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
653B Leeds Teaching Hospitals NHS Trust 1. JOB DETAILS Job Title: Band: Reports to: Accountable to: Professionally Accountable to: Location: AfC Job No: Specialist Skin Therapy Radiographer 6 Superintendent Radiographer Dermatology Business Manager Superintendent Radiographer Dermatology, Chapel Allerton Hospital with some cross site working at LGI 653 2. JOB PURPOSE The post holder will work as part of a team of 4 radiographers providing a high standard of patient care within the policies and procedures specified by National Regulations, LTHT and the Dermatology Management Team. The post holder will assist - the Superintendent Radiographer to maintain the high standards of patient care and technical practice of the Leeds Dermatology Laser Centre 3. JOB DIMENSIONS The post holder will be actively involved in the treatment of patients, working as an autonomous Specialist Skin Therapy Radiographer, undertaking treatments on a single handed basis. Some managerial responsibilities within the Laser department will be required to support the Superintendent Radiographer. The department provides a regional and supra-regional service treating a wide range of skin disorders and many birthmarks. Patient ages range from 6months to 90+ years. Most paediatric patients and some adults are treated under general anaesthetic. Treatments are usually carried out as outpatient procedures but some occasionally need hospital admission. 4. DERMATOLOGY LASER CENTRE ORGANISATION Consultant Dermatologist Head of Nursing / Matron Superintendant Radiographer Specialist Skin Therapy Radiographer (Dermatology) 5. KNOWLEDGE SKILLS AND EXPERIENCE REQUIRED Essential Diploma or BSc in Radiotherapy or equivalent 1 653B Current registration (HPC) Significant post graduate experience.(minimum 18 months) Recent experience of specialist/senior radiographer level or completion of the band 5 KSF competencies. Proven skills/experience of specialist Skin Therapy Treatments BTech Higher Award in Skin Laser Treatment to be completed within 12 months of starting post. Secure knowledge of the dangers and consequences of the misuse of Class IV laser beams within 3 months of starting in post Organisational skills/decision making. Proven team working people skills Leadership skills IT skills Highly developed communication and negotiation skills Desirable Previous experience of working at a Band 6 level. Previous experience of Dermatology Lasers. Close-up photography skills Knowledge of a wide range of dermatological conditions 5. THE LEEDS WAY VALUES Our values are part of what make us different from other trusts, so we see this as strength, as well as a responsibility. They have been developed by our staff and set out what they see as important to how we work. Our five values are: Patient-centred Collaborative Fair Accountable Empowered All our actions and endeavours will be guided and evaluated through these values. Additionally the following are core values which relate specifically to this post: Commitment to contributing to the successful performance of the Dermatology Laser services across sites and with other disciplines as appropriate. Commitment to support, uphold and demonstrate core Trust management behaviours. Understands the need to engage in and respond positively to change, modernisation and opportunities for new ways of working leading to service improvement. 6. CORE BEHAVIOURS AND SKILLS Honest and reliable Ability to act professionally at all times Demonstrate the behaviours outlined by the Trust and the College of Radiographers Professional Code of Conduct. 2 653B 7. CORE KNOWLEDGE AND UNDERSTANDING 8. Ensure that professional attitudes and standards are maintained Commitment to team working, and contributing to the establishment of good interpersonal relationships and working atmosphere so that 2-way discussion, learning and development of the whole team can occur. Effective communication skills. Collaborate new ways of working and negotiate with patients in their care. Commitment to developing trust and rapport to establish patient cooperation and, manage patient’s expectations. Responsible for keeping up to date with technical practice and offering support and guidance to encourage other members of the team to do the same. Be able to demonstrate detailed and extensive specialist knowledge and understanding Dermatology Laser Therapy gained through wide experience and personal development. Ability to recognise the potential dangers of Class IV Laser and be aware of the damage that can be done to the tissue if not used safely. Understand how the potential dangers of this treatment greatly influences the many and varied decisions the post holder must make on a daily basis. Have knowledge of risk assessment/management, manual handling, clinical risk and infection control is essential. PRINCIPAL DUTIES AND AREAS OF RESPONSIBILITY Demonstrate competence in all areas of skin laser therapy and the benefits and potential dangers of Class IV lasers. Counsel and consent patients and prescribe laser treatments as defined by policies and protocols as appropriate to grade Check prescriptions and previous treatment records to ensure compliance of departmental l rules and protocols. Monitor previous and current treatments and adjust agreed plans and prescriptions in accordance with protocols to improve patient outcomes. Ensure that own clinical decision-making falls within departmental protocols, referring any decisions that fall outside of this remit to a more senior colleague. Be responsible for keeping up to date with technical practice and offering support, guidance and encouragement to others to do the same. Be responsible for ensuring all equipment is used appropriately and safely, including administrative and management systems, monitoring equipment performance and reporting faults. Perform daily quality control procedures and record the results Be responsible for the clear, accurate concise recording of treatment delivery data and other clinical observations, specific to both patients and equipment, and referring/reporting of such findings. Perform a Specialist role in the Leeds Dermatology Laser Centre. Demonstrate appropriate counselling of patients prior to treatment by listening actively, questioning sensitively, to guide the patient and to clarify information received. Advise patients on the appropriateness of a particular skin treatment therapy according to patient’s lifestyle and ability to comply with treatment guidelines. Understand where patients may encounter difficulties and support and encourage patients to develop appropriate strategies to overcome those difficulties. 