Emergency Care Practitioner (ECP)
An ECP is a medic that is already qualified normally as a Paramedic or less often as a Physiotherapist or Nurse and has returned to university to undertake additional advanced modules to either degree or diploma level. These modules generally cover minor injuries, minor illnesses, clinical decision making, psychiatry, paediatrics, nature of physical assessment, etc. and they can work autonomously within Emergency Departments, Minor Emergency Departments and GP clinics. They would have blue light driving as they are traditionally more of a pre hospital role. Currently all ECPs are signed off under our Patient Group Directives, however as and when Prescribing is undertaken this will be replaced on an individual basis. If an ECP is a Nurse then they would be a prescriber. All ECPs with Festimed are known as a Practitioner and would be registered with the Health Care Professionals Council (HCPC) or if a Nurse then NMC, in addition they must be currently working within this role.
A Nurse is accredited through either the Nursing Midwifery Council of England or Nursing Midwifery Board of Ireland and their background can vary. To be working at an event we would also require very recent or current experience within either ED or MIU / ICU unless other circumstances dictate. A Nurse can generally provide intermediate life support in emergency situations, however not all Nurses would have this level of training as it is dependent upon their main employer and role. Their training is 3-4 years at degree level consisting of theory, practical and internships. A Nurse registered within the UK would have a much wider scope of autonomous practice.
A Paramedic is a highly trained medic accredited through the Health Care Professional Council (HCPC) and would traditionally work in an ambulance environment. Many years ago a Paramedic would have started as an EMT within the statutory ambulance service and undergone their Paramedic training in-house. More recently to become a Paramedic training is as a foundation degree, diploma or degree in Paramedic Science or Paramedic Practice. A Paramedic can provide advanced life support in emergency situations. The equivalent Irish qualification would be an Advanced Paramedic.
Emergency Medical Technician (ROI)
An EMT is again a highly trained medic also accredited through the PHECC and as with an AP and Paramedic traditionally would work within an ambulance environment although this is less common in recent years. An EMT can provide basic life support in emergency situations and the training consists of five weeks followed by clinical supervision prior to qualifying. The equivalent UK qualification would be ECA Level 2.
Emergency Care Attendant (ECA) (UK)
An ECA is a newer qualification within the UK being introduced in 2006 and each statutory ambulance service has they own set of requirements and training, however the position is not there to make complex clinical decisions. Within Festimed we have two levels of ECA as below.
Currently employed by a statutory ambulance service as an ECA, can provide evidence of this along with scope of practice and also has certified blue light training.
Has certification higher than that of an Emergency Responder but it not IHCD, Pearson’s Level 4 or QA FREC Level 5 so therefore is not recognised as an EMT within Festimed. Also has certified blue light training, so a QA FREC Level 4 would be suitable.
Is a Student EMT / Paramedic with a statutory ambulance service, can provide evidence of this along with scope of practice and also has certified blue light training.
Is a PHECC registered EMT within Ireland.
Emergency Responders (UK)
Within the UK we would class an Emergency Responder as someone that has undertaken either AFA Level 3 FPOS or Qualsafe Level 3 FREC through a recognised body which would include medical gasses and defib certs. So, in summary this is someone that has undertaken more than a basic first aid course and has also undertaken clinical hours, this position used to be known as Advanced First Aider within Festimed. We call our Irish EFRs and CFRs Emergency Responders if they work within the UK environment.
We recently introduced dedicated Pharmacy staff to our Festimed team as they are experts in medicines and their uses. They have the knowledge of medicines and the effect they have on the human body. In addition to their knowledge of medicines they can also advise on medication, dosages, give applicable advice plus give advice on sexual health, smoking cessation, etc.
In the UK a Pharmacist must be registered with General Pharmaceutical Council (GPhC) and will have qualified to Masters level in Pharmacy which is four years. In Ireland a Pharmacist must be registered with The Pharmaceutical Society of Ireland (PSI) and again is qualified to degree / masters level depending on when they qualified.
A Pharmacy Technician in the UK assists a Pharmacist and can prepare and dispense medicines. They also have to be registered with the GPhC and have to work within a pharmacy to be eligible to attain the qualification to either BTEC National Diploma, NVQ Level 3 or a National Certificate. To confuse matters, a Pharmaceutical Assistant is what this position is known as within Ireland and must be registered with PSI and this is a closed register.
A Pharmacy Assistant is not registered with GPhC but would work within a pharmacy environment to attain this title and may have a relevant NVQ / BTEC Level 2 qualification within the UK. This position within Ireland is known as a Pharmacy Sales Assistant.
Physio / Sports Therapist
These positions are often found at sporting events rather than festivals. In both the UK and Ireland a Physiotherapist has qualified to degree level and within the UK is registered with the HCPC and in Ireland with the Irish Society of Chartered Physiotherapists (ISCP). A Physio has a range of interventions, services and advice that is aimed at restoring, maintaining and improving people’s function and movement using a flexible and holistic approach.
A Sports Therapist is similar to a Physio but is more defined to an area of musculoskeletal injuries related to physical activities and does not have to be part of a registered body within Ireland or the UK.