Important Job Application Information Thank you for your interest in NHS Tayside vacancies Please see below Job Description/Specification and General Conditions of Service Your Application Form must be completed in full. Please note copies of Curriculum Vitae, Qualifications and Course Certificates will not be accepted at this stage. Please return your completed Application Form to recruitment.tayside@nhs.net (quoting the vacancy reference number in the subject box) or to the postal address given on the General Conditions of Service. All completed applications are held in Human Resources until the closing date. After the closing date a panel will meet to prepare an interview shortlist. Once this decision has been made, all shortlisted applicants will be emailed to invite them to attend for interview. It is important that you check your emails regularly. This process takes approximately 6 weeks. Therefore, if you have not been contacted regarding interview within 6 weeks of the closing date, your application has been unsuccessful and you will receive no further correspondence from Human Resources. ADDITIONAL INFORMATION:Find out more about living and working in Tayside at: www.dundeecity.gov.uk www.angus.gov.uk www.pkc.gov.uk General Conditions 05.08 NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION General Conditions 05.08 Job Title Radiographer Band 5 MRI Scanning - NHS Tayside Department(s)/Loc The appointment is based in Ninewells ation Hospital with some rotation through other Tayside MR sites including the Clinical Research Centre. The post-holder will be required to travel to other hospitals in NHS Tayside Number of job 3 WTE holders 2. JOB PURPOSE To provide a high quality, efficient and effective diagnostic service within MRI with delegated responsibility for MRI safety management, assisting with the day-to-day organisation of the service, quality management of equipment and images, administrative duties and management of the training programmes for other staff groups. To carry a clinical caseload for MRI within Tayside, to participate in the rotation into the Clinical Research Centre and to participate in research and clinical trails. To participate in any MR on call rotation. Provide direct care and a high quality diagnostic imaging service in order to assist in the management of patients referred from clinicians. 3. ORGANISATIONAL POSITION NHS Tayside MRI DIMENSIONS: NHS Tayside MRI Scanning - Stracathro, Perth, Ninewells and The Clinical Research Centre General Radiography of the orbit in all 3 sites Clinical Activity:11,000 examinations in Tayside Clinical Provisions: 08.00hrs-2000hrs Out of hours emergency provision of MR scanning for urgent patients when required. Imaging Manager Tayside Clinical Lead Authorised Person NHS Tayside MRI Band 8a Lead Radiographer Band 7 Radiographers Band 6 Radiographers / Tayside MRI Band 5 Radiographers Radiographers & Students When in MRI scanning General Conditions 05.08 Assistants 4. SCOPE AND RANGE To provide radiographic services on a rotational basis in MRI throughout NHS Tayside and The Clinical Research Centre. Senior Radiographers will be available on a daily basis to provide direct supervision and training when required during core working hours. However on call, the radiographer takes on senior responsibility. To provide delegated input in the MR areas in contrast and supply ordering, in patient management, in quality initiatives and in teaching and training initiatives. To take an active role in research projects and any training issues related to these projects. To manage emergency bookings. To take active responsibility for all safety issues related to MRI and radiation safety in general radiography of the orbit. To take an active role in the management of equipment quality assurance and liaise with the Physicist for evaluation of results. To take an active part in teaching medical students and other professionals who in the course of their training require MRI lectures and training. MAIN DUTIES/RESPONSIBILITIES DELEGATED MANAGEMENT OF CLINICAL ACTIVITY To provide radiographic services on a rotational basis in MRI across NHS Tayside. To take delegated responsibility for the efficient and effective running of the MRI unit on a dayto-day basis in the absence of senior colleagues. To regularly liaise with Radiologists and Senior Radiographic staff to maintain awareness of operational issues in the area. Ensure patient safety checklists have been adequately completed and that patients and staff are not at risk in the magnetic field. To be conversant with the patient management system, understand the appointments and booking systems and take part in the management of emergency bookings. To make emergency appointments and input information into relevant diary. To ensure that CRIS information is kept up to date. To assist in the management of NHS Tayside MRI rota To ensure that personal annual leave is logged in the 3 diaries across NHS Tayside MRI. To liase with service engineers reporting faults, ensuring that faults are logged, reported and acted on appropriately and that down time is recorded. To take part in the quality assurance programme for equipment within the area. To present a professional approach in terms of leadership, conduct, appearance and punctuality. To participate in performance review