AGENDA FOR CHANGE NHS JOB EVALUATION SCHEME

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Nov 15, 2013 (3 years and 9 months ago)

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AGENDA FOR CHANGE

NHS JOB EVALUATION SCHEME



JOB DESCRIPTION TEMPLATE




1.

JOB IDENTIFICATION



Job Title: Therapeutic Radiographer


Reports to:

Superintendent I Radiographer


Professionally Accountable To: Superintendent I Radiographer



Department, Ward or Section: Clinical Oncology (Radiothe
rapy)


CHP, Directorate or Corporate Department: Clinical Services and Support


Job Reference:

SSCLSSRAIGCONC06


No of Job Holders: 1


Last Update:

March 2005



2. JOB PURPOSE



To accurately and efficiently plan and deliver radiotherapy and to provide high standards of
patient care and support.











3. DIMENSIONS

The post holder:



Works as a

member of a team of radiographers on a treatment unit / simulator. The treatment
machine (Linear Accelerator) accommodates on average 42 patients per day (6 patients per hour),
whilst the simulator can have as many as 12 patients per day.



Will participate

in staff rotation throughout all areas of the Radiotherapy Department enhancing
their knowledge and skills.



Works as a member of a team, seeking advice/information from senior radiographers and other
staff as required.



Is professionally accountable for hi
s/her practice.



Will assist in the supervise student radiographers and radiography assistants who are assigned to
their working area.



Forms part of a MDT (Multi
-
Disciplinary Team), which involves liasing with other members of
the team on a daily basis.



Uti
lises clinical expertise and organisational skills to deal with the many complex activities
frequently encountered on a treatment unit/simulator. They will also have the ability to adapt to
meet the constantly changing situations and demands.



Participates
in the provision of On
-
Call facilities when required.



4. ORGANISATIONAL POSITION


Radiotherapy Manager/Superintendent I Radiographer


Superintendent II Radiographer


Superintendent III Radiographer


Senior I radiographer


Senior II radiographer


Radio
grapher (1)

(This post)


Radiography Assistants





5. ROLE OF DEPARTMENT


The Department of Clinical Oncology provides an integrated cancer management and treatment service to
patients from Highlands, Western Isles and parts of West Grampian, a popula
tion of approximately
260,000.

The department is equipped with:



2 Linear Accelerators (1 is Multi
-
Mode, has Multi
-
Leaf Collimation (MLC) and Electronic Portal
Imaging (EPI) and has a computerised verification system) The older of the 2 machines is due to
b
e replaced next year.



1 Simulator Unit with CT facility.



1Superficial/Orthovoltage treatment unit.



Mould Room



Computerised Helax Planning System



Visir Network



CT Scanner access.


A course of Radiotherapy is ‘fractionated’ and delivered daily over a period
of weeks. This course of
treatment is often combined with a cycle chemotherapy and/or surgery.


All work related to the medical exposure of patients to radiation is governed by the principles and
regulations of Ionising Radiation (Medical Exposure) Regulat
ions (I (RME) R). The department is subject
to inspection by the regulatory body.


Radiotherapy departments and the services supplied to them must operate a quality management system to
BSI 2001 standards. BSI to ensure conformance regularly inspects the l
ocal system.


The department is a training centre for both postgraduate and undergraduate student therapy radiographers
from Queen Margaret’s University College (QMUC) in Edinburgh.














6. MAIN TASKS, DUTIES AND RESPONSIBILITIES


1.

General



The Post holder must:



Ensure compliance with statutory Trust and Clinical Oncology Department policies,
procedures, rules, regulations and protocols with respect to patient care and safety.



Refer any complaints to the appropriate authority.



Recognise the
importance of people’s rights and act in accordance with Trust legislation,
policies and procedures.



Train and supervise radiotherapy students in all areas within the department on a continual
basis.



Assist in the orientation/introduction of Radiotherapy t
o other staff and


students including medical, nursing and other AHP disciplines.



Participate in an `On
-
Call` service when required.



Participate in shifts and overtime at short notice e.g. machine breakdown.



Provide information and emotion
al support to cancer patients, relatives and visitors.


2.

Clinical

The Post holder must:



Position patients, to a high level of accuracy using hand, eye and sensory co
-
ordination,
and using lasers and any appropriate positioning/immobilisation devices. (milli
metre
accuracy)



Plan and deliver radiotherapy treatment to a high level of accuracy using hand, eye and
sensory co
-
ordination at a speed that enables a reasonable throughput of patients. These
tasks are performed under low light conditions and must be done

also with speed to


enable treatment delivery and planning in a time that can be tolerated by the patient.

o

Operate the treatment machine/simulator controls, including gantry, collimator,
couch and imager

o

Ensure that the parameters

set match those on the prescription plan

o

Check wedge direction, shielding blocks and MLC

o

Report on any aspect of the set
-
up which does not comply with departmental
practice

o

Calculate and enter treatment details into VISIR

o

Modify VISIR data when required.

o

Check wedge direction, shielding blocks and MLC



Enter patient and treatment data and operate IMCON



Modify IMCON data when necessary.



