JOB ANALYSIS QUESTIONNAIRE
Job Reference Number:
Date: October 2005
SECTION I - Job Details
JOB TITLE: Radiology PACS Manager (Picture Archiving & Communication Solution)
PRINCIPAL PURPOSE OF JOB (JOB STATEMENT)
In no more than two sentences, please describe the principal purpose(s) of your job. This should be the reason(s) why the job exists.
To manage the implementation and ongoing maintenance of the radiology PACS IT system. To make certain the solution fulfils the various
and diverse needs of the Trust, and to ensure that the solution can adapt in line with future corporate developments embodied by the
governments Connecting For Health program.
ORGANISATION CHART
Please draw an organisation chart showing your job and the jobs two levels above and two levels below (where possible) by job title only.
Indicate which is your job by drawing a box around it or using ‘bold’ and underlining if using a computer.
MAIN TASKS
Please list the main tasks within your job and indicate any tasks, which are only carried out occasionally. Please indicate the approximate proportion of your time spent on
each task. This may be over a typical week if your job has a weekly work cycle or over a month or year for jobs which vary seasonally.
MAIN TASKS
Medview training – (PACS software)
Supervise and participate in the printing hardcopy films of patient images for other hospitals
Supervise and participate in the creation of CD-ROMs containing patient images for other hospitals
PACS and RIS database – Data quality control
PC support (hardware and software)
Statistical analysis – provision of reports
PACS server support
Diagnostic radiography
Correspondence / meetings
Also:
Supervise and participate in the provision of a PACS helpdesk service.
% OF TIME SPENT ON THIS
15
5
5
15
10
5
25
10
10
JOB ANALYSIS QUESTIONNAIRE – SECTION II
1.
COMMUNICATION & RELATIONSHIP SKILLS
This factor measures the skills required to communicate, establish and maintain relationships and gain the co-operation of others. It takes account of the skills required to
motivate, negotiate, persuade, make presentations, empathise, communicate unpleasant news sensitively and provide counselling and reassurance.
1.1 Please complete the following for communication that has occurred in the last 12 months. State whether the communication is with other employees,
patients/ clients or their carers or with the general public / external organisations, the type of communication and its purpose.
Do you:
Yes / No
Describe/explain?
Please give a typical example
In the months prior to implementing PACS I have provided the Trust with a wealth of descriptive information regarding the impending changes
to the radiology service. This was delivered through:
 Presentations (typically at directorate meetings)
 Extensive use of the intranet (the PACS web pages contain FAQ’s, various pdf documents and movie files)
 Direct correspondence and dialogue with clinicians and management
Yes
It is not uncommon to converse with senior clinicians who find it incredibly difficult to learn how to use the PACS technology. Training these
individuals to become effective Medview users requires greater involvement, more time and to protect their ego’s, plenty of tact. During the
implementation period many senior clinicians where very sceptical about the new technology and did not want to believe that image quality
and image accessibility could be superior to conventional film. Convincing these individuals that they were wrong required tact and diplomacy.
Use
tact/diplomacy?
Yes
Persuade or
influence?
As above. In the run up to going live with PACS, my job is has been to persuade reluctant clinicians that the impending PACS technology with
provide them with a superior radiology service. The PACS managers job is to ensure that clinicians successfully adopt the new system and
reject the old one.
Yes

Overcome
barriers to
understanding?

Yes
As a PACS manager I have to explain to non-IT staff the reasons behind unscheduled downtime of the PACS. Barriers frequently include:
a lack of IT knowledge and comprehension of what is involved or simple frustration that their clinic or ward round has been compromised
by the interruption of service.
As a radiographer I have to explanation the intended diagnostic procedures and consequences to each patient. Patient’s can present in
various levels of understanding ability. IE various levels of: consciousness / intoxication / age / mental and physical disability and ethnic
origin.
The PACS team have trained over 1000 members of staff to use the PACS software (Medview). The PACS manager has personally
instructed approximately 700 of that number. These training sessions are in various group sizes from 14 to a single one to one session – all
sessions last approximately one hour. The majority of these are conducted in a purposely-designed IT training environment although some
are carried out on the wards when necessary. Aids include power point presentations and Medview demonstrations using an over-head data
projector.
Give advice,
instruction,
training?
Yes
Communicate
complicated
information?
The PACS manager is responsible for the various computer servers that comprise to make the PACS solution operate. On occasion (weekly)
a component of the system will fail and it is imperative that a swift diagnosis of the servers is made and relayed to the various support
engineers over the telephone or in person. The PACS manager must impart as much information as possible about the failed component.
For example this may include transcripts of the system logs or event viewer logs.
I provide technical explanations regarding PACS issues to directorate meetings and senior managers meetings.
Yes
Do you:
Yes / No
Communicate
sensitive
information?
Yes
Communicate
information which
may be
challenged?
Please give a typical example
As a radiographer I always discuss patients’ clinical history with the patient or their guardian or with their referring care team (nurse, doctor
etc). I would also discuss radiological findings of a sensitive nature with the appropriate care team. EG:
 A child presents in A&E with injuries that are suspected to be of non-accidental origin.
 A patient who attends for routine examination and due to significant findings is immediately referred to a specialist care team. This would
be instigated by the radiographer and therefore requires a measured and limited degree of explanation.


As of June 2005 the Trust adopted a policy of no longer providing X-ray images on film (with just a few clear exceptions). However many
clinicians (some external to the Trust), challenge this policy and give various reasons as to why their particular request is exempt from the
general policy. As the only person who can authorise the printing of images onto film, the PACS manager can find themselves at odds
with insistent clinicians.
Some doctors believe that there is more information on an X-ray film than there is on the PACS system. (Not true).
Yes
Motive the radiographers to follow the guidelines on how to use the system, and to be proactive if a problem occurs.
Motivates the PACS support team provide a supportive and efficient helpdesk service and to address all problems as they arise.
Motivate the Darkroom technicians to provide examinations on CD as requested in a timely and professional way.
I motivate staff to develop when doing their ksf appraisals.
Motivate?
Yes
Negotiate?
Setting up every aspect of the PACS service has required negotiation. I have negotiated with all directorates with regards to what we will
provide and are responsible for – in terms of IT support / advice / bespoke recommendations / service level support etc.
Yes
As a radiographer I negotiate with staff within and outside radiology with regards to patient care / the order in which I receive patients etc.
Use empathy?
As a radiographer carrying out a radiological examination on a patient in A&E, the patient may be in a distressed emotional state due to
illness, intoxication, shock, bereavement etc. An empathic approach to understanding the patient’s condition is vital to the patient’s care, wellbeing and dignity during their time under the radiographer’s supervision.
Yes
The whole promotion programme prior to the Trust going filmless was based around re-assurance that Radiology was doing the right thing.
Doctors needed to be constantly re-assured that the PACS project was:
 In the best interest of the Trust – not just Radiology
 Would work both technically and be reliable
 That it would be easy and intuitive to learn to operate
Re-assure?
Yes
As a radiographer I will often have to re-assure patients (and their family), that they are receiving the appropriate diagnostic care.
Do you:
Yes / No
Please give a typical example
Counsel?
No
Communicate in a
language other
than English as a
job requirement?
(including sign
language)
Yes
Communicate to
groups? (other
than for training
purposes)
As a radiographer I will often have to communicate with patients that do not speak English. However this is done through an interpreter or
plain gesturing.

In the months prior to implementing PACS, the PACS manager presented at various directorate meetings and managers meetings
regarding the change in radiology service and its repercussions on individuals working practice. This would usually be to approximately 20
people and would often use a power point presentation and a Medview demonstration through a laptop and portable data projector.

