JOB DESCRIPTION (JD)

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JOB DESCRIPTION (JD)

  1. 1. JOB DESCRIPTION (JD) 1. JOB DETAILS Job Title: Highly Specialised Clinical Cardiac Physiologist Responsible to: Clinical Physiology Service Manager Department & Base: Clinical Physiology Department - BGH Job reference no.: PTB134 2. JOB PURPOSE • This post is the Clinical lead for Cardiology and deputises for the Clinical Physiology Service Manager. • Responsible for the daily management and development of the local Clinical Cardiac Physiology Service, including input to service planning, improvements and local policy developments. • Provides and performs, highly complex specialist clinical diagnostic & therapeutic procedures within the discipline of Clinical Cardiac Physiology to patients of all ages, from a range of specialities, suffering from a wide range of medical disorders, including those which may be respiratory and/or cardiac in nature. These include specialist techniques, children and adults. • Undertakes the interpretation of results, provision of reports and provides advice to clinicians. • Responsible for the daily management and development, of the Clinical Cardiac Physiologists, including the organisation of both clinical and non-clinical work. • Contributes to the education and training of Clinical Cardiac Physiologists, Assistant Clinical Physiologists and other healthcare professionals including medical staff. • Responsible for the quality of the local Clinical Cardiac service provision including procurement and quality assurance of all cardiology equipment. • Responsible for ensuring effective resource and personnel management within the cardiac physiology team. • Works collaboratively and co-operatively with the Clinical Physiology Service Manager and others to develop the local Cardiac services within NHS Borders.
  2. 2. 3. ORGANISATIONAL POSITION DEPARTMENTAL SECRETARY CLINICAL PHYSIOLOGY RECEPTIONIST SERVICE MANAGER ( 2 POSTS ) HIGHLY HIGHLY SPECIALISED SPECIALISED CLINICAL CLINICAL RESPIRATORY CARDIAC PHYSIOLOGIST PHYSIOLOGIST SR. CLIN PHYS CLIN PHYS ASS CLIN SR. CLIN PHYS CLIN PHYS ASS CLIN ( 2 POSTS ) ( 2 POSTS ) PHYS ( 2 POSTS ) ( 2 POSTS ) PHYS ( 2 POSTS ) ( 2 POSTS ) 4. SCOPE AND RANGE The Clinical Physiology Department provides a comprehensive Clinical Cardiac, Respiratory & Sleep diagnostic service to patients of all ages from a large range of specialities suffering from a wide variety of medical disorders including those which may be respiratory, cardiac, or neurological in nature. Approximately 25,000 patients attend the Clinical Physiology Department annually for a variety of clinical investigations (both In-Patient and Out-Patient). Investigations carried out by the Clinical Physiology Department include :- 1. Electrocardiograms 2. Echocardiography / Contrast Echocardiography / TOE 3. Pacemaker Follow-Up 4. Exercise Tolerance Tests (Clinical Physiologist & Medically Supervised) / Rapid Access Chest Pain Clinics / Exercise Induced Asthma 5. Ambulatory Monitoring (24 Hr.Tapes / BP recorders / Event recorders) 6. Spirometry / Forced Expiratory Volume / Vital Capacity & Reversibility Studies. 7. Full Lung FunctionTesting – the measurement of Lung volumes / Gas Transfer & Flow Volume Loops. 8. Body Plethysmography – the measurement of Thoracic Gas Volume 9. Skin Prick Tests. 10. Hydrogen Breath Tests. 11. Pedal Pulse Doppler. 12. Autonomic Function Tests. 13. Ambulatory Sleep Studies.
