Common Services Agency JOB DESCRIPTION 1. JOB DETAILS Job Holder: 2. Job Title: BMS 2 Immediate Senior Officer: BMS 3 Board: Common Services Agency Division: SNBTS Location: Edinburgh Clinical Directorate JOB PURPOSE To perform laboratory procedures and duties in compliance with agreed specifications in order to ensure the efficient and effective delivery of a high quality Multi disciplinary Regional Blood Transfusion Laboratory service. BMS 2's will assist in the management and supervision of a specific department within the laboratory. 3. DIMENSIONS Staff No: BMS 4 BMS 3 BMS 2 BMS 1 Trainee BMS 1 MLA Edinburgh 1 5 11 31 0 13 4. ORGANISATIONAL CHART Clinical Director Clinical Laboratory Manager (BMS 4) Chief x 5 (BMS 3) Senior x 11 (BMS 2) Basic grade 1 x 31 (BMS 1) MLA’s X 13 5. ROLE OF THE DEPARTMENT Blood Bank and Serology Department (Hospital and Regional) Compatibility Department / Reception Red cell phenotyping Compatibility testing Group and Hold Service Antibody screening Antibody identification Issue of Blood and Blood Products Issue of Blood Components Issue of Commercial Coagulation Factors Stock Control Reception of blood, blood products and components from Scottish National Blood Transfusion Service Reception and control of commercial kits and components Overseeing, outdating and discard of all blood and blood components Collection of monitoring data Handling all autologous donations Regional Reference Compatibility / Complex Investigation service Investigation of compatibility problems both local and South East Scotland region Investigation of auto antibodies Investigation, identification and titration of irregular antibodies. Distribution of Anti D quantitation specimens to SNBTS regional test site Cold agglutinin investigation Rare / Frozen reagent cell stock Contribute to SCARF / UK Exchange Ante Natal Serology Services (Hospital and Regional) Blood group and antibody testing for all antenatal clinics in the area Kleihauer screening and quantitation Antibody monitoring of patients during pregnancy Issue of antibody cards Provision of Anti-D to patients Tissue Typing Service (Hospital and Regional) HLA typing for Solid Organ, Stem Cell and Bone Marrow transplants HLA typing for disease association HLA antibody screening and crossmatching by ELISA, CDC and Flow Cytometry Platelet Immunohaematology Platelet HPA typing Platelet antibody screening by ELISA and Flow Cytometry Clinical Immunology Service (Hospital and Regional) Diagnostic Allergy Service for multiple allergens by flouroenzymeimmunoassay Auto Immune Antibody Service Identification and quantitation of auto antibodies to cellular antigens by ELISA. Autoantibody identification and semi-quantitation by flourescent microscopy Immunochemistry Service Immunoglobulin G subclass and Complement quantitation by Rate Nephelometry. Cell Separator Unit Operating at both New RIE and WGH (LUHT) sites. Therapeutic Plasma Exchanges Therapeutic Leucopheresis Therapeutic venesection Venofer and IvIgG infusions Stem cell processing, storage and reinfusion Secondary bone marrow processing, storage and reinfusion Tissue Banking Service Bone banking support Tissue banking support Quality Assurance Department Provision and control of controlled documents (SOP's, Policies etc) Temperature monitoring of all storage and transport areas Provision of an audit programme Maintenance of a quality system within SEBTS Liaison and collaboration with QA departments throughout SNBTS 6. KEY RESULT AREAS Analytical and Judgmental: 1. 2. 3. Contributes to the supervision and management of daily operational aspects of the assigned department ensuring compliance with scientific standards in order to deliver service within required timescales. Ensure all routine and emergency work required of the assigned department fully meets standards and customer requirements, including the provision of required staffing levels. Support senior management in the preparation of all procedural documentation in accordance with national and regional requirements for example CPA, IiP and SNBTS audit. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 7. POLICY/SERVICE DEVELOPMENT 8. Participates in the training of BMS 1's, Trainees, MLA's and support staff in the applicable techniques, instrumentation and work assignment of all relevant aspects of the laboratory. Assisting with compilation of records, statistics and analysis of daily work performed within the section making recommendations as appropriate. Contribute to the implementation or organisational changes and the development of a culture which reflects the values and goals of team working, continuous improvement of SNBTS. Continually review the working methods and services provided by the department, identifying any problem areas/causes for concern and bringing forward suggestions for improvement. Deputise when required for the Section head to meetings and when necessary due to the absence of the Section Head. Complies with Health and Safety regulations to ensure safe working procedures and the health and safety of other staff and visitors to the departments. Uses analytical skills and expertise to test patient (and donor) samples. Issues test results directly and indirectly to customers. Uses analytical skills