and maintain personal and departmental CPD activities. Monitor and maintain stock levels for consumables and contrast media advising the radiography General Conditions 05.08 manager of any problems and liaise with nursing staff in the investigation of any contrast media reactions. Personal Clinical Activity To maintain a high standard of professional, administrative and technical work within the MR scanning and general radiographic areas. To provide a high throughput clinical service to standards agreed with the Consultant Radiology staff. To ensure that protocols and standards are maintained and are evidence based. To ensure smooth throughput of patients and ensure scanning lists run to time where possible. To provide an out of hours service. To participate in any extended hours roster including weekends and evenings as well as on call.. To maintain a close working relationship with other members of multidisciplinary teams in the provision of a patient-carer focused approach to quality care. Perform a full range of examinations using specialised equipment including automatic injection pumps. Learn to perform examinations without clinical radiologist supervision and make decisions about the need for further sequences to assist diagnosis. Learn to recognise the difference between normal and abnormal anatomy and when radiologists not available, make informed decisions about further imaging requirements. Administer IV MRI contrast media, Buscopan, Glucagon, oral contrast agents and any other appropriate agent Manage the movement of the disabled patient using knowledge gained in moving and handling course. Manage the infectious patient adhering to NHS Tayside guidelines. Manage the lifting and movement of coils during MR examinations using knowledge gained in moving and handling courses. Image to a standard recognised by NHS Tayside MRI and CRC Ensure that appropriate images, previous images and paperwork are available for reporting and give to the relevant radiologist. Ensure that risks of cross infection are minimised by adhering to NHS Tayside guidelines on infection control. Safety Activity To maintain a safe working environment for all patients, visitors and staff and ensure that local safety rules are followed. To read the local safety and operating regulations document on an annual basis. To be aware of responsibilities in the management of staff in emergency situations ensuring that General Conditions 05.08 all safety precautions are in place. To adhere to all Trust policy rules and guidelines as in i) ii) iii) iv) v) vi) Department Policy Documents Ionising Radiation Regulations IR(ME)R 2000 and local rules Health and Safety Guidelines COSHH Infection Control Local Safety Rules Research and audit activity To participate in research and support radiographers employed specifically for research in training and back up To assist Medical Registrar grades in their research and audit projects and in training in the use of the MRI consoles and evaluation packages. To initiate and monitor clinical audit programmes. To contribute to and implement changes in clinical practice which improve patient care through effective use of audit, research and peer review. Training activity To be trained in IV cannulation to facilitate the service throughput To keep up to date with new technology and procedures and to maintain professional and technical skills through continued professional development. To participate in, in-service training and other training courses to ensure that working knowledge is kept up to date and duties are performed within the requirements of current legislation, policies and procedures. To assist in the teaching of medical students and other staff disciplines in MR safety, physics and pathology. To provide evidence of Continuous Professional Development for discussion at annual performance and development review. To promote excellence in clinical practice through continuing education and input into Clinical Governance and audit initiatives. Participate in mandatory training and actively pursue and provide CPD keeping an up to date personal record of this activity. Maintain knowledge of advances in MR imaging and assist in the promotion of the continued improvement of the service delivery. Develop knowledge and understanding in an evidence based framework and transfer this knowledge to situations in practice. General Conditions 05.08 Take part in the in-house management training programme by taking responsibility for areas such as research and development, contrast media management, quality assurance and protocol development, teaching and training and participate in activities within the collaboration agreement with MRI equipment companies. DOCUMENTATION Ensure that patient records and confidentiality are maintained in accordance with NHS Tayside policies and statutory regulations including the data protection act. Ensure that all departmental records are maintained for all patients and that all statistical information, equipment information, service information, protocol books and staff training information relating to MR are documented appropriately. Maintain the following records and manuals: Policies, protocols and systems of work. Helium reading records Patient documentation CRIS post processing and other input. Equipment service records Incident manual