  3. 3. 5.MAIN DUTIES/RESPONSIBILITIES CLINICAL DUTIES - Continually monitor & maintain high professional standards of Clinical Physiological services to patients and to initiate remedial action where necessary. - Work collaboratively with other professionals and agencies to ensure services meet changing healthcare needs. - Provides leadership and support to the Cardiac Physiology Team in dealing with difficult and conflicting situations including those that are of a clinical / professional nature. - Responsible for the drawing up of Clinical Guidelines & monitoring their compliance. - Plan (the post holder is responsible for prioritising the patient workload according to clinical need and urgency), perform, interpret and provide reports on a wide range of advanced cardiac investigations to patients of all age groups, without supervision, employing current standard and advanced techniques, taking appropriate action where necessary. - Responsible for Clinical Audit. - Participate with research and development programmes. - Undertake continuous professional development (CPD), appropriate to the range of Clinical Physiology services to patients. - Participate in regional, national and international professional organisations such as the Association for Cardiological Science & Technology (ACST), The British Society of Echocardiography (BSE), etc. - Responsible for the maintenance, calibration & quality assurance of all cardiac equipment. In the case of equipment failure effectively communicate with medical electronics, manufacturers and service contractors to minimise any disruption of service. The post holder will take appropriate action in response to all safety action / hazard warning information affecting all the equipment within the department. - Responsible for the procurement and commissioning of specialist, complex and expensive medical equipment (ECG Recorder circa £5,000 – Cardiac Ultrasound scanner (Echo) circa £120,000). MANAGERIAL - Provides operational management & leadership for the Clinical Cardiac Physiologists. - Responsible for the efficient and effective management of physical resources for the cardiology section of the service. - Manages “the day to day” budget, authorised signatory & responsible for effective use of resources for the cardiology section of the service. - Responsible for assessing, implementing and adapting to new clinical techniques and technologies for the cardiology section of the service. - Responsible for the planning & organisation of information resources for the cardiac section of service, ensuring effective & administrative patient reporting and data storage.
  4. 4. 6.SYSTEMS AND EQUIPMENT The post holder is required to have excellent working knowledge of specialised diagnostic equipment within their speciality belonging to the Clinical Physiology Department and to ensure it is inspected regularly, is safe for use and all faults are reported appropriately. Generic:- Bleep system, Fire Equipment, Oxygen Cylinders, Pat Slides, Wheelchairs, Trolleys, Beds, Electrocardiographs (£ 5,000), 24 Hr Lifecards (£1,800), Event Recorders (£1,000), Transtelephonic Receiving Centre, Spirometers (£3,000) etc Specialist:- Computerised Stress Exercise Diagnostic Testing System including archiving (£24,000), Defibrillator, Sphygmomanometer, Dynamap, Pulse Oximeter, Cardiac Monitor etc Highly Specialist:- Echocardiograph Ultrasound Scanner (£120,000), Multi Frequency Ultrasound Probes (£20,000), Pulmonary Laboratory Testing System with Body Plethysmography (£45,000),Ambulatory ECG Analysis System, Pacemaker Programmers, Data base for Pacing, ICD & Ablation data, Echo-Pac Database for the archiving of Cardiac Ultrasound scans etc Systems:- • The British Pacing & Electrophysiology Group (BPEG) - Data base for Pacing, ICD & Ablation data • Cambridge Heart CH 2000 Cardiac Diagnostic System - Exercise Tolerance Tests (Space Labs) • Ambulatory ECG Analysis System – Pathfinder 700 Series - (Space Labs) • Echo PAC (GE system) - comprehensive integrated database which allows post-processing of DICOM ultrasound images and raw data images. • Intranet & Internet • Manual log Books • Maintain Patient Records.
  5. 5. 7. DECISIONS AND JUDGEMENTS • The post holder will work as an independent practitioner, accountable for own professional actions and reports whilst working within Professional Codes of Practice / Guidelines and their decisions and judgments have a direct effect on patient management. Autonomous report-writing involving acquisition & analysis of highly-complex medical data have a direct impact on patient diagnosis and treatment plans. • The post holder is responsible for prioritising referrals to the department. • Facilitates and supports other Cardiac Physiology colleagues and medical staff when complex decision making, diagnostic skills are required. • Assesses and analysis patient well being and makes judgements regarding a range of physical and emotional care needs during diagnostic procedures. • The post holder is required to act on any acute, new or conflicting findings during an investigation and impart this information and or opinion to the patient and the referring consultant / surgeon. Where the consultant / surgeon is unavailable the post holder will have to inform and in some cases urge and persuade other clinical staff that action for the patient’s welfare is required as a matter of urgency. • The post holder, as mentor to Trainee Cardiac Clinical Physiologists will use their judgemental skills in the determination of practical & academic competency and “fitness to practice”. • The post holder is expected to demonstrate a high degree of discretion and confidentiality with regard to the handling of sensitive patient information and confidential consultant information. • The post holder will instigate advanced life procedures when necessary. 8. COMMUNICATIONS AND RELATIONSHIPS • The post holder must have highly developed communication 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 & visitors. • The post holder communicates on a daily basis with a broad range of Health Care Professionals. • The post holder will have a persuasive and encouraging disposition in order to enable co-operation with confused or anxious patients. The post holder may have to overcome barriers of understanding and provide appropriate and timely support for a variety of language and sensory difficulties, this may include occasional work with appropriate interpreters and respect for any cultural or religious requirements. • The post holder may be required to communicate in an antagonistic / hostile environment Eg:- dealing with verbal abuse , demanding patients / carers / relatives etc, dealing with complaints of service, patients unwilling to co-operate during clinical procedures and therefore requires to be diplomatic, empathic and tactful.
