Important Job Application Information Thank you for your interest in NHS Tayside vacancies Please see below Job Description/Person 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 NHS TAYSIDE – AGENDA FOR CHANGE JOB DESCRIPTION 1. JOB IDENTIFICATION Job Title Assistant Clinical Physiologist Department(s)/Location Vascular Laboratory Number of job holders 1 JOB PURPOSE The Vascular Laboratory provides diagnostic specialist vascular imaging assessments and a range of other specialist non invasive vascular assessments across Tayside and Fife. It operates satellite clinics in Stracathro, PRI and clinics in Kirkcaldy (Victoria Hospital). Locally these satellite services cover the vascular outpatient clinics in addition to its main base. It also provides diagnostic vascular cover for theatre, A/E and emergency ward admissions. It provides a wide range of specialist ultrasound investigations and a wide range of other specialist non invasive vascular assessments (NIVA). It produces clinically relevant and accurate diagnostic reports for each patient. The purpose of this post is To support the accredited vascular physiologists within the vascular service, undertaking chaperoning, administrative and housekeeping duties as allocated. To undertake some routine clinical physiological tests and procedures on patients, to ensure that test results are reliable and to report to the senior vascular physiologists ORGANISATIONAL POSITION Clinical Specialist (vascular) Clinical Physiologist N/W AFC Band 7 (2 posts) Clinical physiologists 1 Band 6, 1 Band 5 Assistant Clinical Physiologist AFC Band 3 (this post) Clinical Physiologist VHK AFC Band 7 SCOPE AND RANGE This post is based within the Vascular Laboratory as part of medical physics within Access Directorate The post holder will support the both the diagnostic and administrative element of the vascular laboratory service as well as participating with minimal supervision in the routine clinical physiological tests performed on both in-patients and outpatients. The vascular laboratory carries out approximately 11,500 tests per annum MAIN DUTIES/RESPONSIBILITIES ADMINISTRATION Responsibilities for policy and service development implementation: Follows policies in own role which are determined by others, no responsibility for service development, but may be required to comment on policies, procedures or possible developments. Responsibilities for financial and physical resources: Responsible for the safe use of expensive equipment eg Doppler equipment used for Ankle Brachial Pressure Measurements ( ABPI) Responsibilities for Human Resources: Provides advice, or demonstrates own activities or workplace routine to new or less experienced employees in own work area. Responsibilities for information resources: Records personally generated information (e.g. clinical observations, test results, case reports). Induction standards and code of conduct Your performance must comply with the national “Mandatory Induction Standards for Healthcare Support Workers in Scotland” 2009; and with the Code of Conduct for Healthcare Support Workers. Research & Development (10%): Responsibilities for research and development: Undertakes surveys or audits, with supervision, as necessary to own work; may occasionally participate in research and development, clinical trials or equipment testing. Patient Care (70%): Responsibilities for patient care: Provides clinical technical services to patients (e.g. undertaking routine standard diagnostic tests on patients Responsible for supporting the clinical physiologists throughout complex diagnostic tests, providing chaperoning etc Assisting the clinical physiologists by preparing both the patient and the examination room prior to assessments The post holder must support the provision of a wide range of specialist Non Invasive Assessments (NIVA) for Tayside and Fife to include: Photoplethysmography Digital cooling Ankle Brachial Pressure Indices Exercise testing Segmental pressures Toe / finger pressures Ultrasound scanning To provide a high quality, safe and supportive environment for the patients, meeting the identified physical and psychosocial needs. Planning & Organisational Responsible for managing their own daily workload within the vascular laboratory Administration Responsibilities for information resources: The postholder is fully conversant with the vascular laboratory database Responsible for writing their own factual report for routine tests Assists with organising routine follow up on post operative patients. Professional Ensuring that all patients’ investigations are carried out sensitively, and professionally, meeting the requirements of the Trust, accreditation bodies ( SVT, BMUS or UKAS), SIGN guidelines and locally agreed protocols Educational Ensure that on-going personal development and professional education / research needs are identified and met and that up-to-date personal portfolio of CPD points available for review COMMUNICATIONS AND RELATIONSHIPS The postholder; must have good communication skills with patients, relatives and carers, as the postholder provides and receives highly complex, sensitive or contentious information, where persuasive, motivational, negotiating, training, empathic or reassurance skills are required. The postholder must be able to maintain an effective working relationship with staff from all sectors of the Medical Physics department, Trust and University. Internal Communication links: Medical Physics Medical Staff Nursing Staff Radiology staff Health and safety Risk management External Communication links: Patients, carers and relatives Community Health Practitioners