NHS WESTERN ISLES AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title: Lead Biomedical Scientist, Biochemistry Department(s): Laboratory. Western Isles Hospital Responsible to: Laboratory Manager Job Holder Reference: No of Job Holders: 1 2. PURPOSE As the Lead Biomedical Scientist (BMS) for Biochemistry the post holder is responsible for the management of the department providing all aspects of the Biochemistry service on all hospital sites. The post holder will be responsible for managing the day to day organisation and analytical work of the Biochemistry department. The post holder will be responsible for providing the leadership of the department, managing the department staff in order to deliver a fit for purpose clinical laboratory service for Biochemistry to achieve the objectives of efficient and effective patient care. Duties will include development of staff, departmental policies and standard operating procedures. The post holder must have excellent theoretical knowledge of all aspects of biochemistry, will be considered the expert in the field of biochemistry within the Western Isles Health Board and be expected to give advice regarding biochemistry to all clinical staff. The post holder must have or develop good practical knowledge of haematology and blood transfusion, and is expected to participate in blood sciences emergency and on-call duties, when competent to do so. 3. ORGANISATIONAL CHART: See attached Page 1 of 10 4. MAIN DUTIES AND RESPONSIBILITIES OF THE POST Communications: To communicate highly complex and highly sensitive information to clinical staff. For example, communication of multiple test results, some of which may be conflicting, and that have implications for the diagnosis, treatment and prognosis of patients. To provide information and advice to patients as necessary. Represent both the department and laboratory at relevant meetings: e.g. departmental business meetings, specialist audit meetings, clinical governance committee, safe and effective care committee. Both within and outwith the WIHB area. Liaise with all Clinical staff Liaise with all visitors to the department such as nurses, doctors, domestic staff etc. Communicates with outside agencies such as Specialised Consultants, Referral Laboratories, Manufacturers and Suppliers, NEQAS, Scottish Biochemistry Managed Diagnostic Network. Analytical and Judgemental: To act as an expert resource for biochemistry within the WIHB for all clinical staff. Solve highly complex, scientific and technical problems that need a highly specialised level of skills in biochemistry. For example, to undertake technical validation of the results from laboratory investigations to ensure accuracy and precision. To monitor technical validations undertaken by staff under the post holders’ supervision. To investigate and implement corrective action when quality control or assurance procedures indicate loss of performance of the laboratory instruments or methods. Report, investigate and take measures to resolve clinical departmental incidents and failures of service provision. To take a lead role in Risk Management for both the department and throughout the WIHB for biochemistry issues. Planning and Organisational: To be responsible for the biochemistry service throughout the Western Isles NHS Board, across all sites, including Western Isles, Uist and Barra Hospitals and St Brendans. To lead on the development and long term planning to ensure a safe and effective service to all patients. Take the lead responsibility for the standardisation of laboratory biochemistry technical services in response to clinical demand and organisational change. To ensure that all results are reported in a timely manner, and to take appropriate action, for example communicating with colleagues and managers should this not be possible. To plan and organise own work, and that of the department staff to suit the demands of the department. Policy and Service Development: To take the lead in developing and reviewing laboratory biochemistry policies and procedures following national and local guidelines. Page 2 of 10 Responsible for inputting into clinical treatment polices, such as shared clinical guidelines, which impact across the organisation. Develop and maintain standard operating procedure documentation and regulation and to lead in their regular review and update for use by laboratory staff within the Western Isles Hospital. Financial: To work with the laboratory manager to keep expenditure within budgetary limits and to be pro active in cost saving measures. To take a lead on decisions for the purchase of all new equipment within the biochemistry department, as part of the procurement process To be responsible for the ordering and delivery of effective stock control of reagents and consumables. To use laboratory equipment valued in excess of £100k. To be responsible for the maintenance and testing of such equipment to ensure validated results. Individual analysers are valued in excess of £80k. Human Resources: To manage staff in the day to day running of the department. To provide professional leadership for the departmental staff To participate in staff developmental reviews and assist in the production of personal development plans. To ensure that staff are appropriately trained and competent to work within the biochemistry department. Training and development: To actively participate in such forms of study that can be used as evidence of Continuing Professional Development To have in place a current personal development plan and a professional portfolio To participate in annual performance and development appraisals and set own personal targets and objectives Actively take part in, supervise and facilitate the training of biomedical staff and any other staff assigned to the department. Develop and implement training policies and protocols to support the effective training of staff who take part in the on-call/emergency rota for the laboratory. Assist staff with formal education programmes acting as mentor, project supervisor and work place tutor as appropriate. To provide professional leadership for biomedical scientists within the department Develop training schedules for the introduction and implementation of new technologies and methods Develop training/educational material for use by all staff within the department and throughout the WIHB Be aware of developments in training and education and in the provision of training and education by external agencies To maintain Health Professions Council registration and provide proof of such. To act at all times, in compliance with IBMS Code of Conduct guidelines. Page 3 of 10 Laboratory informatics: To comply with local and national policies for the safe, secure and confidential processing and storage of patient and other laboratory information To develop systems and processes for recording and storing laboratory information, compiled by self and others. To develop and produce reports and statistics as requested. To be responsible for the integrity and accuracy of biochemistry databases, developing and adapting as necessary. Research and Development: To undertake operative maintenance on laboratory instruments and equipment, as