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Band 8a Clinical Perfusion Scientist

4 months ago

London, United Kingdom Imperial College Healthcare NHS Trust Full time

Job summary

Theperfusion team at Hammersmith Hospital are seeking to recruit for anenthusiastic and self-motivated individual to join their friendly and committedteam as Bank Perfusionist. Applications are invited from accreditedperfusionists registered with the College of Clinical Perfusion Scientists ofGreat Britain and Ireland, with experience of adult perfusion practiceincluding minimally invasive surgery, cell salvage, intra-aortic balloontherapy (IABP) and VA-ECMO. As a Bank Perfusionist, working on the bank is onan ad hoc basis to fill service needs and your availability

Main duties of the job

To comply with the Code and Standards ofPractice as defined by the Society of Clinical Perfusionists of Great Britainand Ireland.

High level of competence in performing a broadrange of routine adult clinical perfusion techniques and procedures.

Maintain good working relationships withmembers of the multi-disciplinary team.

About us

Join Imperial CollegeHealthcare andbecome part of a community of 12,000 staff working with a wide range ofpartners to offer better heath, for life.

Formed in 2007,we are one ofthe largest NHS trusts in the country providingacute and specialistcare to over a million patients each year in central and north London andbeyond.

With aglobal reputation forground-breaking research and innovation as well as excellence ineducation,weoffer huge expertiseacrossa wide range ofclinical specialities.

Alongside our five hospitals CharingCross, Hammersmith, Queen Charlottes & Chelsea, St Marys and the WesternEye we have a growing number of community and digital services, reflectingour commitment to developing more integrated care with our also provide private healthcare at all of our hospitals (in dedicatedfacilities).

Together with Imperial College Londonandtwo otherNHS trusts, we form one of six academic health sciencecentres in the UK focused on translating research into better patient care.We also host one of 20 National Institute for Health Research biomedicalresearch centresin partnership with Imperial College London.

Our mission is to be a key partner in our localhealth system and to drive health and healthcare innovation, deliveringoutstanding care, education and research with local, national and worldwideimpact

Job description

Job responsibilities

1. Job Purpose:

Contribute to the provision of a clinical perfusion service for the Trust, incorporating a primary responsibility to the Hammersmith Hospital anda peripatetic clinical service to the Trust in general. This will includecardiopulmonary bypass, cell salvage and intra-aortic balloon pump systems.

2. Key Stakeholders:

Cardiothoracic surgeons Anaesthetist Nurses and Healthcare Assistants Operating Department Practitioners Surgical Care Practitioner

3.Key areas of responsibility

Highlevel of competence in performing a broad range of routine adult clinicalperfusion techniques and procedures. Contributeto the maintenance of standards and quality in perfusion services. Participate in 24/7 on-call perfusion servicewithin the Trust.

4.General responsibilities

ClinicalPractice

To comply with the Code and Standards of Practice asdefined by the Society of Clinical Perfusionists of Great Britain and Ireland. To take, withappropriate delegation, responsibility for the delivery of a highly specialisedperfusion service across the Trust including cardiopulmonary bypass, intra-aorticballoon pump and cell salvage procedures, with an adaptable approach to ensurea flexible and effective service is maintained. To demonstratespecialist skills, knowledge and expertise in both Adult clinical practice.Applying these skills to the supervision and training of others throughout thedepartment and the multi-disciplinary team. Draw on knowledge ofa range of theories to inform practice. Assist in developing strategies for themanagement and delivery of care for the client group. Setting up, primingand running bypass equipment for Adult cardiac surgery procedures, according tothe perfusion procedures and protocols and to play a full role in the routinecardiac surgical programme. Ensure qualitycontrol, calibration and maintenance of expensive and complex medicalequipment, ensuring accurate and safe use during clinical procedures. Assess the patientfor relevant medical history, pathology and diagnosis and make appropriateclinical decisions concerning the conduct for a range of Cardiac proceduresincluding Adult and complex congenital. To administer drugs,according to local policy and as necessitated by the clinical situation priming solutions, anticoagulants, inhalational anaesthetic agents, potassium,and cardioplegic solution Participate in the on-call rota to provide 24/7perfusion cover within the Trust including trauma at St Marys Hospital in order to meet demand. Be fully conversantwith specialist techniques and perfusion procedures as required by individualpatients such as, cerebral perfusion, vacuum assisted venous drainage, IABP andblood conservation techniques. Ensure that theperfusion department is able to assist in the insertion and management ofintra-aortic balloon pumps as required by individual patients throughout theTrust. Encourage, implementand take a full role in departmental and individual projects, with a commitmentto research based clinical practice. Contribute toevidence-based clinical practice to maximise clinical effectiveness. Liaise with othermembers of the Perfusion Team/Service Manager and medical staff agreeingworkload for the unit in order to meet contractual requirements advising ofproblems in advance. Initiate andcontribute to the development of and implementation of protocols and proceduresas relating to perfusionist duties, developing and reviewing documentation,according to the policies and practice committees. Participate in ensuring quality control,calibration and maintenance is in place for the relevant specialist perfusion/bloodmanagement equipment and intra-aortic balloon pumps. Maintain accurate perfusion records duringclinical activity. During the operative procedure exercise extremevigilance of the patients haemodynamic status with accurate and appropriateinterpretation of the wide range of data outputs. On assessment of thesethroughout the procedure, respond to changes and deliver concise accurateinformation to the surgical and anaesthetic team Keep up-to-date with developments withinperfusion, undertaking additional training as appropriate.

