPC Paramedic PA03287
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