3 653B Be involved in the development of efficient, effective and safe working practices whilst meeting all workload targets Be involved with the supervision, development, performance and management of junior team members, allotted trainees, medical staff, students and visitors. Deliver complex laser therapy treatments to a wide range of patients complying with treatment protocols. Deliver treatment on a ‘single handed‘ basis and take responsibility for own individual actions. Physically position patients and equipment for treatment ensuring accuracy and patient safety/comfort whilst taking into account any patient limitations and adapting standard techniques as necessary. Monitor patient during treatment. Participate in audit, research and clinical trials, conducting treatments according to trial protocols and assessment documentation and record findings. In conjunction with the Superintendent ensure all equipment is maintained to a high standard and used appropriately, including administrative and management systems that assist in service delivery. Be responsible for the accurate recording of treatment delivery data and other clinical observations, specific to both patients and equipment, and referring/reporting of such findings Perform daily quality control procedures and record the results. Be responsible for efficient and effective planning and booking of appointments within their allotted area. Evaluate the actions required to maintain the high quality of practice by assessing, planning and implementing both patient needs and clinical process. Direct and provide advice to patients and carers at all stages of treatment, referring onwards as necessary Apply specialist skills and knowledge to teach new staff, medical staff, medical students and appropriate visitors as required. Maintain levels of cleanliness in the departmental and carry out the appropriate cleaning and care of the equipment including decontamination procedures. Ensure safe working environments at all times Comply with the Trust’s incident reporting system. In conjunction with the Superintendent be responsible for purchasing, maintaining and re-stocking all equipment. Signing and submitting requisitions as appropriate to the grade. Monitor faults in equipment, fittings and fabric and follow identified lines of reporting and documenting. Liaise with service engineers as appropriate. Work flexibly as required by the service/patient need, including deputising for the Superintendent Radiographer when necessary. Health and Safety All staff are responsible for working with their colleagues to maintain and improve the quality of services provided to our patients and other service users. This includes complying at all times with the Leeds Teaching Hospitals NHS Trust Policies, including Health & Safety policies in particular, by following agreed safe working procedures, reporting incidents using the Trust and department Incident Reporting System. Infection Control 4 653B The jobholder must comply at all times with the Leeds Teaching Hospitals NHS Trust Infection Control policies, in particular by practising Universal Infection Control Precautions. Hand hygiene must be performed before and after contact with patients and their environment. Training and Personal Development The jobholder must take responsibility in agreement with his / her line manager for his / her own personal development by ensuring that Continuous Professional Development remains a priority. The post holder will attend such courses as deemed necessary or desirable for future service development. The jobholder will undertake all mandatory training required for the role. Equality & Diversity The jobholder must comply with all policies and procedures designed to ensure equality of employment. Co-workers, patients and visitors must be treated equally, irrespective of gender, ethnic origin, age, disability, sexual orientation, religion etc. Respect for Patient Confidentiality The jobholder must respect patient confidentiality at all times and not divulge patient information unless sanctioned by the requirements of the role. All communications should be written in a way that would not compromise the service on disclosure. 9. KEY RESULTS AREAS To be determined by the development plans of both departments 10. 11. COMMUNICATION AND WORKING RELATIONSHIPS The post holder requires highly developed communication skills and is expected to collaborate on new ways of working during Radiographer led consultations. Ability to manage patient’s expectations, advising on lifestyle choices where appropriate, gaining patient cooperation and compliance with treatment guidelines, to maximise the effectiveness of Specialist skin therapy treatments. Ability to negotiate with patients in their care, developing trust and rapport to gain patient cooperation, when met with hostility and antagonism. Ability to provide and receive sensitive information in an empathetic, reassuring manner where patients are in a highly emotional state, recognising barriers to effective communication and potential for conflict. Recognise the potential for conflict in relationships and seek to minimise this, and contribute to effective communications with immediate colleagues and the multidisciplinary team. Maintain effective verbal and/or written communication and working relationships with patients, other hospital staff, relatives and visitors. Work closely with anaesthetic staff and any other persons in theatre to ensure compliance with safe laser practices. To promote and maintain effective communication with internal and externally referring clinicians. SPECIAL WORKING CONDITIONS 5 653B Physical Effort Frequent demand for the use of highly developed co-ordination and sensory skills to accurately manipulate patients and equipment with a high degree of precision and speed with the ability to react promptly Requires excellent hand and eye co-ordination to accurately aim the laser beam, whilst controlling the laser output via a foot switch. Constant moving and handling of patients and equipment. Equipment - moving and handling of Skin X-Ray applicators and protective lead blocks, weighing 6kgm which have to be positioned around the patient. The necessity for the prolonged use of essential protective eyewear with different coloured lenses for each laser, and the need for very accurate, close work. Occasional emergency laser repairs required (i.e. in a GA theatre session) performed under the telephone guidance of the service engineers requiring manual and mental dexterity Equipment - regular moving and handling of heavy and cumbersome lasers (approx. 