Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Working together to achieve the healthiest life possible for everyone in Ayrshire and Arran Candidate information pack Visit our website: www.nhsaaa.net All our publications are available in other formats Find us on Facebook at www.facebook.com/nhsaaa Follow us on Twitter @NHSaaa Post Title: Specialist Orthodontic / Prosthodontic Technician Job Reference Number: T/498/15 Informal Enquiries: Informal enquiries are welcomed by: Kirsty Barbour, Highly Specialist Orthodontic Technician/Maxillofacial Prosthetist & Technologist, Oral Facial Laboratory, Crosshouse Hospital, Kilmarnock. Tel: 01563-827320, email: [email protected] Closing Date: 19 November 2015 Process for Submitting Application Form: You can apply using the online application form on the SHOW website – www.jobs.scot.nhs.uk Alternatively your completed application form can be returned to [email protected] or to the Department of O&HRD, 63A Lister Street, University Hospital Crosshouse, Kilmarnock, KA2 0BE Please note: if applying using the online application facility on the SHOW website, the text in the supporting statement section is limited and overlong statements may be cut off. Please try to limit this section to the length of two A4 pages. Section one: Why work in Ayrshire? Ayrshire is situated in the south-west of Scotland on the Firth of Clyde, and is characterised by 80 miles of varied coastline, picturesque beaches, rolling green hills and islands. Just a 30-minute drive from Glasgow city centre, Ayrshire is an ideal location for those who want to enjoy city life, with all the benefits of living in a semi-rural area. Ayr, Irvine and Kilmarnock are the largest towns. However, there are many rural towns, villages and communities throughout the area should you wish to relocate to Ayrshire. Whether you decide to locate to Ayrshire or a neighbouring area, you will find that property prices are more affordable than in other parts of the UK. Local educational standards are very high at primary and secondary level. However, private education is also available in the area. See below for more information on local authority services: East Ayrshire Council – www.east-ayrshire.gov.uk North Ayrshire Council – www.north-ayrshire.gov.uk South Ayrshire Council – www.south-ayrshire.gov.uk Alternatively, working in Ayrshire provides an easy commute from both Glasgow and the wider central belt. There is an excellent network of both rail and bus links throughout Ayrshire to Glasgow and beyond. There are UK and international flights available from Glasgow Airport, as well as a range of services from Glasgow Prestwick Airport. Ayrshire provides a wide range of excellent recreational activities: whether you are interested in history and heritage, outdoor pursuits, events and festivals, or simply food and drink, there is something for everyone. Ayrshire boasts more than 40 quality golf courses, including two Open Championship courses at Turnberry and Royal Troon. For more information on the range of recreational activities in Ayrshire, visit www.visitscotland.com Section two: NHS Ayrshire & Arran as an employer NHS Ayrshire & Arran recognises that our staff are vital to delivering our purpose, values and commitments and to achieving our strategic objectives. Our purpose Working together to achieve the healthiest life possible for everyone in Ayrshire and Arran Our values Caring Safe Respectful Our aim is to create an organisation where people want to work and strive to deliver excellence each day; where staff wellbeing and personal resilience is supported; where careers are interesting and developed; where staff are encouraged to reach their full potential; and where staff feel their contribution is recognised and valued. To do this, we need to attract, develop, support and retain our staff and enhance their work experience. This will directly contribute to our aspiration to deliver excellent high quality services to every person every time. We believe the unique factors that help to define us as an employer are: our friendly and supportive environment; our commitment to staff engagement and effective team working; our track record in creativity and innovation and our ability to successfully implement change and redesign; our track record in supporting our staff’s learning, development and career aspirations, from an initial comprehensive three-day corporate induction programme to the availability of a wide range of internal training programmes; our commitment to supporting flexible working through a wide range of family friendly policies; and our commitment to support and improve our staff’s health, safety, wellbeing and resilience. We do this by implementing our Staff Health, Safety and Wellbeing Strategy, and in our work towards achieving and maintaining the Health Working Lives Gold Award. In addition, our Staff Care and Occupational Health Service provide a range of support and interventions to our staff. The organisation has a statutory responsibility to ensure the Staff Governance Standard is embedded and adhered to as part of the governance framework – staff, financial, information and clinical governance – in which NHS Boards