DIARY OF A PARAMEDIC IN A PRIMARY HEALTH CARE CLINIC Examining the attributes and practices of paramedics working in primary health care contexts
With
Alecka Miles, Lecturer
Edith Cowan University, Western Australia &
Community Paramedic,
Dianella Family Medical Centre, Western Australia
PEOPLE IN HEALTH CARE SEGMENT
Filmed in Perth, Western Australia | October 2025
Alecka Miles is a lecturer at Edith Cowan University and works as a paramedic in a multidisciplinary team at Dianella Family Medical Centre in Metropolitan Perth, Western Australia.
Community paramedic roles have a history in Australia, dating back to 2007 in New South Wales and followed by similar initiatives in South Australia and New Zealand. Alecka’s position emerged after she sought to evaluate how paramedics could integrate into general practice, ultimately leading to a job offer post-COVID lockdown in 2020. Her skills, particularly in cannulation, proved valuable as healthcare shifted towards primary care.
In her role, Alecka conducts community health assessments, providing insights from her paramedic background. She notes a significant learning curve, having expanded her role far beyond her initial experiences in ambulance services.
Alecka’s research aims to explore the practices and demographic characteristics of paramedics working in primary healthcare contexts in Australia and New Zealand.
At Dianella, she collaborates with nurses and other healthcare professionals, emphasising patient-centred and holistic care. Their teamwork is characterised by mutual respect and recognition of each other’s strengths, fostering a supportive environment for managing both urgent care and chronic disease management.
Australian Health Journal spoke to her about her day to day experience in general practice.
Source: Written from transcript
Footage credit: ACPIC24, Australasian College of Paramedicine
-
Recognising service in health regulation
In April 2023, Professor John Skerritt retired from his position of Deputy Secretary Health Products Regulation Group, a role he has been in since 2012. During his time at the TGA he had line responsibility for over 1200 staff involved in the regulation of therapeutic goods, regulation of gene technology and industrial chemicals and control of drug import, export and production.
At this year’s ARCS 2023 Conference, ARCS Australia CEO Dr Shanny Dyer paid tribute to Professor Skerritt and his service to the Australian health industry. She led a tribute with fellow industry heads, Elizabeth de Somer, CEO, Medicines Australia, Anne Harris, Managing Director, Pfizer Australia & New Zealand, Deon Schoombie, CEO, Consumer Healthcare Products Australia, Ian Burgess, CEO, Medical Technology Association of Australia and Arthur Brandwood, President ARCS Australia.
-
The Case for Embedded Pharmacy in Residential Aged Care
Embedded pharmacy in residential aged care has been successful in South Australia at the Tanunda Lutheran Home in the Barossa Valley. Julian Soriano talks about his pharmacy role in medication management and medication safety to deliver the best clinical care for residents.
In this segment, Julian talks about the traditional pharmacy model serving residential aged care and the limitations of the imprest process for dispensing medication. Soon into the project he saw the collaboration required with GPs and onsite nurses in dispensing medication for residents in end-of-life or palliative care. Julian sees the imprest process unable to support end-of-life residents, even being able to check the availability of medication.
But what most may not be aware of, is his rapid growth since starting the business in 2013 having just been in health care a few years earlier. Being part of a 2nd generation health care family, Shawn learnt from his father on site and at trade show visits overseas. Prior to HPA, he spent 2 years working in fit-outs of operating theatres, neo-natal and general population ICU, throughout being more fascinated with what he saw. -
Caring for community
With a passion for helping people, Carina Fernandes in her final year at Western Sydney University received accolades as a nursing student. Now a recent graduate, having completed her Bachelor of Nursing (Advanced) degree, and recognised as an Emerging Nurse Leader 2021 by the Australian College of Nursing, Carina has her sights set on her new role in healthcare, at the same time keeping sustainability top of mind.
