Provide Physiologist support during complex devices/permanent pacemaker and implantable loops implants. Analyse complex data and recognise when to re-programme appropriate parameters as per manufacturer and departmental policies and protocols for individual patients at device/pacemaker follow up clinics. Undertake a Specialised Physiologists role in the invasive PCI service based in the Cardiac Catheter lab. Perform unsupervised monitoring of cardiac haemodynamic, invasive intra-cardiac pressures on clinically high-risk Cardiac patients.
Alerting Physician immediately of any changes in parameters. Including preparation and management of balloon pump equipment for insertion of intra-aortic balloon. Perform as lead Physiologist in Cardiac Physiologist led Exercise Tolerance Tests (ETTs). Without supervision, analyse and report the results of the procedure, in accordance with national and departmental protocols and procedures.
Provide Physiologist support during medically supervised ETTs. Prepare, hook up, remove, download, analyse the recordings, providing written reports on 24 hr Ambulatory ECG recorders, Blood Pressure recorders and Cardiac Event recorders, according to the departmental procedures and protocols. Perform Electrocardiograms on all categories of patients within the trust. Interpret the results and inform the relevant Physician of any adverse abnormalities, as per the departmental protocol and procedure.
Responsible for setting up equipment, preparing and carrying out Tilt table testing for medically and Physiologist supervised investigations. Develop skills in chosen specialist area i.e. CRM +/- Electrophysiology or Echo and work towards accreditation in this area. Designated responsibility to perform Cardiopulmonary resuscitation and defibrillation on patients in an emergency situation.
Training and Development
Undergo training as is deemed necessary to maintain efficient discharge of duties. Continue professional Development and be responsible for keeping own skills updated. Undertake all mandatory trust training on an annual basis. Participate in the teaching and training of members of staff within the department and other medical staff outside of own profession. Undertake annual Immediate Life support updates. Work towards accreditation in specialist area and prepare for exam such as BHRS, BSE etc.
Administration and Clerical
Undertake general clerical and administrative work, to include filing of patient clinical investigation reports carried out within the department. Conversant with basic computerised databases. Produce technical reports/comments. Compile daily statistical records of patient activity. Assist with the input of clinical activity onto Oasis and the departmental database.
Responsibilities
Plan and prioritise personal workloads according to daily staffing levels. Verify written reports of junior members of staff. Produce technically satisfactory results in accordance with national and departmental protocols and standards. Communicate complex instructions and clinical information effectively to all categories of patients, ensuring co-operation and compliance to obtain accurate technical and clinical data. Analyse clinical information and clinical conditions during procedures, whereby judgement is required to determine the appropriate course of action. Analyse test results and clinical information to judge whether additional parameters need to be recorded.
Ensure patients are monitored appropriately during investigations and ensuring swift and appropriate action is taken to minimize life threatening or significant medical events. Initiate Basic life Support and Immediate Life support when required. Responsible for the maintenance, quality assurance and infection control of any equipment used in order to maintain quality standards. Ensure safe use of specialist / expensive equipment used by self and others.
(ultrasound machine £125,000) Visually and verbally risk assess every patient prior to carrying out any clinical investigation on the patient. Advise junior medical staff on the availability, selection and appropriateness of test procedures. Liaise with nursing, medical and paramedic staff regarding patients welfare. Responsible for minor maintenance, trouble-shoot, quality assurance and infection control of any equipment used in order to maintain quality control. Be familiar with current developments in the field of Cardiology. Report all untoward events or uncertainties to the Countywide cardiopulmonary Service Manager. Adhere to all Worcestershire Acute Hospitals NHS Trust and departmental policies and procedures. Maintain confidentiality at all times.
Special Requirements
There will be requirement to participate in the on-call rota for primary PCI based at WRH.
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