The PACS manager gives an update at the bi-monthly radiology directorate meeting. Approximately 25 people attend this.

The PACS manager chairs the PACS Support Team meeting. Approximately 5 people attend this.

The PACS manager chairs the RIS meetings (Radiology Information System). Approximately 8 people attend this.

Contribute to the Radiology staff meeting and lead on all PACS issues. Approximately 15+ people attend this.
Yes
Communicate in
an emotive
atmosphere?
No
Communicate
in a hostile
/antagonistic
atmosphere?
See “Communicate to groups?” bullet point 1
Also see “Overcome barriers to understanding?”
Yes
2.
KNOWLEDGE, TRAINING & EXPERIENCE
This factor measures all forms of knowledge required to fulfil the job responsibilities satisfactorily, including theoretical and practical knowledge, professional, specialist or
technical knowledge and knowledge of the policies, practices and procedures associated with the job. It takes account of the educational level normally expected,
equivalent levels of knowledge gained without undertaking a formal course of study and the practical experience required.
2.1
Note:
Please describe the knowledge of work procedures/ practices (i.e. methods of doing things) and the administrative, clinical, technical, managerial & professional
knowledge which you need for your job in the table below. Please look first at the box on the left and then work across, stating whether you need any knowledge
in this area, describing the range of procedures, how the knowledge is usually obtained and the minimum qualifications/knowledge required to enable you to do
your job.
* Where courses are part- time please state the full time equivalent or quote the amount of time per week/year required for theoretical study.
Knowledge required in Yes/ No
job
Please give examples of the work procedures/ practices you How is knowledge normally acquired?
need to know about in your job, including specialist
(induction, on job, theoretical study)*.
knowledge or expertise.
Please state how long it normally takes.

Administrative
procedures (e.g.
knowledge of
admission
procedures)



Yes
Procedures for reporting PACS server faults to HP (Hewlett
Packard) – requires detailed knowledge of PACS servers to
communicate with the helpdesk and the engineers.

Procedures for printing hardcopy films for private practice –
requires knowledge of printing policy and system of purchase
Radiographic systems of work. EG: protocols for particular
examinations – including radiographic technique, RIS, film and
paperwork management.
Min qualification, certification or
equivalent knowledge currently
required for job.
A system was designed and agreed upon
for reporting PACS server issues between
HP and myself during the implementation 
process. It would now be taught ‘on the
job’ and would take approximately half a
day to learn the administrative procedure.
Procedure for printing film was an
adaptation from copying film. It would be
taught ‘on the job’ and would take
approximately an hour to learn the

administrative procedure.
A detailed knowledge of the
PACS servers is required to
communicate with the
helpdesk and engineers and to
complete the necessary
paperwork.
A good knowledge Medview is
required to print films from
PACS.
Clinical / therapeutic
/social care
knowledge

Yes
Clinical knowledge required to be a diagnostic radiographer
including: Anatomy and physiology, radiographic technique
etc.

A recognised university Degree in
diagnostic radiography – 3 years.


A recognised university Degree in
diagnostic radiography – 3 years.
A recognised university Degree in
diagnostic radiography.
A recognised university Degree
in diagnostic radiography.
Scientific knowledge

Yes
Scientific knowledge of ionising radiation is required to be a
diagnostic radiographer.
Knowledge required in Yes/ No
job
Technical knowledge
(including knowledge
of equipment)
Please give examples of the work procedures/ practices you need to
know about in your job, including specialist knowledge or expertise







Perform routine health checks on all PACS servers.
Manage the disaster recovery tape library.
Investigate and diagnose server faults – hardware and software.
Use the film digitiser.
Create CD-ROM’s containing appropriate patient images data.
Good IT knowledge to support radiology PC’s.
Knowledge of radiographic equipment. (DR – digital radiography, CR –
computed radiography – fluoroscopy etc).
How is knowledge normally acquired?
(induction, on job, theoretical study).
Please state how long it normally takes

Yes
Managerial
knowledge





Purchasing procedures – eg. for IT equipment
Devising and managing an on-call rota for PACS 24/7 support
Manage the PACS support team – training, helpdesk etc
Manage the Trusts PACS training program
KSF – I do appraisals

Yes
Min qualification,
certification or
equivalent
knowledge**
On the job training by the engineers
who designed and built the system or
the PACS manager.
BSc Degree
On the job training by fellow
superintendents
BSc Degree
Knowledge of
legislation





Yes

Knowledge of Ionising Radiation Regulations
Health and Safety at Work
Data Protection
COSHH
Ionising Radiation Medical Exposure Regulations 2000
Infection Control
On the job and through university training
Other types of
knowledge, not
already covered but
required for job.

Yes

Thorough knowledge of HL7 (Healthcare Level 7) is essential as this is the
language in which the HIS (hospital Information System) and the PACS

communicate.
On the job training by the engineers
who designed and built the system or by
BSc Degree
the PACS manager.
3.
ANALYTICAL AND JUDGMENTAL SKILLS
This factor measures the analytical and judgemental skills required to fulfil the responsibilities of the job satisfactorily, for example, analytical skills to diagnose a problem or
illness and understand complex situations or information; judgemental skills to formulate solutions and recommend/decide on the best course of action/treatment.
3.1
Please complete the appropriate boxes about the type of analyses and judgments you have to make regularly in the course of your work.
Typical judgements you
have to make about:
Facts /situations which you
consider uncomplicated or
easy to understand
Please give some examples, including where appropriate the options /courses of action considered and the availability of the
facts/ information on which the judgement was based.
As PACS manager
 Using the Medview software effectively to obtain the information I want.
 To know how to approach the task of building an MS Access database to analyse statistical data pulled from RIS.
 Understanding MS Windows operating system (Windows2000 and NT), and various MS applications for example: spreadsheets, access
etc. To know how to identify what is wrong with a broken computer / component / peripheral and know how to fix it. EG: RIS not
working. My considerations are – network, operating system, application.
As a radiographer
Conducting a series of X-ray examinations such as a skeletal survey. My considerations – patient’s physical mobility, patient well being,
radiographic technique and adaptation, radiographic quality.
Facts /situations which you
consider complicated or
difficult
PACS problem diagnosis - knowing what server(s) have stopped working properly, by analysing the PACS performance or failure patterns.
EG: Without warning half the X-ray rooms are able to archive their images to PACS as normal but the other half are not. My considerations
are – network, modalities (X-ray equipment), various PACS servers. I would perform a series of tests in a methodical order to establish the
root cause and take effective action accordingly.
As a radiographer performing a series of examinations on an uncooperative patient (intoxicated, mental disability etc). Consideration given
to: the order of the examinations, the adaptation of the standard radiographic techniques, special care of the patient (ventilated or restrained
etc), duration of the examination period (eg: patient crashing), location (may be in resuscitation room in A&E and therefore have to consider
and instruct other staff in immediate vicinity).
4.
PLANNING AND ORGANISATIONAL SKILLS
This factor measures the planning and organisational skills required to fulfil the responsibilities of the job satisfactorily, for example, for clinical or non-clinical planning, including
strategic planning and organising services, departments, rotas, meetings and conferences.
4.1
Note:
Does your job require you to plan or organise any of the following? If so, complete the relevant boxes below.
* Time period covered means the period covered by the plan e.g. the next day, week month, year.
Do you plan or
organise:
Yes / No
Please describe the range and impact of the planning & organisational activities, including any requirement to
make adjustments and the nature of these
Time
period
covered*
Own time?
Yes
The PACS manager is wholly responsible for managing his own schedule and diary. The dates spent
in department as a radiographer is agreed upon with the superintendent radiographer (Sarah Oliver),
on an adhoc basis approximately two weeks in advance.
Time of others?
Yes
As a PACS manager I will often delegate certain tasks to the members of the PACS support team. EG:
Printing and posting hardcopy films. Performing routine checks on the servers. Performing statistical
Immediate to
analysis (RIS).
a week in
advance
Rotas?
Meeting
arrangements?
Yes
Yes
The PACS manager is responsible for ensuring the PACS system is supported 24/7 by the PACS
support team who are the first line support in the event of a problem. The PACS manager is
responsible for delivering an ongoing rota.