On an ongoing basis review and verify the treatment of patients for whom responsible and
if required make adjustments/mod
ifications to treatment plan or set
-
up



Take port films and assist in reviewing images.








3.

Staff Organisation

The Post holder:



Works within a team of radiotherapy staff on a treatment unit or simulator and
demonstrates flexibility within the staff rotat
ion.



Contributes to the training of student radiographers.



Assists in the training and supervises radiography assistants.


4.

Safety

The Post holder:



Recognises and reports equipment faults, accidents, incidents and unsafe practices as per
Hospital Policy and

Clinical Oncology Department procedures.



Operates and ensures the radiotherapy equipment is used in a safe manner.



Follows and ensures compliance with the Trust/Department and National guidelines
regarding the safety of patients, visitors and staff in wor
k areas.



Ensures compliance with IR (ME) R and local radiation rules



Controls access to patient radiation controlled areas to ensure the safety of patients, carers,
visitors and staff.



Implements procedures following any emergency or non
-
routine situation
(including Fire,
Cardiac Arrest) and when treating patients with infectious diseases



Attends Trust Health and Safety training: Violence and Aggression, Resuscitation, Fire and
Moving and Handling (M&H).


5.

Patient Administration

The Post holder:



Ensures the
effective throughput of patients by using the established appointment system



Assists senior staff in re
-
scheduling patients during equipment maintenance or break
-
down
periods



Maintains and ensures accuracy of paper and computerised patient records



Assists
in the preparation of daily returns sheets for statistical purposes.


6.

Quality Assurance

The Post holder:



Provides accurate planning and treatment using treatment plans and prescriptions.



Conducts initial checks on treatment prescriptions.



Recognises the si
gnificance of the department Quality Management System, audit process
and written instructions.



Reports any errors or omissions in treatment to the Superintendent/Senior Radiographer in
charge of the work area.



Reports Clinical Governance issues.


7.

Audit/Cl
inical Governance

The Post holder:



Assists in the auditing of all aspects of the patient journey, including waiting times, gaps in
treatment and checks.



Participates in Clinical Governance to ensure maintenance of standards and improvement
in care.



Partici
pates in patient and staff surveys



Participate in external audits by British Standards Institute (BSI)


8.

Staff Development

The Post holder:



Ensures that no task is undertaken without the appropriate knowledge, training or
supervision



Participates in mandato
ry and voluntary training



Completes the list of objectives required during induction or following a break in service



Actively pursues and undertakes CPD opportunities



Develops and maintains a portfolio


9.

Staff Appraisal

The Post holder:



Undertakes personal
and professional self
-
development opportunities as determined by
PDP&R and self
-
direction.



7a. EQUIPMENT AND MACHINERY

As a radiographer they are required to work, use and operate the following equipment:



Linear Accelerators with Electronic Portal Imag
ing, MLC and treatment accessories
(Being upgraded in 2006 to include Image Guided Radiotherapy (IGRT) and Intensity
Modulated Radiotherapy (IMRT))



Simulator with CT attachment and planning accessories



Orthovoltage/Superficial Treatment Unit with treatment

accessories



Computer and software accessories attached to treatment and simulator unit



Port Film Holder



Patient positioning devices



M&H Equipment



Suction apparatus



Computers with Microsoft packages
-

communication and CPD



Photocopier.

They require to have
the specialist clinical knowledge, expertise and experience to ensure the safe
operation and use of the equipment.

They are responsible for identifying and reporting of all equipment faults.





7b. SYSTEMS

Patient Information Systems:

VISIR



Input patie
nt data required by the system



Patient administration bookings



Input treatment information and parameters



Input patient ID photographs



Check and verify treatment parameters with system

IMCON



Input patient data required by the system



Save and check patient
simulation/planning data

THERAVIEW



Check appropriate image transfer



Acquire images



Review images

Record daily treatment/simulator parameters

Record workload statistics

Record equipment faults



8. ASSIGNMENT AND REVIEW OF WORK




There will be a period of
mentoring for newly qualified and appointed staff



Work within the team will be allocated by Senior/Superintendent Radiographer



Annual review with Radiotherapy Manager



9. DECISIONS AND JUDGEMENTS




The radiographer will undertake the daily assessment an
d treatment of patients and will raise any


concerns or seek advice from the senior radiographer






10. MOST CHALLENGING/DIFFICULT PARTS OF THE JOB




Developing and maintaining effective communication with all members of the MDT



Being aware of t
ime management in a busy department so that he/she is able to talk and listen to
patients while working



Providing patient advice regarding many aspects of treatment



Ensuring that patient’s problems are assessed and solved, while maintaining efficient time

management.



Keeping focus on job at hand when faced with frequent interruptions.



To keep abreast of changes required by advances in technology and new treatment and planning
techniques.