operate. The Staff Governance Standard requires all NHS Boards to demonstrate that staff are: well informed; appropriately trained and developed; involved in decisions; treated fairly and consistently, with dignity and respect in an environment where diversity is valued; and provided with a continuously improving and safe working environment, promoting the health and wellbeing of staff, patients and the wider community. During 2013, we consulted with our staff to select the key values and behaviours which they believed were essential to create a safe, effective and person-centred working environment which benefits patients, staff and carers. This allowed us to develop our purpose, values and commitments. We passionately believe in creating a culture which is open, fair and just. Section three: Delivering our services Acute Services Emergency and elective hospital services are provided by our acute services, which includes inpatient, outpatient and day case care. There are two district general hospitals within Ayrshire: University Hospital Ayr and University Hospital Crosshouse. These hospitals provide a wide range of acute services: University Hospital Ayr University Hospital Ayr provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for South Ayrshire. It provides a number of Ayrshire-wide services including Vascular Surgery, Ophthalmology and Audiology. University Hospital Crosshouse University Hospital Crosshouse provides medical and surgical services on an inpatient, day case and outpatient basis. It is the main Accident and Emergency service for East and North Ayrshire. Inpatient paediatrics, the Ayrshire Maternity Unit and the main Laboratories for Ayrshire are on the Crosshouse site. Community, mental health and learning disabilities services Following the introduction of Health and Social Care Integration, the operational delivery for the range of community healthcare services and mental health and learning disabilities services is through the newly created Health and Social Care Partnerships and the Integrated Joint Boards: East Ayrshire Health and Social Care Partnership North Ayrshire Health and Social Care Partnership South Ayrshire Health and Social Care Partnership Community Services General medical and dental services are provided throughout Ayrshire and Arran by general practitioners, dentists, community pharmacies and optometry practices. Community nurses, health visitors and Allied Health Professionals are all involved in providing care within our local communities. Out-of-hours general medical services are provided by Ayrshire Doctors On Call (ADOC) within the community. Mental health and learning disability services Inpatient mental health services, including the Intensive Psychiatric Care Unit, are largely delivered at Ailsa Hospital in Ayr with further mental health inpatient services provided at University Hospital Crosshouse Learning disability services are provided from Arrol Park in Ayr. Elderly mental health inpatient services are provided from Ayrshire Central Hospital in Irvine, and East Ayrshire Community Hospital in Cumnock. Community based services are provided throughout Ayrshire for the range of clinical groups: adults, child and adolescent, elderly and addiction services. For more information on the full range of clinical services provided by NHS Ayrshire & Arran, visit our website www.nhsaaa.net Section four: Investing for the future There are two major capital developments underway within NHS Ayrshire & Arran to ensure safe, effective and person centred care: Building for better care We are investing £27.5 million to provide fit for purpose front door services for University Hospitals Ayr and Crosshouse, in order to improve emergency and urgent care for patients who come to hospital for anything other than a scheduled appointment. North Ayrshire Community Hospital – Woodland View We are investing £47 million to provide a 206 en-suite bedroom integrated mental health and community facility, including older people’s long term care and rehabilitation. This development will bring together a full range of outpatient and inpatient facilities. Section five: Post Details 1. Job Identification Job Title: Specialist Orthodontic / Prosthodontic Technician Responsible to (insert job title): Consultant Maxillofacial Prosthetist And Technologist/ Head Of Service Department(s): Oral Facial Laboratory Directorate: Surgical/ Head and Neck Operating Division: Acute Services Job Reference: T/498/15 No of Job Holders: 1 Last Update (insert date): 2. Job Purpose To provide specialist technical advice and support to the Restorative, Orthodontic and Maxillofacial services through provision of a broad range of design and fabricated appliances. 