Meetings between various companies to resolve technical problems or develop solutions. EG:
Bringing together HEIS (Hospital Engineering Information Systems) and Storcomm to develop the
RIS / PACS interface.
Arrange meetings between departments EG: IT and Radiology.
Arrange meeting between software companies and the Trust. EG: Orthoview and the orthopaedic
directorate.
I arrange venue, hospitality, agenda, invites and will frequently chair meetings and take the minutes.
No
Co-ordinating multi disciplinary meetings?
Up to 5
months in
advance
Usually a few
weeks in
advance
No
Conference
arrangements?
Planning or
Yes / No
organisational skills
required for:
Co-ordinating other
agencies/
organisations?
Yes
Project management
Please describe the range and impact of the planning & organisational activities, including any requirement to
make adjustments to them.
Orthopaedic Referral Centre (Shelley Road). Setting up and supporting (technical and training), an
extension of the PACS facility at this site.
Coordinate service work relating to the PACS with hardware and software engineers of various
companies. EG: Philips, AGFA, Siemens, Toshiba, Paralogic and Storcomm etc.
The PACS project required many technical meetings between various bodies. Persons involved: company representatives,
software engineers, Radiology and IT management, application specialists, support personnel etc
Yes
Ensuring all parties involved are fully briefed and understand what is expected of them including timeframes.
Yes
Ensure the Radiology service is available 24/7/365 via a fully functional PACS.
Yes
On going PACS training for: New staff that join the Trust, staff at Shelley Road, Poole hospital and visiting chiropractors. I
am responsible for the RIS training for staff within radiology directorate – HCA’s, doctors and radiographers.
Yes
To make certain the solution fulfils the various and diverse needs of the Trust, by ensuring that the
solution can adapt in line with future corporate developments embodied by the governments
Connecting For Health program. This includes linking in to the National Image Archive database (on
going), linking with Poole’s own PACS (immanent), and incorporating a brand new HIS / RIS (Hospital /
Radiology Information System), scheduled for 2007.
Service provision
Educational or
training programmes
Long term strategic
planning
Other planning or
organisational
activities, please
specify
Time period
covered*
Do any of the above have an impact across the whole organisation?
Yes [ Yes ] No [ ]
If Yes, please describe.
The provision of PACS training and instruction directly effects how the radiology service is used.
The provision of PACS technical support 24/7 directly effects how the radiology service is used.
Also see ‘Long term strategic planning’
5.
PHYSICAL SKILLS
This factor measures the physical skills required to fulfil the job duties. It takes into account hand eye co-ordination, sensory skills (sight, hearing, touch, smell, taste), dexterity,
manipulation, requirements for speed and accuracy, keyboard and driving skills.
5.1
Does your job require physical skills? If so, please tick the box (es) next to the appropriate activity and provide an example of how the skill is used:
Note: * Developed skills are normally acquired through considerable practice and/or training and include dexterity
Skill required
Description of skill
Yes/No
Please describe the purpose for which you use this skill
for;
Driving a
Standard driving skills (car
Yes
The PACS manager is often required to travel to Christchurch and Poole hospitals and Shelley
car/ small
/light van driving test +
road PCT to facilitate: staff training (Medview software), IT technical support (When Medview
van
practice)
doesn’t work) and PACS development (expanding the PACS solution to fulfil new requirements).
Driving a lorry
/heavy vehicle
Advanced driving skills
(HGV, PSV, PCV driving
test or equivalent +
practice)
High speed driving skills
(ambulance driving test or
equivalent + practice)
No
Typing skills normally
acquired through practice
or RSA1 or equivalent
Yes
High speed, accurate typing
skills; RSA level 2/3 or
equivalent
Skills normally acquired
through practice or during
practical training
No
Yes
‘Greyscale calibration tool’ is regularly used on all greyscale high-resolution monitors in
radiology. All x-ray equipment eg: Agfa CR, Philips DR and Siemens theatre C-arm.
Restraint of
patients/
Clients
Skills requiring formal
training & updating
Yes
Assisting the immobilisation of the semi conscious patient undergoing an ERCP examination.
Ensuring the safety of the confused and unpredictable patient whilst in your care during radiology
examination. Eg: the uncooperative intoxicated patient in A&E.
Hand signing
Skills requiring formal
Training
No
Nonintravenous
injections
Manipulation of
objects /tools
Skills normally acquired
through practice or during
practical training
Developed skills*
e.g laying out instrument
No
Driving an
ambulance /
emergency
vehicle
Standard
keyboard use
Advanced
keyboard use
Use of
equipment
/tools
No
No
Letter and email correspondence. (Averaging between 30 – 60 per week). Advanced
keyboard / mouse skills to drive Medview software (MS Windows shortcuts ie: Ctrl and
Shift key combinations etc).
where narrow
margins for
error
trays; fine adjustment of
equipment /plant
Note: * Developed skills are normally acquired through considerable practice and/or training and include dexterity
Manipulation of
fine tools;
where accuracy
important
Manipulation of
materials
where accuracy
important
Assembly of
surgical equipment; accuracy
important
Intravenous
injections
Manoeuvring
people where
accuracy
important
Suturing
Manual physiotherapy
treatment
Surgical
interventions
Keyhole, laser
surgery, IVF
procedures
Other physical
Skill
Description
of skill required
Developed skills* e.g.
operating a lathe /manual
control of intravenous
infusions
Developed skills* e.g.
manipulating materials on a
slide or under microscope
Yes/No
Yes
Please describe the purpose for which you use this skill
The set-up and control of intravenous pumps for the injection of radiopaque contrast needed
for venogram examinations.
No
Developed skills* e.g.
assembling equipment in
theatre / assembling boiler
pump
Developed skills*; accuracy
& hand-eye co-ordination
No
Yes
To perform intravenous injections for IVP examinations (Intravenous Pylogram). Includes
canulation, (butterfly and venflon), injection and responsibility for the patient’s safety and
well-being.
Developed skills* requiring
accuracy and hand-eye coordination e.g. for a precise
procedure
Developed skills* requiring
precision or speed + hand
eye, sensory co-ordination
Developed skills* requiring
precision or speed + hand
eye, sensory co-ordination
Yes
All x-ray examinations require precise patient positioning techniques to obtain the necessary
views.
Developed skills* requiring
precision or speed + hand
eye, sensory co-ordination;
includes intubation and
tracheotomy
Developed skills* requiring
the highest level of physical
skill
No
Please state
Yes
No
No
No
Precise patient positioning where the margins of error are very subtle (accuracy of a few degrees
rotation or a few millimetres off centre). EG: scaphoid views, dental radiography cranial radiography.
6.
RESPONSIBILITY FOR PATIENT/CLIENT CARE
This factor measures the responsibilities of the job for patient/client care, treatment and therapy, taking into account the nature of the responsibility and the level of the
jobholder’s involvement in the provision of care or treatment to patients/clients. It also takes account of the responsibility to record care/treatment/ advice/ tests.
6.1
Do you have any responsibility for providing services such as cleaning or food delivery, personal care, advice, technical services, treatment or therapy to patients
/ clients?
Yes [ Yes ] No [ ]
If “Yes” go through all other sections.
6.2
If “No” go to Q 6.10.
Do you provide a cleaning or food delivery service directly to, or in the immediate vicinity of patients /clients?
Yes [ Yes ] No [ ]
If “Yes” please give an example.
Some x-ray examinations (Barium Follow Through), require the patient to eat (need to provide a sandwich or beverage). Some x-ray examinations can
require the room to be thoroughly cleaned between patients. Eg: Barium enemas or patients with infectious viral illnesses.
6.3
Do you provide general non-clinical advice or information directly to patients /clients?
If “Yes” please give an example.
Yes [ Yes ] No [ ]
Advise patients on when to make appointments with their GP following x-ray examinations.
Advise patients about their dietary requirements or medication preceding or following certain x-ray examinations. Eg Barium enemas / IVP
(Intravenous Pylogram). Considerations diabetes’s and Metformin.
6.4