Communicating with patients, who have extremely limited comprehension

or memory, (e.g.
patients with brain tumours) and those who have difficulty providing feedback (e.g. patients with
cancer of the larynx).




11. COMMUNICATIONS AND RELATIONSHIPS


The post holder will have regular contact with a wide range of people, co
vering many disciplines both
from within and out with the department including:



Patients, relatives and carers
-
emotional/administrative/professional



Oncology Medical staff

c汩湩捡氠l獳略s



Oncology Nursing staff
-
clinical issues



Mould Room staff
-

technical
issues



Ward staff
-
clinical issues



Radiotherapy Physics staff
-
technical
-
professional



Medical Physics EES staff
-
technical



Student radiographers
-
education



Secretarial staff
-
administration



Portering staff
-
administration



Other health professionals e.g. CT and D
iagnostic Radiographers, Physiotherapists, Dieticians,
Cardiology Staff
-
clinical/administration/professional



GP Surgeries
-
clinical/administration/professional



Highland Hospice
-
clinical/administration/professional



Scottish Ambulance Service
-
administration


The post holder requires highly developed interpersonal skills. This enables them to communicate with
patients/carers, in a clear and empathic manner, the highly complex and sensitive information relating to
radiotherapy, treatment preparation and treatmen
t reactions.




The post holder must be able to assess the level of complexity that is within the patients/carers
comprehension and have good listening skills to enable them to interpret the real needs of the patient

Must be able to motivate those patients

suffering acute medical symptoms, particularly when any break in
treatment is detrimental to treatment outcome.


The post holder will require to maintain effective communication with all members of the MDT to ensure
that there is an effective flow of inf
ormation relating to the patients radiotherapy. Thus promoting mutual
respect and understanding of professional roles and responsibilities.


The post holder is expected to attend multidisciplinary meetings and may be required to give
presentations to uni
-
p
rofessional or multi
-
professional groups


The post holder will require negotiating skills when dealing with potential conflict/aggression from staff
and patients.





12. PHYSICAL, MENTAL, EMOTIONAL AND ENVIRONMENTAL DEMANDS OF THE JOB


PHYSICAL SKILLS:



Excellent hand to eye co
-
ordination and manual dexterity are required to enable them to perform
the tasks necessary, under low light conditions, to safely and efficiently plan and deliver treatment.
(millimetre accuracy).



The post holder uses safe M&H tech
niques to transfer patients to and from treatment/simulator
couches, with/without mechanical aids. They have to safely use the treatment machines/simulator
and associated ancillary equipment, e.g. electron applicators, shadow trays, CT extensions, film
cas
settes and shielding blocks.


PHYSICAL DEMANDS:

Throughout a shift:



Use safe M&H techniques to move patients to and from treatment/simulator couches and position
them for treatment/planning. This can be done with/without mechanical aids.



To safely use and
manoeuvre the treatment machines/simulator and associated ancillary equipment
e.g. electron applicators, shadow trays, film cassettes and shielding blocks.



The post holder will be standing/walking for at least 50% of the shift, during which time they will
be required several times to push/manoeuvre trolleys, wheelchairs and beds.








MENTAL DEMANDS:



Assessing and treating patients whilst performing other related tasks.



Planning/delivering each patients treatment in order to ensure that the work is carrie
d out in a safe
and accurate manner and the highly complex information regarding radiotherapy
treatment/planning has been checked and applied correctly.



Concentration on the review of verification/portal images, the approval of treatment plans and
maintain
ing accurate treatment records.



Supervising and teaching specialist clinical skills to more junior members of the team and
students.



Adapting to changing work patterns and deal with frequent interruptions, either by individuals or
by telephone, which requi
re them to respond to requests for specific information and focus on a
different task/activity at the same time.



Calculating treatment data and entering into VISIR



Checking calculations and treatment data in VISIR.


EMOTIONAL DEMANDS:



The post holder will
have to deal with and meet the needs of a wide range of cancer patients; from
newly diagnosed with a good prognosis to terminally ill patients. They will frequently be in
emotionally difficult and draining situations whilst helping the patients in an empat
hic and
sensitive way to deal with their diagnosis, treatment and side effects.



The post holder will also have to deal with the concerns and anxieties of relatives/carers of the
cancer patient.


WORKING CONDITIONS:



The post holder must follow Infection Con
trol and H&S Guidelines.



Exposure to unpleasant smells and body fluids, open lesions/wounds, infections and lice is a
constant risk when planning/treating patients.



Must be able to work in areas of partially dimmed lighting



13. KNOWLEDGE, TRAINING AND

EXPERIENCE REQUIRED TO DO THE JOB




BSC in Therapy Radiography (or equivalent)



State registration as a Therapy Radiographer with HPC (Health Professions Council) is essential



Recent qualification or experience.









14. JOB DESCRIPTION AGREEMENT

I a
gree that the above Job Description is an accurate reflection of my duties and
responsibilities at the date of signing.



Job Holder’s Signature:



Manager’s Signature:





Date:


Date: