Cardiac Physiologist Bank position - Band 7

Job overview

This post is designed to support the Cardiac Rhythm Service at Epsom and St Helier Hospitals. The post holder will be required to assist with device implants in our Catheter Lab at Epsom Hospital and in the Device follow-up clinics at both Epsom and St Helier hospitals. There is also a small simple EP service run in the lab on a bi weekly basis.

The successful candidate should hold a recognized Heart Rhythm Device qualification such as IBHRE, EHRA or BHRS.

The successful candidate should have experience in all of the following areas:  ILR follow-up, bradycardia implant and follow-up, CRT and ICD implant and follow-up.

The successful candidate will take on responsibility for the investigation, reporting, diagnoses and where appropriate alteration to therapy and patient care needs, working as an independent practitioner.

Working practice should be in accordance with occupational guidelines set out for each investigation, but you will have sufficient expertise to adapt practice to meet the requirements of the service area.

The successful candidate will need to work in all areas of non-invasive diagnostic cardiology investigations across Epsom and St. Helier Hospitals.

Main duties of the job

• 1.     To be an independent Practitioner at a specialist technical level in the performance of simple and complex Cardiology investigations, diagnosis and treatment where applicable. 2.     To be able to demonstrate ability as a specialist Physiologist in the following disciplines: Noninvasive investigations and Cardiac rhythm management. A.    Simple, complex and multi-chamber pacemaker implants and follow-ups and Implantable defibrillator follow-ups/implants

To be competent in performing the following to a high standard in accordance with BHRS and Department standards:

• Single and dual chamber pacemaker implant including hardware selection.
• Single and dual chamber pacemaker follow-up including trouble shooting, program optimization and clinical recommendations to medical staff
• Multi-chamber pacemaker implants and follow-ups
• Multi-chamber implantable defibrillator follow-ups
• LBBap Pacing

• Perform and interpret ECGs’, 24hr holter tapes and 24hr Non-invasive ambulatory BP monitoring
• Perform and report on exercise tolerance tests in accordance to British Cardiac Society guidelines and Departmental standards
• Prescribe appropriate exercise protocols on evidence basis and patient suitability
• Discuss with a multi-disciplinary team on suitability and safety of exercise tolerance test for patients as required
• To report on direct access ECGs’

• Record all device implants and follow-ups on the Pacenet database and Clinical Manager systems.
• Responsible for, in association with the lead physiologist in the maintenance of pacing hardware and accessory stock levels.
• Ensure clinic transfers, MRI/Radiotherapy requests and patient queries are responded to and completed in accordance with department protocols.
• Perform and record device home monitoring clinics ensuring results are recorded in accordance with department protocols.
• Plan, attend, present and co-ordinate outcomes at the weekly Arrhythmia and Devices MDT.
• Work with Arrhythmia and Heart Failure Specialist Nurses to provide specialist counseling and follow-up of complex arrhythmia and heart failure patients with implanted devices.
• Maintain up to date knowledge of specialist technical developments and be aware of their clinical implications.
• Provide Cardiac Physiologist support for left and right heart angiography and PCI when required.
• Provide Cardiac Physiologist support for IABP in the Cardiac Cath Lab.

Please read job description for further information.

Detailed job description and main responsibilities

• 1. 1.     To have responsibilities for the Health, Safety and Welfare of self and others and to comply at all times with the Health and Safety Regulations. 2.     To ensure patient and health record confidentiality at all times and to comply with the Data Protection Act requirements. 3.     To comply with the Trust’s Equal Opportunities policy and to promote equality of opportunity at all times. 4.     To undertake such other duties as may be required from time to time as are consistent with the responsibilities of this position and grade 5.     This job description is a reflection of the current position and may change in emphasis or detail in the light of subsequent service or organizational developments.

This job description is intended to give a general indication of the range of work undertaken and will vary with the changing demands and priorities within the Department.