NHS FORTH VALLEY

                      Highly Specialist Clinical Physiologist

                      Full-Time 37.5 hrs ...
Job Title: Advanced Specialist Clinical Physiologist in Cardiac Rhythm
Management/Pacemaker/ICD follow up

Responsible to ...
3.      ORGANISATIONAL POSITION

                  Cardiology Services Manager/Clinical Lead Physiologist
                ...
5.       KEY DUTIES/RESPONSIBILITIES
     •   Sole charge of allocated Pacemaker/Internal cardiac Defibrillator follow up
...
6.     SYSTEMS AND EQUIPMENT
The postholder is expected to have a skilled knowledge and practical experience of all
Electr...
Interdepartmental/staff communication

Daily communication by phone and face to face with all levels of staff throughout t...
9a.    PHYSICAL DEMANDS OF THE JOB

Daily exposure to prolonged standing or sitting in awkward positions during
investigat...
10. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO
         THE JOB
Bsc in Physiological Measurement
ONC in Physiologic...
NHS FORTH VALLEY


Terms and Conditions:   The terms and conditions of service are those laid down
                       ...
Criminal Convictions      The duties of this post mean that you will either have
Disclosure Check:         regular contact...
Copies of the Tobacco Policy are available from HR Co-
                            ordinators or via the NHS Forth Valley ...
Interdepartmental/staff communication
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Interdepartmental/staff communication

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Interdepartmental/staff communication