250Kgm) around the department on a regular basis for service requirements. Moving and handling training is mandatory and application of the practical and theoretical skills learned will afford a safe working environment. Mental Effort Mental agility required as constant concentration and mental multi-tasking is needed to perform day to day duties. Treatments are carried out on a single-handed basis and can last up to forty minutes. Intense concentration is needed for the accurate positioning and delivery of laser treatment. The post holder is responsible for the eye protection of patients and visitors during treatment. Frequent interruptions throughout the day to respond toqueries from junior radiography or medical staff and patient queries require the need for reprioritising of tasks. Emotional Effort Direct exposure to difficult and stressful situations when dealing with patients who have emotional and psychological. e.g. mental illness, The post holder will be expected to provide reassurance, support and assistance as appropriate to the situation. This occurs on a daily basis. Working Conditions Daily exposure to blood and other unpleasant body fluids and odours, noxious laser fumes (from the dyes necessary for the laser to function) and plumes, and possible toxic spillage. Will be required to wear appropriate face masks and protective eyewear. Ensure COSHH and safe working procedures are adhered to. The post holder must maintain a professional approach and up-to date knowledge of current procedures and safe practice. Violence and Aggression - able to deal effectively with exposure to verbal aggression and threatening behaviour (usually due to patient distress). Required to support junior staff to develop strategies regarding the correct de-escalation processes. Freedom to Act Following appropriate specialist training and recognised qualification in a number of specialist skin therapy modalities the post holder will have an extended scope of practice, 6 653B running Radiographer led clinics working in an autonomous manner taking ownership of their own clinical decision making within treatment guidelines and protocols. The post holder will be required to use their experience, specialist knowledge and initiative to take action on technical and patient related issues on a daily basis in their allocated areas (including amendments to treatment) to achieve the expected results as defined by departmental policies and regulations. The post holder should be competent in a variety of situations, referring outside their scope of practice to their team leader or clinician. The post holder should use their discretion to take action whilst accepting and utilising guidance from senior staff, peers and research. As a Specialist Skin Therapy Radiographer/ the post holder is expected to be a point of reference for other health professionals and students by utilising skills and expertise, with the ability to take action on / direct amendments to treatments as appropriate. A requirement to be a point of advice for patient queries and counselling for treatment in accordance with protocols. 7 653B Person Specification Post Title Specialist Skin Therapy Radiographer (Post Ref: ) Band 6 Department Dermatology Laser Centre Location Dermatology Chapel Allerton Summary of Role To treat patients in the Dermatology Laser Therapy Departments and have some managerial and leadership responsibility Criteria: Essential Desirable Evidence obtained from: Qualifications: Diploma or BSc in radiotherapy or equivalent Experience of Dermatology Laser Therapy Certificates Current registration (HPC) BTech Higher Award in Skin Laser Treatment to be completed within 12 months of starting post in order to gain specialist knowledge required to underpin clinical skills Significant post graduate experience (minimum 18 months Previous experience at senior radiographer level or completion of the band 5 KSF competencies. Training: Evidence of team leadership skills. Commitment to undergo all training requirements of the post. Organisational skills/decision making. Participate in departmental studies/activities Application form/CV Previous experience of working at band 6 level Evidence of further study in related areas Close-up photography skills Attendance of relevant lectures/ workshops/ study days. Key skills in a particular area relevant to service. Certificates CPD folder Interview Responsible for others and own CPD Special Knowledge: Secure knowledge of the benefits, dangers and consequences of Class IV Laser Beams. (training to be undertaken in the induction period on entry into the post) Wider knowledge of dermatological conditions Certificate Interview Basic IT skills Behaviours: Ability to work within and lead a team and to work single-Handed Interview Good interpersonal skills at all levels References Excellent communication skills Ability to negotiate and persuade Consistent decision making. Shortlisting criteria/Interview Proactive Resilient. Works well under pressure Flexible and adaptable Enthusiastic and positive and able to motivate others 8 653B Criteria: Essential Practical Skills: Good hand and eye co-ordination Manual dexterity Desirable Evidence obtained from: Occupational Health Screening References Other Requirements: Good attendance record. Ability to fulfil occupational health requirements of the post. Occupational Health Screening Excellent professional record Must be able to distinguish colour variations 9