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JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
JOB PURP OSE
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JOB PURP OSE

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  • 1. Job Reference Number……P/HC/47…………………………… NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title SPECIALIST CLINICAL TECHNOLOGIST Department(s)/Locatio n NUCLEAR MEDICINE IN NINEWELLS, PRI AND PET-CT IN THE CLINICAL RESEARCH CENTRE Number of job holders 1.5
  • 2. Job Reference Number……P/HC/47…………………………… 4. JOB PURPOSE To provide as part of Nuclear Medicine, an area wide diagnostic imaging service and to carry out any other work associated with diagnostic, research and therapeutic uses of radionuclides. 5. ORGANISATIONAL POSITION The staffing of Nuclear Medicine (covering Ninewells Hospital, Clinical Research Centre and Perth Royal Infirmary) consists of a technical section manager, plus a Deputy Section Manager Specialist Clinical Technologist (imaging), 2 Lead Specialist Clinical Technologists and 14.6 Specialist Clinical Technologist posts. There are in addition, 5 Clinical Scientists, 1 Medical Consultant, 3 Nurses and 3.5 Admin /Clerical members of staff. PRI IMAGING LABORATORY PET-CT CONSULTANT PHYSICIST SECTION MANAGER 7.1 SPECIALIST CLINICAL TECHNOLOGISTS 4 SPECIALIST CLINICAL TECHNOLOGISTS DEPUTY SECTION MANAGER 2 NURSING STAFF 2.5 ADMIN AND CLERICAL 2 SPECIALIST CLINICAL TECHNOLOGISTS 1 LEAD SPECIALIST CLINICAL TECHNOLOGIST 1 LEAD SPECIALIST CLINICAL TECHNOLOGIST 1.5 SPECIALIST CLINICAL TECHNOLOGISTS These Posts 1 ADMIN AND CLERICAL 1 NURSING STAFF
  • 3. Job Reference Number………………………………… 6. SCOPE AND RANGE Nuclear Medicine provides an area wide service for therapeutic and diagnostic radioisotope studies, including advice on, and supervision of the use of radioisotopes by other clinical departments. The service facility is provided for both in and out-patients. 7000 imaging studies, 1500 non-imaging studies and 200 therapies are performed each year. In addition, the unit handles all radionuclide goods coming into Ninewells Hospital, numbering approximately 600 items a year and all solid radionuclide waste leaving Ninewells and PRI, some 2000 items each year. The Department includes Nuclear Medicine imaging and laboratory in Ninewells and Perth Royal Infirmary and PET-CT in the Clinical Research Centre The post holder provides expertise by performing specialized clinical procedures on patients, handling radionuclide goods and waste, producing radio pharmaceuticals, performing monitoring for and decontamination of radionuclides, performing general health and safety duties, maintaining patient records and by participating in research and development activities. This post is primarily based at PRI but may be required to work in the Nuclear Medicine department in Ninewells Hospital or in the PET/CT suite as required.
  • 4. Job Reference Number………………………………… 5. MAIN DUTIES/RESPONSIBILITIES Undertakes work associated with diagnostic, research and therapeutic uses of radionuclides to provide a high quality service. Clinical (70%) • Answers appointment related queries from patients and staff before the day of the procedure. • Prepares radiopharmaceuticals and equipment for administration. • Manipulates radiopharmaceuticals under non-aseptic conditions as required. • Identifies the patient and explain the procedure. • Deals with queries from patients and staff regarding procedures on a daily basis. • Assesses whether the patient is adequately prepared e.g. has fasted, been off named medications, if female is not pregnant or breastfeeding. • Administers radiopharmaceuticals and non-radioactive named drugs intravenously, intramuscularly or orally in accordance with the relevant departmental protocols, radiation protection legislation and medicines legislation. • Operates Gamma cameras, PET/CT scanners and associated computers to obtain high quality dynamic, static, whole body and tomographic diagnostic images. • Processes images using specialized computer software to generate regions of interest, time/activity curves, tomographic slices and statistical information. • Gives advice to the patient on measures to keep the radioactive dose to themselves and others as low as possible. • Uses aseptic techniques to take blood samples as required. • Communicates sensitive patient-related information to other staff. • Undertakes radiation contamination monitoring and decontamination on a daily basis to ensure the safe containment of radiation contamination. • Liaises with clinical and other staff in arrangements for clinical procedures on a daily basis to give high quality patient care and provide a high quality service. • May be required to undertake additional non-imaging procedures. Other Radionuclide and Support Duties (20%) • Undertakes the maintenance of records for the unit on a daily basis including the unit’s record of administered radiation dose in accordance with the Ionizing Radiation (Medical Exposure) Regulations 2000.