3. Dimensions The Oral Facial Laboratory is the sole unit of its kind serving the patient population of Ayrshire & Arran and beyond by providing clinical, technical and advisory services to Maxillofacial, Advanced Restorative Dentistry, Ophthalmology, E.N.T., and Orthodontics departments. This post is primarily responsible for basic appliance design and construction with aspects of complexity involved for each of the following specialised services: ORTHODONTICS ADVANCED RESTORATIVE DENTISTRY MAXILLOFACIAL 4. Organisational Position 4. ORGANISATIONAL POSITION Consultant Maxillofacial Prosthetist & Technologist/Head of Service Secretary Highly Specialist Orthodontic Technician/Maxillofacial Prosthetist & Technologist Highly Specialist Orthodontic Prosthodontic Technican (2 Posts) (1 Post) Postholder Dental Laboratory Support Worker 5. Role of Department Provide scientific and advisory services to the patient population of Ayrshire & Arran and beyond through provision of the following: Artificial Eye design, fabrication and fitting service Facial Prosthesis design, fabrication and fitting service Orthognathic Surgical Planning service Orthodontic Appliance design and fabrication service Maxillofacial Appliance design and fabrication service Restorative Appliance design and fabrication service Osseointegration Implantology design, fabrication and fitting service All of the above specialised services require the necessity to liaise with consultants, junior medical staff, patients and other relevant parties to ensure up to date information and episodes relating to patient care and future planning of treatment. 6. Key Result Areas Design and fabrication of a broad range of orthodontic appliances with aspects of complexity involved for the correction of malocclusions Design and fabrication of a broad range of restorative appliances, aspects of which are complex, for the restoration of mastication, speech and facial aesthetics Design and fabrication of a limited range of maxillofacial appliances which have orthodontic underpinning for the alleviation, stabilisation or correction of temporomandibular joint disorders, obstructive sleep apnoea, bruxism In the absence of Dental Laboratory Support Worker, fabrication of working casts from dental impressions to facilitate appliance design and fabrication In the absence of Dental Laboratory Support Worker, fabrication of quality orthodontic study casts for pre and post treatment dental arch assessment Assisting in the training and supervision of student Dental Technicians To assist/train/ support service users as required Identify research and development needs as appropriate for own mandatory Continuous Personal Development. Required to support and be involved in clinical trials and equipment testing Personal Development Plan appraisals with Consultant Maxillofacial Prosthetist & Technologist/Head of Service Participate with clinicians as appropriate in the design and construction of appliances Observe and comply with current Health and Safety and COSHH Legislation – Safely handle and manage laboratory chemistry; safely handle and use laboratory equipment Comply with any other duties prescribed by the Consultant Maxillofacial Prosthetist & Technologist/Head of Service in line with the exigencies of the service Comply with medical devices directive 93/42/EEC ensuring all materials, component parts and processes for appliance patient provision meet national guidelines Provide technical information regarding the long term management of medical devices Adhere to departmental policy and guidelines regarding cross-infection control Assist in the administration of laboratory work as necessary Maintain the strictest confidences in relation to personal related information of patients Set up, use and maintain computer controlled equipment in the production of medical devices IT communication skills required, e.g. email, word processing to produce written reports, internet for research purposes and compiling presentation materials 7a. Equipment and Machinery Computer Controlled Dry Heat Processing Unit - programming required for the processing of various types of materials by changing the materials from, e.g. acrylics from dough stage to hard acrylic stage, silicones from a runny/stringy stage to a soft solid stage in the manufacture of all types of orthodontic/maxillofacial appliances, etc. Polishing/Abrading Units Incorporating Internal abrading/polishing processes of appliance fabrication. Extraction Systems - utilised in the Computer Controlled Hydromat Boiling Out/Processing Unit – programming required for automatically flushing wax from plaster moulds and then processing acrylic resin and silicone materials under pressure for a pre-determined period of time changing material state from dough to solid. Computer Controlled Safety Cell Trimming Units Incorporating Integral Dust Extraction Systems, Micro Motor Hand Pieces and Control Units - for the trimming, shaping of appliances utilising computerised electrical micromotors with constant adjustable dust extraction employed. High Speed Grinder - required for the trimming to shape of extremely hard metals such as cobolt chromium. Workstation Dust Extraction Systems - required for removal of harmful acrylic/metal dusts created through shaping and trimming process. Workstation Natural Daylight Lighting – essential for fabrication of extremely fine appliance wires, components, in the provision of patient prosthetics. Magnifiers – for enlargement of intricate and extremely fine items of work. Various Types of Anatomical Articulators – setting up of teeth on provision of patient prosthetic appliances ensuring balance occlusion and articulation is achieved. Full Sets of Carving and Modelling Instruments - required for the sculpting and shaping of certain types of orthodontic appliances, restorative and maxillofacial appliances. Microwave – programming required for quick method heating of reversible hydrocolloid material for model duplication purposes. Dry Heat Oven - utilised for the drying out of models, etc. Ultrasonic Bath - utilised for the removal of ingrained materials from appliances following de-flasking of appliance from plaster or investment moulds. Also used in conjunction with ammoniated cleaning fluid for the removal of tarnish from metals. Computer Controlled Duplicating Machine – programmed and utilised for the duplication of large numbers of plaster models. Computer Controlled Vacuum Mixer – programming required for the mixing of plaster of paris/stone model materials producing a vacuum to ensure that all air is removed from the material prior to use in model casting. Electrical PlasterTrimmer - required for trimming of plaster/stone models, essential for the production of orthodontic study/working models. Dental Surveyor Parallelometer – utilised for analysing the path of insertion and planning and tracing of plates and clasps by locating and recording undercut depths present in patients’ maxillary/mandibular arches prior to appliance fabrication. Disinfection Baths – utilised for disinfection of facial/ocular/body and oral impressions. Electronic Weighing Scales – when measuring powder/liquid ratios of stone model materials. Plaster Oscillator - utilised for the removal of occluded air from plaster/investment material during casting/investing procedures. Computer Controlled Soldering Unit - required for the soldering of stainless steel in the fabrication of orthodontic appliances, etc. Sandblaster - required for removal of contaminants from the surfaces of metals, e.g. cast cap rapid maxillary expansion appliances, etc. Computer Controlled Electrically Heated Pressure Vessel – programming of the unit in the manufacture of auto polymonising acrylic resin materials, e.g. changing the state of acrylic resin from a fluid material into a hard surface material in the forming of orthodontic, maxillofacial appliances and devices, etc. External Fume Extraction Systems – utilised for the safe removal of harmful fumes created in the fabrication of medical devices, e.g. soldering, metal casting, heating of investment moulds, etc. Computer Controlled Downflow Fume Extraction Systems - employed to remove harmful methylmethylacrylate fumes in the mixing and spraying techniques involved in acrylic resin appliance fabrication. Steam Cleaner – required for removing residue from appliance surfaces following de-flasking process. Full Sets of Orthodontic Pliers and Cutters - required for the forming of extremely intricate, fine wire components in the fabrication of all types of orthodontic and certain maxillofacial appliances. Bunsen Burners - required for heating of various types of waxes for sculpting, modelling purposes in the appliance fabrication. Micro-torches - required for flaming and smoothing of modelling/carving/casting waxes during sculpting and modelling procedures. Also utilised for soldering of fine orthodontic wire components. Computer Controlled Vernier Gauge – for measuring of appliance/components. Calipers – for recording material thickness of appliances to microns of accuracy. Electric Carving Knife - required for trimming excess vacuum forming material from soft and hard laminated mouthguards, anti-snoring appliances, essix retainers, etc. Computer Controlled Pressure Forming Machine/ Manual Vacuum Forming Machine -utilised for adapting various types of plastic material closely to working models in the fabrication process of mouthguards, anti-snoring devices, essix orthodontic retainers, etc. Clinic Patient Chair – required for treatment of patients who may require appliance alterations. Glue Gun - utilised for dispensing specialised adhesive glues onto soft laminate materials for bonding of maxillary/mandibular components when fabricating anti-snoring devices. Fridge - utilised for the storage of materials to extend shelf life. Slide Viewer - utilised for viewing patient slides and providing presentations to members of staff. Slide Projector and Screen - providing presentations. Video Player - required for staff training, etc where new techniques can be shown. Computer - retrieval of information, accessing email, internet for research and development purposes, etc. Printer/Scanner/Copier - producing hard copies of work stored on computer. Fax Machine - sending and receiving facsimile documents. 