Do you provide personal care (assisting with feeding, bathing, appearance), or portering services directly to patients /clients?
If “Yes” please give an example.
Yes [ Yes ] No [ ]
Barium enema examinations can often result in needing to clean the patient (of leaked barium), especially if the patient is frail. Clean
new gown is also necessary.
There is a minimal portering service between X-ray and A&E / CDU. With the exception of the walking wounded, as a radiographer I
would carry out the portering of patients to and from these major areas. (Approximately 20 visits each way per shift).
6.5
Do you implement clinical care /treatment/ therapy programmes/packages?
If “Yes” please give an example.
Yes [ Yes ] No [ ]
As a radiographer I conduct the radiographic examinations of my patients. Including: GP referrals, clinic referrals, A&E referrals, In
patient referrals, fluoroscopy procedures, mobile radiography on the wards, radiography in operating theatres, dental radiography.
6.6
Are you involved in the registration, inspection or quality assurance of facilities/services for patients/clients?
If “Yes” please give an example.
Yes [ Yes ] No [ ]
As a radiographer I will need to register and update patient details on the RIS (Radiology Information System). This information
includes referencing or updating: patient demographics and episodic information.
As a radiographer I will use Clinical Viewer on eCaMIS to reference a patient pathology results prior to certain radiographic
examinations (eg: IVP – Intravenous Pylogram).
As a PACS manager I am directly involved with the QA program for radiology workstation monitor calibration. I am also involved in
the QA program of the DR X-ray equipment (Digital Radiography).
As a PACS manager I am directly responsible for the data quality on the PACS. This information includes: patient demographics,
patient episodic information, patient additional information such as radiology reports and scanned documents, the patient’s images
and the image quality.
6.7
Do you assess clinical care needs and develop clinical care /treatment/ therapy programmes/packages?
If “Yes”, are these in an expert area of practice?
and/or cover a broad range of different situations?
Yes [ yes ] No [ ]
Yes [ Yes ] No [ ]
Yes [ Yes ] No [ ]
Please give an example
As a radiographer one has to assess every patients abilities (mental and physical), to understand and comply with the examination that has been
requested of them.
For example:
 A frail patient in a wheel chair attending for knee x-rays. – How mobile is patient? Can patient stand for the examination and if so for how long
before becoming unsteady? What patient stability or immobilisation aids would be appropriate to use? Does the patient understand what is being
asked of them?
 Does the patient require human assistance to immobilise? (eg: mother holding a paediatric). There are then issues surrounding the ‘holder’
being within a radiation controlled area.
 Often the patient will need to be manually physically transferred (eg: from hospital bed to X-ray table). There may be oxygen cylinders, IV drips,
drainage bags ECG equipment that needs to be considered as part of the move procedure.

The patient may be immobilised with traction devices and the X-ray examination has to be conducted on the patients bed.
6.8
Are you directly involved in the provision of clinical/ therapeutic advice to patients /clients?
If “Yes”, is this of a specialised nature?
If “Yes”, is this in an expert area of practice?
Yes [ Yes ] No [ ]
Yes [ Yes ] No [ ]
Yes [] No [ No ]
If you answered “Yes” to any of these questions, please give an example.
Often patients will enquire about the effects and risks of the radiation dose used during an X-ray examination. Other times you will need to explain the why you
cannot undertake more examinations than has been officially requested – again this is linked to minimising radiation dose.
Following certain ‘contrast’ examinations the patient is informed about the effects of the barium or IV contrast medium passing through the body.
Following examinations that have prevented the patient from using Metformin (a diabetes controlling drug), the patient will need to be advised on restarting the drug
and seeking a renal function test if appropriate.
The above should be considered as ‘specialised’ as that the advice is specific to only certain radiology procedures.
6.9
Are you directly involved in the provision of clinical technical services to patients /clients (e.g. cleaning, sterilising or packing specialist equipment or
facilities used in the provision of clinical services e.g. sterile supplies, theatres, laboratories, obtaining, processing or screening diagnostic test samples
or dispensing medicines)?
Yes [ Yes ] No [ ]
If “Yes”, do you provide clinical technical services which are of a specialist nature such as interpreting diagnostic test results or carrying out complex
diagnostic procedures?
Yes [ Yes ] No [ ]
If “Yes”, are these of a highly specialist nature in an expert area of practice?
Yes [ Yes ] No [ ]
If you answered “Yes” to any of these questions, please give an example.
As a radiographer I perform clinical diagnostic tests on patients when I X-ray them. Once the image is obtained I interpret each image and act accordingly.
For example: GP referral for chest X-ray – if I identified a suspect lesion, I would perform addition views to clarify the condition. I may then seek a radiologists
or chest physician’s opinion while the patient is still in my care.
As a radiographer working in A&E I follow a ‘red dot’ system whereby any abnormality seen on an image is highlighted and brought to the casualty doctors
attention.
6.10
Are you responsible for the direct delivery of a clinical, clinical technical, therapeutic or social care service?
Yes [ Yes ] No [ ]
If “Yes, do you have corporate responsibility for this?
Yes [ Yes ] No [ ]
If you answered “Yes” to any of these questions, please describe the nature of the responsibility and the service covered.








As the PACS manager I am responsible for the delivery and performance of the entire PACS solution. Including:
Range of examinations that are available through PACS. (Digital Radiography / Ultrasound / CT (computerised tomography) etc).
The stretch of the PACS boundary. (Making the software operate at remote locations eg: Poole clinics and Shelley Road PCT).
Performance of the PACS. (Ensuring an acceptable speed at which the images are made available).
PACS uptime. (Ensuring unscheduled downtime is kept to a minimum, and that scheduled downtime is conducted at appropriate
times).
Data Quality on PACS. (Ensuring the information on PACS is correct).
PACS server hardware and software upgrades and updates. (Ensuring the PACS is running on the latest technology).
Future developments. (Ensuring the PACS is adaptable to new IT systems / solutions. For example: The Connecting for Health
government program. And the impending new RIS (Radiology Information System) and CRS (Care Record System) both due in 2007.
Delivery of RBCH images to sites outside of the PACS boundary. (For example: the provision of hardcopy films (or CD-ROM’s) of
particular MRI scans of patients who are seen at Southampton General Hospital).
As a radiographer I am responsibly for the delivery of the patient diagnostic service for each patient under my direct supervision.
Also see “6.5 Do you implement clinical care /treatment/ therapy programmes/packages?” above.
7.
POLICY & SERVICE DEVELOPMENT
This factor measures the responsibilities of the job for development and implementation of policy and/or services, taking into account the nature of the responsibility and the
extent and level of the jobholder’s contribution to the relevant decision making process, for instance, making recommendations to decision makers and the scope of the relevant
policies or services.
7.1
Please select the options on the left which accurately reflect the requirements of your job concerning policies and procedures and complete the boxes in that row.
Responsibility for Yes/No
Policies
Follows policies set
by others
Please describe, including how often this occurs, any responsibility for successful
implementation and the area /service covered by the policy
Receives If Yes, who
initial
from?
guidance
on how to
do it ?
Area/
Service
Covered
As a radiographer I adhere to specific policies set by the radiology department and to wider
policies set by the Trust.
Also see “12.3 Please describe below the procedures, policies, protocols, codes of conduct which
govern your work, including any requirement to interpret these.”
Yes
Comments on or
influences proposed
policies /
procedures /service
changes