General practitioners KNOWLEDGE, TRAINING AND EXPERIENCE REQUIRED TO DO THE JOB GENERAL Effective Verbal and written communication skills Experience of interacting with general public. Organisational and initiative skills. Previous experience in relevant occupation e.g. Health / Care / Voluntary sector. . Good team worker Ability to clearly and accurately convey relevant clinical information to appropriate medical staff. Understanding of hospital and primary care environment, and fully conversant with local and national guidelines regarding patient confidentiality Understanding of commonly used medical terminology as applied to respiratory assessments Knowledge Good standard of general education (5 GCSE or equivalent, including Human Biology), NVQ or equivalent in relevant subject. The postholder will be expected to gain formal accreditation through in house certification in ABPIs and photoplethysmography. Sound knowledge of vascular anatomy and pathology and aetiology of vascular disease. Interpretation of a wide range of vascular laboratory tests Good knowledge of safety issues including safe use of ultrasound, basic electrical safety, data protection, infection control, CPR and manual handling/lifting techniques. Conversant in current documentation regarding moving and handling and CPR Training Previous experience of working in a clinical environment would be an advantage. The postholder will be expected to have gained knowledge to at least the level of ONC once training is completed. There will be significant in–house training and an appraisal system to monitor progress. The postholder should be willing to participate in further training as required The postholder must comply with the national “Mandatory Induction Standards for Healthcare Support Workers in Scotland” 2009; and with the Code of Conduct for Healthcare Support Workers Experience The post holder after a minimum of 2 years supervised training will be expected to be able to fulfil the following duties Ankle-brachial pressure indices. Exercise Testing Digital cooling Photo plethysmography Segmental pressures Clinical skills Excellent patient handling skills Good communication skills Ability to work under minimal supervision Ability to take a relevant patient history and apply the information to follow the appropriate protocol. Ability to respond calmly and competently, but with vital speed, in the event of patient problems occurring during an investigation, notably how to perform CPR and to know when to refer the patient for an immediate clinical opinion. Ability to work to agreed protocols and procedures. Ability to work under regular pressure. A knowledge of relative and absolute contraindications to investigations Must maintain confidentiality and dignity of the patient at all times SYSTEMS AND EQUIPMENT Responsible for the safe use of the equipment within the vascular all of which require specific training Responsible for input of basic reports in the vascular laboratory database Equipment used: Huntleigh Doppler assist Parkes continuous wave Doppler Sphygmomanometer Moving and handling equipment Trolleys Wheelchairs Glidesheets Electronic/ manual beds Software used: Microsoft Windows 98 Microsoft Windows 2000 (incl. Word, Excel, Powerpoint, Access etc.) Microsoft Windows XP (incl. see above) Vascular Databasae Systems: Maintenance of accurate patient records and reports Vascular laboratory administration system General hospital reports system ( Central Vision) 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. PHYSICAL DEMANDS OF THE JOB Physical effort: The majority of vascular patient are physically limited (amputation, stroke, post operative etc) and require significant physical effort to transfer from trolleys and wheelchairs. Significant assistance for patients with dressing and undressing e.g. stroke patients Removing and re applying wound dressings Supporting and assisting patient on treadmill tests Cleaning of machines and examination couches/ changing linen on couches Frequent pushing trolleys and wheelchairs Frequent moving ultrasound equipment Constant standing for periods of up to 30 minutes for the duration of some assessments. Mental effort: Assessments require intense concentration for short periods in order to analyse and interpret the audible signals. Able to utilise complex computer software required for these assessments Emotional effort: Communication with verbally /physically abusive patients Communication of complex issues with the multidisciplinary team Communication with all staff and supporting their needs Personal / interpersonal stressors Working conditions: Significant exposure to body fluids and odours (weeping wounds, gangrenous toes /feet, ulcers etc) Risk of infection or cross infection Excessive heat in clinical areas due to heat output from equipment. Excessive cold room temperatures for certain studies (130C) for periods of up 40minutes. – digital cooling and CRPS studies. Ergonomics DECISIONS AND JUDGEMENTS Assistant physiologists are responsible for carrying out tasks, including basic tests on patients, in a safe and effective manner. Decisions may include: Prioritising own workload from delegated tasks Giving advice to patients / carers within level of competency. How to approach and communicate with patient and carers. When to seek support or guidance from a qualified member of staff What to feedback to other staff Takes full accountability/responsibility for own actions/decisions. Works with minimal supervision and is responsible for management of their own patient workload within each day. Issues a factual report for each patient. Is able to alter patient