Quality assurance records. Pharmacy orders. Faults log book. Research documentation. Personal CPD folder. Data collection for audit and research purposes. General Conditions 05.08 COMMUNICATIONS AND RELATIONSHIPS Provide information by explanation of often complex procedures, listening to patients' requirements in order to encourage compliance with the imaging procedure. Contribute to regular staff meetings to ensure effective two -way communication. Maintain good communication channels with all members of the multidisciplinary team within the department and other departments across Tayside MRI and the CRC Liaise with staff from other departments and wards to facilitate good practice and best patient care. Establish clear lines of communication and ensure co-operative planning and decision-making. Convey to patients and relatives information involving MRI scanning, precautions and side effects of examinations, offering counseling and reassurance when required. Deal with complaints and communicate unpleasant news. Liaise with radiology clerical staff to ensure correct preparation and appointing of patients to allow a smooth pathway of patients through the MR department. Inform and demonstrate equipment and scanning techniques to visiting clinicians and radiographers in line with the NHS Tayside MRI and company collaboration agreements set up by NHS Tayside. Liaise with referring clinicians re appointment times, referral criteria, patient suitability and safety results. Liaise with nursing and medical staff in the management of patient care before, during and after MR examination when necessary. Confer regarding routine maintenance and faults reporting with relevant engineering staff. Liaise with relevant trial companies and coordinators involved in clinical trials and research. Liaise with anaesthetic staff during examinations where the patient is under anaesthetic. Liaise with paediatric staff in the management of children undergoing MR examinations, ensuring that practice is in line with the children's charter. INTERNALLY Consultant Radiologists and Registrars Radiographic Managers Members of departmental multi-disciplinary teams Principal Clinical Research Investigators Ward and clinic staff Clinicians Ancillary staff EXTERNALLY Patients and Carers Peripheral hospital staff 5. KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB Radiographic diploma or degree. Postgraduate qualification or evidence of ongoing learning. General Conditions 05.08 Cross-sectional imaging knowledge Pathology recognition and the ability to distinguish normal anatomy from abnormal anatomy. Knowledge of MR physics and safety issues. Understanding of health and safety guidelines, MR local rules and IRMER regulations. Have knowledge of manual handling techniques. Understand NHS Tayside ethics regulations. Have knowledge of research implementation and practice in line with NHS Tayside research policies. Be able to use the CRIS system, transfer and retrieve from PACS and transfer images throughout all MR sites. Knowledge of Word, Excel and PowerPoint software programmes. Must be registered with the Health Professions Council. Must have evidence of ongoing educational and personal development. Must have organisational and supervisory skills. An additional post-graduate qualification would be an advantage. Have or be actively seeking a certificate in IV cannulation General Conditions 05.08 ESSENTIAL ADDITIONAL INFORMATION 6. SYSTEMS AND EQUIPMENT Carry out clinical work using a variety of specialised equipment and software packages as required. Be able to use the MR equipment across NHS Tayside which includes: GE Signs 1.5 Tesla Siemens Symphony 1.5 Tesla Siemens Avanto (32 Channel )1.5 Tesla Siemens Avanto (18 Channel )1.5 Tesla Siemens Trio 3 Tesla Automatic contrast injection pumps All of the associated coils and ancillary equipment related to these scanners. Be able to use the satellite consoles and workstations in all sites for image post processing and manipulation and provide a training service for clinicians and other staff groups in their use. Understand the use of anaesthetic equipment across the MR sites. Be able to use general x-ray rooms in all sites for x-ray orbit pre MRI including ceiling suspended tubes, static x-ray tables with rise and fall function, floating top tables, bucky assemblies, erect and supine, digital radiography equipment and operator consoles. Be able to use CR Be able to use patient hoists, slide easies and other moving and handling equipment. Be able to use patient trolleys and wheelchairs. Be able to assist, and, manage the cardiac arrest procedure in MRI and ensure safety of patients and staff is not compromised. Understand the working of the label printers associated with the CRIS system and be proficient in their use. Understand the working of the laser printers and manager and fault find and manage fault repair. Be able to transfer data to CD, PACS, other department systems and across NHS Tayside MRI. INFORMATION SYSTEMS Understand the CRIS system and be able to input patient data, gather statistics and post process examinations. Be able to use Word, Excel and PowerPoint and have keyboard skills. Be able to transfer images from other sites as required. Be able to transfer and retrieve images from PACS. Be able to use the scheduling facility to ensure