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Table 1 Individual responsibilities of community first responders

From: Common hierarchies, varied rules - the problem of governing community first responders in prehospital care for quality standards: documentary discourse analysis

Identify risks and safety issues associated with CFRs and their work based on quality care standard

• Report criminal charge or conviction immediately.

• Report any changes or endorsements to their driving licence

• Inform their insurer that their private vehicle is being used for a responding purpose and is liable for any claims when using the vehicle for responding.

• Report that they are pregnant at the earliest opportunity.

Set procedures and policies, and framework to address the identified risks and safety issues

• Familiarise themselves with the NHS Constitution and the Trust’s core values.

• Ensure that their behaviours reflect Trust’s core values when they are undertaking voluntary activity and representing the Trust.

• Ensure equipment is clean and in a serviceable condition when handing over.

• Keep equipment and consumables safe and ensuring the equipment is serviceable.

• Maintain their vehicle in a safe and roadworthy condition and ensure it is sufficiently covered by suitable motor insurance and MOT.

• Be responsible for providing their own defence at their own expense.

• Not assess and leave patients on-scene without the clinical responsibility being taken by a responding Clinician or a Clinical Supervisor.

• Take sufficient rest and where relevant manage their normal employment commitments and their CFR voluntary time.

• Follow the guidelines on attire to respond to minimise the risk of injury to themselves.

• Raise with their local manager any perceived deficiencies or lack of contemporary experience in any practice area.

• Maintain sufficient fitness for their duties.

• Follow guidelines in policies relevant to the CFR.

Setout a chain of command to monitor compliance to the procedure and policies and framework

• Adhere to responsibilities set out in Trust’s code of conduct.

• Inform Community and Engagement Training Officer (CETO) through their coordinator when levels of medications are running low.

• Use online communication networks sensibly and responsibly and to consider the wider implications of using social networking sites.

• Not to breach any confidentiality.

• Be aware of their responsibilities toward consumption of alcohol and ensure their alcohol level is zero.

• Always adhere to the Trust’s Infection Prevention and Control policy and help ensure continued compliance of the Trust with the Health and Social Care Act (2008)

• Comply with Health and Safety standards as set by the Trust.

• Ensure that the scope of practice is maintained.

Document the compliance for auditing

• Complete a patient report form

• Raise concerns.

• Take account of the Working Time Directives.

• Report any changes or endorsements to their driving licence.

• Ensure that they produce their driving licence, MOT certificate and insurance certificate for ongoing checks.

• Report that they are pregnant at the earliest opportunity.

• Highlight any items requiring servicing prior to the expiry date.

• Report any actual or potential incident using the Trust’s incident reporting procedure.

Use audits to make assurances to governmental bodies that care quality standards are being met

• Ensure that they do not fall outside of requalification period or be asked to stand down.

• Report any actual or potential incident using the Trust’s incident reporting procedure.