Qualityand Service Development

Be proactive in the updating and development ofdepartmental Standard Operating Procedures taking into account current evidenceand clinical governance to optimise clinical outcomes. Contribute to projects for perfusion-relatedservice development within the context of multidisciplinary team settings andservice delivery plans. Participate in ensuring adequate policies arein place to protect the patient from risk, for example, by helping prevent thespread of infection. Contribute toeffectivecommunication systems that are established throughout the Directorate andacross the Trust, ensuring that all communication is relevant and appropriate.

Policies/ Service Development / Implementation

Deliver, withappropriate delegation, perfusion team objectives and projects to ensure aseamless delivery of service across both clinical sites. To negotiate withothers around service issues and caseload management. To facilitateinvestigation into complaints, accidents / incidents made in respect of thePerfusion Department, feeding back to the Chief Perfusionist To facilitate themanagement of specific clinical issues and ensure appropriate communicationpathways are developed and evaluated across the service. To support staff toimplement team objectives and projects. To contribute to,develop and monitor that protocols are in place for each specified area of theclinical perfusion service. To advise perfusionmanager on issues of service delivery including shortfall, service pressuresand activity. To assume delegatedtasks as requested by line manager, including leading on policy developmentwithin area of clinical expertise. To support thedevelopment of specialised care protocols relating to a range of issues toimprove patient care blood conservation techniques employed within theTrust.

Financialand Equipment Resources

Participate with the procurement of perfusionrequirements ensuring adequate equipment is available when required andensuring that budgetary responsibilities of the service are managed to avoidadverse financial situations. To support a perfusion equipment profile, ensuringthat all equipment is in safe working order and regularly maintained withadequate records of work undertaken. Appropriate action should be instigatedwhere equipment is found to be faulty. Avoid waste, identify cost pressures andopportunities for saving to help ensure service provision is within theallocated budget.

Information Resources

Accurately collect clinical data usingappropriate software. Contribute to the maintenance, development andreview of appropriate activity records and information for audit, finance,equipment and performance management, professional registration andbenchmarking purposes. Support the Chief Perfusionist in monitoringappropriate data for service benefit, identifying trends and makingrecommendations. To maintain up to date and accurate patientcase notes in line with Society of Perfusionists of Great Britain and Irelandand professional standards and local Trust policies.

Audit andResearch

The post holder is expected to participate inthe Trusts clinical effectiveness activities, and to maintain and fosterimprovements in the quality and standards of clinical services. In conjunction with the Chief Perfusionist,assist the Directorate team to meet clinical governance targets and contributeto reporting processes. Contribute to the development and delivery ofresearch opportunities relating to the practice of perfusion support andcontribute to the Imperial College academic and service development programmes. To participate in research activities and helpdetermine suitable methodology for research or service development projects. Ensure that completed research is presented tothe wider perfusion community.

Freedom to Act

To interpret andimplement national and local policy relevant to specialist clinical area /service area. To takeresponsibility within own team. Manage highly complexcases independently as an experienced autonomous practitioner. To monitor andevaluate own highly specialist service delivery and that of others in thespecialism / team. To be accountable forown professional action and recognise own professional boundaries throughinterpretation of clinical / professional policies. To work withindefined departmental and national protocols / policies and professional code ofconduct. To work independentlyaccessing appraisal within an individual performance framework atpre-determined intervals.

5.Scope and purpose of job description

A job description does not constitute a term andcondition of employment. It is provided only as a guide to assist the employeein the performance of their job. The Trust is a fast moving organisation andtherefore changes in employees duties may be necessary from time to time. Thejob description is not intended to be an inflexible or finite list of tasks andmay be varied from time to time after consultation/discussion with thepostholder.

Person Specification

Qualifications

Essential

Post Graduate Diploma in Perfusion Science or equivalent Basic Accreditation with the Society of Clinical Perfusion Scientists of Great Britain and Ireland Active Registration with the College of Clinical Perfusion Scientists of Great Britain and Ireland

Desirable

Advanced Accreditation with the Society of Clinical Perfusion Scientists of Great Britain and Ireland MSc in Perfusion Science

Experience

Essential

Experience with a range of adult perfusion techniques and with using perfusion equipment and devices Experience in minimally invasive valve surgery Competent in point-of-care testing including TEG

Desirable

Experience in minimally invasive extracorporeal circulation (MiECC) systems Experience in VA-ECMO

Skills / Knowledge / Abilities

Essential

Ability to work under own initiative Ability to cope with pressure and stress when dealing with complex and/or emergency cases. Ability to work within a multi-disciplinary team Has effective communication and negotiation skills Ability to demonstrate conflict resolution skills Ability to deal with emergency situations Provide evidence of continuing professional education Advanced computer literacy and IT skills

Desirable

Ability to develop departmental standards of practise/protocols specific to perfusion Ability to demonstrate the application of expanded roles/skills within a clinical setting

Values and Behaviours

Essential

Innovative Punctual Polite and Respectful Compassionate and caring Team player

Other Requirements

Essential

Physical qualities sufficient to fulfil the duties of the post such as moving equipment and setting up and running cardiopulmonary bypass. Ability to maintain high levels of concentration during extended cardiac procedures Participate in 24/7 on-call perfusion rota