  1. 1. NHS FORTH VALLEY Highly Specialist Clinical Physiologist Full-Time 37.5 hrs per week, Permanent Salary: Band 7, £29,789 - £39,273 per annum, pro rata Ref: 1209597 A vacancy has become available within the Cardiology Department for a reliable and enthusiastic individual to join their friendly, industrious team. The post will cover our Forth Valley sites ( SRI and FDRI and new hospital ) . The department performs a range of services including, 24 hr Ambulatory monitoring, Exercise Tolerance Testing, , ICD implant and follow up Pacemaker follow-up, Studies, Transthoracic & Transoesophageal Echocardiograms. GP Open access services including Echocardiography,Rapid Access Chest Pain Clinic and Rapid Access Atrial Fibrillation Clinic. Qualifications and experience Relevant previous experience as a Specialist Echocardiographer and In-service training gaining a complete and in depth knowledge of Cardiac Procedures and Interpretation of results • BSC in Physiological Measurement • HNC in Physiological measurement • BSE accreditation – British Society of Echocardiography(post graduate qualification) • State Registered with RCCP • ILS Intermediate Life Support from the Resuscitation Council (UK) • ..Continuing professional development in all specialist fields to maintain registration and competence Informal enquiries to: Joanne Cusack - Acting Cardiology Services Manager Tel no 01786 434165 All post are open to full-time and job share candidates. Application forms and job descriptions (quoting relevant post title and reference number) are available by e-mailing FV-UHB.Recruitment@nhs.net or by telephoning the recruitment answerline on 01786 447488. Closing Date: 15th January 2009 at 12 Noon For Insertion: Redeployment Internal Show 18th December 2009
  2. 2. Job Title: Advanced Specialist Clinical Physiologist in Cardiac Rhythm Management/Pacemaker/ICD follow up Responsible to ;Cardiology Services Manager Department(s):Cardiology Stirling Royal Infirmary Job Holder Reference: No of Job Holders: 1 ROLE OF UNIT General medical care including the provision of emergency services in acute medicine, specialty and sub specialty outpatient services, care of the elderly & rehabilitation and Division-wide AHP services ROLE OF DEPARTMENT The Cardiology Investigation Service provides a Clinically effective supply on demand access for patients from all Wards and Departments in Stirling Royal Infirmary. 2. JOB PURPOSE The post holder has a major role in the delivery of the Rhythm Management Service/Pacemaker /Internal Cardiac Defibrillator follow up service at Stirling Royal Infirmary including deputising for the Clinical Lead . Independent problem solving which is entirely dependant on in depth knowledge of Drug/Internal Cardiac Defibrillator and Pacemaker interactions.The postholder must also be capable of differentiating appropriate and inappropriate shock therapy and appropriately manage patients who are having frequent shocks from their Internal Device.management/ referrals for replacement devices or further Medical Intervention when required form an integral role of this post. Careful and sensitive Patient counselling is a very important demanding part of this service Responding to requests for assessment of emergency admissions .The postholder also has to be a skilled trainer in interpretation and management of difficult results from specialised and highly specialised cardiac investigations and ensure this is timeously done to support best possible clinical practice, rapid diagnosis and patient care.
  3. 3. 3. ORGANISATIONAL POSITION Cardiology Services Manager/Clinical Lead Physiologist in Echocardiography Forth Valley Lead Clinical Physiologist In Rhythm Management and Pacemaker/ICD follow up Highly Specialist Clinical Physiologist Highly Specialist Clinical In Cardiac Rhythm Management Physiologist Echocardiography or Rapid Access Chest Pain Clinic Specialist Clinical Physiologist Registered Practitioner Cardiac Physiologist Associate Practitioner Student Cardiac Physiologist Cardiographers ROLE OF DEPARTMENT The Cardiology Investigation Service provides a Clinically effective supply on demand access for patients from all wards and Departments in Stirling Royal Infirmary also service provider of the Forth Valley Rapid Access Chest Pain Clinics and GP Open Access Echocardiography Services 4. DIMENSIONS The post holder has a major role in the provision of a highly skilled , professional and clinically effective Cardiac Rhythm Management service at Stirling Royal Infirmary including direct Clinical responsibility for Pacemaker/Internal Cardiac Defibrillator Follow up Clinics and deputises for the Forth Valley Clinical Lead in Rhythm Management. The postholder has a key role in training and guidance of Specialist and Registered Practitioners in Clinical Physiology , SHOs and Specialist Nursing Staff in all procedures within the service particularly Pacemaker follow up and Exercise Tolerance Testing.
  4. 4. 5. KEY DUTIES/RESPONSIBILITIES • Sole charge of allocated Pacemaker/Internal cardiac Defibrillator follow up Clinics including; interrogation and /or reprogramming as Clinically indicated. • Independent problem solving which is entirely dependant on an indepth knowledge of Drug/Internal Cardiac Defibrillator and Pacemaker interactions, referrals for replacement devices or further Medical Intervention when required form an integral role of this post. • The postholder is responsible for differentiating appropriate and inappropriate shock therapy and managing patients having frequent shocks from their Internal Device. Careful and sensitive Patient counselling is a very important demanding part of this service. • Provision of Emergency response to requests of assessment of Patients admitted with devices , pre operative and post mortem disablement of devices • Provision of Emergency response to requests of assessment of Patients with devices • A lead role in the provision of a highly skilled, professional and clinically effective Cardiac Investigation service to all departments throughout the Trust. • Independently performing and reporting of highly specialised and specialised investigations. Reports sent directly to referring clinician. Responsible for telephoned notification to Physicians of grossly abnormal results requiring immediate intervention . • The postholder is a member of the Echocardioography team at SRI working towards British Society of Echocardiography Accreditation. • Supervision, preparation, careful observation, assessment of patients, with interpretation of haemodynamic and abnormal functional results during Exercise Tolerance Testing and Rapid Access Chest Pain Clinics and providing first line response to emergency situations when required. • Skilled knowledge