In this unit, you are required to complete approximately 200 hours of Work Integrated Learning (WIL) placement with a jurisdictional ambulance service. This placement offers you the opportunity to apply your underpinning knowledge, clinical reasoning, and practical skills to paramedic practice.

For this assessment, you must complete a clinical supervisor assessment which has two components. First is the Interim (Formative) Clinical Supervisor Assessment, which is followed by the Final (Summative) Clinical Supervisor Assessment. The Interim (Formative) Clinical Supervisor Assessment acts as a mid-placement checkpoint to assist with identifying if you are potentially 'at-risk', while the Final (Summative) Clinical Supervisor Assessment is to be submitted at the end of your clinical placement. Please refer to the Generative AI Permission document available on your Moodle site for guidelines on the acceptable and unacceptable use of generative AI in this unit.

The Clinical Supervisor Assessment contains sections gathering feedback from you and your mentors on your performance in areas such as:

• Professional capabilities for registered paramedics.
• Professionalism.
• Skills log.
• Case type log.
• Clinical activity.
• Assessment submission and forwarding to clinical supervisor.

There is also a section where you are expected to critically reflect upon your clinical placement.

The Professional Practice Placement report is accessible via Sonia.

The Final (Summative) Clinical Supervisor Assessment will be marked in accordance with the rubric provided on the unit Moodle page, covering the following areas:

• Professional capabilities for registered paramedics.
• Professionalism.
• Skills log.
• Case type log.
• Clinical activity.
• Assessment submission and forwarding to clinical supervisor.

Your Final (Summative) Clinical Supervisor Assessment is a PASS/FAIL task.

To pass this assessment, you must achieve a pass in all of the following:

• Professional capabilities for registered paramedics: Obtains 3’s or 4’s, in all questions across all Domains in the Final (Summative) Clinical Supervisor Assessment.
• Professionalism: Obtains 3’s or 4’s, in all questions in the Final (Summative) Clinical Supervisor Assessment.
• Skills log: Accurately completes the skills log section of the Final (Summative) Clinical Supervisor Assessment.
• Case type log: Accurately completes the case log section of the Final (Summative) Clinical Supervisor Assessment.
• Clinical activity: Accurately completes the clinical activity section of the Final (Summative) Clinical Supervisor Assessment.

Preamble

In this case study, you will be presented with a case involving aspects including vulnerable clients and cultural safety. You will be asked to address a set of questions relevant to your paramedic practice. Please refer to the Generative AI Permission document available on your Moodle site for guidelines on the acceptable and unacceptable use of generative AI in this unit.

The Case

You are presented with a 45-year-old male patient who has experienced a recent bilateral below-knee traumatic amputation. The patient has fallen from his wheelchair in a private residence. There are no reported injuries following the fall, however, the patient is unable to get themselves up.

There are no hazards or safety issues on arrival at the scene, and the patient is easily accessible in their front room. The patient has the following history:

Social history 

• The patient is a returned services veteran who had a forced medical retirement after 25 years of service.
• His wife and children live interstate, as they have recently separated.
• The patient lives alone in a single-story residence. 
• The garden appears unkept with weeds exceeding gate height and overflowing bins.
• There is a private vehicle in the driveway which is not in use.
• The patient states he frequently seeks ‘telehealth appointments’ but has no in-home support services as he finds the system ‘too hard to navigate’ and does not want to bother his general practitioner (GP).

Past medical history

• Depression, anxiety, service-related trauma.
• Chronic pain in the shoulders and lower back.
• Traumatic bilateral lower limb amputations.
• Heavy drinker, non-smoker.
• Various medications that are neatly packaged in an ice cream container.

From a clinical support perspective, the patient is under the care of a psychiatrist and trauma counsellor, however, the patient frequently cancels his appointments. Additionally, the Department of Veterans Affairs occupational therapist has also reduced visits due to frequent patient cancellations.

You are to address the following questions in a narrative format:

1.       What are different ways that paramedics can create a safe and supportive environment for this patient who has experienced complex trauma?

2.       What ethical considerations should paramedics consider when providing acute care to patients in a situation such as this?

3.       Discuss different factors that contribute to this patient being considered vulnerable.

4.       Consider now that this patient has a cultural background that differs from your own, for example, Muslim, Indigenous, African etc (you may select one). What additional strategies or supports could you as a paramedic implement to align with the patient’s cultural background?

The expected word count for your case study is 1600 words, excluding references. You will be assessed in accordance with the rubric provided on the unit Moodle page. Criteria include:

Overall presentation

• Organisation of paper.
• Writing mechanics.
• Appropriate word count.

Content

• Different ways that paramedics can create a safe and supportive environment for patients experiencing complex trauma.
• The ethical considerations paramedics should consider when providing acute care to patients in vulnerable situations.
• Discussion of different factors that contribute to patient vulnerability.
• Consideration of strategies or supports paramedics could implement to align with the selected cultural background.

References

• Use of in-text referencing.
• Use of APA style reference list.

Please save/upload your file in a Word format (.doc or .docx).

This is a PASS/FAIL task.