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PLYMOUTH HOSPITALS NHS TRUST Job Group: Job Title: Existing Grade: Care Group: Unit: e.g., Department, Area, District Location: Reports to: Accountable to: Audiologists, Audiological Scientists and Hearing Therapists Advanced Paediatric Audiologist Advanced Audiologist Surgery Audiology Department Derriford Hospital Plymouth Team Leader, Paediatric Audiology Head of Audiology Services Job Purpose 1. Undertakes audiometric tests on in/outpatients. 2. Provides expert clinical service in rehabilitation of children with hearing loss and tinnitus 3. Assists with clinical supervision and training of trainee staff 4. Updates own professional knowledge, keeping abreast of new technology. Key Dimension a. Provides expert clinical service in rehabilitation of children with hearing loss and tinnitus b. Caseload size managed annually 38,000 (all age groups), including 250 permanent childhood hearing impairment c. Area population provided for: 480,000 (Plymouth and surrounding area) ORGANISATIONAL CHART Head of Audiology Services Team Leader Adult Rehabilitation Team Leader Paediatrics Team Leader Diagnostics Specialist Audiologists 2.6WTE Advanced Audiologist This post Specialist Audiologist Newborn Hearing Screening Hearing Therapy PRIMARY DUTIES AND AREAS OF RESPONSIBILITY Clinical Duties Rehabilitation duties Take social histories and listening needs assessments in infants and children, including newborns, and occasionally adults, and combine these with diagnostic test results to develop the necessary individual management plans Take accurate aural impressions of infants and children, and occasionally adults Modify ear moulds using the range of laboratory equipment available Following national and departmental guidelines and protocols, but with an understanding of when these can not be adhered to: o Select appropriate hearing aids and prescription formulae based on the needs assessment and diagnostic test results o Accurately fit digital hearing aids to infants and children, including newborns, using real ear/probe microphone measurements o Follow-up to enable fine tuning of digital hearing aids based on objective and subjective assessments of development and onward referral to other specialist services Provide counselling to patients and parents/carers regarding the nature and extent of any hearing loss, and the options on how this could be managed Manage distressed or angry patients sensitively, especially when disclosing test results and management options Provide audiological management to patients with significant co-morbidities, including mental health problems and learning difficulties Ensure patients and parents/carers are fully aware of the use of any devices issued Fault finding to provide a timely hearing aid repair service Manage complex cases, including taking referrals from junior and specialist staff Provide expert advice to other staff, including wards, health visitors and ENT Diagnostic duties To determine the appropriate test battery for patients seen as direct referrals from national screening programmes, primary care and as referrals from ENT or other health care professionals Analyse results to determine the next stage of diagnostics required, and to problem solve inconsistent or erroneous findings Take medical histories of patients directly referred from national screening programmes and primary care to exclude pathologies requiring a medical opinion Following national and departmental guidelines and protocols, but with an understanding of when these can not be adhered to: o Accurately test hearing of infants and children and adults with learning difficulties, using appropriate techniques for the individual’s age and level of ability o Accurately perform objective tests of auditory function on children and adults, including electrophysiological tests of hearing and balance, tympanometry, acoustic reflex testing and otoacoustic emissions Ensure that expensive clinical equipment used is calibrated, decontaminated and maintained according to national and departmental protocols Other duties Develop new departmental guidance and protocols based on national and international developments and the changing evidence base Take a lead in audits and other measures of quality Provide the range of audiological services in peripheral/community settings and domiciliary settings Provide training and supervision to pre-registration and basic grade audiology staff Provide training and supervision of specialist audiology staff, including both formal and informal post-graduate training and development Provide training to other staff groups, including medical students, nursing staff and communitybased health professionals Maintain accurate and comprehensive clinical records using the computerised patient management system and hospital records Provide written and verbal reports on patients to referrers and other members of the multidisciplinary team Assist the team leader in the maintenance and calibration of the service’s equipment Keeping accurate activity statistics Prioritise own workload and workload of others Take responsibility for own continual professional development, and support that of other staff Take a lead in continuous service improvement to enhance the quality, safety and efficiency of patient care Assist in stock and equipment management, including the carrying of equipment and stock to peripheral/ community clinics and for domiciliary services Ensure efficient use of resources Participate in departmental research and audit, and multi-centre trials Actively participate in departmental team meetings and training COMMUNICATION AND WORKING RELATIONSHIPS Good communication