Paramedic Practice: Remote & Hazardous Environments BSc, DipHE, CertHE

1. Overview

Outreach Rescue Medic Skills (ORMS) and Robert Gordon University (RGU) work together to facilitate the delivery of this course.

This course has been designed so that HCPC registered Paramedics, who are working in a clinical role and cannot commit to full time study, can top up to a degree. Completion of Stage 3 (BSc) will concentrate on developing leadership skills in a range of clinical environments, including remote and hazardous contexts, with the ability to consider human factors and ergonomics, applying these principles to complex emergency incidents.

The course can also be accessed earlier, so that you can become eligible to apply for registration with the HCPC, after successful completion of Stage 2 (award of Diploma of HE). It is highly practice-focused and aims to consistently challenge students to practice Paramedic pre/out-of-hospital care in any context, uniquely those that are remote and hazardous.

2. What you will study

Years 1 & 2 (Stage 1)

During this stage, knowledge of working within the health sector and the foundations of anatomy, physiology, and pathology and professional skills will be integrated with key Paramedic skills.

This stage develops your Paramedic assessment and treatment skills. You will explore the interrelationships between allied rescue agencies and how to work within these structures effectively. Clinical placements are undertaken to reinforce these skills and link theory to practice.

Modules studied:

  • NU1995 - Working in Healthcare
  • NU1996 - Preparing for Emergency Care
  • NU1997 - First Response in Pre-hospital care
  • NU1998 - Human Factors and Decision Making in Hazardous Environments
  • NU1999 - Professional Practice 1 (Operational) 

Years 3 & 4 (Stage 2)

Acute management of ill and injured patients is developed further, alongside the inclusion of invasive procedures to promote positive outcomes when managing these patients. You are consistently challenged to consider the pragmatics of care delivery by comparing care delivery between "Remote", "Hazardous" and "Domestic" environments.

The use of research to support and underpin practice is developed further encouraging development of clinical reasoning skills. Further two clinical placements are undertaken to reinforce the necessary knowledge and skills required for qualification.

Modules studied:

  • NU2990 - Public Health in Paramedic Practice
  • NU2991 - Paramedic Patient Assessment and Interventions
  • NU2992 - Medical and Surgical Emergencies
  • NU2993 - Professional Practice 2 (Operational)
  • NU2994 - Trauma Emergencies in Hazardous Environments
  • NU2995 - Obstetrics, Gynaecological and Paediatric Emergencies
  • NU2996 - Professional Practice 3 (Operational)

Years 5 & 6 (Stage 3)

The emphasis in your final stage relates to evidence based management of "Hazardous" environments, effective performance in disasters and the academic skills necessary for the manager in these circumstances.

In conjunction with understanding key issues relating to policies and interagency team working. Improving practice is explored (incorporating critical evaluation of practice) aiming to further develop your Paramedic skills for delivery of care in these more extreme environments.

Your final clinical placements allow development and refinement of the required treatment and management skills.

Modules studied:

  • NU3990 - Leadership and Evidence Informed Decision Making in Hazardous Environments
  • NU3991 - Disasters and Environmental Emergencies
  • NU3992 - Professional Practice 4 (Operational)
  • NU3993 - Research, Quality and Audit
  • NU3994 - Practice Project
  • NU3995 - Professional Practice 5 (Operational)

3. How you will learn

Outreach Rescue Medic Skills (ORMS) and Robert Gordon University (RGU) work together to facilitate the delivery of this course.

The course is delivered through blended learning; self-directed study through a variety of media, face-to-face attended lessons and academic written work run alongside a variety of practice-based learning settings.

The face-to-face components of the course are based on blocks of 30 hours of learning being delivered during a five-day week at the ORMS site in Bangor, North Wales

Attendance is required to meet all elements of the face-to-face sessions especially as this contact time will be used to develop clinical skills through the use of simulation. 

Practice learning is a key part of the course. Practice placement takes place in the students’ employers/sponsors' normal operational environment and a variety of specific clinical environments throughout the course. 

4. Entry Requirements

For admission to the course applicants must normally possess: 5 GCSEs (including English, mathematics and/or a science) plus at least 2 A' levels or equivalent qualifications. Equivalent overseas qualifications, SQA, BTEC and access programmes will be considered.

Selection criteria for interview short listing will be based upon the application form and any other attached documentation. 

The applicant must demonstrate evidence of ability to meet the academic requirements of the course; Genuine insight into the role of a Paramedic, evidence of communication, team working and interpersonal skills.

Students with the required entry qualifications will be invited to attend a selection day. The selection process enables the recruitment team to assess applicants for various attributes required for the role of Paramedic. Applicants will engage in a number of physical activities to assess abilities in communication, working to specific parameters and as a team member. 

A satisfactory disclosure clearance and Occupational Health clearance will be required at the selection day, prior to an offer of a place on the course being made and evidence provided to ORMS. In addition, if employed, a signed agreement between student and employer and educational institution.

5. Placements and Accreditations

The course is accredited by the HCPC up to completion of Stage 2 (Diploma of HE).

Practice placements are an integral part of the programme and students will spend significant time in practice placements in their employer or sponsors' normal operational environment.

The sponsoring organisation is the organisation where the student will be completing their Ongoing Record of Achievement, with a Practice Placement Educator (PPEd). The Sponsoring Organisation may or may not be the Student's employer.

6. Student Funding

Course fees may be paid by the student, their employer/sponsoring organisation or other funding streams.

The course cost is £4,400 per year (60 credits).

Placement Expenses

You or your employer (or the sponsoring organisation) are responsible for all expenses incurred by you during clinical and practice placements.

Travel, accommodation and subsistence

The programme requires the student to attend face to face content at the ORMS facilities. In addition, the student will be expected to travel as part of their placements. Any expenses incurred due to travel, accommodation and subsistence is the responsibility of the student and will not be reimbursed by ORMS or RGU.

Further information:

ORMS Course Fees 2017 (PDF 374KB)

7. How to apply

All students can apply online by visiting Apply Online.

If you have any queries, please contact our Admissions Office: 

If you would like to find out more about this course, please contact Tim Roberts (Course Leader), who will be happy to discuss your individual requirements:

8. Your Module Co-ordinator

Tim Roberts is a graduate paramedic with experience of teaching paramedics for a number of years. He has experience of delivering high quality education and training to search and rescue as well as commercial and NHS paramedics. He is also the Course Leader and the Education Director of ORMS.


9. Additional ORMS Policies and Handbooks

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BSc, DipHE, CertHE

Start Date

May, September or January

Course Length

6 years (equivalent to 3 years full-time study)

Mode of Attendance

Part-time Distance Learning with face-to-face components in North Wales

Academic School
School of Nursing and Midwifery
Accredited By
Health and Care Professions Council