Job Description
Job summaryPerform a comprehensive range of routine and complex non-invasive cardiac investigations primarily on adult patients.To professionally develop, acquiring specialist technical skills in non-routine procedures, and adapt to the changing needs of the department.Supervise less experienced staff in own area of work, so maintaining the service.Train new and less experienced staff in own area of work, so developing staff.Adhere to departmental policies and procedures, ensuring a quality service is maintained throughout all sections of the department across the three sites.Main duties of the jobElectrocardiography (ECG), including analysing ECG's recorded by others and advising when it is safe to send a patient home following ECG or when further medical opinion should be sought.Application/issuing of ambulatory monitors (ECG) on adult patients.Analyse and produce a clinical report of ambulatory recordings (which may be basic or complex), which requires a high level of concentration over a period of time.Manage exercise tolerance tests, which require a high degree of precision and sensory coordination, and interpret results, providing an accurate clinical report.Manage doctor led exercise tolerance tests for high risk cardiac patients, interpret results and compose an accurate clinical report.Application and issue of Event recorders on adult patients.Analyse and produce a clinical report of event recordings.Perform emergency defibrillation, attending cardiac arrests if requiredAbout usWe are one of the biggest and busiest NHS trusts in the country, incorporating the General, Glenfield and Royal Infirmary hospitals. We have our very own Children's Hospital and run one of the country's leading heart centres.Our team is made up of more than 17,000 staff providing a range of services primarily for the one million residents of Leicester, Leicestershire and Rutland.We work with partners at the University of Leicester and De Montfort University providing world-class teaching to nurture and develop the next generation of doctors, nurses and other healthcare professionals, many of whom go on to spend their working lives with us.Our Trust Valueswe are compassionate,we are proud,we are inclusive, andwe are one teamOur patients are at the heart of all we do and we believe that 'Caring at its best' is not just about the treatments and services we provide, but about giving our patients the best possible experience.About the University Hospitals of Leicester NHS Trust: (leicestershospitals.nhs.uk)The detailed job description and main responsibilities are included as an attachment to this advert.Job descriptionJob responsibilitiesKEY WORKING RELATIONSHIPSAll Cardiac physiology staffSection ManagersAdministrative & clerical staffNursing and Medical staffDoctors, GPs, and ConsultantsCatheter lab staffPortersAmbulance staffOutpatientsKEY RESULT AREAS1. Undertake specialised technical procedures listed below, which may be repetitive in nature, but require a high degree of precision, concentration over long periods, sensory coordination, and instantaneous decision-making.2. Analyse and interpret hard copy and real time results (which may be complex and either urgent or routine in nature) and communicate these to the operator or referring clinician in order that the appropriate immediate actions can be taken.3. The actions (point 2) for which the post-holder is responsible may include:DefibrillationResuscitationTemporary pacingAssisting with the insertion of an Intra-Aortic Balloon PumpEmergency transfer to theatre4. Process test results and ensure that they are made available to the referrer via the correct route (orally, written or electronically) and within department time standards.5. Perform the procedures/investigations listed below on a routine basis: -Electrocardiography (ECG), including analysing ECGs recorded by others and advising when it is safe to send a patient home following ECG or when further medical opinion should be sought.Application/issuing of ambulatory monitors (ECG & BP) on adult and paediatric patientsAnalyse and produce a clinical report of ambulatory recordings, which requires a high level of concentration over a periodManage exercise tolerance tests, which require a high degree of precision and sensory coordination, and interpret results, providing a clinical report.Provide technical support, including monitoring, recording, and assessing ECG, blood pressure recordings and oximetry, during left heart catheterisation, PCI, pericardial aspiration, right heart,and congenital and paediatric catheterisation proceduresCardiac Output studiesCatheter valvuloplasty (e.g., mitral)Trans-catheter valve replacement e.g., TAVIPerform routine elective cardioversion and emergency defibrillation, attending cardiac arrests as required.Provide technical support during intra-aortic balloon pump insertion to include setting up of the pressure monitoring line; selection of appropriate balloon size and adjustment of inflation/deflation times as necessary.Perform echocardiography on patients from all medical and surgical disciplines, acquiring images and interpreting the to produce a clinical reportProvide technical support during temporary and permanent pacemaker and implantable loop recorder implantation, by:I. Selecting the most appropriate device for implant, according to the patients symptoms and disease aetiologyII. Assessing the position of the pacing lead(s) by performing electrical measurementsIII. Advising clinicians on the acceptability of the resultsProvide pacemaker and ICD follow-up and troubleshooting service for a wide range of implantable devices, including