Moving on in Higher Education

The aim of this assignment is to evaluate an area of Pre-hospital clinical practice that has changed within the last two years.   I am aiming to achieve this by using the reflective model proposed by Boud, Cressey and Docherty (2006).   I will start with identifying the rationale behind the change in practice, and then move on to identify the change itself.   I will then look at the historical origins of the practice and how military technology has influenced and prompted changes in the civilian world, with direct relevance to this mode of practice.   Through critical analysis, I intend to demonstrate the national evidence, and challenge both the positive and negative aspects, which have provoked this change in practice and how it has affected my current practice.   This will include a discussion as to how this change may promote a re-think, and therefore adjustment, in the responsibilities currently assigned to my role as a Paramedic Practitioner.   I will look at this by suggesting that for change to occur then the culture must be confronted.   Culture is not only applicable to the individual, but also to the greater whole.   Therefore looking at how this change in practice has affected the Multi-Disciplinary Team, breaking down culture into three sections and by approaching each part individually, I aim to display that current culture can be suitably modified to accept this new change in practice, whilst still maintaining sufficiently high standards in patient heath care.   Also, by providing evidence of myself working within that Multi-Disciplinary Team, I aim to show how the change in practice, and hence the change in my own practice, has impacted upon the patient’s experiences, hopefully for the better.   Throughout this document the published standards, as set by the Health Professions Council (HPC), will be followed to ensure that confidentiality is maintained (HPC, 2008).

Within England and Wales the most frequently occurring major cause of death is circulatory...