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1. JOB DETAILS Job title: Radiographer (Diagnostic) Accountable to: Radiology Services Manager Managerially (if required) Radiology Clinical Manager Professionally (If required) Agenda for Change Band: Band 5 Location: Radiology 2. JOB SUMMARY (A brief description of the main purpose of the post) Radiographer performing general radiography and participating in provision of 24 hour imaging service. To rotate to areas of the department and undertake training as appropriate to the service. To work under the direct or indirect supervision of senior staff to achieve high standards of diagnostic imaging in terms of quality and safety. To support senior staff in the management of the areas as appropriate. To contribute to ongoing service evaluation and improvement. To demonstrate high standard of radiographic practice and accountability. To undertake audit in line with departmental service 3. ROLE OF DEPARTMENT (The function of the department in which the post holder works) Diagnostic Imaging service. To provide a full range of x-ray imaging to GP patients, outpatients, inpatients and day cases. 24/7 Diagnostic support for trauma, ward patients, theatres To provide a full flexible imaging service to urgent inpatients, booked patients and emergency department patients. Job description and person specification – page 1 of 12 Care Certificate -V1 June 2015 4. ORGANISATIONAL CHART (Including in diagrammatic form to whom the post is responsible to and any posts which are responsible to the post holder) See end of document 5. KEY WORKING RELATIONSHIPS (The range of individuals and organisations the post holder has contact with, how regularly and for what purpose) Integral part of radiology team. Interacting with senior Radiographers and Students. Working alongside Nurses, Radiologists, Clerical staff and Assistants to ensure the smooth running of the department. Liaising with ward and theatre staff, porters, clinicians and AE staff. Reporting to Lead Radiographer, Principal Radiographers and Radiology Services Manager. Undertaking Imaging service as single handed Radiographer when required. Working closely with Lead Radiographers in the management of general area 6. DUTIES AND RESPONSIBILITIES OF THE POST 1. Administration and Clerical a) Dealing with enquiries from patients and Trust staff regarding diagnostic imaging procedures and patient conditions. b) To receive patients in the department. c) Communicate condition related information to patients and relatives, or doctors assessing specific communication needs of individuals (e.g. trauma patients, concerns raised over referrals for procedures) d) To follow the Policies and Procedures relating to the administration part of Operator Role. e) Accurately enter essential electronic data, including information generated by others onto Radiology Information System (CRIS) and all other electronic records pertinent to the Radiology department in compliance with IRMER (2000), Environment Agency and Healthcare Commission. f) Following the Radiology Standard Operating Procedures in the organisation of appointments and use of Radiology Information system. g) Following the policies and procedures relating to the administration part of Operator Role. j) Undertaking such administration associated with ensuring all imaging sent to PACS/ worklist utilisation. k) Transmitting images via PACS or external solutions. Job description and person specification – page 2 of 12 Care Certificate -V1 June 2015 2. Clinical a) To take responsibility as an Operator/Practitioner under the IR(ME)R 2000 Regulations. b) To perform general radiography following the Departmental Protocols. c) To guide others in these examinations. d) To use analytical and judgmental skills to interpret radiographs, accurately differentiating between normal and abnormal findings, taking appropriate action as required. e) To rotate into specialist area for training as service need requires, working under the supervision of a more senior member of the team. f) To liaise with other departments and clinicians to ensure the smooth running of the service. g) Daily participation in the clinical training of Student Radiographers in accordance with the regulations set out by the University of Leeds. h) To take part in the out of hours services provided by the Department. i) To evaluate images for technical quality and use sound judgment to utilise imaging equipment and accessories to optimise image quality. a) To take responsibility as an Operator/Practitioner, as appropriate, under the IR(ME)R 2000 Regulations. b) To interpret accurately all radiology referrals, acquiring diagnostic images and physically positioning the full range of patient presentations. f) To keep up to date in areas of specialisation by reviewing protocols, ensuring all areas of role are practiced and reviewed by senior staff. i) To perform all duties with care and active participation in infection control guidelines. j) To liaise with other departments and clinicians to ensure the smooth running of the service. k) To be fully aware of the Trust and Departmental Major Incident Plan. l) Daily participation in the clinical training of Student Radiographers in according with the regulations set out by the Leeds training body. m) To ensure correct disposal of clinical and non-clinical waste, and to demonstrate knowledge overtly in work areas. o) To take part in the out of hours services provided by the Department. 