Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION Department of Medical Engineering and Physics Job Description Job Title. Qualified clinical vascular scientist Grade: Band 7 + high cost area supplement Responsible to: Head of Vascular Laboratory Accountable to: Head of Medical Engineering and Physics Job Summary The vascular laboratory is an autonomous diagnostic service within the trust, providing specialist clinical, scientific and technical services to investigate circulation disorders, primarily using ultrasound techniques. The services it provides are integral to clinical decision-making in a number of key areas including vascular surgery, renal medicine, haematology, paediatrics and stroke medicine. The service provides a large number (currently approximately 15,000 tests annually) over an exceptionally wide range of tests to a high standard appropriate for a major teaching hospital. The laboratory is accredited to ISO EN 13485 quality standard within the department of Medical Engineering and Physics. Staff within the service are responsible for the accurate performing and reporting of diagnostic tests. Many of the tests have been developed within the laboratory in co-operation with clinical teams; there is a continual need within the section to develop vascular diagnostic tests. The service also undertakes work for clinicians in other hospitals/trusts. Some of these tests are performed by King's staff in the referring hospitals. The service has an active research programme, often conducted in association with other hospital departments. The service also undertakes extensive teaching and training in vascular ultrasound for a wide range of staff and runs the Vascular Ultrasound MSc King’s College London. Job purpose To undertake, interpret and report ultrasound scans and other tests for vascular conditions, working at the level of a fully qualified clinical vascular technologist. They will operate autonomously with the support of senior staff within the service. To undertake specific roles in the day-to-day management of the department and will have specific duties within the service for which they will be expected to be responsible. VAS DOC 17 060611 1 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION To run vascular ultrasound clinics in other trusts and to assume responsibility for these where required. To support teaching and training activities within the service and to support research programme. Section Structure Head of department Consultant Scientist 8D Vasc Admin 4 Senior Vasc Scientist 8A Vasc Scientist 7 Senior Vasc Scientist 8A Senior Vasc Scientist 8A Vasc Scientist 7 Vasc Scientist 7 Trainee Scientist 7 Duties and responsibilities 1. Clinical and Scientific 1.1 Perform, interpret and report independently on specialist diagnostic tests on patients in response to request from clinicians: 1.1.1 Analyze requests from clinicians and select appropriate tests and prioritize them according to clinical need and resources available. 1.1.2 Communicate clearly and sensitively with patients undergoing tests and assist in their preparation for tests. Communicate reasons for and results of tests to patients as necessary. 1.1.3 Conduct vascular diagnostic tests using ultrasound and other equipment to obtain images and measurements necessary for successful conclusion of the tests. 1.1.4 Recognize when the test is sub-optimal and select and execute alternative tests where necessary. 1.1.5 Be able to interpret complex anatomy and pathology in order to provide clear diagnostic findings 1.1.6 Make complex interpretive judgements based on interactively acquired ultrasound blood flow data and imaging. VAS DOC 17 060611 2 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION 1.1.7 Record test information clearly and accurately in appropriate media. 1.1.8 Communicate results and diagnostic information to referring clinicians with appropriate urgency including alerting the clinician when urgent further investigation or treatment is indicated. Be able to communicate complex information clearly to clinicians to enable effective decisions. 1.1.9 Ensure that all tests are conducted and reported to agreed protocols in accordance with protocols and with best practice 1.1.10 Be responsible for patients’ safety and well-being during tests. Responsible for ensuring due care for patients who may present with a range of illnesses. 1.1.11 Ensure that all procedures are carried out within trust guidelines for infection control. 1.2 Perform specialised ultrasound procedures during surgery. Take appropriate precaution against infection when performing measurements in the surgical field. 1.3 Perform, report and record vascular tests including ultrasound examinations for clinical trials in accordance with specific trial protocols. 1.4 Represent the vascular laboratory staff at joint clinical review meetings including weekly vascular team meetings, 1.5 Propose changes to vascular laboratory procedures to improve patient care pathways. Contribute to the review and modification of service protocols in response to internal or external demands. Audit effectiveness of changes in procedures and protocols. 2 Managerial 2.1 Prioritise own work in accordance with Sectional, Departmental and Trust priorities and external demands. Meet expected targets by using own initiative and following general principles and applicable regulations, standards and guidelines. 2.2 Manage specific aspects of vascular laboratory administration. Specific roles are: 2.2.1 IT development. Liaise with trust IT team and external providers to support IT developments as they apply to the vascular laboratory, its VAS DOC 17 060611 3 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION database, images storage and communication with the hospital IT network. 2.2.2. Health and safety. Be responsible for Health and Safety issues as they apply to the vascular laboratory including infection control and life support training. Co-ordinate training of all vascular laboratory staff in life support, fire awareness and manual handling activities. Be responsible for the section crash trolley and half-yearly section risk assessment. 2.2.3 Quality assurance. Liaise with departmental quality assurance manager to ensure that sectional current practices meet ISO 9000 standards. Instigate and complete activities to ensure that these standards are maintained. 