  6. 6. Internal /staff communication • Daily communication with all levels of staff throughout the organisation in a concise, professional and reasonable manner. • Communicate complex findings to clinical consultants and ITU colleagues. • Regular communication with nursing staff regarding appointments and results. • The post holder will advise, instruct patients and / or their carers in the use of departmental ambulatory equipment and / or devices. • The post holder is required to communicate with colleagues and other Health Care professionals during emergency procedures in an emotive atmosphere such as cardiac / respiratory arrest. External • The post holder will communicate with other Health Boards, Trusts and Primary Care to provide and receive complex information regarding patient management. • The post holder will communicate with external contacts Eg:- technical networking with colleagues in other NHS Trusts, liason with product specialists for technical support, training & procurement. 9. PHYSICAL DEMANDS OF THE JOB • Moving & Handling – The post holder will be required to position & manoeuvre patients in order to perform investigations. Frequent moving of patients (pushing / pulling patients Weighing 50Kg upwards ) attending the department in wheelchairs / beds with oxygen cylinders / drips attached. The majority of In-Patients require assistance to transfer from a wheelchair to an examination couch. • Exhausting physical skills are required to carry out investigations e.g.; frequent periods of standing for prolonged periods of time and frequent, constant twisting & stretching across patients - actions which frequently cause lower back strain. • The post holder is required to manoeuvre heavy equipment in some restricted areas of • the hospital and as such requires a moderate level of fitness. • Occasional movement of medical gas cylinders around the department (up to 51Kg ). • Advanced keyboard skills – for the production of reports, presentation material, update of data to databases etc. including a variety of different diagnostic equipment and software which require advanced keyboard and touch-screen skills – physically demands acute concentration for total accuracy. • The continual use of Visual Display Units (VDU) – PC and ECG & respiratory display equipment, necessitates periods of restricted posture due to sitting in a continuous position and occasional eye strain. • Accurate placement of external electrodes for a variety of monitored and recording procedures requires a high degree of concentration & accuracy in order to attain consistent measurements
  7. 7. • Advanced clinical procedures demand highly complex levels of hand – eye coordination and manual dexterity. • Acute listening skills are required for certain procedures. • The post holder may be required to perform investigations on obese, difficult to manage and / or unhygienic patients. Emotional Effort:- • The post holder will communicate with distressed & anxious patients and relatives. • The post holder may occasionally experience patient’s death. Environmental:- • The post holder frequently be exposed to body odours & body fluids. • There is a potential risk of verbal and physical abuse from patients who are confused or disorientated. 10. MOST CHALLENGING / DIFFICULT PARTS OF THE JOB • The most challenging part of the job requires efficient time management as circumstances frequently change during the working day according to the needs & priorities of the patients, clinical staff and other departments. • Coping with the increasing demand for our service as a result of national guidelines, waiting times targets etc. • Achieving the correct balance between meeting the clinical demands of the service against the need to schedule necessary time for skill development, training & research. • The continual pressure on the post holder to keep up to date with both technical & academic developments / publications. • The use of a defibrillator in a cardiac arrest situation and accompanying risk of electric shock. • Continual interruption to concentration during the preparation of detailed clinical / non clinical reports and statistical analysis which require intense levels of concentration and a high level of alertness. • Accommodation issues – The continual movement of technical equipment from room to room, the access corridor to the Out – Patient Department through the middle of the Clinical Physiology Department, interruption to concentration due to background noise, and the storage of supplies & sundries in unsuitable areas all contribute to a hazardous & stressful environment.