appointment times to adjust the workload. Analytical and judgement skills required for the post Examples of facts and situations that the post holder is expected to understand and act on include the following: Using the verbal history and notes on the request form to decide on the appropriate assessment and knowing when to consult with senior physiologists if information or clarification is required. Using measurements to calculate ratios Assisting with prioritising the workload, especially of inpatients. Patient related Assessment must be made of patient status and suitability for a particular investigation, including assessing patient safety during treadmill testing. Judging the need to remove clothing and bandaging in order that adequate and necessary information may be obtained. Determining when an assessment should be stopped, based on observable clinical indicators. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB Balancing the competing demands of a variety of clinical physiologists. Adhering to a set timetable when working across several clinical areas. Working with different staff with varying degrees of experience Undertaking a physical, mentally and emotionally demanding job, whilst at the same time taking care to safeguard their own health and safety as well as that of colleagues and patients. Take responsibility for health and safety within their working area, and for moving and handling of patients when required Take responsibility for infection control within their working area Dealing with heavy workloads on a daily basis due to large clinical demand or unusual disease profiles To maintain good communication channels between members of the multidisciplinary team Addressing the equality and diversity needs of patients and staff. Person Specification POST REF NO: P/HC/120 JOB TITLE/BAND: Assistant Clinical Physiologist - Band 3 LOCATION: Vascular Laboratory, Ninewells Hospital, Dundee HOURS: 37.5 hours per week CRITERIA ESSENTIAL DESIRABLE EXPERIENCE: Experience in working with minimal supervision Experience working in a hospital clinical / diagnostic environment Ability to prioritise own workload Familiar with high through put of patients QUALIFICATIONS: (Training; Research; Publications) 5 GCSE or equivalent in a relevant area KNOWLEDGE & SKILLS: Willingness to participate in further relevant training Accuracy and attention to detail Excellent communication skills Understanding of the importance of data protection and patient confidentiality PERSONAL QUALITIES: Ability to follow Standard Operating procedures (SOP) Ability to identify and address own learning needs Ability to recognise own limitations and when to ask for help. Take responsibility for own workload OTHER: (eg travel across Tayside) Flexibility in working hours to suit the demands of the service Maintain up to date CPD Knowledge of infection control and implications in vascular assessments Understanding of current health and safety NHS guidelines, including moving and handling Respect diversity and equality Use professional judgement in the interest of the patients and public General Conditions of Service POST REF NO: P/HC/120 JOB TITLE/GRADE: Assistant Clinical Physiologist – Band 3 LOCATION: Vascular Laboratory, Ninewells Hospital, Dundee Conditions of Service Remuneration 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 £16,271 to £19,268 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. *Pay points under £21,000 will receive an additional non- consolidated non-pensionable sum to raise basic pay by a total of £250 pro rata for part-time staff. This addition will be divided into 12 equal monthly payments, will cease on 31 March 2014 and will be noted separately on payslips Hours of Duty Superannuation 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 01.04.13 are as follows: Annual Pensionable Pay (Full-time equivalent) Up to £15,278 £15,279 to £21,175 £21,176 to £26,557 £26,558 to £48,982 £48,983 to £69,931 £69,932 to £110,273 £110,274 and over Annual Leave Contribution 5% 5.3% 6.8% 9.0% 11.3% 12.3% 13.3% 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 parttime staff) or 5.8 weeks per year After 10 years aggregated service = 33 days (pro rata for part-time staff) or 6.6 weeks per year References Occupational Health Clearance Rehabilitation of Offenders Act 1974 (Exclusions and Exceptions) (Scotland) Order 2003 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 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). 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. 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. Disclosure Scotland This post is subject to a Standard check by Disclosure Scotland as it involves access to children and/or vulnerable adults. This will contain details of any convictions on record whether spent or unspent. Immigration, Asylum It is a criminal offence for an employer to employ anyone who and Nationality Act 2006 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/ New entrants to NHS Tayside will be required to achieve the Induction Standards & Code mandatory Induction Standards for Healthcare Support of Conduct Workers (HCSWs) in Scotland and comply with the Code of Conduct for HCSWs throughout your employment. Smoking Policy Applications Internal candidates will be required to comply with the Code of Conduct for HCSWs Smoking is prohibited within NHS premises and grounds. Completed forms should be returned to: recruitment.tayside@nhs.net quoting the job reference in the subject line or Human Resources, Management Offices, Perth Royal Infirmary, Taymount Terrace, Perth PH1 1NX By closing date of Wednesday, 27 November 2013