2.2.4 Stock control. Responsible for all disposable stock within the section, and for maintaining stocks of clinical and administration/stationery items. Responsible for ordering stock items up to £5,000. 2.2.5 Be responsible for conducting testing at other hospitals with whom the section has agreements for service provision. Manage external clinics as appropriate to ensure effective use of resources and high service quality. Responsibility for these tasks will be apportioned by the head of service. Responsibility may be rotated around section clinical vascular scientists and each individual will have no more than three specific areas of responsibilities. 2.3 Keep relevant scientific and technical records for audit purposes. In particular ensure patient surveillance, follow up and vascular imaging records are kept in an accurate, methodical and up to date manner. 2.4 Be responsible for planning staff rotas in the trust department and external clinics 2.5 Responsible for care of clinical equipment including ultrasound scanners and transducers to ensure optimum performance. Note faults on vascular lab equipment and ensure process for rectification is initiated and completed. 3. Teaching and training and research 3.1 Undertake day-to-day supervision and training of trainees on imaging of vascular applications, including use of complex equipment of complex equipment and instrumentation. Staff to be trained include trainee technologists/trainees, SpR radiologists, radiographers, medical and nursing staff. VAS DOC 17 060611 4 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION 3.2 Demonstrate vascular scanning to medical students. 3.3 Participate in teaching activities of clinical vascular scientists, ultrasonographers and nurses under the direction of senior service staff. 3.4 Undertake research and development in collaboration with clinical staff and other researchers, in accordance with the priorities of the service. Undertake clinical research studies in the vascular laboratory. Undertake clinical audit. 4. Professional 4.1 Maintain an up to date knowledge of scientific and technical practices and keep abreast of technical change and development. Maintain standards of CPD as required by the Society of Vascular Technology. 4.2 Participate in the development of standards and provision of advice appropriate to the status of a major teaching and referral centre. 5. Miscellaneous 5.1 Carry out all duties in accordance with the requirements of the Health & Safety at Work Act, relevant Statutory Regulations, Approved Codes of Conduct and Local Rules. 5.2 Work hours as necessary for the proper and efficient performance of the work. In practice, the appointee will occasionally be required to perform duties outside the normal working hours of the Department. 5.3 When working in other departments, the appointee will liaise with local heads of department, medical consultants, superintendents, nursing sisters or their representatives as appropriate, adhering to local policies and practices. 5.4 The post holder will behave courteously and professionally at all times and seek to ensure that the highest level of service is provided by the vascular laboratory service. VAS DOC 17 060611 5 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION 5.5 Take necessary precautions when working in hazardous environments, including ionising radiation and infectious materials. 5.6 Perform other appropriate duties that may be required from time to time by the Head of Service. GENERAL VAS DOC 17 060611 6 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION The post holder has a general duty of care for their own health, safety and well being and that of work colleagues, visitors and patients within the hospital, in addition to any specific risk management or clinical governance accountabilities associated with this post. To observe the rules, policies, procedures and standards of King’s College Hospital NHS Foundation Trust together with all relevant statutory and professional obligations. To observe and maintain strict confidentiality of personal information relating to patients and staff. To be responsible, with management support, for their own personal development and to actively contribute to the development of colleagues. This job description is intended as a guide to the general scope of duties and is not intended to be definitive or restrictive. It is expected that some of the duties will change over time and this description will be subject to review in consultation with the post holder. All employees must hold an 'nhs.net' email account which will be the Trust's formal route for email communication. You are therefore required to check this regularly and to deal with such communication promptly. Infection Control Statement The post holder has an important responsibility for and contribution to make to infection control and must be familiar with the infection control and hygiene requirements of this role. These requirements are set out in the National Code of Practice on Infection Control and in local policies and procedures which will be made clear during your induction and subsequent refresher training. These standards must be strictly complied with at all times. VAS DOC 17 060611 7 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION Person Specification Example Post: Clinical Vascular Scientist Grade: Trainee Band 5-6 Care Group/ Department: CTTS Core Dimension/ Competence/ Qualifications Essential Desirable Yes 2:1 or first in biological science degree. Must demonstrate an ability to communicate with people about difficult matters and/or in difficult situations. Make patients in their care feel at ease. Yes Yes Experience with patients VAS DOC 17 060611 8 of 9 Medical Engineering & Physics PMS VASCULAR SCIENTIST JOB DESCRIPTION Post: Clinical Vascular Scientist Grade: Trained Band 7 Care Group/ Department:CTTS Core Dimension/ Competence/ Qualifications Essential Desirable Yes 2:1 or first degree in biological science. MSc in medical ultrasound. Accreditation with the SVT 3 years experience at least in vascular ultrasound Yes Yes Must demonstrate an ability to communicate with people about difficult matters and/or in difficult situations. Train junior staff. Yes Repertoire of scans beyond the SVT minimum of carotid, peripheral arterial and peripheral venous. VAS DOC 17 060611 9 of 9