7b. Systems Manual Records – appliance prescription cards stored chronologically for retrieval by technical/admin staff; diaries of appliance/work requests updated daily; files holding information on Laboratory staff for leave, training, etc; paper diaries of staff; resource files for reference purposes, e.g. Safety Health and Environmental manual, Child Protection Protocol Manual, requisitions placed retained for reference/ invoice processing purposes, brochures of supply companies, etc Medical Devices Directive Recording and Tracking System: This system is utilised for the documenting of C marked materials and components which are provided to patients through the provision of appliances on completion of their treatment plans. This also permits the tracking of components and materials to their supplying company where LOT numbers can be checked for conformity where failure of material component has occurred. These forms are filed in chronological order and retained for 5 years. Safe Systems of Work: Located through resource file and computerised information system. carrying out the work to ensure adherence to the approved systems. A reference system requiring to be complied with to ensure that approved and documented safe systems of work are followed in the day to day fabrication and provision of appliances. Risk Management: Located through resource file and computerised information systems. A system requiring to be accessed and complied with to determine the risks arising from identified hazards and the appropriate precautions to be taken within the workplace. 8. Assignment and Review of Work Work which is referred to the laboratory from the specialist orthodontic, maxillofacial, restorative clinics has the appliance type, time and date information transferred from supplied work cards into laboratory work book. Work which is appropriate for the post is allocated daily by self and undertaken under own initiative. Appliances which are referred for fabrication from external clinicians for income generation purposes would be assigned to postholder by senior members of staff. Supervision can be required by more senior members of staff who would issue non-routine appliances for design and construction. Quality assurance of work is achieved and maintained through conformity on a daily basis with Medical Devices Directive 93/42/EEC. This is an appliance/prosthesis recording system for material/component conformity and quality control checking system for adherence to prescription plans which is countersigned by senior members of staff. Work is reviewed by Consultant Maxillofacial Prosthetist & Technologist/Head of Service through regular personal contact and formal meetings, written reports, e.g. personal development planning. 9. Decisions and Judgements Typical decisions and judgements required of the post may involve: Urgent appliance requests requiring assessment of present workload and decision as to where prioritisation falls, e.g. is urgent cases of higher importance than of work previously assigned. Use own initiative and time management skills to incorporate request into current workload or reach decision with other staff members for reallocation of work. Accuracy of impression received from clinician, if defects are found then decision is made whether defect will compromise fit or action of appliance. If so, a new impression is requested from clinician Clinicians prescription contra-indicated when assessed with anatomical landmarks recorded on working cast. Discussion with clinician regarding alternative design prior to appliance fabrication When providing patients who have jaw discrepancies, with prosthetics for the restoration of speech, mastication and aesthetics, decisions have to be made regarding the setting up of the artificial teeth within the mandibular, maxillary arches. For instance, correct overbite/overjet required to prevent tripping of the prosthetics; correct curve of spee, monson, degree of cuspal grinding to provide balanced occlusion and to prevent cusp locking, mould of teeth required to permit good interdigitation of opposing teeth and to compliment the facial shape of the patient. Judgement as to the positioning of individual teeth to alleviate malocclusions and the contouring of the prosthetics labial/buccal flanges to determine the degree of facial plumping required particularly important when treating patients who have undergone radical ablative jaw surgery where facial form must be restored by building out and shaping of buccal surfaces of prosthetics to support flaccid buccinator muscles. Judgements concerning a broad range of Health and Safety issues/situations in a busy working laboratory. In the treatment of patients requiring orthodontic intervention for correction of malocclusions – this can result in the requirement of complex orthodontic appliances being designed and fabricated incorporating multiple, active, passive and retentive components being positioned and acrylated into an orthodontic appliance base plate. Careful analysis must be undertaken to determine the appropriate design and positioning of the orthodontic components to ensure that 1. Activation of tooth movement is unrestricted by adjacent components; 2. Desired direction of tooth movements is achieved without obstruction from erupting teeth; 3. Retention of appliance is achieved through thorough analysis of available undercut areas present on teeth required for retention. Deciduous teeth rarely have sufficient undercut areas present for ideal retentive clasp placement therefore permanent dentition is often the preferred teeth of choice. However, in the case of multi component appliances, this can be most problematic as permanent tooth choice may not be possible due to the positioning and number of active components incorporated in the device required to achieve the desired treatment result. In such cases improvisation of component design and positioning incorporating innovative techniques must be employed. 