CH87 Master of Paramedic Science (Paramedic Practitioner)

In order to complete this course, you must:

  1. Complete the core structure

Core Structure

Number of units: 12 Total credit points: 72

Proposed Core Scope of Practice

The scope of practice of the Paramedic Practitioner encompasses a broad range of clinical skills that cover critical care and primary health area. The Paramedic Practitioner upon completion of their training would be able to do, use or complete:

Detailed history taking including mental health, social and family aspects

Comprehensive physical examination of all body systems that includes:

  • General survey and vital signs
  • Head, Eyes Ears, Nose and Throat (HEENT) examination with otoscope
  • Cardiac and carotid sound examination
  • Complete integumentary assessment
  • Spirometry
  • Advanced musculoskeletal assessment including joints such as the shoulder or temporomandibular joint
  • Advanced neurological assessment including cranial nerve evaluation and reflexes

Advanced psychosocial assessments including:

  • Fall risks
  • Palliative care
  • Dialysis follow-up
  • Dietary evaluation
  • Age care assessments including test such as a MMSE
  • Home medication review
  • Diabetic follow-up and other chronic medical assessments/counseling

Point-of-care testing devices and screening tools for diagnosis and treatment evaluation including:

  • Urinalysis
  • Glucose and diabetic monitoring
  • Blood tests such as CBCs, chemistries, INR or cardiac markers (such as troponin)
  • Sonography (including FAST)
  • Stool guaiac or faecal occult blood test
  • Corneal abrasion evaluation using fluorescein staining (screening only)
  • Other diagnostic tests to be obtained and sent for evaluation such as cultures

Medical and critical care skills including:

  • Fracture reduction and short-term casting/immobilisation
  • Joint relocation
  • Intubation and RSI
  • Cricothyrotomy
  • Mechanical ventilator use
  • Advanced cardiac dysrhythmia management with synchronised cardioversion and transcutaneous pacing
  • Thoracostomy and chest tube maintenance
  • Intraosseous access
  • Central line maintenance and management
  • Gastric tube placement, evaluation or maintenance
  • Urinary catheter replacement or maintenance
  • Acute and chronic wound evaluation, debridement, drain and other care

Other areas of medical management including:

  • Back pain, infection (ranging from respiratory to sexual transmitted infections), migraine, GI illness and other low acuity illnesses

Simple surgical procedures including:

  • Suturing , stapling or gluing of acute injuries
  • Incision and drainage (non-dental skin abscesses)
  • Punch skin biopsies

Expanded pharmacology for administration and management including:

  • Advance critical care pharmacology including antiarrhythmics, analgesics, diuretics, antipsychotics, sedatives and others
  • Local or regional anaesthetics
  • Antibiotic therapy
  • Over the counter therapies including Gastrolyte or paracetamol
  • Short-course therapies including steroids, analgesics, anti-inflammatories, antiemetics, muscle relaxants, gastro relievers, etc.
  • Vaccine administrations
  • Short term dispensing of ‘out of medicines’ coverage for non-scheduled medication. This covers classes of medication such as antihypertensives or antidiabetics where the provider would carry one type from each class of medications such as a beta-blocker, calcium channel blocker, ACE inhibitor or metformin.

Palliative care and management

  • Subcutaneous cannulation for pain management
  • Counselling and reassurance
  • Secretion management
  • Breakthrough pain management

Referrals for specialties including:

  • Radiographs of injuries or chest x-rays
  • Other diagnostic lab tests not able to be tested by point-of-care screening (such as haemoglobin A1C)
  • Cardiology (including stress tests or echocardiograms)
  • Orthopaedics, physiotherapists or physical therapy
  • Dental evaluations or procedures
  • Prevention evaluations such as a colonoscopy or colposcopy

General practitioner for follow-ups as needed

  • All case information from patients to be referred back to the GP as well

Additionally, includes the standard scope of practice of a paramedic including:

  • Manual handling, extrication, triage, driving and other essential duties of the paramedic
  • Basic life support, intermediate life support and resuscitation skills (in line with the Australian Resuscitation Council)
  • Intermediate airway management including supraglottic airways
  • Emergency management of medical and trauma conditions for adults, paediatrics or other special populations
  • Use of emergency pharmacology including pain management
  • Pulse oximetry, ECG or other vital monitoring and interpretation tools

Graduate Diploma of Paramedic Science (Critical Care) or equivalent degree

Year 1 - Term 2
Students must complete 2 from the following units:
PMSC20004 Advanced Clinical Care of Special Populations
PMSC20006 Advanced Clinical Care of Trauma and Environmental Emergencies
PMSC20007 Aeromedical, Retrieval and Tactical Medicine
Year 1 - Term 1
Students must complete the following compulsory units:
PMSC20001 Advanced Clinical Assessment and Decision Making
PMSC20002 Advanced Critical Skills Application
PMSC20003 Pharmacological Application in the Critical Care Setting
MEDS21003 Medical Science Research Project 1
Year 1 - Term 2
Students must complete the following compulsory units:
PMSC20005 Advanced Assessment, Diagnostic Interpretation and Management
MEDS21006 Medical Science Research Project 2

Year 2 - Term 1
Students must complete the following compulsory units:
PMSC20008 Primary Healthcare Management
PMSC20009 Primary Healthcare Assessment, Pharmacology and Skills
PMSC20010 Health Communication and Community Involvement
PMSC20011 Independent Practice and Leadership