and expertise to troubleshoot and maintain complex analytical equipment Selects and dispenses safe and appropriate prescribed blood, blood products and blood components directly to patients on basis of test results they have performed. Uses judgement to schedule and prioritise patients in order of urgency. Will supervise BMS 1's and MLA's within a department. BMS 2 staff will participate in the departmental 24 hr shift system Will be aware of policy and service developments. Will take part in discussions, which will set new policies and service developments. Will be responsible for policy implementation in their area. PHYSICAL SKILLS BMS 2's require highly developed physical skills and expertise in the: accurate operation and reading of manual and automated tests examine clinical material using a microscope up to 2.5 hours per day the rapid and accurate operation of keyboards the physical movement and manipulation of blood, blood products and blood components, plasma thawing, mass screening of red blood cells etc. 9. FINANCIAL, HUMAN AND INFORMATION RESOURCES BMS 2's must be aware of the SNBTS National and RTC local Business Plan Financial BMS 2's must be aware of the SNBTS National and RTC local business plan and budget constraints. Human Resources BMS 2's will have some responsibility for training new BMS's and MLA staff and will responsible for BMS 1's and MLA's in the absence MLSO 3 staff. BMS 2's will deputise in the absence of the BMS 3. Information BMS 2's will accurately record test results and distribute this information to customers. They will be involved in the development of information systems which will improve the service to the customer. BMS 2's will generate and sign complex reports. 10. COMMUNICATIONS AND WORKING RELATIONSHIPS A BMS 2 will provide and receive complex or sensitive information. This information will come from or be given to: other colleagues in SNBTS i.e. BMSs, MLA etc. medical and nursing staff directly to patient or donors BMS 2s will authorise and sign reports giving test results distributed to customers will provide specialist internal report e.g. statistics, monitoring and incident reports The communication will be in the form of oral, face-to-face or electronically BMS 2 may be required to take calls of an urgent and complex nature in respect of major haemorrhage protocols and major incidents 11. QUALIFICATIONS, KNOWLEDGE AND/OR EXPERIENCE A BMS 2 must have attained an Honours Degree in Biomedical Science or equivalent acceptable to the Health Care Professions Council and must retain registration with that body. A BMS 2 will have a further qualification or a long period of experience. After suitable training they must maintain specialist knowledge and expertise across a range of work procedures and practices which must be underpinned by theoretical knowledge of relevant practical experience. BMS 2's must undertake continuous professional development and will maintain and develop specialist skills and knowledge in order to contribute to the continuous development of the Blood Transfusion Service. BMS 2's will have specialist expertise of a particular area or areas in which they work. 12. ASSIGNMENT AND REVIEW OF WORK BMS 2's are guided by SOP's, and good practice. BMS 2's are supervised by BMS 3's but may work for long periods unsupervised. Formal objectives are set and agreed annually and reviewed bi-annually. Work comes from the following sources: line managers / departmental head internal or external customers self generated BMS 2's will take an active role in laboratory meetings, specialist groups (H&S, Scientific meetings etc.) where planning will be discussed. Set objectives and appraise staff. 13. WORKING ENVIRONMENT AND EFFORT Working Conditions Adverse working conditions for BMS 2s will include: working for periods in 4oC coldrooms working with liquid N2 continual use of VDU's direct contact with untested blood samples handling biohazard samples known to be HIV, Hepatitis B or Hepatitis C positive Physical Effort There is a frequent requirement to exert moderate physical effort for long periods e.g. lifting and moving cases of blood and need for fast response to urgent calls from wards for blood and blood products. Mental Effort There is a frequent requirement for intense concentration within the work period. The requirement is unpredictable within the shift. First point of reference for MLA's, BMS's support Emotional Effort Daily exposure to distressing or emotional circumstances e.g. receiving information on major incidents, urgently delivering blood into busy A&E department, being informed of patient's death 14. JOB DESCRIPTION AGREEMENT Job Holder’s Signature: ……………………………………………………………………... Date: Senior Officer/ Head of Department Signature: ……………………………………………………………………… Date: Notes This job description may be revised in the light of changes or developments that may occur and after discussion with the post holder. The duties and responsibilities outlined above are to be regarded as broad areas of responsibility and do not necessarily detail all tasks that the post holder may be required to perform. The post holder will use all equipment and carry out all duties in a safe manner with current Health and Safety legislation and regulations.