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Description
1 -To be highly competent in performing a broad range of routine and complex Cardiac Physiology clinical-technical procedures / techniques and be an advanced practitioner in at least one specialist field. 2 -As an advanced practitioner, to take a proactive role, together with the Lead Physiologists and other Cardiac Physiologists in the department, in developing and providing organised and efficient clinical-technical input to the diagnostic investigations and therapeutic services of the department. 3 -As a professional Advanced Healthcare Scientist, manage accordingly the maintenance of standards and quality in the clinical-technical Cardiac Physiology services, including responsibility for the training of trainees, junior staff and peers when they are rostered to the specialist areas in which the post-holder is highly competent. 4 -To foster and develop good working relationships through adequate, timely and appropriate communication with all other staff, and Patients, with whom the post-holder interacts during their work.
5 -To participate in providing the out-of-hours emergency Cardiac Physiology clinical-technical service to achieve 24-hour/7-day/365-days cover. PRIMARY DUTIES Invasive/interventional procedures: Provide specialist technical support in Coronary angiography, Percutaneous Coronary intervention, Valvuloplasty and trans-aortic valvular insertion (TAVI). Intracardiac Pressure monitoring/recording/measuring/interpreting. Near-Patient real-time blood analysis & monitoring: coagulation monitoring/oxygen saturations, etc Intra-Aortic Balloon Pumps: set-up/maintenance/troubleshoot/continuous care Right heart studies: blood saturations/monitoring/calculations/record/measure/analyse External cardioversion: set-up/delivery of energy Intra-vascular ultrasound, pressure wires, rotablation, Optical Coherence Tomography and shockwave: set-up/measure/record Temporary pacing: equipment set-up/threshold testing/rapid pacing All as solo operator Implantable device follow-up: Pacemakers single chamber and dual chamber: interrogate/ analyse/ interpret/ program/ troubleshoot/ report/ administrate Implantable cardioverter defibrillators and CRT devices: interrogate/analyse/interpret/program/troubleshoot/report/administrate Implantable loop recorders: interrogate /analyse/ interpret/ program/ troubleshoot/ report/ administrate Remote follow-up/ Home monitoring: download/ interpret/ report/ administrate (Auditing outcome, measurements, and comparison = diagnosing) All as a solo operator And: Implantable device implantation: Device implantation: Pacemakers single and dual chambers: Equipment set-up/ device prescription/ patient preparation/ monitor/ record/ measure/ test/ analyse/ interpret/ program/ troubleshoot Device implantation: implantable cardioverter defibrillators, CRT and SICD devices: Equipment set-up/ device prescription/ patient preparation/ monitor/ record/ measure/ test/ analyse/ interpret/ program/ troubleshoot System extraction: equipment set-up/ patient preparation/ monitor/ interpret/ troubleshoot Internal and external cardioversion: equipment set-up/safe delivery of energy All as a solo operator Or: Electrophysiology and Ablation: Electrophysiology studies and standard ablation: Equipment set-up/ Patient preparation / Monitoring / Recording / Measuring / Analysing / Interpreting / Reporting / troubleshooting - using programmable stimulator, EP lab system and lesion creation technologies (radio frequency, cryo) Complex ablation (ablation of atrial fibrillation and tachycardia / ablation of ventricular tachycardia): Equipment set-up / Patient preparation / Monitoring / Recording / Measuring / Analysing / Interpreting / Reporting / troubleshooting - using 3D non-fluoroscopic mapping and navigation systems (Carto 3, Velocity).
Intraoperative TOE: Equipment set-up / Patient preparation / Monitoring / Recording / Measuring. All as a solo operator Emergency TTE performing emergency echocardiography to FICE equivalent standard.
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