Yes
As PACS manager I am responsible for the PACS policies: Who the PACS may be used by,
how training is acquired, how access is acquired. The PACS contract with Hewlett Packard
including support issues. Policies on creating CD-ROM’s for patient transfers and printing
films for private practice. The Trusts on PACS support system.
As a DR equipment super-user (core trainer and administrator for Digital Radiography), I am
involved with policy decision relating to how the equipment is used by radiographers.
Proposes changes
to existing policies
/procedures
Yes
All of the above plus: Policies on how the directorate uses the RIS (Radiology Information
System).
Yes
All of the above.
Implements policies
or service changes
set by others
Please descr
Responsibility for Yes/No
Policies
Please describe, including how often this occurs, any responsibility for successful
implementation and the area /service covered by the policy
Implements
legislation
No
Develops policies
for own area
Yes
Develops policies
which impact
beyond own area
Every policy relating to the PACS service has been developed by myself (with the involvement of
Paul Shelton and Dr Russell Bull).
Policy for which clarifies what conditions radiology will print film.
Policy for creating CD-ROM’s.
Policy on what additional information is stored on PACS (reports / request forms etc).
Policy for helpdesk support within and outside normal working hours.
Policy on PACS training.
Policy on system uptime and how it’s managed.
Yes
7.2
Do you have corporate responsibility for policy or service development?
If Yes, please describe including nature of the area /service covered by the responsibility.
Yes [ ] No [ No ]
Receives If Yes, who
initial
from?
guidance
on how to
do it ?
Area/
Service
covered
8.
FINANCIAL AND PHYSICAL RESOURCES
This factor takes account of the type of responsibility (i.e. what you are responsible for ) and the nature of that responsibility (for example, careful use, security, maintenance,
budgetary, ordering and purchasing responsibilities) and the frequency with which it is exercised.
8.1 Please complete the following for your job responsibilities:
Responsibility for: Yes/No
Please describe the nature of the responsibility
Value /
How often
Is this responsibility
volume does it occur? shared with others?
If yes, with whom?
Clinical, Office or
Other Equipment
Yes
Ensuring all PC’s and their peripherals are functioning satisfactorily. Computers /
barcode readers / document scanners.
50
computer
s. 25
document
scanners. Dailey
Yes – IT department
Machinery or Plant
No
Vehicles
No
Tools or
Instruments
No
Goods / Supplies /
Medicines/
Equipment
Yes



Yes
Security of the PACS server room
PACS servers – security of / controlled use of / maintenance of.
Blank CD-ROM’s – Design of graphic / purchasing of / stock control of.
Digital Tapes (data backup) – Purchasing of / controlled use of.
Racks
1000’s
30
constant
No
constant
Yes – other on the
PACS support team
Security of
Premises
Cash
No
Cheques /vouchers
No
1 room
Responsibility for: Yes/No
Please describe the nature of the responsibility
Value /
volume
How often
exercised
Shared
responsibility?
If yes, with whom?
Assisting patients to undress or remove valuables (including wallet & jewellery), it
is the radiographers responsibility to ensure these valuables are stored safely and
returned to the patient at the end of the examination.
Patients Valuables
Yes
frequently
no
Other
8.2 Please complete the following for any responsibility you may have for financial payments, budgets, revenues and income generation.
Responsibility for: Yes/No
Authorising financial
payments /
expenses / overtime Yes
Please describe the nature of the responsibility
Area/service
covered by the
responsibility
Value
Shared
responsibility?
If yes, with whom?
I am responsible for the PACS on-call claims registry book. When a member of the
PACS support team is called upon out of hours, they must record their business in
this registry. This registry is then used to authorise on-call claims at the end of
each month.
PACS on-call
support team
No
I am responsible for the ‘hardcopy film request’ registry system. When a hardcopy Radiology
film is produced for a specific request (eg: patient transfer to Southampton), details Imaging
No
Income Generation/
cost improvement
programmes
No
Budgets &
revenues
No
Budget setting
No
Other
Yes
of that event are recorded to enable the monitoring of these requests which
provides information for future budgeting.
The same is true of a CD-ROM requests registry.
9.
HUMAN RESOURCES
This factor measures the responsibilities of the job for management, supervision, co-ordination, teaching, training and development of employees, students/trainees and others
in an equivalent position.
9.1
Please complete the relevant sections in each area.
Responsibility
Yes/ Ongoing? For how Section /
No Yes/No, If many
Area*
No, how people? covered
often ?
Day to day supervision/
management of staff
Yes Ongoing
30
approx
Please describe the nature of the Responsibility
As a superintendent radiographer I ensure that the general radiology department is run efficiently, safely
in line with local and corporate policy. My unique specialist role extends to the training and supervision
Radiology of all radiology staff (HCA’s, radiographers, clerks and doctors and nurses), using all IT equipment.
Staff co-ordination
8
PACS
support
team
When issues arise with the PACS servers that cause downtime or impaired functionality, the PACS
manager must swiftly co-ordinate a resolution. Jobs include: man telephones, inform radiographers to
print film, coordinate with software engineers etc..
Yes Ongoing
4
PACS
support
team
PACS manager will allocate tasks to the PACS support team: Printing of films or creating CD-ROM’s.
Correcting patient records as part of data quality. Training staff to use Medview. Routine PACS server
checks. Basic statistical gathering from the RIS (Radiology Information System).
Yes Ongoing
30
approx
As a superintendent radiographer I would impart my professional knowledge of radiographic technique.
Radiology As a super-user (core trainer and administrator) on DR (Digital Radiography), I train other radiographers
to use this equipment safely and in line with local policy.
Yes Ongoing
Work allocation
Professional/clinical
supervision
Staff grievance or
discipline
No
Because of my experience I have sat on an interview panel for the roles of: PACS manager (Poole
Hospital) and Deputy to the PACS manager (Bournemouth Hospital).
Recruitment & selection
Twice in
last 2
Yes years
Radiology
Ensuring staff trained
appropriately /career
development
Yes Ongoing
1000
plus
Yes Ongoing
25
approx
As for “Professional/clinical supervision”
As PACS I am responsible for the training program (content and deployment), of the Medview software.
The PACS manager is also responsible for assisting in the career development of the ‘deputy to the
Radiology PACS manager’. – developing the role and clarifying the responsibilities.
Reviewing work
performance & progress
I provide statistical analysis from data pulled from both PACS and the RIS (radiology information system).
For example: Individual workloads, departmental workloads and various adhoc queries.
Radiology
Responsibility
Yes/ Ongoing? For how Section /
No Yes/No, If many
Area*
No, how people? covered
often ?
Please describe the nature of the Responsibility
Appraisals
No
Sickness absence
No
Workload & work
allocation for a
department
No
Providing practical
training / training in own
discipline
See “Professional/clinical supervision” above
Yes Ongoing
1000
plus
Entire
Trust
See “Ensuring staff trained appropriately /career development” above
Undertaking workplace
assessments of
practical skills eg NVQ
No
Supervision of student radiographers. (Not involved with their placement). See “Professional/clinical
Allocation & placement
& supervision of
students
Radiology supervision” above”
Yes
Delivery of core /
specialist training on a
range of subjects
Devising training
/development
Programmes
Yes On going
1000
plus
Entire
trust
Managing a teaching
/training function
Yes Ongoing
1000
plus
Entire
Trust
See “Managing a teaching /training function” below
I have created a set of videos that demonstrate how to use Medview (PACS software), which are installed
on key computers across the Trust and at Poole hospital and can be downloaded from the intranet.
As PACS I am responsible for the training program of the Medview software. Responsibilities includes:
Content of the program / promotion of the program (on the intranet) / deployment (training in groups and
one to one) / Media (over the phone instruction / documents on the intranet / videos to watch).
Responsibility
Yes/ Ongoing? For how Section /
No Yes/No, If many
Area*
No, how people? covered
often ?
Please describe the nature of the Responsibility
Providing HR guidance
No
Delivery of a range of
HR services
No
Managing an HR
function
No
Workforce &
organisational
development
No
Other
9.2
Do you have corporate responsibility for the HR function?
Yes [ ] No [ No ]
If Yes, please describe the directorate / organisation covered by this responsibility.
10.
INFORMATION RESOURCES
This factor measures the responsibilities of the job for all forms of information resources (for example, computerised, paper based, microfiche) and information systems (both
hardware and software, for example, medical records).
10.1
Are you responsible for typing /word processing /transposing /storing information; creating databases/spreadsheets or overseeing /implementing /designing
information systems? Yes [ Yes ] No [ ] If No please move on to Q11. If Yes please complete the table below.
USING
Do you:
Word
process/type
documents
/notes?
(eg test results,
correspondence, medical
or personnel
records)
Yes
/No
paperbased
records
computerised microfiche Please describe the information and give an indication of the complexity. State whether
records
software packages are used & whether the information was collected by other people,
and if so, by whom.
Various
PACS and
RIS user
guide and PACS and
Poster
RIS Data
Yes documents Quality
Store
information
e-mail and paper correspondence.
User guides and posters: Created to inform users how to use computer systems
efficiently and effectively in line with local policy. (MS word).