10. Most Challenging/Difficult Parts of the Job The number of specialties that the post requires to provide direct services to, and the diversity of knowledge and skills required for the provision and implementation of each individual service, inevitably can result in difficulties being experienced through the frequency of unavoidable interruptions. Due to the nature of the post, keeping up to date with the latest innovative techniques for each specialised service becomes very challenging as many units in the country have departments specialising in a single individual specialty only. This post has to achieve and maintain similar high levels of knowledge and skills in not one but three separate specialties in the provision of high quality services to patients. When constructing oral prosthesis for patients who have undergone ablative reconstructive jaw surgery and for whom essential anatomical landmarks are no longer present on working casts, technical planning if often compromised to meet clinicians’s prescription criteria. This poses a challenge for myself with regards to achieving improved aesthetics, speech and masticatory function for the restorative patient. A challenging aspect of orthodontics can arise in the fabrication of appliances for the mixed dentition patient. Each orthodontic case has two components to examine: the dental component and the skeletal or facial component. After careful evaluation and analysis of the patient’s dentition on the dental models, anticipation of the development stage can be challenging where both deciduous and permanent teeth are present. Growth may be dynamic if the patient is a growing child; facial harmony is established when both components fit closely together. The further apart the two components are the greater the discord and the more complex the case becomes. 11. Communications and Relationships Orthodontic, Maxillofacial, Restorative consultants and junior medical staff – require frequent communication face to face and by telephone for information sharing on appliance design Nurses – frequent communication face to face and by telephone for training of nurses and information sharing regarding timescale for appliance construction/disinfection of impressions, etc to ensure appliances are delivered to external hospitals on due date/time and to ensure collection and distribution of work takes place Laboratory Secretary – frequent communication face to face/written information regarding used material items for stock control purposes. Information regarding equipment repair and liaising with Secretary regarding admin aspects of training, updating personnel records, patient prescriptions, etc. Patients –regular communication face to face, e.g. witnessing consent forms for medical photography; giving opinion/reassurance regarding cosmetic result of facial/ocular prosthesis; acting as chaperone (when requested by Senior Chief Maxillofacial Prosthetist and Technologist) when he is treating certain facial patients who may be emotional. Attending orthodontic, Restorative, maxillofacial patient clinics for receiving patient information regarding appliance design requirements and treatment plans. Relieving/adjusting patient appointments at chairside College/University Lecturers – Face to face, email and telephone communication required when attending post graduate courses. Sales Representatives – Telephone, face to face communication when receiving information regarding laboratory materials, equipment and products and also when attending company presentations. Education Department – Face to face communication when providing table top demonstrations/presentations to public, e.g. large groups of school leavers who have an interest in medicine as a career and Open Days. Various internal departments - e.g. human resources, IT, Communication, Works Department and Ambulance Service – face to face, telephone and email regarding information sharing and reporting. External Laboratory Contractors – telephone, written communication for relaying of appointments/invoices/technical information and involvement in provision of specialised training courses. Medical Photography – face to face contact when escorting patients for photographic evidence of patient/prosthesis and defect site on behalf of Senior Chief Maxillofacial Prosthetist and Technologist Other Laboratory Staff – daily face to face/telephone/written/email contact regarding e.g. information sharing, workload issues, advice and guidance, training, laboratory staff meetings including requirement to participate in delivery of technical presentations. Technicians From Other Health Boards and External Laboratories – telephone/written communication for information sharing regarding appliance construction and supply. 