and interpretation of Exercise Tolerance Tests and 24 hour ECG recordings results to ensure appropriate management of patient investigation, diagnosis and follow up. • Ensuring Medical staff are notified of abnormal results requiring urgent treatment or change in management. Ensuring any outpatient recognised to be at risk from results of Investigations is reviewed by a Physician before leaving Department. • Accountable for own professional actions and reports whilst working with Professional Codes of Practise/Guidelines and Trust policy and procedures. Departmental policies and procedures should also be followed • The post-holder will be expected to advise Cardiac and Clinical staff on Interpretation of results giving an opinion and advice on action to be taken in order that true and accurate reports are filed in patient notes and planned treatment can proceed or should be delayed until further investigations can be performed. • The post holder is required to act on any acute, new or conflicting findings from results of all procedures • The post-holder will work unsupervised in all areas . • The post-holder will supervise junior staff as required.
  5. 5. 6. SYSTEMS AND EQUIPMENT The postholder is expected to have a skilled knowledge and practical experience of all Electromedical equipment in use in Departments, including fault finding and liaison with medical Physics/external Engineers/ Manufacturers etc as appropriate. Highly specialised All types of Cardiac Ultrasound machines in use in Departments. Pacemaker/ICD programmers Complex Exercise Tolerance Testing equipment Electrocardiography Ambulatory ECG recording equipment and Analyser 24 hr BP monitoring equipment Computers/Databases All the above equipment is computerised with various Databases and/or Measurement packages. Local Databases for Annual Audit of Rapid Access Chest Pain Clinic and monthly statistics. 7. ASSIGNMENT AND REVIEW OF WORK • Rostered by Head of service to take Clinical responsibility for the following Pacemaker /ICD follow up Clinics, Echocardiograms , Exercise Tolerance Tests and 24 hr Tape Analysis, including practice, reporting and teaching . • For each rostered session post holder has responsibility for prioritisation of patient list , dependant on clinical need and ensuring efficient service to all outpatient clinics. • The post holder is also required to adjust lists at short notice to allow for clinical emergencies. • Planning and management of allocated Pacemaker/Internal Cardiac Defibrillator sessions including interrogation,assessment and /or reprogramming and decisions on any changes in treatment or settings or need for replacement devices forms an integral part of this post. • The postholder is responsible for recognising any deterioration in patient during Investigations and is expected to instigate Emergency procedures. • Patient Health and Safety 8. COMMUNICATIONS AND WORKING RELATIONSHIPS The post holder must have highly developed communications skills. These must be allied to an accurate knowledge and understanding of the well-established forms of communication in order to provide complex information to highly specialised clinical staff in a knowledgeable and professional manner and convey the same information/results to patients and relatives at a level that can be clearly understood. The post holder will demonstrate a balanced and equitable approach to managing difficult situations for patients ,staff and visitors.
  6. 6. Interdepartmental/staff communication Daily communication by phone and face to face with all levels of staff throughout the organisation in a concise, professional and reasonable manner. -communicate complex Pacemaker data to Cardiologists, Medical staff of all grades,GP’s and other clinical colleagues. -Regular communication with ward staff and specialist nurses with regards to results and actions required - Regular communication with other clinical departments in order ensure appropriate testing is carried out so that the patient flow is clinically and physically optimised for the patients care and treatment. - Regular communication with other members of the department with regard to patient welfare and care, equipment and administration problems that may arise on a day to day basis External communications -Liaise with GP’s and departments with regards to ongoing patient care and follow up. Liaise with Pacemaker Representatives re equipment ,Medical Devices Alerts/complex programming issues. - Liaise with suppliers to maintain optimal stock control, order clarification etc. Patients, carers and relatives -Communicate to patients the arrangement of appointments and any information relevant to their procedure. - Sensitively and carefully counsel and guide patients with Pacemakers and Internal cardiac Defibrillators both face to face and on the phone. - With patients agreement explain the role of devices to patients relatives. - Instruct patients at an appropriately pitched level, what to expect during their investigations and why. In this manner to actively encourage their co- operation in order to achieve the best possible results/outcome from their test/ procedure. - Communicate to non English speaking patients through an appropriate interpreter and respect any cultural and religious requirement - Sensively communicate with children,mentally handicapped and psychiatric patients Communicate with colleagues on a day to day basis and feedback any problems with equipment.
  7. 7. 9a. PHYSICAL DEMANDS OF THE JOB Daily exposure to prolonged standing or sitting in awkward positions during investigations. Daily exposure to Manoevering of patients in wheelchairs prior to and post investigations. Constant manipulation requiring manual dexterity in Application of electrodes ,leads,belts stc during investigations. Manual handling of Pacemaker programmers on a daily basis from ledge under worktop to desk level Occasional transfer of equipment,couches ,beds etc within the Department. Daily contact with patients who have MRSA. Occasional blocks of contact with Norovirus/winter vomiting bug. Frequent contact with airborne infections . Unavoidable Close physical contact with patients. Occasional unexpected exposure to bodily fluids in course of duties 9b. MENTAL/EMOTIONAL DEMANDS OF THE JOB 3-4 hour Pacemaker follow up/ICD sessions with detailed scrutiny of and prolonged concentration on measurements and numerous various recordings and parameters with frequent exposure to unpredictable or grossly abnormal results requiring Intervention./reprogramming. Dealing compassionately and professionally with anxious and sometimes traumatised patients or relatives on a daily basis . Responding daily to unexpected and emergency requests from all parts of the Hospital (during busy departmental lists) for urgent assessment of pacemakers/ICDs on very sick patients who have suddenly deteriorated or been inappropriately subjected to Internal Cardiac Defibrillation. Constant demand for coping with a wide range of unpredictable situations on a daily basis .