3. Governance a) Taking part in multi-disciplinary team meetings to improve service to patients. b) To work in accordance with local and national policies: o The Ionising Radiation Regulations 99 and 2000 (ME). o Health and Safety Regulations o COSHH Regulations o Infection Control guidelines o Fire Policy o Major Incident Procedure o Patient Care protocols within the department c) To contribute to Departmental Risk Register as appropriate. d) Ensuring policies and procedures regarding safety are followed. e) To take part in audit under the guidance of the Clinical Manager. f) Maintain a safe working environment for both staff and patients and recognise the need for evaluating, reporting and acting on risk within the department. g) Report all clinical and non-clinical incidents and near misses in the department according to Trust policy, to ensure timely investigation. Job description and person specification – page 3 of 12 Care Certificate -V1 June 2015 h) Take an active part in implementing new services, to enhance and improve patient care. i) To ensure a high standard of cleanliness is maintained within the department and to adhere to infection control policies. 4. Communication a) Communicating with Radiologists, Radiographers and other disciplines regarding examinations. b) Communication of complex information to patients regarding their examinations. c) Utilising advanced skills in difficult situations such as dealing with very distressed or traumatised patients. d) Communicating with Clinical Manager and Radiology Services Manager regarding service issues. 5. Supervision/management/leadership a) To deputise for seniors in their absence. b) To assist in the induction and training of new members of staff ensuring documentation is completed and feedback given. c) To represent radiographers at multi-disciplinary team meetings and other meetings for the development of service. d) To undertake duties as delegated for the development of service/individuals. e) To supervise students and Assistant Practitioners. f) Develop and promote good working relationships between multidisciplinary teams. g) When working out of hours, to prioritize patients independently and organize workload from a wide variety of referral pathways. 6. Education and development a) To provide evidence of updating own professional knowledge and skills sufficient to maintain professional registration. b) To undertake training appropriate to the post. c) To update self on new techniques appropriate to the service. d) To participate in the appraisal scheme in accordance with Trust policy. 7. Patient/Client/Customer focus a) Ensuring, along with the whole team, the patient journey through the department is timely, efficient and meeting the patients’ needs. b) Ensuring the waiting times are kept to a minimum. c) To ensure the safe keeping of patients’ personal effects whilst in the Department immediately reporting any loss of these effects to the Radiology Services Manager. 8. Caring responsibilities a) Assessment of patients prior to x-ray examination with consideration for their welfare, dignity, safety and cultural beliefs. b) Care of the patient during examination ensuring radiation dose is kept as low as Job description and person specification – page 4 of 12 Care Certificate -V1 June 2015 reasonably practical for the best possible image. c) Care of the patient following the examination ensuring the correct communication is made to the patient regarding results, aftercare etc. d) Liaising with ward and medical staff regarding aftercare. e) Making sure patients are comfortable and warm and that dignity is preserved throughout the department. f) Assist with the moving of patients. g) To chaperone patients if necessary. 9. Professional a) To adhere to professional guidelines and maintain HCPC registration. b) To be responsible for own professional actions. c) To promote the effective and harmonious working relationship of all levels of staff within the service. d) To report to duty conforming to the departmental dress code and infection control policy. e) To use initiative based on the training undertaken appropriate to the areas of work. 10. Technical a) To undertake Quality Assurance testing on x-ray equipment. b) Maintain knowledge and skills in order to operate equipment safely. c) To have sound working knowledge of CR and DR equipment, Radiology Information system, x ray equipment and ancillary equipment. d) To ensure always up to date with Radiology Information Systems, ICE, Bluespier and PACS System updates. e) To use manual handling aids competently as required by the Trust for safety of both patients and staff f) To document any equipment faults or breakdowns in a timely manner and notify the Clinical Manager. 