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Senior Clinical Perfusionist (XR08)

Employer
Leeds Teaching Hospitals
Location
Leeds
Salary
£50,952 to £57,349 a year
Closing date
20 Jul 2024

View more

Profession
Other Health Profession
Grade
Band 8A
Contract Type
Permanent
Hours
Full Time
An excellent opportunity has arisen to make the move to this exciting City in the heart of Yorkshire and join Leeds Teaching Hospitals NHS Trust. Leeds General Infirmary is due to embark on a significant period of change, with two new hospitals planned on the existing site. The established Perfusion department is looking to recruit either a Basic Grade or Senior colleague, dependent on experience, to support the busy and diverse cardiac surgical services based close to the City centre. We cover approximately 1100 combined neonatal to adult cardiac operation per year, through four operating theatres and the delivery of complex hybrid procedures in both adult and paediatric purpose built hybrid laboratories.

Expected Shortlisting Date: 22nd July

Planned Interview Date: 29th July

Main duties of the job

As an autonomous allied health professional, a Clinical Perfusionist should offer a comprehensive, specialist clinical and technical perfusion practice during both routine and emergency procedures as a vital member of the multidisciplinary team. In addition to continued care for patients requiring mechanical circulatory support in intensive care. As a team, we must also participate in the continued development and improvement of current practices and protocols as well as any future research and expansion of perfusion and cardiac surgical services within Leeds Teaching Hospitals Trust. You will be using a range of medical devices and techniques, to deliver the highest standards across a variety of patient groups.

About us

Come and join our team in Leeds and become part of The Leeds Way sharing our vision and values. Our Trust is recognised for our staff engagement, great care and rated GOOD by the Care Quality Commission.

Leeds Teaching Hospitals NHS Trust is one of the largest acute health providers in the UK and based in one of the fastest growing and vibrant cities in the north.

At Cardio-Respiratory CSU, we aim to be a fair and supportive employer with positive, caring teams who are champions of the Leeds Way values. Our values are part of what make us different from other trusts, so we see this as a strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are:

Patient-centred

Collaborative

Fair

Accountable

Empowered

Leeds Teaching Hospitals is committed to our process of redeploying 'at risk' members of our existing workforce to new roles. As such, all our job adverts are subject to this policy and we reserve the right to close, delay or remove adverts while this process is completed. If you do experience a delay in the shortlisting stage of the recruitment cycle, please bear with us while this process is completed, and contact the named contact if you have any questions.

Job description

Job responsibilities

PRINCIPAL DUTIES & AREAS OF RESPONSIBILITY

CLINICAL PRACTICE

Take, where appropriate, delegated responsibility for the delivery of a highly specialist perfusion service, ensuring the service is effective and well-coordinated.

Offer and undertake a range of highly specialised perfusion techniques during routine and emergency cardiopulmonary bypass.

Assess patients relevant medical history, pathology and diagnosis and make appropriate decisions concerning conduct of cardiopulmonary bypass procedures.

Advise clinicians on the suitability of equipment and suggest to clinicians appropriate courses of action.

Set up, prime and run the cardiopulmonary bypass machine to maintain life support for the period of cardiopulmonary bypass according to broad occupational and clinical policies as well as recent scientific evidence, seeking advice when necessary.

Regularly undertake By-pass initiation and termination which requires a high level of hand eye and sensory coordination, similar to that required for suturing/intubation.

Take personal responsibility for simultaneously monitoring and making fine adjustments to 43 patient parameters on the bypass machine and to clinically respond and react to any changes in the patients condition. This requires intense concentration for the duration of individual cases which can last up to 12 hours.

Sample, analyse and interpret arterial/venous blood gases and patient coagulation status in the form of Activated clotting times and Thromboelastograph.

Administer drugs, including colloid / crystalloid fluids, vasoactive drugs, cardioplegia solution, potassium, anticoagulants, haemostatic drugs, sodium bicarbonate and osmotic diuretics as clinically indicated.

Monitor a wide range of highly complex and routinely conflicting clinical information on a minute-to-minute basis such as blood oximetry cardiac output systemic vascular resistance ventilation anticoagulation renal status and blood glucose levels, and take appropriate autonomous action in both alpha and pH stat blood management.

Manipulate on a second-to-second basis the patients cardiovascular system whilst on cardiopulmonary bypass.

Determine requirement for, and perform where clinically indicated, haemofiltration and blood transfusion during cardiopulmonary bypass, including modified ultrafiltration in neonates.

Set up and manage, where appropriate, antegrade/retrograde cerebral perfusion deep hypothermic circulatory arrest vacuum assisted venous drainage mechanical support devices extracorporeal membrane oxygenation, Intra-aortic balloon pumping.

Provide one to one care to acutely ill children with life threatening conditions. This involves shifts of up to 12 hours over a period of 2 weeks. This requires the post holder to provide a high level of emotional support to parents and other relatives over a sustained and repeated period.