  • 5. Job Reference Number………………………………… 6. COMMUNICATIONS AND RELATIONSHIPS The post holder is required to communicate to colleagues, staff and patients, including other Trusts and suppliers in oral, written and electronic form. Communication frequently involves cultural and language difficulties, dealing with patients with physical and or mental special needs, very sick patients, young children and elderly or frail patients. This frequently involves tact, persuasive skills and dealing with sensitive information e.g. many patients have cancer related illnesses and a high degree of empathy is required. When the patient presents for the procedure, the post-holder will explain what will happen, answer the patients queries and questions, identify the patient, and ask females of ages 12 to 55 to complete a declaration regarding pregnancy and breast feeding. The post holder receives condition-related information regarding patients from, and conveys similar information to clinicians, nurses, pharmacy staff and other health professionals up to consultant level. The post holder communicates practical topics to immediate colleagues such as training junior staff in manual handling, familiarization of new equipment and procedures, hygiene and health and safety including radiation protection. The post holder communicates with senior technical, scientific and clinical colleagues, passing on information regarding technical difficulties encountered and receiving guidance and instruction in return. Key contacts: Dr Norman Kennedy, Head of Nuclear Medicine and Deputy Director of Medical Physics Dr John Davidson, Medical Consultant in Nuclear Medicine Mr. Scot Hudson, Chief Clinical/Engineering Technologist, Medical Physics Ms Sheila Batchelor, Section Manager Ms Elaine Duncan, Deputy Section Manager (imaging) Ms Jacqueline Bisset, Pharmacy Technician Nursing staff within Nuclear Medicine Administration and Clerical staff within Nuclear Medicine Other scientific staff within Nuclear Medicine Non-imaging Nuclear Medicine laboratory staff Nursing and Medical staff in other departments in Ninewells Hospital Nursing and Medical staff in other Hospitals such as Perth Royal Infirmary, Royal Victoria Hospital, Dundee and Stracathro Hospital. Staff in other departments within Ninewells Hospital such as supplies department, estates department and portering Administration and Clerical staff in other departments within Ninewells Hospital and other hospitals Ambulance Planning Department
  • 6. Job Reference Number………………………………… 7. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB There is a requirement for specialist technical knowledge across the range of work procedures, policies, protocols and practices. This must be based on a sound knowledge of the relevant theory, underpinned by extensive relevant practical experience. The post holder will possess a BSc in Clinical Technology or equivalent qualification in a science-related subject plus a minimum 5 years experience of specialised clinical investigative and therapeutic work in Nuclear Medicine or equivalent. Participates in the CPD scheme run by the Institute of Physics and Engineering in Medicine and will be on the Register of Clinical Technologists run by the Health Professions’ Council. This experience includes the skills and training required to operate complex specialist equipment such as Gamma cameras, PET/CT scanners and associated computers. An in- depth knowledge of radiation physics, anatomy, physiology, pathology and the effect of radiation on biological systems is required. Knowledge and practical experience of patient care and health and safety are necessary. Analytical and judgment skills are required when processing complex image data therefore advanced computer skills are required. There is a need for the continual updating of knowledge and skills through the attendance of lectures and conferences and by reading appropriate textbooks and journals. Clinical skills such as venepuncture, cannulation, intravenous and intramuscular drug administration and basic life support are required. The post holder requires radiation protection training and a thorough knowledge of the Local Rules and policies with regard to the radiation protection aspects of Nuclear Medicine. ESSENTIAL ADDITIONAL INFORMATION 8. SYSTEMS AND EQUIPMENT The post holder is required to operate, and manage staff that operate, sophisticated and expensive Gamma Cameras, PET-CT scanners and associated specialised computers to obtain diagnostic images and information. Other medical equipment to be operated includes ECG monitors, blood pressure monitors, glucose monitors and infusion pumps. Equipment associated with the detection and measurement of radiation includes dose calibrators, dose rate meters and scintillation/Geiger counters. A specialised generator used to produce radioactive gas for inhalation is also used. Computers are used to assist in compiling and updating departmental protocols, for recording patient data and to obtain relevant information from the internet. A microwave is used for the preparation of oral doses. The post holder will perform daily quality control tests to ensure the correct working of this equipment. The post holder is required to have enough knowledge of equipment to trouble shoot when problems arise and to liaise with engineers and maintenance staff required to repair equipment. The staff member is responsible for the correct manipulation and administration of expensive radio-pharmaceuticals costing up to £1000 for a single dose and responsible for other staff using radiopharmaceuticals.