correct patient registration and transfer to PACS. Be able to access the internet and NHS Tayside email facilities. General Conditions 05.08 7. PHYSICAL DEMANDS OF THE JOB Long periods of work at a console / VDU. Frequent requirement for prolonged concentration and accuracy while operating MRI scanning equipment. Some exposure to highly distressing situations. Occasional exposure to unpleasant working conditions during clinical duties. Basic life support training is mandatory. Frequent lifting duties during clinical duties requiring manual handling training. Frequent bending and twisting to manoeuvre MRI coils Stressful situations such as dealing with the claustrophobic patient and having the skills required to examine this type of patient. Frequent exposure to loud noise if patient requires escort during scan. Frequent exposure to patients with cancer and terminally ill patients. Frequent exposure to paediatric cases requiring anaesthetic. Being able to manage an unpredictable workload and interact with fellow healthcare workers. Cope with mental and physical demands of working in an acute area providing imaging on severely injured, terminally ill, abusive, paediatric and severely disabled patients. Keep up to date with continuously developing imaging modality. Manage the claustrophobic pateint and develop skills to ease patients through the scanning procedure. Be able to set-up and fill the injector pump avoiding contamination and ensuring no air is injected into patient. Manipulate the positions of patients and coils for all types of MR examinations providing immobilisation when required. Position patients and coils safely to prevent burns to the patient. Have the expertise to handle expensive equipment and ensure that all safety precautions observed. Following appropriate training be able to cannulate and inject contrast media, buscopan and glucagons. Following moving and handling training be able to move patients in a safe manner. Possess keyboard skills. Position cardiac and respiratory gating equipment in a safe manner avoiding burns to the patient. Being responsible for the safety of the equipment, patients and other staff in the acute situation where many attendant staff are present and may have no knowledge of the hazards associated with the equipment. Managing the cancellation of lists because of equipment failure or staff shortages. Working 11 – 12 hour days and providing on call when necessary 8. DECISIONS AND JUDGEMENTS Be accountable for own professional actions. Be responsible for the quality of the examinations being performed within agreed protocols and with experience, to adapt the examinations to suit the individual circumstances and thus ensure a degree of skill mix to release radiologists as required General Conditions 05.08 Ensure a high degree of patient care is maintained and to decide in certain circumstances if the examination should be carried out or continued. Make decisions in safety problems when required, however must use Senior Radiographic, Medical Physics Staff or Consultant Radiologist to make ultimate decision if an abnormal or unclear situation arises. Prioritising workload requiring diplomatic skills where referrers believe their case is more urgent than others. Be able to manage the cancellation of patients and re-appointing where possible in times of equipment breakdown or because of increased acute service demands. Make decisions about the care of the terminally ill patient in MR scanning and adapt the examinations as required. Vet the request cards for patient safety and suitability, and assess time required for each examination to ensure ease of appointing. 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. General Conditions 05.08 9. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Ensuring staff, patient, equipment and visitor safety due to the inherent dangers of the MRI scanner. Keeping abreast of new developments and protocol changes involved in evidence based practice in MR scanning. Ensuring patient co-operation by overcoming patient fears, claustrophobia and lack of knowledge within a limited time frame, using empathy and persuasion to achieve a positive experience for the patient thus ensuring optimum imaging standards. The management and dealing with patients and relatives in relation to unforeseen circumstances e.g. equipment breakdown and staffing issues and acute service demands. Dealing with terminally ill patients. Dealing with very difficult and often aggressive patient/relatives. Dealing with telephone calls from relatives/patients who are distressed because of their condition or waiting for scan appointments and the effect this has on their life and work commitments. Dealing with the patient who has been told of a serious life threatening diagnosis and assisting them through the scanning process and often offering counseling in these circumstances. Ensuring scanning lists run to time because of varying patient demands. Working long days with prolonged concentration 10. JOB DESCRIPTION AGREEMENT The job description will need to be signed off using the attached sheet by each postholder to whom the job description applies. General Conditions 05.08 Person Specification POST REF NO: D/CH/25/14 JOB TITLE/BAND: Band 5 Radiographer LOCATION: MRI Clinical Radiology, Stracathro with Tayside rotation HOURS: 