Yes
Design and
create
databases
/spreadsheets
RIS data
A&E film
request
database
Yes
Use computer
aided design or
similar 3D
design
programmes?
Yes
Voxar
Taking and
transcribing
formal minutes
No
How often?
Update and record new information on RIS for each examination performed.
Generate and publish statistical information pulled from RIS (radiology
information system) and presented in a spreadsheet or word document. (MS
Excel)
Designed and created A&E hardcopy film request database.
Created various databases to analyse statistical information pulled from RIS
(radiology information system), eg: ultrasound performance. (MS Access).
Dailey
Dailey
Once / twice a
year
I train and assist radiologists to use the Voxar software package that allows them to
create advanced Multi Planar Reconstructions, and 3D reconstructions of CT data
Once every
(Computerised Tomography), which are then archived to the PACS.
two weeks
USING
Do you:
Yes
/No
paperbased
records
computerised microfiche
records
Please describe and give an indication of the complexity. State whether software
packages are used
How often?
Adapt
information
systems to
specifications of
others
Yes
RIS
Yes
PACS
Yes
PACS and
RIS
Much of the statistical analysis gathered from the RIS is only achieved because
of my ability to create and run custom SQL scripts from the ‘backend’ of the RIS
database.
Once per week
I am the principle person involved with the introduction of PACS at the Trust. I
have been involved from its initial conception and contributed to every aspect of
its development. Including: system design and integration into new and existing
IT solutions (RIS and every X-ray modality eg: DR, CT etc). Promotion and
provision of information to all directorates (presentations, demonstrations,
literature etc). Training staff to use the system (the design and execution of a
comprehensive training program). Constantly reviewing ensuring that the
solution fulfils the needs of the Trust.
Ongoing since 2004
The trust has benefited from enhancements and developments to both the RIS
and PACS as a direct result of working with the software developers.
EG:
RIS – The ability to output HL7 information and PACS integration.
PACS – Theatre mode and overall performance issues.
Ongoing
PACS and
RIS
PACS – I play a role in every aspect of the management of this system.
RIS – I am a super user for this system and therefore perform general system
administrator tasks. For example: Adding new examinations codes and new
members of staff. Performing data quality tasks (resolving issues with rouge
records). Perform acceptance tests on the system when software and hardware
upgrades are applied.
Ongoing
Oversee the
introduction of
new information
systems
Design /develop
information
systems
Manage
information
systems
Yes
10.2 Do you have corporate responsibility for information systems?
If Yes, please describe the nature of this responsibility.
Yes [ Yes ] No [ ]
To manage the implementation and ongoing maintenance of the radiology PACS IT system. To make certain the solution fulfils the
various and diverse needs of the Trust, and to ensure that the solution can adapt in line with future corporate developments embodied
by the Governments Connecting For Health program.
11.
RESEARCH & DEVELOPMENT
This factor measures the responsibilities of the job for informal and formal clinical and/or non-clinical research and development activities underpinned by appropriate
methodology and documentation, including formal testing or evaluation of drugs, or clinical or non-clinical equipment
11.1
Do you have any active involvement in, or responsibility for the following research & development activities?
If Yes, please complete the table and questions below.
Do you:
Yes/ As part of a formal
No
research
programme?
How
often?
Amount of
time spent
on this
Yes [ ] No [ ]
Please describe what you do
Undertake
surveys
No
Undertake
audits
Yes No
Participate in
R & D, clinical
trials or
equipment
testing led by
No
others
Yes
Undertake
research /
develop ment work
No
Undertake
clinical trials
No
5 – 10
times per
year.
approx
I assist those undertaking the audits by compiling the necessary statistical data. This data is
3 – 7 days. pulled from the RIS (radiology information system), by using custom SQL scripts written by myself.
approx
I will often convert it into MS excel or MS Access for further analysis.
The PACS operates on a Citrix platform which is a completely unique approach to providing a
PACS solution. Between 2003 and 2004 Storcomm R&D team deployed this solution in radiology,
and was rigorously tested by myself. Tests included: performance, stability, functionality and user
friendliness.
During 2004 I worked with the R&D team at HEIS (Hospital engineering Information Systems) –
suppliers of the RIS to enable their product to output in HL7 and thereby communicate effectively
18 month with the PACS. My role was to provide the team with the exact specifications of what was needed
period
to enable this, and to test the resulting HL7 output for compliance.
Do you: Yes/No As part of a formal How often Amount of
research
time spent
programme
on this
Please describe what you do
Undertake
your own
equipment
trials
/adaptation
No
Co-ordinate
/ implement
R & D pro –
grammes /
activities
Yes
See “Participate in R & D, clinical trials or equipment testing led by others” above. As PACS
manager I have co-ordinated both the Storcomm and HEIS R&D program at the Trust.
Initiate &
develop R
& D programmes /
activities
No
Secure
funding for
R & D pro –
grammes/
activities
No
11.2
Does your responsibility for R & D have an impact outside the Trust / organisation?
Yes [ Yes ] No [ ]
If Yes, please describe below.
My involvement with the R&D team at Storcomm means that Storcomm now offers a unique and proven product.
My involvement with the R&D team at HEIS means that HEIS now have an industry standard HL7 compliant output.
12.
FREEDOM TO ACT
This factor measures the extent to which the jobholder is required to be accountable for own actions and those of others, to use own initiative and act independently and
the discretion allowed to the jobholder to take action. It takes account of any restrictions on the jobholder’s freedom to act imposed by, for example, supervisory control,
instructions, procedures, practices and policies, professional, technical or occupational codes of practice or other ethical guidelines.
12.1
Do you generally work with your supervisor/ manager close by / contactable by telephone?
Please now answer the questions in the boxes below.
How often How often is
on average
your work
is guidance/
checked/
advice given monitored/
assessed
Yes [ Yes ] No [
Please describe the nature of any supervision you receive, including the job title of the person giving the supervision/
guidance /advice
Radiographic
technique two times per
month
PACS
manager none
As the PACS manager I do not receive any typical supervision as such. (I would assume my performance as a manager is monitored
and measured by the performance of the PACS service – therefore my managers are confident to let me work autonomously).
I am not aware
that my role as As a radiographer, a radiologist or reporting radiographer will report upon the majority of the examinations that I have conducted. In this
PACS manager way my radiographic technique and image quality is being observed, very occasionally I will receive guidance or advice if it is thought
is monitored. necessary.
12.3







