Workforce Directorate Human Resources Recruitment Team High East, Crichton Hall, Dumfries DG1 4TG Fax: 01387 244043 Email: dg.recruitment@nhs.net JOB DESCRIPTION for the following vacancy: VACANCY REF No: G289.13 VACANCY (Post Title): Associate Practitioner Diagnostics - Microbiology GRADE: Band 4 SALARY: £18,652 to £21,798 pro rata HOURS: 37.5hpw 3months Fixed Term Informal enquiries to Anne Westgarth, Head Biomedical Scientist – Microbiology, on 01387 241559. Closing Date: Thursday 9 May 2013 at 5.00pm Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO Criminal Record Check With effect from 28th February, 2011 posts considered to be within "Regulated Work" with Children and/or "Regulated Work" with Protected Adults will require membership of the Disclosure Scotland Protection of Vulnerable Groups Scheme (PVG Scheme) as a condition of employment. The cost of PVG Scheme membership is £59.00 and may be recovered as a deduction from the successful candidate’s salary and is applicable to both EEA and Non EEA applicants It was agreed at the Joint Negotiating Committee on 25 th October 2012 that for all employees who commence with the Board from 1 st November 2012 in Band 5 or above (including all medical, dental and senior managers) will be responsible for the payment of their membership to the PVG scheme. This is a one off payment of £59. PVG updates will continue to be paid for by the Board. Please note: You do not have to do anything about PVG Membership when submitting your application form for the post. Candidates selected for appointment will be advised on how to become a PVG Scheme Member prior to taking up the position. Further information on the PVG Scheme Membership can be found at the following:- http://www.disclosurescotland.co.uk/pvg Standard Disclosure Check For other roles not considered to be within "Regulated Work with Children" and/or "Regulated Work with Protected Adults", a Standard Disclosure Check may be required and the cost of this will be met by NHS Dumfries & Galloway. Applicants who have lived outside the UK within the last five years, if offered a position, in addition to a Disclosure Scotland Check, will be required to provide a completed police record check (Certificate of Good Conduct) from the police authority in the country or countries in which they were resident. Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO 1. JOB DESCRIPTION Job Title: Trainee Associate Practitioner Biomedical Scientist (Healthcare Scientist Practitioner) Department(s): Microbiology Job Holders Reference: (revised version rec’d 04/08/09) No of Jobholders: 3 2. JOB PURPOSE Process a range of laboratory diagnostic investigations using a range of scientific measurements and technical procedure on patient samples in Microbiology . Analyses and is responsible for own work. Provides restricted advice to service users on appropriateness of tests and timescales. Maintain standards required to retain membership of the Accreditation and Quality Control schemes (CPA and NEQAS) 3.ORGANISATIONAL POSITION Organisational chart attached. 4. SCOPE AND RANGE Provides a clinical laboratory service to NHS Dumfries and Galloway 24 hours a day, seven days a week. Dumfries and Galloway has a population of 150000 people covered by approximately 175 General Practitioners all using the laboratories. Approximately 185,000 Microbiology requests are received per year. 50-65% of requests come from the primary care sector, the remainder comes from work generated by hospital sites. The Microbiology budget to provide this service is approximately £1.8 million. The laboratory services are provided by various staff groups including: Biomedical Scientists Associate Practitioner Biomedical Scientists Clerical staff Clinical Scientists Medical Laboratory Assistants Medical Staff Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO Mortuary staff Infection Control Nurses Phlebotomists 5.MAIN DUTIES AND RESPONSIBILITIES A) Professional and Technical A Trainee Associate Practitioner is required to · Provide a high standard of patient care. · Work under supervision within a subsection of the lab. · Perform standard and complex diagnostic laboratory tests including: a. The examination of CSF in the diagnosis of Meningitis. b. The examination of blood in the diagnosis of Septicaemia. c. The serological examination of blood in the diagnosis of HIV, Hepatitis B and Helicobacter pylori. d. The examination of Urine, Faeces, Fluids, Tissues, Sputum and Swabs, where investigations include target micro-organisms. · Participate in professional development and continue to maintain scientific and technical knowledge and skills by attending or presenting at scientific meetings or taking part in journal clubs. Rotate through all sections of the lab covering General Bacteriology and Mycology, Parasitology, Viral and Bacterial Serology, antibiotic sensitivity testing and molecular testing for Chlamydia and antenatal serological screening. B) Analytical and Interpretive A Trainee Associate Practitioner Scientist (Working under close supervision) is responsible for – · Performing accurate and precise analyses and the reporting of test results with an appropriate technical comment as required. · Deciding on the significance of bacteria within mixed cultures from samples taken from any body site whilst working within the scope of the Associated Practitioner Training. · Performing antimicrobial sensitivity testing on clinically significant bacteria as a guide to treatment. · Reporting critical or urgent results directly to clinicians/nursing staff with referral to more senior staff or Consultant Microbiologist where required. C) Supervisory or Management · May be responsible for:· Supervision of support workers within a subsection. 