making programming decisions and changes based on interrogated information, for the benefit of the patient, under the guidance of senior staff in the CRM team. 6. Assist ChiefCardiac Physiologists during:ICD ImplantComplex echocardiography studies, e.g., TOE, stress echoElectrophysiology and ablation studies by interpreting and analysing intracardiac signals, and, as instructed by the operator, performing intracardiac pacing and ablation.7. Recognise life-threatening arrhythmias and, following adult ILS or paediatric BLS training, act in accordance with the protocols8. Recognise less critical problems and, as appropriate, assist other staff to solve the problem or seek appropriate assistance from medical or other senior staff within the area.9. To respond to emergency/urgent calls and aid as required by the team responsible for the patient e.g., in the event of cardiac or respiratory arrest or collapse.10. Provide clinical supervision and assistance to junior / less experienced staff in own area of work and be able to deal with ad-hoc interruptions by junior / less experienced staff requiring immediate assistance with clinical or technical issues.11. Prepare equipment, ensuring that daily checks are carried out and the equipment is safe to use.12. Prepare the patient prior to the test, where necessary, ensuring repeatable, accurate electrodeplacement to obtain the desired results, and instruct the patient on the test procedure.13. Operate equipment correctly; demonstrating accurate keyboard skills and observation of therolling ECG and/or pressure measurements throughout several procedures e.g., exercise tolerance tests, ambulatory ECG analysis, left heart catheterisation.14. To organise and prioritise own day-to-day workload according to the urgency of the tests, and respond to requests for additional tests, delegating tasks to junior staff as necessary.15. Effectively communicate with all patients, in a re-assuring and helpful manner, to obtain the information necessary prior to performing the test and to gain their co-operation during the test.16. Communicate with all cardiac physiologists, medical staff, and general practitioners regarding individual patient care as appropriate. This may include communicating complex, detailed information that needs to be imparted to the practitioner in a manner that they will understand.17. Recognise the sensitivity of some of the information received and ensure that patient confidentiality is always maintained.18. On occasion, deal with confused and aggressive patients, relatives and carers with tact and diplomacy.19. Ensure accurate documentation of procedures performed on a manual or computerised database.20. Transport equipment, (which is light, medium, or heavy weight and manoeuvrable, but may be sensitive and expensive) required for the procedure to outpatient clinics or wards, to provide the same quality service away from the main department.21. Ensure all equipment used is safe to use, kept clean and fully stocked, reporting faults to medical physics/appropriate manufacturer/medical devices agency.22. Adhere to existing departmental protocols/procedures and refer to senior staff as necessary.23. Maintain a high level of professionalism when potentially distressing or upsetting situations arise and on the occasions that working conditions are unpleasant e.g., when attending a cardiac arrest or when there is contact with bodily fluids.24. Responsible for keeping own skills up to date, attending lecture programmes and acquiring additional skills in specialised procedures.25. Assist in the training and supervision of personnel learning the management of ETT, including doctors, senior nurses, and departmental staff of various grades, taking responsibility for ensuring all necessary documentation is satisfactorily completed and that a clinical report on these studies is produced.26. Participate in the departmental appraisal process for own professional and personal development and progression.27. Participate in audits, research and clinical trials performing tests to agreed protocols.28. Undertakes and adheres to departmental policies for: -Risk ManagementHealth & SafetyConfidentialityData protectionFireInfection controlChild protectionEquipment malfunctionIdentification of patientsUniform31. The post-holder will be primarily based at one of the sites and will be required to rotatethroughout the department and across site to encourage personal development and maintain service provision.32. Any other duties that may be assigned by the Senior Chief Cardiac PhysiologistGENERALParticipate in the catheter lab on-call rota, thus assisting in providing a departmental 24-hour service within the Trust.Participate in weekend, evening and Bank Holiday working as required to reduce length of stay.You will be required to maintain compliance with all statutory and mandatory training requirementsPerson SpecificationEducationEssentialBSc Clinical PhysiologyEligibility to register with RCCP or AHCSDesirableAdult ILSPersonalEssentialRemain calm under pressureDecisive and organisedDesirableLeadership SkillsKnowledgeEssentialGood understanding of Non invasive Cardiac ProceduresGood IT skillsWorking patternEssentialAble to work throughout LeicestershireFlexible working pattern-Hours/daysDisclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Certificate of SponsorshipApplications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).Employer detailsEmployer nameUniversity Hospitals of Leicester NHS TrustAddressGlenfield HospitalGroby RoadLeicesterLE3 9QPEmployer's websitehttps://www.jobsatleicestershospitals.nhs.uk/ (Opens in a new tab)