Please describe below the procedures, policies, protocols, codes of conduct which govern your work, including any requirement to interpret these.
As a radiographer and PACS manager I adhere to the radiology directorates:
Protocol for standardised radiological views.
Local Radiation Rules (the control of radiation within each clinical area)
Principles of ALARA (using radiation As Low As Reasonably Achievable when conducting X-ray examinations).
Professional code of conduct (treat each patient with the up most respect for their dignity, autonomy and humanity).
Comply with the Data Protection Act (with respect to recording and treatment of patient information).
Comply with IRMER (Ionising Radiation (Medical Exposure) Regulations 2000) regulations. (The recording of all radiation exposures taken).
COSHH (Care of Substances Hazzardour to Health). – Film chemistry.
12.4
Are you the lead specialist/professional in your field?
Yes [ Yes ]
No [ ]
Please describe including scope of the responsibility.
As the PACS manager I benefit from specialised knowledge of modern imaging technologies but also of how those technologies are best deployed in a busy hospital
environment. I have a unique perspective with regards to all aspects of the PACS service, from how it is used on the wards, theatres and offices etc. to the
technology that drives it such as the networking and servers.
I am responsible for: Satisfying the diverse range of requirements of the many end users (eg: clinics / theatres / meeting rooms / reporting offices etc). This includes
performance, uptime, functionality etc. and finding ways to improve the service as necessary.
12.5
Please give an example of two problems or decisions which you would typically deal with yourself.
As PACS manager:
 When the PACS servers are failing to perform as normal, investigation and corrective measures are needed.
 When a doctor from another hospital is requesting hardcopy films, I would make a decision as to whether to provide the films and whether to charge for this
service.
As a radiographer:
 A patient presents for a standard examination, I would take additional images if I felt that a further views were justified. EG: patient X-ray request form
asked for wrist views (query fracture), only – however I felt after examining the patient myself that the elbow joint was suspicious too.
 Not performing examinations that were not clinically justified on the X-ray request form, or did not fulfil the radiology departments local policy. EG: xraying ribs, nasal septum or coccyx.
12.6
Please give an example of two problems or decisions which you would typically discuss with your supervisor /manager.
As a PACS manager I would typically discuss issues relating to the PACS contract between the Trust and Hewlett Packard. EG: When matters arise concerning
equipment support, down time and upgrades.
As a superintendent radiographer I would discuss issues relating to the Radiology service. EG: mounting patient waiting times in A&E at weekends and what
measures to put in place to address this problem.
13.
PHYSICAL EFFORT
This factor measures the physical effort (sustained effort at a similar level or sudden explosive effort) required for the job. It takes account of any circumstances that may affect
the degree of effort required, such as working in an awkward position or confined space.
13.1
Does your job require any of the following:
Job
Yes / No
Requirements
Standing/walking
for substantial
periods of time?
Yes
Please give an example (s)
Av. No. of
No. of Av. Duration Av. Weight
shifts per times per
of each
lifted
week
shift
occurrence
As a radiographer there are no tasks that can be done whilst sat down.
(As a PACS manager the job is split approximately 50 / 50 between sitting
and walking).
1 shift per
week as a On feet
radiographe throughout
r
shift
3 ½ hours
As a radiographer – updating RIS and PACS following each examination conducted.
1
Approx 40 1 minute
4
Approx 15 15 minutes
Standing / sitting
with limited scope
for movement for
long periods?
No
Making repetitive
movements?
No
Inputting at a key
board
As a PACS manager – correspondence / data quality control etc
yes
Kneeling,
crouching,
twisting, bending
or stretching?
Yes
Climbing or
crawling?
No
As a radiographer – transferring patients / manoeuvring the X-ray tube or bucky / patient
positioning - near floor (EG: weight bearing knees) or stretching across X-ray table (EG:
Abdomen).
1 shift per
week as a
radiographe
r
Approx 20 30 seconds
Working in
physically
cramped
conditions?
No
Job
Yes / No
Requirements
Please give an example (s)
Av. No. of
No. of
shifts per times per
week
shift
Av. Duration
of each
occurrence
Working at
heights?
No
Pushing/pulling
trolleys or
similar?
The is a minimal portering service between X-ray and A&E / CDU. With the
exception of the walking wounded, the radiographer carries out the majority of the
portering of patients to and from these busy areas.
yes
1/2
40 (each
way)
1 ½ minutes
1/2
4
2 minutes
Running?
No
Cleaning/pot
washing?
No
Lifting weights/
equipment with
mechanical aids?
As a radiographer I will often need to move and transfer patients. (EG: a patient from a
trolley or chair to the X-ray table and back).
Yes
Lifting weights/
equipment
without
mechanical aids?
No
As a radiographer lifting the back of a trolley, or moving the steps (a wooden box for
elevating the patient for certain examinations).
As PACS manager I will occasionally need to re-locate computers and their monitors.
Manual digging?
No
Other, please
specify
Yes
As both a radiographer and a PACS manager participating on the on-call systems I often
work outside normal working hours (Monday – Friday 9am – 5pm). Furthermore the
duration of my shift can often extend significantly beyond 8 hours depending upon the
situation. For example: Technical breakdowns / late or early meetings / deadlines to meet /
out of hours PACS training / busy periods in A&E.
Av.
Weight
lifted
14.
MENTAL EFFORT
This factor measures the mental effort (concentration, responding to unpredictable work patterns, interruptions and the need to meet deadlines) required for the job.
14.1
Please tick the appropriate box in the table below and describe the level of alertness/concentration which you are required to have when undertaking certain activities.
*Please note that the periods of time in the table refer to continuous periods of concentration.
Frequency
Are you
required to
Interruptions
Average How often Are there If Yes, do they
Duration
per
interrupti require you to
(continu- shift/day/
ons?
change what
ously)*
week?
you are
doing?
Check
documents
5
minutes
Once to five
times per
day
yes
5
minutes
Approx 5
times a
week
Carry out
calculations
Please give an example
Writing up Medview training timetable for publication on the intranet.
Reading and understanding correspondence relating to PACS or RIS implementation.
Proof reading letters from radiology clinical director that in relate to complicated PACS issues or policies.
yes
Routine monthly statistics: for thoracic medicine, for radiology (korner, exams per hospital etc).
Radiologist workload statistics.
Adhoc statistics requested by various people. (for audits).
yes
yes
yes
yes
Analyse
statistics
See
above
Operate
equipment
/machinery
60
50 per
seconds week
Operating the X-ray equipment for each examination conducted.
Drive a vehicle
15
5 per
month
Driving between Bournemouth, Christchurch and Poole hospitals (and Shelley Road PCT)– for scheduled
meetings and to respond to PACS related problems when they arise.
No
Carry out
screening tests/
microscope
work
No
Carry out
clinical
/therapeutic
/social care
diagnoses
10
minues
40 times
per week
yes
yes
Conducting various diagnostic X-ray examinations . GP referrals, clinic referrals and A&E referrals.
