NQP discharging from scene - the rules

Patient Safety Alert

While we are dealing with the COVID-19 pandemic and taking on different ways of working, it’s vital that we keep the basic steps right.

Previous to COVID-19, Patient Safety and Investigation had noted a number of Newly Qualified Paramedics (NQPs) discharging higher-risk patients from scene when they hadn’t completed their first two years.
There seems to be a perception that NQPs can discharge all patients without Clinical Advice Line (CAL) support after only six months. This is not the case.

We understand that, given the current pressures across the organisation this is not ideal, but it is vital to your patient’s safety and your decision making that you speak to CAL before discharging a patient at home if they meet the criteria within the policy.
While sometimes frustrating, this safety net has caught a number of patients who would otherwise have been left at home with serious conditions that needed further investigation at hospital.

Please read the attached Clinical Update from 2017 (below), which outlines all the details.
This is about keeping everyone safe and checking decision making.
Especially at this time, the human factors around making decisions can be massively impacted, so can NQPs please contact the Clinical Advice Line before discharge.

For further queries please speak to your line manager or the Clinical Advice Line.

Many thanks

Jordan Nicholls 
Patient Safety Integration Lead

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