11. Financial a) To ensure effective and efficient use of all resources. b) To use consumables responsibly, keeping waste to a minimum. c) To take care of expensive equipment. 12. Research a) To participate in research and the development of initiatives in practice. b) To undertake audit appropriate to service and in line with departmental objectives. 13. Housekeeping a) Keeping the areas tidy and to clean expensive equipment as per protocol. b) To adhere to infection control policies and procedures when working in the hospital. c) To take care of own property when in department by using lockers provided. Job description and person specification – page 5 of 12 Care Certificate -V1 June 2015 7. WORK SETTING AND REVIEW (Who is responsible for setting and reviewing the work, the extent to which the post holder works unsupervised, and the extent to which they are free to act without direct reference to a more senior person) Duties set and reviewed by the Clinical Manager. Follows department policies and procedures. Part of multidisciplinary team with senior staff support when required. Works autonomously under IR(ME)R 2000 as Radiographic Operator and Practitioner, justifying radiation exposures and checking quality of own images. Single handed working at night with sole responsibility for service provided 8. INDIVIDUAL RESPONSIBILITIES The post holder is expected to adhere to Trust policies and procedures and relevant legislation including the requirements of any professional bodies and to attend mandatory training as identified by the Trust. Particular attention is drawn to the following requirements: CONFIDENTIALITY The post holder must maintain the confidentiality of information about patients, staff and Trust business in accordance with the Data Protection Act 1998 and Caldicott principles. You should familiarise yourself with the Trust’s confidentiality and data protection policies. INFECTION CONTROL In order to comply with the Health Act 2006 (Code of Practice for the Prevention and Control of Health Care Associated Infections) it is the responsibility of every member of staff to prevent and control the spread of infection following the Trust’s infection control policies. These are available on the intranet in the Infection and Prevention Control section. If, as a routine part of your job, you do not have access to the intranet please discuss with your line manager how you can access this information to ensure that you are familiar with your responsibilities. SAFEGUARDING HDFT takes its responsibility to safeguard and protect the welfare of both adults and children very seriously. During the annual appraisal process appraisers will use the appropriate documents to work with post holders to identify the relevant competencies necessary for this role and ensure the post holder is competent to undertake any appropriate duties or requirements to safeguard adults and children. For child safeguarding issues the relevant documents are the HDFT Child Protection Training Strategy and the Intercollegiate Document “Safeguarding Children: the Roles and Competencies of Health Professionals.” For adult safeguarding issues the relevant documents are the HDFT Safeguarding Adults policy, particularly the Training Needs Analysis. Job description and person specification – page 6 of 12 Care Certificate -V1 June 2015 Safeguarding also means ensuring that fundamental aspects of care, such as appropriate nutrition, preventing falls and minimising the risk of pressure ulcer formation, is provided for each patient in our care. HEALTH AND SAFETY All Managers have a general accountability for ensuring, so far as is reasonably practicable, the health, safety and welfare of the employees under their direction at work. All employees are required to: take reasonable care for their own acts or omissions and the effect that these may have upon the safety of themselves or any other person. use safety equipment or clothing in a proper manner and for the purpose intended. note that any employee who intentionally or recklessly misuses anything supplied in the interests of health and safety will be subject to disciplinary procedures. work in accordance with any health and safety procedures, instructions or training that has been given. not undertake any task for which they have not been authorised and for which they are not adequately trained. bring to the attention of a responsible person any perceived shortcoming in our safety arrangements or any defects in work equipment. note that all employees are under