To provide a comprehensive, specialist and autonomous Clinical Perfusion service/resource to patients and other members of the multi-disciplinary team within the Cardiothoracic Directorate and Trust. The Clinical Perfusionist will also contribute to and participate in the development of department protocols and research. With experience, the post-holder will support consultant colleagues in the application and choice of cardiopulmonary bypass and mechanical circulatory support in routine and emergency procedures/situations.
Main duties of the job
1. Provision of cardiopulmonary bypass capability and mechanical cardiac support.
2. Support Senior colleagues in the development of protocols and guidelines for clinical perfusion.
3. Support colleagues and undertake research where the application of cardiopulmonary bypass technology is (potentially) employed.
Job responsibilities
1. Take, where appropriate, delegated responsibility for the delivery of a highly specialist perfusion service, ensuring the service is effective and well-coordinated.
2. Offer and undertake a range of highly specialised perfusion techniques during routine and emergency cardiopulmonary bypass.
3. Assess the patients' relevant medical history, pathology, and diagnosis and make appropriate decisions concerning the conduct of the procedure.
4. Advise clinicians on the suitability of equipment and persuade clinicians on appropriate courses of action.
5. 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.
6. Undertake, analyse, interpret and correct arterial/venous blood gases and patient coagulation status.
7. Administer drugs including colloid/crystalloid fluids, vasoactive drugs, cardioplegia solution, potassium, anticoagulants, haemostatic drugs, sodium bicarbonate and osmotic diuretics as clinically indicated.
8. 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, and anticoagulation whilst monitoring renal status and blood glucose and take appropriate autonomous action.
9. Manipulate on a second-to-second basis the patient’s cardiovascular system whilst on cardiopulmonary bypass.
Person Specification
Knowledge & Experience
Essential
1. Networking: being able to work within and outside of the department with credibility out of area.
2. Familiarity with the application of cardiopulmonary bypass in critical/emergency situations and cardiopulmonary resuscitation.
Desirable
1. Proven knowledge of national strategies impacting on the provision of cardiopulmonary bypass procedures, national directives and clinical governance, for example, GIRFT.
Qualifications
Essential
1. Accreditation by Society of Clinical Perfusion Scientists of Great Britain and Ireland.
2. MSc.
3. Licentiate registration with College of Clinical Perfusion Scientists of Great Britain and Ireland.
4. Proven evidence of continual professional development.
Desirable
1. Society of Clinical Perfusion Scientists of Great Britain and Ireland Advanced Certificate.
Aptitude & Abilities
Essential
1. High level of organisational skills.
2. Ability to work as an autonomous practitioner or as part of a multidisciplinary team.
Desirable
1. Effective leadership skills.
Employer details
Employer name
University Hospitals Plymouth NHS Trust
Address
Derriford Hospital
Derriford
Plymouth
PL6 8DH
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