  8. 8. 11.KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Essential:- • The post holder must be registered with the Registration Council for Clinical Physiologists (RCCP) or other recognised equivalent statutory body as a Clinical Physiologist. • Extensive service experience within the profession with further experience at senior level. • Accredited member of the British Society of Echocardiography (BSE) or The British Pacing and Electrophysiology group (BPEG) • Advanced resuscitation skills with defibrillation. Desirable:- • BSc.Hons Clinical Physiology (Cardiology). • Member of the Association for Cardiological Science & Technology. ACST Parts 1&2 or equivalent experience. • Continuing Professional Development – additional specialist / technical knowledge, Obtained from:- Specialist Equipment Manufacturer based courses Clinical scientific journals and publications. The attendance of National and European Scientific Meetings. • NHS Borders training for use of IT systems. • Full UK driving licence • Knowledge of legislation and policies both National and Local, eg:- SIGN, NICE, Health and Safety, Fire, COSHH, Infection Control, Data Protection, Sickness Absence, Grievance Procedures, Family Friendly policies, DVLA regulations etc.
  9. 9. PERSONAL SPECIFICATION For the post of:- HIGHLY SPECIALISED CARDIAC PHYSIOLOGIST Below are the essential and desirable knowledge, training (including qualifications) and experience required to do this job. Essential:- • The post holder must be registered with the Registration Council for Clinical Physiologists (RCCP) or other recognised equivalent statutory body as a Clinical Physiologist. • Extensive service experience within the profession with further experience at senior level. • Accredited member of the British Society of Echocardiography (BSE) or The British Pacing and Electrophysiology group (BPEG) • Advanced resuscitation skills with defibrillation. Desirable:- • BSc.Hons Clinical Physiology (Cardiology). • Member of the Association for Cardiological Science & Technology. ACST Parts 1&2 or equivalent experience. • Continuing Professional Development – additional specialist / technical knowledge, Obtained from:- Specialist Equipment Manufacturer based courses Clinical scientific journals and publications. The attendance of National and European Scientific Meetings. • NHS Borders training for use of IT systems. • Full UK driving licence • Knowledge of legislation and policies both National and Local, eg:- SIGN, NICE, Health and Safety, Fire, COSHH, Infection Control, Data Protection, Sickness Absence, Grievance Procedures, Family Friendly policies, DVLA regulations etc.
  10. 10. TERMS AND CONDITIONS Grade and salary: Band 7 - £29,789 - £39,273 per annum Hours of work: Permanent – 37.5 hours per week Annual leave: 27 days per annum Details of other types of leave entitlement (such as sick leave) are set out in the Agenda for Change handbooks. Public Holidays: 8 days per annum on dates designated by NHS Borders Details of other types of leave entitlement (such as sick leave) are set out in the Agenda for Change handbook. Superannuation: The post-holder is entitled to join the NHS superannuation pension scheme. Equal Opportunities: In NHS Borders, we believe that all staff should be treated equally in employment. We will not discriminate against any member of staff, or job applicant, on grounds of • age, disability, gender, faith, race and sexual orientation • Trade Union membership. Disclosure checks: We carry out criminal record checks on new staff who fall within certain staff groups within NHS Borders, through Disclosure Scotland. We send out Disclosure Forms to all shortlisted candidates for these staff groups, and ask for these to be completed and returned at interview. If a successful-at-interview candidate forgets to bring their completed form to interview, then they will be required to return the form (and proofs of identity) within 7 days, otherwise the provisional job offer will be withdrawn. Unsuccessful candidates forms will be shredded. The Rehabilitation of Offenders Act does not apply to this post. Tobacco policy: We have a Tobacco policy in place. When selecting staff, we do not discriminate against applicants who smoke, but staff must observe our policy on smoking. Hepatitis B: We offer Hepatitis B immunisation through our Occupational Health Service (OHS). If you think you may be at risk of contracting Hepatitis B through your job, you should ask for this immunisation at OHS. If your work involves exposure-prone procedures, you must keep to the document “Protecting Health Care Workers and Patients from Hepatitis B”, and the NHSiS Management Executive Directive on this issue. You must be immune to Hepatitis B, and if you cannot prove that you are immune, OHS will investigate to find out whether you are Hepatitis B positive or not.
  11. 11. Health and Safety at Work: You must take look after the health and safety of yourself and anyone else who may be affected by what you do at work. You must also co-operate with us to make sure that we keep to legal and organisational safety regulations. You can get more information from the NHS Borders’ Health & Safety Adviser. The closing date for completed application forms is 5 pm on Monday 19 October 2009

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