  • 7. Job Reference Number………………………………… In addition the post holder maintains systems of monitoring for radioactive contamination and radio-nuclide security by restricting access to controlled areas, and ensuring that contamination monitors and monitors used in the detection of radioactivity are calibrated and checked regularly. The post holder needs to have knowledge of Nuclear Medicine non-imaging equipment. These comprise Gamma and Beta counters, centrifuges, therapy administration system and a specialised semiconductor counter and to co-ordinate the repair and maintenance of such equipment. The post holder manages staff who operate the non-imaging equipment. RESPONSIBILITY FOR RECORDS MANAGEMENT All records created in the course of the business of NHS Tayside are corporate records and are public records under the terms of the Public Records (Scotland) Act 1937. This includes email messages and other electronic records. It is your responsibility to ensure that you keep appropriate records of your work in NHS Tayside and manage those records in keeping with the NHS Tayside Records Management Policy and with any guidance produced by NHS Tayside specific to your employment.
  • 8. Job Reference Number………………………………… 9. PHYSICAL DEMANDS OF THE JOB Physical Skills Precision, dexterity and manipulation skills along with high levels of hand–eye coordination are required for venepuncture, cannulation and injecting of patients. These qualities are also required for the manipulation of radiopharmaceuticals and the use of dose calibrators and contamination monitors. The ability for speed and accuracy and advanced keyboard and sensory skills are also required when manipulating diagnostic images and data and drawing regions of interest with specialised computer software. Physical Effort Frequent moderate physical effort is required. The post holder is required to be trained in the manual handling of loads and patients. Heavy equipment is moved daily. This typically includes pushing shielded dose trolleys (up to100kg), collimator carts (up to 300kg), camera beds (up to 370kg) and the Technegas generator (up to 180kg) are moved daily. Some patients need to be transferred to the scanning beds from wheelchairs, trolleys and beds using a variety of aids including hoists and easy slides. Elderly, frail and sick, semi-mobile patients need to be assisted to the toilet and onto the camera beds. Mental Effort There is a frequent requirement for concentration where the work pattern is unpredictable. The Gamma cameras, PET-CT, Gamma and Beta counters and associated computers are extremely complicated and as such, need concentration when acquiring and processing information. Patient safety, camera failure, and complicated image processing procedures require concentration. Analysing and reporting quantitative data requires concentration and accuracy. Planned work is subject to frequent interruption throughout the day. Typical interruptions include telephone calls from patients regarding their procedures, telephone calls from the staff of other departments requesting procedures or with queries, camera and equipment failure and staff within Nuclear Medicine requiring advice on procedures. There is a requirement for prolonged periods of concentration when planning and developing protocols, procedures, training and work rotas. There is frequent mental effort in dealing with personnel problems. Emotional Effort Emotional effort includes frequent exposure to distressing or emotional circumstances when dealing with terminally ill, very sick, disabled or aggressive patients. Working Conditions The post holder works daily with unsealed radionuclides from which there will be an external radioactive dose. In addition the manipulation of sources carries the risk of radioactive contamination. Working with therapy doses incurs exposure to particularly high radiation doses. There is also frequent exposure to hazardous airborne radioactive contamination. There is frequent exposure to unpleasant smells and substances that are a biological hazard and/or chemical hazard. The post holder is required to assist with soiled patients and bedding. Urine, blood and other body fluids are handled as part of the daily clinical work.