5.MAIN DUTIES AND RESPONSIBILITIES (Contd.) · Adherence to scientific, technical, accreditation, administrative and standard policies and procedures in accordance with Hospital and regulatory requirements to ensure compliance within area of responsibility. Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO Takes part in annual Joint Development review meetings with management. · Compliance with Hospital and departmental Health and Safety Policy and Risk Management policy. · Recording reagents and other stock material as part of a stock management programme ensuring that all stock is used in an efficient manner. D) Service Management or Development Is required to · Regularly participate in the development of the service by assisting in evaluation and implementation of new equipment, analytical procedures and work practices. E) Teaching or Training A Trainee Associate Practitioner is required to · Participate in the training of Medical Laboratory Assistants and student placements. · Participate in monthly departmental meetings. May give short presentations at Education meetings involving presentation and software knowledge. F) Quality Control and Quality Management A Trainee Associate Practitioner (Working under supervision) is required to · Perform routine maintenance, quality assurance and quality control tasks including error logging. · Participate in audits. · Report non-conformances to Senior Biomedical Scientists. G) IT Policies and Skills A Trainee Associate Practitioner BMS is required to · Keep accurate records in accordance with Data Protection Act and Caldicott guidelines. · Input patient details, test results and interpretative data onto the laboratory information system. · Be aware of proprietary software packages such as MS Word, Excel and PowerPoint. · Compile data used to create reports for external and internal audit committees. H) Other · · Perform delegated duties as agreed with line manager 6. SYSTEMS AND EQUIPMENT · · Laboratories are equipped with a variety of equipment from simple to highly sophisticated. An example of simple equipment is an adjustable pipette, costing £100. A specialised piece of equipment such as a Cobas Taqman PCR molecular testing system costs circa £100,000. Equipment may be complex, and used to analyse patients’ samples to provide routine analysis, or it can be highly complex for the analysis of bacterial DNA. Microscopy is used frequently to examine samples for the presence of bacteria, fungi and parasites. Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO · · · · · · · · · Daily requirement to operate, calibrate and perform first line maintenance and repair on equipment to ensure the accuracy of results and the safety of all users. Use of laboratory I.T. systems to access patient information, record and validate personally generated laboratory results and reports. Use of dedicated analyser software plus MS word. Ensures the integrity of the patient database within the laboratory management information system by accurate registration of patient demographics and request details. Complies with Quality Management system. Queries the Hospital Patient Management System (PMS). Works to safe standards as detailed in the Containment of Substances Hazardous to Health (COSHH) regulations and risk assessments. Operates interfaces between laboratory management information system and complex analytical equipment. Accesses patient and request information on the laboratory management information system and authorises reports. 7. DECISIONS AND JUDGEMENTS · Follows standard operating procedures (SOP) and may update standard operating procedures following departmental policy. · Follows all related directorate policies and procedures and comments on these. · Operates under supervision in sub sections of the department, referring unexplained results to senior BMS staff. · Under supervision, works towards competency in interpreting complex diagnostic test results in a variety of formats and making valid judgements on the basis of data e.g. Microscopic assessment of cerebro-spinal fluid (CSF) in the diagnosis of meningitis. Makes complex judgments on the identification of organisms and their significance. Is able to recognise and identify rarely encountered infections and alerts Consultant staff appropriately. 8. COMMUNICATIONS AND RELATIONSHIPS · · · · · · Assists in the training of MLA’s, other trainee grades and student placements. Attends and occasionally delivers presentations at educational seminars both locally and regionally. Participates in departmental meetings and Directorate seminars and contributes to effective communication within the department. Communicates with other staff groups including Medical, Nursing, Clerical, Porters, Estates and Drivers. Communicates non-conformities or malfunctions to senior Biomedical Staff. Communicates with educational establishments and external research staff. Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO 9. PHYSICAL DEMANDS OF THE JOB Physical demands · Combination of sitting for long periods of time in a restricted position when using a microscope or when using laboratory computer system and standing whilst processing microbiology samples. · Working under stressful conditions during out of hours/equipment failures/ bacterial/viral outbreaks. · Some manual handling may be undertaken, such as manipulation of gas cylinders, moving of bulk reagents or clinical waste. Physical skills · Accurate hand/eye co-ordination required for isolation of clinically significant bacteria from mixed cultures. The microscopic examination of clinical material for the diagnosis of Septicaemia, Meningitis, parasite infestation or Tuberculosis requires long periods of intense concentration. · Use of specialist equipment requiring fine adjustment e.g. microscopy analyser adjustments and maintenance. Mental demands · The job demands frequent periods of concentration for the majority of a shift when diagnosing bacterial meningitis, bacterial peritonitis, septicaemia and tuberculosis by fluorescent, light oil immersion microscopy. Sensory skills required for the recognition of microorganisms. · Entering and screening large quantities of data, which requires intense concentration to interpret the results. Trainee Associate Practitioners may be involved in maintaining a service in the presence of possible adverse events, including equipment failure. The job required multi-tasking and prioritisation of work and there are frequent interruptions for phone calls and technical queries. .Emotional demands · Occasional exposure to specimens of recognisable body parts. · Pressure to ensure clinical specimens are examined correctly, knowing that inaccurate results could result in inappropriate treatment of patients. Working Conditions · Unavoidable exposure and manipulation of open samples of blood and other body fluids, including urine and faeces, which may contain Hazard group 3 pathogens e.g. tuberculosis. · Manual manipulation of highly unpleasant body substances e.g. sampling of faecal specimens for microscopy and culture. · Controlled exposure to reagents, chemicals and solvents required for the identification of micro organisms, some of which may be carcinogenic. 10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB · Mixing technical and clinical aspects of analysis to provide a safe, accurate and timely service, reducing the potential serious consequences of a laboratory error. · Making complex decisions about the clinical significance of bacterial cultures, taking into consideration; clinical specimen, the age and sex of patient and relevant clinical details · Ensuring the accuracy of the work in a busy environment. Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO · · · Safe handling of unpleasant pathogenic, highly infectious body fluids and tissue samples. Keeping abreast of the wide range of multi- faceted procedures performed covering general bacteriology, faecal parasitology and virology and the specialist regional services for ante natal screening, Mycology and Tuberculosis creates a challenge to the skills and knowledge of Biomedical Science staff, which requires adaptability and a willingness to learn new techniques in a continually changing scientific environment. Finding the time to keep up with continuing professional developments. 11. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Entry to posts of Trainee Associate Practitioners will be open to those with considerable experience already obtained in the role of Medical laboratory Assistant equivalent to NVQ level 3 and trainees will work towards obtaining a diploma level qualification such as the Foundation degree in Biomedical Science or equivalent. A specialist portfolio of development must be maintained through attendance at specialist courses e.g. training on new instrumentation. 12 JOB DESCRIPTION AGREEMENT Job Holder’s Signature: Date: Head of Departments Signature: Date: Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO PERSON SPECIFCATION Trainee Associate Practitioner Biomedical Scientist (HCSP) Requirement Essential Qualifications NVQ Level 3 (Laboratory and Associated Technical Activities or equivalent). Should also have GCSE’s A-C (Maths, English, Double Science or single science subjects) or equivalent . Experience Judged competent to process specimens within a laboratory environment and make decisions and judgements in own area of work Knowledge Knowledge of a range of routine and non-routine Biomedical Investigations. Ability to be trained to perform assays relevant to the section in which you work irrespective of their complexity To gain an understanding of the meaning of results which in the future will enable authorisation and appropriate action in dealing with abnormal or unusual results To understand the principles underlying the analytical processes used in your area of work so as to maintain their operation and quality of results. A working knowledge and practical application of the departments IT systems including Desirable EDCL or equivalent IT qualification Ability to learn the Pathology of disease and apply within one or more disciplines within Pathology Dumfries & Galloway NHS AfC JD Ref: PTB011MICRO software for word processing, spreadsheets and data basis. Participation in Continual Professional Development (CPD) Knowledge of all H&S issues, relating to the laboratory activity including national and European directives. Skills Good manual dexterity at bench level. Able to organise own workload Good communication skills Able to train less experienced staff Keyboard skills Accuracy essential