12. Physical, Mental, Emotional and Environmental Demands of the Job PHYSICAL SKILLS NEEDED FOR THE JOB: Highly developed manual dexterity skills required when constructing precision appliances by the use of specialised instruments and equipment for the manipulation of extremely fine and intricate components and associated materials. Standing for protracted periods of time during various stages of appliance fabrication, e.g. casting, trimming, flasking, packing and polishing. Chairside assistance at clinic sessions, e.g. alteration of appliances Sitting for protracted periods of time fabricating orthodontic\maxillofacial\Restorative appliances Lifting requiring sudden short bursts of effort e.g. lifting heavy 25kg bags of plaster, carrying\lifting material\equipment deliveries into stock cupboard etc. Sitting for periods of time at computer using keyboard skills for word processing, information retrieval and internet research. MENTAL DEMANDS OF THE JOB: Requirement for frequent prolonged concentration on a daily basis during fabrication of orthodontic/Restorative/maxillofacial appliances. Due to the extremely broad spectrum of specialised work undertaken and aspects of that work being of a non-routine nature requiring frequent communication with clinicians/nurses during appliance fabrication, it is inevitable that frequent interruptions perpetuate the working day. EMOTIONAL EFFORT/SKILLS: Occasional exposure to emotional effort when requested to attend clinic environment where terminally ill patients with oral facial defects are being treated. ENVIRONMENTAL AND WORKING CONDITIONS OF THE JOB: Frequent exposure to controlled harmful substances, e.g. monomeric fumes from acrylic resins involved in appliance construction. Fine dusts for abrading procedures/polishing procedures. Vibration of hand when using micromotors. Inhalation of fine plaster dusts when model casting, etc. Frequent daily contact with body fluids when casting disinfected dental impressions requiring further cleansing of blood/saliva. Disinfection of appliance removed from mouth requiring repair or alteration. Exposure to fumes when heating stainless steel/flux during soldering process for aspects of orthodontic appliance fabrication. Potential for exposure to verbal/physical aggression by patients during chairside appliance alterations. Also assisting with Consultant Maxillofacial Prosthetist & Technologist/Head of Service, Restorative Consultant, Orthodontic Consultant, Maxillofacial clinicians, etc. 13. Knowledge, Training and Experience Required to do the Job BSc (Hons) Degree in Dental Sciences (4 years) or equivalent. + Postgraduate Diploma in Orthodontic Technology (2years) to gain membership of the Orthodontic Technicians Association plus evidence of continuous professional development + Registration with the General Dental Council Computer proficient requiring a working knowledge of Microsoft Software Packages. Experience of supervising students and demonstrating aspects of work to students and less experienced fellow professionals. Knowledge of intra-oral clinical procedures. Knowledge and experience of complex restorative dentistry utilising semi and fully adjustable articulation. Postgraduate knowledge and experience of constructing a wide range of orthodontic appliances removable intra-oral maxillofacial appliances. Fully conversant with legislation covering data protection and patient confidentiality. Knowledge of current COSHH, health and safety legislation to safely handle and use laboratory equipment and materials. Knowledge of legislation relating to Medical Devices Directive 93/42/EEC ensuring all material, component parts and processes for appliance patient provision meet national guidelines through knowledge of relevant materials science, use of bio-compatible materials, chemistry, rheology and toxicology. Person Specification Qualifications & Training – Essential Criteria BSc (Hons) Degree in Dental Sciences or equivalent; Postgraduate Diploma in Orthodontic Technology plus further experience and training in a range of advanced orthodontic technical procedures Registration with General Dental Council Qualifications & Training – Desirable Criteria Experience – Essential Criteria Substantial post qualification experience in orthodontic technology Substantial experience in advanced prosthodontic technology Experience – Desirable Criteria Experience of working in a multi-disciplinary team Knowledge – Essential Criteria Understanding of Windows applications Understanding of advanced restorative techniques associated with intra-oral osseointegrated implantology Understanding of advanced orthodontic design and fabrication techniques Knowledge – Desirable Criteria Understanding of the processes involved in Orthognathic surgical planning Understanding of obturator devices Competencies & Skills – Essential Criteria Good written and oral communication skills Good organisational skills Maintains responsibility for own Continuous Professional Development (CPD) High level of manual dexterity skills Understanding of Clinical Governance Competencies & Skills – Desirable Criteria Personal Characteristics and Other – Essential Criteria Constructively respond to knowledgeable assessment of own conduct and proactive ability to self-motivate and work on own initiative Ability to work effectively under pressure Personal Characteristics and Other – Desirable Criteria