Ensure quality control, calibration, cleaning, maintenance and safe use of expensive complex medical equipment in Clinical Perfusion

Frequent direct exposure to uncontained patient blood.

Participate fully in the Clinical Perfusion 24hr on-call cover.

MANAGERIAL

Liaise with other members of the surgical, anaesthetic and nursing teams.

Manage and prioritise own caseload/workload independently.

Be responsible for supervision of students, involving judging competence levels and organising suitable activity.

Complete a training record and casebook.

Discuss and sensitively deal with any highlighted problems that have arisen during supervision. This may involve providing reassurance where necessary or discussing problems with senior colleagues or staff

Respect the confidentiality of all matters that may relate to colleagues employment and that of other members of staff. All staff are expected to respect the requirements of the Data Protection Act.

Take leading roles, delegated by the Clinical Perfusion Manager in organising the departmental on call rota and daily activity planner. Write protocols and liaise any changes to staff in an appropriate forum. Order stock and organise its delivery, ensuring expiry dates are noted and stock rotated to ensure no stock wastage. Organise mandatory training for all perfusion staff to ensure training is kept up to date. Input files onto the departmental auditing database.

Plan staff rosters, equipment, supplies and maintenance of equipment with external contractors at least 5 weeks in advance and specifically in response to the planned elective list profile.

To reallocate work, staff, supplies equipment and recalibrate that equipment in response to acute cardiac surgery which makes up 50 % of the activity on a daily basis and/or in response to hot acute surgery demands (response time 1 hour).

Attend monthly audit meetings and contribute to the sessions by offering specialist knowledge and experience and feedback any relevant information discussed at the meetings.

Deputising in the absence of the Clinical Perfusion Manager.

Research and Development

Develop specialised techniques and protocols.

Participate in developing and implementing protocols and procedures within Clinical Perfusion. When impacting on other professional groups discuss with appropriate associate to encourage co-operation and to negotiate a favourable outcome.

Be responsible for personal update of knowledge on areas surrounding policies and ensure that relevant information is distributed to the appropriate individuals.

Evaluate, research and audit perfusion equipment testing as part of routine work.

Evaluate and contribute to changes in practice to improve quality of patient care.

Offer advice on research and development within the Directorate to promote perfusion research within a multidisciplinary team.

Liaise, co-ordinate and comply with other appropriate authorities and departments regarding the instigation of research projects, e.g., medical staff, R & D, Ethics committee, suppliers and both internal and external laboratories.

Critically review current literature to reflect current thinking regarding principles and practices of cardiopulmonary bypass that may ultimately lead to improvement in patient care.

Ensure that all duties are carried out in accordance with policies, practices and procedures of the Trust.

Comply with corporate governance structure in keeping with the principles and standards set out by the Trust.

Undertake equipment testing of new equipment.

Gather and collate research data in relation to the use of new equipment and protocols in relation to mortality and morbidity, to influence and implement evidence-based practice across the perfusion service.

Present research data at the Directorate Audit Meetings in the absence of the Chief Perfusionist.

Health and Safety/Risk Management

All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health and Safety policies, in particular by following agreed safe working procedures, and reporting incidents using the Trust Incident Reporting system.

Infection Control

The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment.

Equality and Diversity

The jobholder must comply with all policies and procedures designed to ensure equality of employment and that services are delivered in ways that meet the individual needs of patients and their families. No person whether they are staff, patient or visitor should receive less favourable treatment because of their gender, ethnic origin, age, disability, sexual orientation, religion etc.

Patient and Public Involvement

The Trust has a statutory duty to involve patients and public in evaluating and planning services. All staff have a responsibility to listen to the views of patients and to contribute to service improvements based on patient feedback.

Training and Personal Development Continuous Professional Development

The jobholder must take responsibility in agreement with his/her line manager for his/her own personal development by ensuring that Continuous Professional Development remains a priority. The jobholder will undertake all mandatory training required for the role.

Respect for Patient Confidentiality

The jobholder should respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role.

Person Specification

Qualifications

Essential

  • PGDip Perfusion science or equivalent
  • Accredited by SOCPSGBI
  • Registered with COCPSGBI


Desirable

  • Evidence of a more active role within the department, i.e. research seminars, presentations, training
  • Excellent multidisciplinary communication, oral and written
  • Adult cardiopulmonary bypass procedures and associated techniques
  • Ability to deal with difficult interpersonal situations
  • Awareness of professional responsibility


Experience

Essential

  • Positive mindset in respect of Supporting organisational change learning, and continuous improvement
  • Effective interpersonal and intrapersonal skills including high degree of self awareness and self regulation
  • Taking responsibility and accountability for delivering to their agreed objectives
  • Acts to support and enable effective teamwork


Employer details

Employer name

Leeds Teaching Hospitals

Address

St. James's University Hospital

Beckett Street

Leeds

LS9 7TF

Any attachments will be accessible after you click to apply.

C9298-CRS-205

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