  • 9. Job Reference Number………………………………… 10. DECISIONS AND JUDGEMENTS The post holder is allocated duties on a rotational basis and is responsible for the carrying out of these duties unsupervised. The post holder is responsible for the management of the allocated workload to provide a high quality service. The duties are performed to written protocols but the post holder has the discretion to make adjustments if necessary. Support and advice is available to the post holder from senior members of staff if unforeseen circumstances arise such as the breakdown of equipment and difficulties with IV administration, image acquisition, image processing and patient related problems. The typical decisions the post holder is required to make include checking the appropriateness of a request, deciding on a suitable injection site, deciding on the most suitable method of imaging to get high quality images, re-arranging patient imaging times and re-allocating patients to different camera rooms if difficulties arise. The post holder is also required to decide if enough images and information has been obtained before discharging the patient. The post holder is required to analyze the patient data and make judgments as to the requirement for further imaging. The post holder will need to decide if the patient has been adequately prepared e.g. fasted, stopped certain medication and not likely to be pregnant or breast-feeding. The post holder is required to make judgments as to the medical condition of patients and obtain medical assistance where appropriate. The post holder will require to make judgments as to the performance of the Gamma cameras and other equipment and decide on appropriate action. The post holder will need to interpret images and data for unexpected results and then identify the causes. The post holder will be required to evaluate existing and proposed policies, protocols, working practices and patient information of the imaging section in order to suggest changes, comment on and to draft new versions. 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Acquiring and processing complex diagnostic images and data using specialized imaging equipment and computer software and deciding if further imaging is required. The post holder has a great responsibility for patient care. Day to day they carry out complex diagnostic and therapeutic procedures directly on patients, frequently dealing with adult and paediaitric patients some of whom are very sick, anxious, disabled or terminally ill. In addition, monitoring equipment performance and performing quality assurance checks impact upon the quality of clinical care. The daily requirement to work with unsealed radioactive materials with constant external radiation and the ever-present risk of contamination as well as biohazards such as blood and urine and various other hazardous chemicals.
  • 10. Job Reference Number………………………………… 10. DECISIONS AND JUDGEMENTS The post holder is allocated duties on a rotational basis and is responsible for the carrying out of these duties unsupervised. The post holder is responsible for the management of the allocated workload to provide a high quality service. The duties are performed to written protocols but the post holder has the discretion to make adjustments if necessary. Support and advice is available to the post holder from senior members of staff if unforeseen circumstances arise such as the breakdown of equipment and difficulties with IV administration, image acquisition, image processing and patient related problems. The typical decisions the post holder is required to make include checking the appropriateness of a request, deciding on a suitable injection site, deciding on the most suitable method of imaging to get high quality images, re-arranging patient imaging times and re-allocating patients to different camera rooms if difficulties arise. The post holder is also required to decide if enough images and information has been obtained before discharging the patient. The post holder is required to analyze the patient data and make judgments as to the requirement for further imaging. The post holder will need to decide if the patient has been adequately prepared e.g. fasted, stopped certain medication and not likely to be pregnant or breast-feeding. The post holder is required to make judgments as to the medical condition of patients and obtain medical assistance where appropriate. The post holder will require to make judgments as to the performance of the Gamma cameras and other equipment and decide on appropriate action. The post holder will need to interpret images and data for unexpected results and then identify the causes. The post holder will be required to evaluate existing and proposed policies, protocols, working practices and patient information of the imaging section in order to suggest changes, comment on and to draft new versions. 11. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Acquiring and processing complex diagnostic images and data using specialized imaging equipment and computer software and deciding if further imaging is required. The post holder has a great responsibility for patient care. Day to day they carry out complex diagnostic and therapeutic procedures directly on patients, frequently dealing with adult and paediaitric patients some of whom are very sick, anxious, disabled or terminally ill. In addition, monitoring equipment performance and performing quality assurance checks impact upon the quality of clinical care. The daily requirement to work with unsealed radioactive materials with constant external radiation and the ever-present risk of contamination as well as biohazards such as blood and urine and various other hazardous chemicals.

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