37.5 CRITERIA ESSENTIAL DESIRABLE EXPERIENCE: Worked as a member of a small team. Experience of teaching or training others, does not need to include radiography Any evidence of courses attended QUALIFICATIONS: (Training; Research; Publications) KNOWLEDGE & SKILLS: Qualifications required leading to DCR (R) or BSc Diagnostic Imaging. HCPC registration Previous sound radiographic practice or good course evaluations during student training Full mandatory training Can comply to Band 5 KSF Proven communication skills, both written and verbal. PERSONAL QUALITIES: Good organisational skills. Excellent interpersonal skills. Computer literate. Motivated person who can work without direction Good time keeping Keen to learn new skills and put into practice Confident, self motivated, logical and organised. Ability to think laterally and provide alternative solutions to problems. Flexibility to provide out of hours and on call service OTHER: (eg travel across Tayside) General Conditions 05.08 Neat, tidy appearance Ability to communicate with staff and patients. The need to work flexibly to cover the clinical demands of the Dundee Radiology service Ability to travel across all sites Prior audits or suitable dissertation results Presentation/lecture skills. Knowledge of cross sectional terminology and anatomy CT brain experience IV cannulation experience Able to work flexibly within a small team. General Conditions of Service POST REF NO: D/CH/25/14 JOB TITLE/GRADE: Radiographer MRI, Band 5 LOCATION: Clinical Radiology, Stracathro Hospital with Tayside Rotation Conditions of Service Remuneration Hours of Duty Superannuation The terms and conditions of service for this post are those determined by the NHS Staff Council. The current salary scale for the post is £21,602 to £28,180 per annum (pro rata for part-time staff). Placing on the scale on appointment is normally at the minimum but may be higher subject to verification of previous relevant service. Salary is paid monthly by Bank Credit Transfer. The hours of the post are 37.5 per week. Start and finish times will be determined by the needs of the service. Membership of the NHS Superannuation Scheme is not compulsory but is open to all staff between the ages of 16 and 70 (65 in some instances). The contributions paid are a percentage of superannuable pay, which is essentially basic pay excluding, for example, overtime or travelling expenses. Contribution rates with effect from 01.04.14 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,431 £15,432 to £21,387 £21,388 to £26,823 £26,824 to £49,472 £49,473 to £70,630 £70,631 to £111,376 £111,377 and over Annual Leave Contribution 5% 5.6% 7.1% 9.3% 12.5% 13.5% 14.5% Contributions are subject to tax relief and reduced National Insurance contributions. NHS Tayside also makes a substantial contribution towards scheme benefits – currently around 14% of basic pay. On appointment = 27 days (pro rata for part-time Staff) or 5.4 weeks per year. After 5 years aggregated service = 29 days (pro rata for part-time staff) or 5.8 weeks per year General Conditions 05.08 After 10 years aggregated service = 33 days (pro rata for parttime staff) or 6.6 weeks per year References Public Holidays = 8 days (pro rata for part-time staff) or 1.6 weeks per year All offers of appointment are subject to receipt of two satisfactory references. Occupational Health Clearance All offers of appointment to new entrants to the National Health Service are subject to a medical examination. Medical examinations are arranged and undertaken by the Occupational Health and Safety Advisory Service (OHSAS). Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 All current or spent criminal convictions, cautions, warnings or any case pending must be disclosed prior to commencing in employment as detailed on the application form. Disclosure Scotland Immigration, Asylum and Nationality Act 2006 Please note that having a conviction will not automatically debar you from obtaining employment with NHS Tayside. Careful consideration will be given to the relevance of the offence to the particular post in question. However, if you are appointed, and it is found that you did not reveal a previous conviction your employment may be terminated. The successful applicant will be required to become a member of the Protecting Vulnerable Groups Scheme (PVG) in respect of regulated work with protected adults and regulated work with children. It is a criminal offence for an employer to employ anyone who does not have permission to live or work in the UK. Shortlisted applicants will be asked to produce specific original documentation at interview e.g. Passport, or full birth certificate together with an official document giving the applicants permanent National Insurance Number and name issued by a Government Agency or a previous employer, as well as photocopies of these documents. Professional Registration/ you should have current and continuing professional registration Induction Standards & with HPC and hold the appropriate qualification(s). Code of Conduct Smoking Policy Smoking is prohibited within NHS premises and grounds. Applications Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or to Human Resources Directorate, NHS Tayside, Level 9, Ninewells Hospital, Dundee DD1 9SY By closing date of 14 October 2014 General Conditions 05.08