  8. 8. 10. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Bsc in Physiological Measurement ONC in Physiological Measurement HNC in Physiological measurement BPEG or NASPE ( post graduate Pacemaker follow up qualification) State Registered with RCCP ILS- Intermediate Life Support from the Resuscitation Council (UK) Minimum of 3 years experience as a Specialist Clinical Physiologist in Pacemaker follow up and Rhythm Management years in-service training gaining a complete and in depth knowledge of cardiac procedures including interpretation and management of results. Continuing professional development in all specialist fields to maintain registration and competence. Skilled Expertise in Practice of Pacemaker/ICD follow up Skilled Expertise in Exercise Tolerance Testing and Analysis Skilled Expertise in ECG Interpretation. Skilled Expertise in 24 hr ECG rhythm recording Analysis Skilled Expertise or interest in Echocardiography 11. JOB DESCRIPTION AGREEMENT Job Holder’s Signature: Date: Head of Department Signature: Date:
  9. 9. NHS FORTH VALLEY Terms and Conditions: The terms and conditions of service are those laid down by the Agenda for Change Handbook. Salary Scale: Band 7, £29,789 - £39,273 per annum, pro rata Staff taking up a new appointment with NHS Forth Valley will normally enter the scale at the minimum of the pay band/range. Any appointments above the lowest point of the pay band/range will be subject to verification of previous NHS service, or experience outside the NHS, which is given in recognition of relevant complete years of experience. Hours: Full-Time 37.5 hours per week Employees may be required to vary the pattern of their working week subject to the exigencies of the service. Duration: Permanent Annual Leave: 27 days rising to 29 days after 5 years service and to 33 days after 10 years service plus 8 public holidays (pro rata). or 202.5 hours rising to 217.5 hours after 5 years service and to 247.5 hours after 10 years service plus 60 hours public holiday. (pro-rata) Superannuation: The post is superannuable under the Scottish Public Pensions Agency Scheme and your remuneration will be subject to deduction unless you choose to opt out of the scheme. Medical Examination: No appointment can be confirmed until a satisfactory medical examination has been undergone.
  10. 10. Criminal Convictions The duties of this post mean that you will either have Disclosure Check: regular contact with a) children and young people under the age of 18, b) the elderly, sick and disabled people or c) have a greater degree of involvement with children or vulnerable adults. Candidates who are successful at interview for this post will therefore be required to declare and consent to the validation of any criminal convictions by means of a standard/enhanced Disclosure check carried out by Disclosure Scotland under the provisions of Part V of the Police Act 1997 prior to any offer of appointment being made. This post is covered by the provisions of the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 and you are therefore required to declare information not only about “current” convictions but also about previous convictions which are otherwise regarded as “spent”. In the event of employment, any failure to disclose such convictions could result in the withdrawal of any offer, disciplinary action or dismissal by NHS Forth Valley. Confidentiality: In the course of your duties you may have access to confidential information concerning patients or staff. Unauthorized disclosure or removal of information may lead to consideration of disciplinary action. Equality in Employment: NHS Forth Valley fully supports the principle of equality in employment and opposes all forms of unlawful and / or unfair discrimination which cannot be shown to be justified. NHS Forth Valley is committed to ensuring equality of treatment for both present and potential employees. Tobacco Policy: It is the policy of NHS Forth Valley to discourage the habit of smoking within the organization and to provide a smoke free environment. The NHS Forth Valley policy is to establish no smoking as the norm and smoking is not permitted anywhere within NHS Forth Valley premises including residences and grounds. The Occupational Health Service will assist members of staff who wish to stop smoking by providing or facilitating the following services: • Information on smoking and ways to stop • Personal support • Health Education materials and helpline numbers • Nicotine replacement therapy • Smoking Cessation support
  11. 11. Copies of the Tobacco Policy are available from HR Co- ordinators or via the NHS Forth Valley Intranet. Health & Safety: All employees have a responsibility for their own health & safety and the health & safety of others who may be affected by what they do. Employees also have a duty to co-operate with their employer by following NHS Forth Valley policies and procedures and safe systems of work; by using equipment safely and by bringing any shortcomings in health and safety arrangements to the attention of their employer. Where something is provided in the interests of health & safety employees must not interfere or misuse it. All employees have a legal responsibility to report any shortcomings in terms of this in their area. Managers and supervisors have a responsibility for monitoring health & safety arrangements and ensuring staff are following policies and procedures and safe systems of work. Partnership Agreement: Contributing to the development of partnership working by: supporting NHS Forth Valley in delivering its goals and objectives; supporting continuous improvement in own performance and the performance of the department, directorate and NHS Forth Valley; attending training, development and other activities aimed at improving own skills and for the benefit of the organisation and patient care. Nursery Facilities: There is an independently run on-site nursery at Stirling Royal Infirmary. With places open to staff and the general public. For further information please contact: Chapter One Childcare (SRI site): 01786 465112 Completed application forms should be returned to: Recruitment Office Hut 7 Falkirk & District Royal Infirmary Major’s Loan FALKIRK FK1 5QE Closing Date: 15th January 2010 at 12 Noon Ref No: 1209597 If you have not received a letter within 6 weeks of the above closing date you can assume that you have been unsuccessful in being shortlisted.

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