directed in SOPs, prior to them being used for patient investigations. To carry out first line troubleshooting of equipment or methods, to arrange for engineer service visits and to supervise and if necessary participate in the resolution of equipment or method failures. To liaise with any and all outside agencies necessary to resolve any failure of equipment, method or IT. To carry out regular equipment testing and regularly measure and monitor the accuracy and imprecision of laboratory investigations using appropriate quality control procedures. To counter sign quality control procedures carried out by staff under the post holders’ supervision. To undertake method and laboratory instrument evaluation and to introduce new equipment or methods to the department as necessary. To participate in research and development as necessary. To undertake annual laboratory based audits on biochemistry processes etc. Performance criteria/Freedom to act: The post holder is required to have specialist knowledge in biochemistry, seeking guidance from specialists outside the organisation as necessary. To interpret clinical and professional policies in order to ensure biochemistry service provision. The performance of the post holder will be reviewed annually at Development Review. Key elements of this process will be to establish evidence of continuing professional development and competence to practice as a biomedical scientist, and contribution to the corporate objectives of the laboratory and the Health Board. Clinical and Technical: To act as an expert resource for biochemistry within the WIHB for all clinical staff. Apply expert knowledge and interpretative skills to all laboratory results, or requests made by users of the service and take appropriate actions in line with laboratory policies and procedures. To perform all steps necessary from sample reception through to manual and semi-automated laboratory investigations to produce analyses required by the requester. To maintain working and organisational knowledge of all sections within the laboratory and in depth and specific knowledge in relation to biochemistry. To keep up to date with all developments in technology, methodology and theory in biochemistry in particular and service provision in general. To safely use, handle or dispose of blood or hazardous chemicals. To ensure that reagents are prepared, stored and used according to manufacturer and laboratory procedures. To monitor minimum stock levels and to take appropriate action should those levels be aproached. Page 4 of 10 Working Environment including Mental and Emotional Exposure to bio hazardous organic material. For example, blood and blood products. Potential and actual exposure to harmful chemical and substances recorded under COSHH regulations. For example cyanide. There is occasional lifting as well as moving and handling of weights in excess of 20kg where there is no mechanical aid. For example when stores come into the laboratory weekly which need to be moved and stored, and when changing reagent for analysers every two to three days. The post holder is required to wear personal protective equipment in the form of laboratory coats, protective gloves and eye protection when indicated. The post holder is required to use safety shields where provided There is a frequent use of VDUs and the post holder should observe recommendations for their use The post holder will concentrate for long periods of time, up to half a shift. Page 5 of 10 6. STANDARD ELEMENTS Confidentiality This involves taking the necessary precautions when transmitting information only disclosing it to those who have the right and the need to know it. All personal health information is held under strict legal and ethical obligations of confidentiality. NHS Staff must follow guidance (NHS Code of Practice on Protecting Patient Confidentiality) before disclosing any patient information. All staff must respect confidentiality of all matters that they may learn relating to their employment, other members of staff, patients and their families. Health and Safety: Assist in maintaining own and others’ health, safety and security. This involves: Complying with Board health and safety policies, procedures and participating in mandatory training. Maintaining a safe working environment and reporting any issues of concern as appropriate. NHS Western Isles attaches the greatest importance to the health and safety of its employees. It is the Board policy to do all that is reasonable to prevent personal injury and hazard to health by protecting staff and others including the public from foreseeable hazards compatible with the provision of proper services to patients. The Board expects its entire staff to take reasonable care of their own health and safety and that of others who may be affected by their acts or omissions at work. More detailed information is given in departmental safety policies where appropriate. Ensure own actions support equality, diversity and rights. This involves: Acting in ways consistent with the Board’s policies and procedures. Treating those you come into contact with equitably and with respect. Recognising the need for aids or adaptations. Page 6 of 10 JOB DESCRIPTION AGREEMENT I, (Print Name)…………………………………………………….. confirm that the job description(s) /person specification(s) attached have been discussed with me and are an accurate and up-to-date account of the duties and responsibilities and skills/qualifications required to undertake the post. Job Holder’s Signature: Date: Head of Department Signature: Date: Page 7 of 10 WESTERN ISLES NHS BOARD PERSON SPECIFICATION JOB TITLE: Lead Biomedical Scientist, Biochemistry DEPARTMENT: LOCATION: Laboratory Western Isles Hospital FACTOR JOB RELATED EXPERIENCE ESSENTIAL Broad experience of working in a Biochemistry Laboratory. Several years consolidated band 6 experience in relevant discipline. QUALIFICATION/TRAINING BSc (Hons) Biomedical Science or equivalent professional examination Relevant MSc or IBMS Fellowship State registration (Health Professions Council) Evidence of CPD. JOB RELATED SKILLS Ability to work unsupervised Able to communicate complicated technical information and results verbally and in writing efficiently and accurately Ability to interpret and validate results Be computer literate. Page 8 of 10 DESIRABLE Experience of leadership in a laboratory environment Multidiscipline laboratory experience (haematology and blood transfusion). Numerate and able to undertake scientific calculations PERSONAL SKILLS SPECIFIC PHYSICAL REQUIREMENTS RELATED TO THE POST OTHER REQUIREMENTS Page 9 of 10 Be conscientious, responsible, careful, cooperative, reliable with good interpersonal skills Able to move, handle and operate equipment. Flexible approach to work. Laboratory Organisation Structure – Jan 2012 Laboratory Director Laboratory/Mortuary Manager (Band 8b) Quality Manager (band 7) Lead BMS Biochem (band 7) Clinical support from POCT lead and QM MLA (b2) 0.53 WTE Page 10 of 10 MLA (band 2) Lead BMS POCT (band 7) Lead BMS Haem/BT (band 7) Lead BMS micro (band 7) BMS (b6) Haem/BT BMS (b6) Micro MLA (b2) FTC MLA (b2) FTC Phlebotomist (band 2) Secretarial and Clerical asst.(b3) Mortuary Tech. (band 4) 0.24 WTE