Peter-John Preiss

Some of the Key Responsibilities & Skills in my role as a Paramedic with WFA include but are not limited to:

I am a dedicated and qualified paramedic with extensive experience in pre-hospital emergency care. I strive to manage critical situations with professionalism and sound clinical judgement while upholding evidence-based practice. I am passionate about supporting and guiding the next generation of paramedics, serving as a preceptor and assessor to help students and new staff develop their skills with confidence.

Patient Care & Clinical Excellence

• Provide high-standard patient care, ensuring treatment aligns with my Authority to Practise (ATP) and evidence-based guidelines.
• Respond to emergency and non-emergency calls, managing patient conditions with professionalism and respect.
• Maintain accurate and detailed patient records, ensuring effective clinical handovers.
• Uphold Te Tiriti o Waitangi principles and deliver culturally safe care.

Operational & Incident Management

• Respond to ambulance callouts efficiently, adhering to WFA operational procedures and response time targets.
• Follow clinical excellence, quality management, and health and safety regulations.
• Participate in mass casualty incidents (MCI) and emergency response operations as required.
• Engage in post-incident debriefings and operational reviews to enhance performance.
• Always drive vehicles in a defensive and courteous manner in accordance with the Safe Driving Policy and Procedures.
• Comply with all road rules and ensure the safety of self, passengers, and other road users whilst driving WFA vehicles.
• Maintain WFA vehicles to required standards by checking the vehicle and equipment at the beginning of each shift and restocking expendable supplies.
• Conduct appropriate daily checks and clean the vehicle at the end of the shift (where time permits).
• Report vehicle defects and missing/faulty equipment promptly.
• Undertake ongoing specialised driver training as required.

Training, Development & Leadership

• Act as a preceptor and assessor, mentoring students, new staff, and volunteers.
• Maintain ongoing clinical education and CE compliance to ensure up-to-date skills and ATP requirements.
• Participate in operational training, exercises, and professional development activities.
• When possible and available, Represent WFA in public relations and community engagement events.

Health, Safety & Wellbeing

• Maintain a strong understanding of the Health & Safety at Work Act 2015, ensuring a safe working environment for myself and my colleagues.
• Identify and report hazards, risks, and incidents to support workplace safety.
• Follow all WFA policies regarding infection control, PPE protocols, and occupational health.

Living WFA’s Values

• Be authentic, original, true | Mā pango mā whero ka oti te mahi
• Act with kindness | Aroha atu, aroha mai
• Lead by example | Mahia te mahi, hei painga mo te iwi
• Keep getting better together | Whaia e koe te iti kahurangi

As a casual event medic with ProMed, I was expected to be able to provide pre-hospital medical care at a diverse range of rural and city-based events across New Zealand outside of the Wellington Region.

My role involves assessing, managing, and treating a wide variety of patients, ensuring their safety and well-being in both low-risk and high-risk environments.

I have worked at events including five-day motocross camping trips, professional and televised motorsports events, jet boating, bull and horse riding rodeos, school sports events, equestrian competitions, motorsports at race tracks, street events, kart sports, and drag racing venues across New Zealand, among many other different events. This role requires strong clinical judgement, adaptability, and teamwork, often in fast-paced and unpredictable settings where quick decision-making is essential.

• Provided professional delivery of service to all patients who required emergency 999 assistance.
• Trained in Joint Emergency Response, attending yearly CPD to keep up with the latest information.
• Documented and kept a portfolio of experience for the first two years of practice, with regular CPD attended and documented.
• Adhered to the latest service policy and procedures.

• Skilled in Paramedic Level basic observations and monitoring (Adult and Paediatric), including:Manual and automatic NIBP, Blood Glucose Levels, SpO₂, Temperature.
  3-lead and 12-lead ECG monitoring and interpretation, ETCO₂, Pulse Rate, and Respiratory Rate.
  
• Skilled in Paramedic Level Pre-hospital maternity skills, having delivered a number of newborn children in various stages of gestation and birth presentations.
• Basic and Advanced Life Support (ALS) in cardiac arrest and ROSC patients.
• Skilled in paediatric and adult basic and advanced airway adjuncts, including:OP airways, NP airways, suction, gastric tubes, IGel, intubation of tracheostomy patients, needle cricothyrotomy, and needle chest decompression.
  
• Proficient in various medication administration routes, including:Intramuscular (IM), Intravenous (IV), Intranasal, Intraosseous (IO), Subcutaneous (SC), and External Jugular Venous (EJV) access.
  
• Paramedic-skilled wound care, including:Basic dressings, trauma dressings, blast dressings, chest seals, venous and arterial tourniquets, box and vacuum splints.
  
• Expertise in C-spine collar application, including soft and firm collars, as well as paramedic-level patient immobilisation.
• Major trauma management, including but not limited to:Falls from significant height, road traffic collisions, stabbings, gunshot wounds, penetrating injuries, and crush injuries.
  
• Adhered to protocols and procedures to maintain the safety of patients and paramedic crews.
• Remained level-headed and proactive during emergency situations.
• Demonstrated dedication to quality care through continued training and education.
• Developed a strong rapport with other medical professionals to foster quality and efficient patient care.

• Treated a wide range of patients, from non-emergency to life-threatening conditions, including but not limited to:Cardiac, cardiac arrest, neurological, respiratory, hypo/hyperglycemia, trauma, major trauma, major and minor illness, and urgent care.
  
• Worked through the Covid-19 pandemic as a frontline paramedic in London, attending countless minor, severe, and life-threatening Covid-19 cases.
• Assessed emergency situations and prioritised medical care for patients.
• Responded quickly to medical emergencies to promote the best possible health outcomes.
• Conducted equipment inspections and vehicle checks in adherence to required maintenance schedules.
• Evaluated patients' medical status and monitored vital signs during transit.
• Assessed scenes upon arrival to identify potential safety issues and hazards affecting first responders.
• Monitored patients from scene to hospital transfer, providing in-transit care.
• Performed standard testing and administered medication in the field and during transport.
• Documented care provided to patients using offline paper reports and electronic patient care records (ePCRs).

• Tutored and mentored student paramedics through different stages of university (years 1–3), signing off evidence for their university portfolio.
• Mentored and tutored newly qualified paramedics through their Graduate Programme, signing off documentation and evidence for their graduate portfolio.
• Certified in Level 3 Emergency Response Ambulance Driving (L3CERAD) with career ambulance response driving experience in a busy city such as London.
• Worked in mixed-skilled crews, including:Paramedic/EMT, Paramedic/Paramedic, Paramedic/Firefighter driver, Paramedic/Police officer driver, Paramedic/Graduate Paramedic, Paramedic/Ambulance Paramedic Practitioner, Paramedic/Newly Qualified EMT.
  Gained experience mentoring students while working in all these mixed-skilled crews.
  

• Trained in and attended multiple event medic duties, including:Football matches, large community events under the role of Bronze Command and foot patrol paramedic.
  
• Trained in conflict resolution skills.
• Completed yearly core skills refreshers as per service requirements.
• Certified in manual handling and handling aids.
• Assisted HEMS Paramedics and Doctors in critical care cases.
• Vehicular extrication CPD undertaken, working in joint response with firefighters and HEMS Doctors to further knowledge and skills.

• Received a Covid-19 Frontline Response Medallion and Certificate from London Ambulance Service.
• Awarded a commemorative plaque from London Ambulance Service and a certificate from local management for outstanding service.
• Received a medallion commemorating service during Her Majesty The Queen’s Platinum Jubilee.