The Cardio respiratory Department provides a comprehensive range of invasive and non invasive investigations throughout the North Lincolnshire and Goole Hospitals NHS Trust, and also for the local Primary Care Trusts.
The post holder will be required to work as an independent practitioner, to work unsupervised in most areas, as well as part of a multidisciplinary team.
Good communication skills are necessary in order to liaise with patients, relatives and a range of clinical staff. A high level of tact and diplomacy is required as well as strict adherence to Trust rules of confidentiality
To perform the majority of the full range of non-invasive and invasive investigations performed within the Cardio-Respiratory Department at Scunthorpe and Goole Hospitals. These investigations include:
• Recording and monitoring Electrocardiograms in all patient areas. Interpreting results and taking appropriate action as necessary
• To perform ambulatory monitoring, including 24hr Holter and long term event recorders and BP monitoring, ensuring the appropriate device is used and precise application for optimum recordings.
• To download ambulatory monitors, perform analysis of results using local protocols, and taking appropriate actions where necessary
• To perform medically supervised and physiologist led exercise stress testing. Monitoring and observing the patient throughout the investigation, advising junior supervising doctors if necessary.
• To check the resuscitation trolley and defibrillator within the Exercise Stress Test laboratory, and replenish/report faults as necessary.
• Delivers defibrillation therapy in the event of a cardiac arrest within the Stress Testing laboratory
• Preparation and calibration of pressure transducers/monitors and ECG monitoring system within the Cardiac Catheterisation laboratory, trouble shooting as necessary
• Monitoring and recording haemodynamic measurements (ECG, BP, intra cardiac pressures and oxygen saturation levels) during cardiac catheterisation of both left and right heart studies, identifying relevant changes/abnormalities and informing the operator.
• Assist with CPR in the event of a cardiac arrest within the Cardiac Catheterisation laboratory
• To assist in permanent pacemaker implantation, monitoring ECG and oxygen saturation levels
• Measure and assess pacing parameters for optimal pacemaker lead placement at implant. Post implant checks to assess correct functioning of the pacing system, and programme system appropriately.
• Interrogate, analyse and programme pacemakers during physiologist led follow up clinics. Assist in making changes when required, to maintain optimum programming for patient quality of life
• To perform transthoracic echocardiography, making technical adjustments in order to gain optimum recording. Produce a preliminary technical report for assessment
• To assist the Cardiologist during transoesophageal echocardiography.
Clinical Governance and Audit
• Keep quality records of all work performed
• Collect and collate statistic as required for future planning of the development of strategic and business plans for the department.
• To identify hazards in the work area, evaluate the risk level associated, and contribute towards implementing adequate controls to eliminate or reduce the level of risk
• To inform line manager of any safety issues that could affect people in the work place
• Post holder must comply with all Trust and local policies and procedures
• Must be aware of the responsibilities placed upon them under the Health and Safety Act 1974
• Undertake simple fault remedy, cleaning and maintenance of equipment used
• Supervise and take responsibility for the work of other Clinical Physiologists and ATOs when they are performing work under the post holders direction
• Prioritise and manage own work
• Participate in relevant meetings where necessary, with cardiology and respiratory consultants, nurse specialists and fellow staff members
Teaching and Training
• Teach and train other members of staff within the ECG department
• Teach and train medical students from the Hull and York Medical School.
• Give presentations on training courses, and for nursing/junior medical staff when needed.
• Supervise trainee cardiac physiologists
• Participate in Continuing Professional Development (CPD) programmes
• Attend relevant seminars, conferences and courses as required to maintain CPD
• Keep abreast of clinical and technical developments
• Maintain the Resuscitation Council Intermediate Life support certification
• Maintain Voluntary State Registration under the RCCP
- BSc in Clinical Physiology or equivalent (e.g. HNC, ASCT part 1 and 2, plus experience)
- ILS certification
- RCCP Voluntary Registration
- Appropriate post qualification experience
- Detailed knowledge of non-invasive Cardiology investigations
- Basic understanding of echocardiography/invasive cardiology
- Able to prioritise and manage own work
- Be able to liaise with staff and patients at every level appropriate to the service
- Be able to exercise own initiative as appropriate within own specialist areas of competency
- Good communications skills
- Time Management skills
- IT literate
- Able to undertake complex eye-hand co-ordination tasks such as electrode placement
- Good attendance record
- Ability to work alone and as part of a team
- Physically fit
- Good salary