/assessments
*
Please note that the periods of time in the table refer to continuous periods of concentration
Are you required Average
to
Duration
under 1
hour*
Attend meetings
(please describe
role)
No
How
often?
Twice
month
Are there If Yes, do
interrupti they require
ons?
you to
change what
you are
doing?
Please give an example
Various PACS project planning meetings – with software engineers / Radiology and IT management /
clinical teams etc.
Role: As customer. As PACS manager. As project manager.
no
Prepare detailed
reports
No
Carry out formal
student/trainee
assessments
No
Undergo cross
examination in
court
No
Carry out clinical,
therapeutic or
social care
interventions/
treatment
No
Carry out non clinical fault
finding
Yes
Other, please
specify
14.2
Problems with PACS servers – the service stops functioning as normal.
Computers stop functioning as normal – EG: scanners, printers, CD burner stop working.
yes
yes
Software beta testing – new versions of Medview or the RIS.
As both a radiographer and a PACS manager participating on the on-call systems I often work outside
normal working hours (Monday – Friday 9am – 5pm). Furthermore the duration of my shift can often
3 times per
extend significantly beyond 8 hours depending upon the situation. For example: Technical breakdowns /
Yes
week
Yes
Yes
late or early meetings / deadlines to meet / out of hours PACS training / busy periods in A&E.
Is the pattern of your work predictable in nature?
Yes [ ] No [ No ]
If No , Please describe in the box below, including examples of activities/responsibilities that make it unpredictable
10 times
per week
The role is heavily centred on trouble shooting and resolving problems as they happen. The major unpredictable aspects to the job are caused by unexpected computer
system failures. The small (eg: a secretaries printer won’t work) and the large (eg: the PACS service stops enterprise wide in the middle of the day), both require your
instant attention and necessitate you to re-evaluate what you focus upon. Other distractions include data quality issues that need immediate attention.
15.
EMOTIONAL EFFORT
This factor measures the emotional effort required to undertake clinical or non-clinical duties that are generally considered to be distressing and/or emotionally demanding.
15.1
Please complete the table below, indicating whether you carry out the activities listed as examples.
Examples
Giving un-welcome news to patients
/clients /carers /staff
Number of
Please describe, including the degree of ongoing involvement with the distressed/angry patient/client
occasions per
week /month/year
5 times per week
Often have to explain to staff (doctors and doctors secretaries), that the radiology department will no longer
provide them with hardcopy films of examinations performed without paying for them. This does cause some
individuals to express anger due to their frustration of the new systems rules.
Processing
(e.g. typing / transmitting) news of
highly distressing events
No
Providing a service for distressed /angry
patients/clients
No
Dealing with difficult situations /
circumstances
Yes
See “Giving un-welcome news to patients /clients /carers /staff” above.
Designated to provide emotional support
to front line staff
No
Providing a care or therapy service to
emotionally demanding patients/clients
As a radiographer patient can occasionally use their time with you to express their private problems or
frustrations. There is no ongoing involvement with the patient once the examination has ended other than to
inform the patient care team if felt appropriate.
Yes
Caring for the terminally ill
No
Communicating life changing events to
patients/clients
No
Dealing with people with challenging
behaviour
Yes
Arriving at the scene of a serious
incident
No
Other
As a radiographer, my patients can present with all manner of challenging behavioural characteristics. EG:
intoxicated, mentally or physically disabled, aggressive or depressive.
16.
WORKING CONDITIONS
This factor measures the demands arising from inevitably adverse environmental conditions (such as extreme heat/cold, smells, noise, fumes) and hazards, which are
unavoidable (even with the strictest health and safety controls), such as road traffic accidents, spills of harmful chemicals, aggressive behaviour of patients, clients, relatives,
carers).
16.1
Please describe where you work and state percentage of time in each area
PACS server room – very noisy and cold (18 degrees) with fans – 10 %
My office – 50%
In radiation controlled areas (ie: X-ray rooms) – 20%
Elsewhere in the Trust (responding to problems eg: on wards, theatres, in clinics etc) – 20%
16.2
Please complete the table below concerning the conditions in which you are required to work or illness /injury to which you are exposed.
Are you required to
Yes Frequency
Please describe the requirement
work in, directly with or /No
per
exposed to:
week/month/
year on
average
Driving/being driven in
normal situations
(excluding driving to work)
Driving between Bournemouth, Christchurch and Poole hospitals (and Shelley Road PCT) – for scheduled meetings and to
5 times per respond to PACS related problems when they arise.
Yes month
Driving/being driven in
emergency situations
No
Inclement weather
No
Use of VDU more or less
continuously
Most tasks that I perform require the use of VDU.
Yes
Excessive temperatures
5 times per
Yes week
The temperature in the PACS server room is 18 degrees with significant air circulation (fans cold air).
Are you required to Yes /No Frequency
work in, directly with
per
or exposed to:
week/month/
year
Please describe the requirement
Unpleasant smells/
odours
Yes
As a radiographer it is not uncommon for my patients to suffer with diaherra or vomiting or urinary infections.
Excessive noise and/or
vibration
No
Dust / dirt
No
Humidity
No
Exposure to dangerous
chemicals/substances
in containers
Yes
As a radiographer there are still some areas where conventional film is used. This requires chemicals such are developer
and fix. (Orthodontic department).
As a radiographer I use and control ionising radiation in every examination I undertake.
Exposure to aggressive
verbal behaviour where
there is no or little
support
Yes
Unpleasant
substances/nonhousehold waste
No
As a radiographer working in A&E it is not uncommon to be working alone (and outside normal working hours), with
patients who can express aggressive verbal behaviour.
Are you required to Yes /No Frequency
work in, directly with
per
or exposed to:
week/month/
year
Please describe the requirement
Noxious fumes

Infectious material /
Foul Linen

Yes
As a radiographer it is not uncommon to have patients present with foul linen. EG: those who
have been sat in A&E unattended. In these circumstances I would always change their linen and
gown without delay and whilst in my care / supervision.
Also see” 6.2
Do you provide a cleaning or food delivery service directly to, or in the immediate
vicinity of patients /clients?” above.
Fleas or lice
As a radiographer working in A&E it is not uncommon to have patients who present with fleas or lice.
Care is taken to wear apron and gloves during the examination and to clean the room thoroughly
afterwards.
Yes
See “Infectious material / Foul Linen” above. As a radiographer it is not uncommon to assist patients
who are vomiting, have snagged cannula’s or bleeding wounds, or have soiled themselves. Care is
taken to wear apron and gloves during the patient care and the examination itself. The room is
cleaned thoroughly afterwards.
Body fluids, faeces,
vomit
Yes
Exposure to dangerous
chemicals/substances
not in containers
Yes
Other, please specify
As a radiographer I am potentially exposed to ionising radiation for every examination I perform.