a duty to familiarise themselves with the Risk Management, Fire, and Health & Safety Policies. undertake mandatory training in accordance with legal requirements (fire and governance training is required annually and health and safety training is a single event). CORPORATE GOVERNANCE ARRANGEMENTS You will be expected to familiarise yourself with the Trust’s Governance Strategy which outlines the Management and Committee Structures and Procedures for the Governance of the Trust’s activities. RISK MANAGEMENT For Modern Matrons/Heads of Departments/Senior AHP’s/Band 7 & above only Ensure that you implement systems and procedures at local level to fulfil the requirements of the Trust’s Risk Management Strategy including local management and resolution of complaints and concerns, management of Untoward Incidents / Near Misses, and compliance with the Risk Profiling Programme. For all other staff You are responsible for ensuring that you become familiar with the requirements stated within the Trust’s Risk Management Strategy and that you comply with the Trust’s Risk Management Policies and Procedures. Your specific responsibility for Risk Management will be clarified to you by your Head of Department at your local induction. SMOKING Harrogate and District Foundation Trust has a Smoke Free Policy. All Health Service premises are considered as non-smoking zones, other than specific externally designated smoking areas. There will be a strict no-smoking policy within Trust Job description and person specification – page 7 of 12 Care Certificate -V1 June 2015 premises. EQUALITY AND DIVERSITY The Trust has a Single Equity Scheme which covers all aspects of Trust policy connected to equal treatment for all staff and service users and for building respect for the diverse nature of its workforce and population we serve. All employees must be aware of their obligations to treat everyone equally and to abide by the spirit and nature of these requirements to avoid direct and indirect discrimination. 9. JOB DESCRIPTION AGREEMENT Post holder’s signature ……………………………………….. Date ……………………………………….. Line Manager’s signature ……………………………………….. Date ……………………………………….. Job description and person specification – page 8 of 12 Care Certificate -V1 June 2015 PERSON SPECIFICATION Factor Qualifications POST TITLE: Diagnostic Radiographer Band 5 Essential Desirable BSc in Medical Imaging (Diagnostic Radiography) or equivalent HPC accreditation Experience Recent (within 1 year) experience in radiography practice, following British Models of care Wide general radiography Computer literate Evidence of CPD Red dot course Commenting skills Use of CRIS Radiology system Understanding of PACS Capable of good quality radiographs IR(ME)R200 knowledge IRR 99 knowledge IT Skills Knowledge of British models of care Knowledge of health and safety Radiographic interpretation skills – red dot, commenting Excellent patient / customer care skills Responsive to patient needs. Good communication, listening skills. Prioritising skills Effective time management skills Calm under pressure Problem solving Attention to detail Good team player Caring nature towards patients and staff Dealing with conflict. Knowledge Skills and Aptitudes Job description and person specification – page 9 of 12 Care Certificate -V1 June 2015 Commitment to improving services Commitment to professional development Responsive to taking on new tasks Self-motivated Confident approach Personal Circumstances Able to work alone Flexible working Willing to participate in the training and supervision of students. Enthusiasm for radiography Other requirements DBS Clearance. Satisfactory attendance record. Legally entitled to work in UK Available for out of hour’s duties. Independently mobile, manual dexterity Good timekeeping Good attendance record. Smart, professional image The post holder must be able to make own travel arrangements for business usage as this is essential for the Car driver / owner PERSON SPECIFICATION AGREEMENT Post holder ……………………………………….. Date ……………………………………….. Line Manager ……………………………………….. Job description and person specification – page 10 of 12 Care Certificate -V1 June 2015 Date ……………………………………….. Each of the above points should be considered in the light of minimum requirements listed in the job description. Job description and person specification – page 11 of 12 Care Certificate -V1 June 2015 Radiologists 7 Clinical Lead Radiology Services Manager Principal Ultrasonographer 0.8 Ultrasonographers 8.54 Principal Radiographer CT (0.8) Advanced Radiographer CT (1) Principal Radiographer General (1) Principal Radiographers NM (1.8) Specialist NM Radiographer (1) 13 Advanced Radiographer MRI (2) Advanced Radiographers (1.4) Radiographers Band 5 ROTATIONAL Band 6 (22.wte) (linked to specialities) Job description and person specification – page 12 of 12 Advanced Radiographer (1) General/Mammo Care Certificate -V1 June 2015 (12.8)