skills passing on relevant technical and/or condition related information with persuasion and reassurance for better understanding. Daily communication and interaction with adult and paediatric rehabilitation colleagues. Daily interaction with Team Leader and Head of Department Daily interaction with other professionals involved in the care of children with hearing loss and tinnitus Act as a mentor to students and colleagues, participating in induction programmes, guiding practice, and assessing competence to develop staff. Medical equipment maintenance unit and IT department Medical and Para medical staff. Communication with outside agencies All Job Holders are required to… Work to the Trust values - Put patients first, Take ownership, Respect others, Be positive. Adhere to Trust policies and procedures, e.g. Health and Safety at Work, Equal Opportunities etc. Maintain personal and professional development to meet the changing demands of the job, participate in appropriate training activities and encourage and support staff development and training. Attend statutory, essential and mandatory training. Respect the confidentiality of all matters relating to their employment and other members of staff. All members of staff are required to comply with the requirements of the Data Protection Act 1998. Comply with the Corporate Governance structure in keeping with the principles and standards set out by the Trust. Comply with the codes of professional conduct set out by the professional body of which registration is required for the post. Ensure they are familiar with the Risk Management Framework, follow policies, procedures and safe systems of work, make known any hazards or risks that they identify and take all necessary actions to reduce risk. Ensure the welfare and safety of children within their care. This includes staff who come into contact with children and families in the course of their work as well as those staff who have a specific role with children and families. Ensure they attend Child Protection training at the appropriate level within the specified time frame. Staff must comply with Safeguarding Policies and Procedures in order to promote safeguarding and prevent abuse to vulnerable people using Trust services. Maintain the prevention and control of infection and fully comply with all current Trust Infection Control policies and procedures. Take responsibility for any records that they create or use in the course of their duties, in line with the Public Records Act and be aware that any records created by an employee of the NHS are public records and may be subject to both legal and professional obligations. All Managers are responsible for… Assessing risks and implementing the necessary actions to minimise these risks within their sphere of responsibility. They must also enable staff to attend the relevant statutory and essential training. Managing attendance in accordance with the Trusts Attendance Management Policy. All Heads of Departments are responsible for… Ensuring all necessary risk assessments are carried out within their division, directorate or department in liaison with relevant sources of specialist support and expertise within the Trust. They must also ensure that the risk management process is completed appropriately. Note This job description is neither definitive nor exhaustive and is not intended to be totally comprehensive. It may be reviewed in the light of changing circumstances following consultation with the post holder. This job description is to be read in conjunction with all current Plymouth Hospitals NHS Trust policies, procedures & guidelines. Note This job description is neither definitive nor exhaustive and is not intended to be totally comprehensive. It may be reviewed in the light of changing circumstances following consultation with the post holder. This job description is to be read in conjunction with all current Plymouth Hospitals ADVANCED PAEDIATRIC AUDIOLOGIST PERSON SPECIFICATION ATTRIBUTES KNOWLEDGE & EXPERIENCE QUALIFICATIONS APTITUDE & ABILITIES ESSENTIAL Proven Evidence of recent CPD Highly developed specialist knowledge Demonstrable General Audiology Background An awareness of research and proven evidence based practice within setting Demonstrable experience at a specialist level in paediatric audiology MSc in Audiological Science or equivalent OR MSc level of expertise in a specialist area of audiology with BSC in Audiology or equivalent qualification. Registered as Clinical Physiologist in Audiology (RCCP) OR Clinical Scientist in Audiology (HCPC) Good communication skills, written and verbal, with ability to demonstrate fluency, clarity and effectiveness at all levels. Effective influencing skills: in general and with senior health care professionals. Teaching and mentoring skills Ability to prioritise workload, instruct and direct others. Organisational skills and able to work alone or as a team leader or part of team. Advocacy skills Demonstrate basic management abilities Works in a calm and organised manner and mixes in well as part of cohesive team Must have good all round interest in Audiology Issues CIRCUMSTANCES Able to manage non core time initiatives OTHER FACTORS Ability to participates in local or multi-centre research as and when required Ability to take a lead in departmental developments. DISPOSITION / ATTITUDE / MOTIVATION DESIRABLE Research – conference presentations, peer reviewed articles or equivalent Clinical audit Knowledge of patient administration system Knowledge of NHS service provision and pathways STP, HTS in paediatrics, CAC, or equivalent experiential learning Computer literate (ECDL) Ability to facilitate change within the work area.