1
Liver Renal and Surgery
Endoscopy
JOB DESCRIPTION
Job Title:
Endoscopy Decontamination and Equipment Manager
Band:
6
Hours:
37.5 hours plus on call responsibilities
Reports to:
Endoscopy Unit Manager
Accountable To:
Endoscopy Unit Manager
Department:
Endoscopy
JOB SUMMARY
To be responsible for endoscopy decontamination and equipment, providing
advice to managers on the compliance of their equipment and
decontamination processes with current standards.
The post holder will play an active role in the Trusts Infection Control
Committee, Medical Device procurement and Decontamination Committee.
To lead the strategic management of the decontamination services for
endoscopy, including providing a professional advisory role in line with
National guidelines and be accountable for the implementation of all statutory
and regulatory requirements, introducing, implementing and managing work
standards and practices that are accredited to European Standards
BS.EN.ISO 9001:2008, BS.EN ISO 13485:2003 Medical Devices Directive
93/42/EEC as amended by 2007/47/EEC, HTM 2030 as well as managing
the risks consistent with clinical governance requirements.
MAIN DUTIES AND RESPONSIBILITIES
Overview of Duties:
The post holders daily duties will be managed by the endoscopy unit manager
but will be performed unsupervised in accordance with accreditation and Trust
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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policies. These tasks may also involve allocating appropriate tasks to other
professionals.
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Accountable for the delivery of a flexible endoscope decontamination
service within professional standards particularly those pertaining to
ISO 13485:2003, HTM 2030 and the Institute of Decontamination
Sciences Standards and Practice document 3rd edition.
Act as the Designated User for endoscopy decontamination in
collaboration with the ‘Deputy Designated User’ in respect of washer
disinfectors, in accordance with HTM 2030 and the Trust
Decontamination policy
Ensure that the equipment used for providing the service (washer /
disinfectors, RO units, drying cabinets etc) is maintained as regulatory
standards dictate and authorise the safe use of equipment after
validating the engineers test reports.
Develop a quality improvement culture within the service, encouraging
all staff to deliver a continuous improvement in the quality of the
service
Manage endoscopy unit equipment including training, repairs and
procurement
Ensure that the delivery of the service is carried out within the laws
pertaining to “the transportation of dangerous goods act”
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 the post
Production and support of business case as necessary
Work with various team members to develop existing policies and
practices to form the basis of the Trusts carbon reduction and
Environmental management plan
Attend, arrange and chair meetings both strategic and operational
Ensure that Human Resources policies are applied appropriately, that
staff are appropriately trained and developed to meet current and
changing demands of their role.
Training and Education.
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Identify skill mix requirements and ensure training programs are
developed to meet these needs including facilitation of the JETS GIN
competency framework in collaboration with the ward manager / GIN
facilitators
Develop a robust induction programme for new starters to the
decontamination unit and allocation of appropriate mentors
Identify decontamination methods for new equipment and train staff on
the process
Using expert knowledge in endoscopy handling and management train
staff in these aspects as necessary
Identify training needs of all staff (regardless of profession) for current
and new endoscopy equipment and facilitate training
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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Maintain accurate records of all training performed using relevant
databases and provide quarterly reports to the ward manager
Resources and Finance
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Manage the service within the given budget and support the Trust in
identifying cost efficiencies and ensure the service provides value for
money
Identify staffing resource requirements for service provision within
agreed production turn around targets
Assist in the management of capitol budgets for endoscopes
Using technical expertise, provide advice and support to individuals on
the procurement of new equipment. Specifically advising on suitability
of equipment, supplies and quantities required for safe service
Evaluate equipment usage and ensure resources are allocated
appropriately based on service needs and demand
Staffing
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Manage staff of the department including appraisals, recruitment,
career development, counselling, discipline, grievance matters,
sickness management and work evaluation
Monitor workload, performance and achievement of targets
Endoscopy Equipment Management
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Manage non-functionning items of medical equipment within the
endoscopy and decontamination unit.
Liaise with the MEMS and Estates departments and external
equipment companies with regard to major repairs and service
contracts.
Self Management
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Maintain and update own professional skills and knowledge
Attend mandatory training in a timely manner
Prioritise workload for self and service to ensure the Trust’s
performance targets and service needs are met
The endoscopy working environment is unpredictable and the post
holder is expected to be flexible in their work pattern
Planning and policy
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Using professional knowledge produce operational policies for service
Propose and implement departmental policies
Information Resources
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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Responsible for the effective operation of the department’s endoscope
tracking system and prepare regular reports as necessary
Where necessary identify system developments and effectively
manage the change
Research
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Undertake research and evaluation of products utilised within
decontamination
Analyse and compare the effectiveness of products and produce
reports on analysis and recommendations to change
Communication
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Communicate formally with statutory bodies both providing and
obtaining advice and ensuring good working relationships
Communicate service related information to Senior managers, staff,
and external agencies, utilising reassurance skills
Attend the Endoscopy Users Group meeting and feedback to
decontamination staff accordingly
Arrange regular meetings with the decontamination staff to involve
them in and advise them of service developments. Minutes of these
meetings should be available to the whole endoscopy department
Receive and manage service complaints
Other Responsibilities
All professional and managerial staff are required to work in accordance with
their particular code of conduct. Failure to do so may result in disciplinary
action.
In carrying out their duties the post holder must promote equality and
opportunity and take every opportunity to eliminate discrimination.
The post holder is required to keep confidential all information and
documentation relating to either a patient, a member of staff or Divisions
business, which he or she comes into contact with. All staff are expected to
respect the requirements of the Data Protection Act 1998, as this incorporates
the need for a high standard of data quality, confidentiality and information
security.
The post holder is responsible for taking reasonable care with regard to
him/her self as well as for any colleagues, patients or visitors who might be
affected by any act or failure to act by the post holder in accordance with the
Trust ‘s policies and Health & Safety at work.
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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This includes manhandling of any item of endoscopy equipment in
accordance with the Trusts current Manual Handling Policy. This will involve a
frequent requirement to exert intense physical effort (lifting in excess of 20kg)
for several short periods per week.
This also includes working with substances hazardous to health (i.e body
fluids, soiled linen and chemicals).
These duties and responsibilities are neither exclusive nor exhaustive and
management reserve the right to require staff to undertake other duties and
responsibilities consistent with the grade of the post in consultation with the
post holder
This job description is an outline of the duties and conditions of the post and
may be subject to change in detail or emphasis in the light of further
developments.
GENERAL
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.
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.
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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Person Specification
Criteria
Qualifications
Essential
Full member of Institute of
Decontamination Sciences or in the
process of acquiring Full
Membership
Management qualification or
equivalent experience
Desirable
Quality system audit
training
Transportation of
dangerous goods
knowledge
Teaching and
assessing course
Educated to Degree level or
equivalent experience in
decontamination science
Experience
Previous experience in middle
management level in an
operational area
Experience in training and
assessing sterile services or
decontamination staff
High level of IT skills
Expert in ISO13485
quality management
system
Effective performance
management
Prioritising workloads
Managerially able to lead,
motivate, empower and influence
others
Ability to deal with difficult and
complex situations
Able to work on own initiative
and meet deadlines
Communication Experience of communicating
highly complex technical
information to non-technical staff.
Ability to develop
and implement
policies &
procedures
Excellent communicator at all
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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levels, verbal and written, with
good interpersonal skills
Knowledge
Thorough understanding of :Risk management, health &
safety, fire safety and
decontamination technology
Procurement methods
Evidence of completion of
specific training courses related
to sterile services /
decontamination / endoscopy
Current knowledge of legislation,
Standards guidance and
practices related to
decontamination of medical
devices
Willingness to undertake further
training and development as
appropriate
Detailed knowledge of
legislation/statutory requirements
relating to estates & facilities
Skills &
Abilities
Good IT skills, including ability in
the use of ‘standard’ software
applications e.g. MS Office suite;
specialist computer based
programmes
Experience of
Financial Management
within a non-profit
organisation
Demonstrate good leadership
skills to provide vision and drive
for the development of the
services
Ability to lead a multi-discipline
team.
Well developed people
management skills
Prioritise and plan effectively
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
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The ability to present information
to a high standard in a clear and
concise manner
The ability to define and prioritise
tasks, in order to achieve defined
goals
Expert in demonstrating , testing
and handling all types of
endoscopy related equipment
Other
Ability to work on own initiative
To be flexible and adaptable to
change.
Commitment to see the job
through from inception to
completion.
Capable to respond
and participate in an
Emergency situation
including attendance
to declared major
incident.
Ability to work in multi-disciplinary
teams.
Capable of working in a demand
driven service
Working to deadlines
The post holder has a general duty of care not only for their own health, safety
and well being, but that of work colleagues, visitors and patients within the
hospital. This is in addition to any specific risk management or clinical
governance accountabilities associated with this post.
Written January 2012
Signature (post holder) ______________________________________________
Signature (line manager) _____________________________________________
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
LB/PH
9
Kings College Hospital
Endoscopy Decontamination and Equipment Manager Band 6
January 2012
LB/PH